JP2019101484A - Information processing apparatus, information processing system, information processing method and program - Google Patents

Abstract

To provide an information processing apparatus capable of properly managing information of medical images using a plurality of systems for managing medical images.SOLUTION: The information processing apparatus is configured to acquire a medical image and piece of incidental information from a first external system, and when neither the medical image or incidental information includes no identification information for uniquely identifying the medical image, to control to output a message to the second external system for registering a piece of information relevant to the medical image to the second external system. The information processing apparatus is also configured so as to, when the identification information is included in at least either one of the medical image or the incidental information, control not to output the message to the second external system.SELECTED DRAWING: Figure 9

Description

  The disclosure of the present specification relates to an information processing device, an information processing system, an information processing method, and a program.

  Recently, in addition to images output from modalities such as CT (Computed Tomography) devices and MRI (Magnetic Resonance Imaging) devices, various images such as photos output from digital cameras and images of documents output from scanners are medical images It is managed and used in medical practice. Patent Document 1 discloses a medical image server that acquires an image obtained by scanning a document such as a patient's introduction letter with an MFP (Multi Function Peripheral), associates the image with patient information, and transmits the image to an electronic medical record.

JP, 2014-120083, A

  When a plurality of systems for acquiring an image and transmitting the image to the electronic medical record exist in a medical institution, the same image is transmitted to the electronic medical record in duplicate through the plurality of systems, and the information of the image is appropriately transmitted. It may not be manageable.

An information processing apparatus according to an embodiment of the present invention includes a general-purpose image and an image receiving unit that receives additional information, a general-purpose image and a general-purpose image storage unit that stores additional information, and a general-purpose image received by the image receiving unit. And a general-purpose image management system having a general-purpose image management control unit for storing the incidental information in the general-purpose image storage unit and notifying an external system of the storage information,
The general-purpose image management control unit determines whether or not to notify the external system whether or not the general-purpose image is registered, based on whether the received general-purpose image or incidental information includes identification information or not. When the information is not included, identification information is added to the general-purpose image to notify an external system.

  According to the information processing apparatus according to the embodiment of the present invention, information indicating that the medical image has been acquired can be appropriately managed based on identification information included in the medical image.

FIG. 1 is a diagram showing an example of the configuration of an information processing apparatus according to a first embodiment and a related system. FIG. 14 is a sequence diagram showing an example of processing of each system when registering a non-DICOM image captured by the external image system A 104. FIG. 14 is a sequence diagram showing an example of processing of each system in the case of registering a non-DICOM image taken by the external image system B 105. The figure which shows an example of the meta-information which external imaging system A104 outputs. The figure which shows an example of the meta information which external imaging system B105 outputs. FIG. 2 is a block diagram showing an example of the functional arrangement of an information processing apparatus according to the first embodiment; 6 is a flowchart illustrating an example of processing in which an ID generation unit 601 generates a unique ID. FIG. 6 is a view showing an example of an inspection UID, a series UID, and an image UID generated by an ID generation unit 601. 6 is a flowchart illustrating an example of processing of storing an image and meta information and outputting a message by the information processing apparatus. FIG. 6 is a view showing an example of an image registration message output by the information processing apparatus. FIG. 8 is a block diagram showing an example of the functional arrangement of an information processing apparatus according to the second embodiment; FIG. 14 is a sequence diagram showing an example of processing of each system in the case of registering a non-DICOM image taken by the external image system B 105. 6 is a flowchart illustrating an example of processing of storing an image and meta information and outputting a message by the information processing apparatus. FIG. 14 is a sequence diagram showing an example of processing of each system in the case of registering a non-DICOM image taken by the external image system B 105. 6 is a flowchart illustrating an example of processing of storing an image and meta information and outputting a message by the information processing apparatus. The figure which shows an example of the meta information which external imaging system B105 outputs. 6 is a flowchart illustrating an example of processing of storing an image and meta information and outputting a message by the information processing apparatus. 6 is a flowchart illustrating an example of processing of deleting an image by the information processing apparatus. FIG. 6 is a view showing an example of a message representing image deletion output by the information processing apparatus.

Example 1
In recent years, various types of information used at medical sites have been computerized and managed. An image of a subject taken with a modality such as a CT apparatus or an MRI apparatus and used for diagnosis is treated in accordance with the DICOM (Digital Imaging and Comen- sation in Medicine) standard. DICOM is a standard that defines the format of medical images and the communication protocol between devices that handle those images. Hereinafter, an image treated in accordance with the DICOM standard is referred to as a DICOM image. A Picture Archive and Communication System (PACS) has been developed and widely used as a device for storing and referencing DICOM images.

  Further, among images of a subject used for diagnosis, there are images which are handled without conforming to the DICOM standard, such as an endoscope system and a fundus camera. In the following, images that are handled without conforming to the DICOM standard are referred to as non-DICOM images. Furthermore, the images used in the medical field include photographs output from digital cameras and images of documents output from scanners, and the types of images managed as medical images are increasing.

  In an electronic medical record that electronically stores a patient's medical record, information of an image regarding the patient is stored. Not only DICOM images but also images of photographs and documents, non-DICOM images, and so on are integrally managed, and it is required to be able to appropriately transmit information to electronic medical records. An object of the information processing apparatus according to the first embodiment is to integrally manage medical images acquired in a plurality of systems, and appropriately transmit information of the acquired medical images to an electronic medical record. Specifically, the information processing apparatus according to the first embodiment manages information of a medical image acquired by an external system, and when the external system does not transmit information of the medical image to an electronic medical record, The information of the medical image is transmitted.

  FIG. 1 is a system configuration diagram showing a general-purpose image management system 100 and related systems. Hereinafter, the general-purpose image management system 100 is referred to as a general-purpose system 100. The general-purpose system 100 is realized by, for example, a computer, and is an example of the information processing apparatus according to the first embodiment.

  The general-purpose system 100 is network-connected to the modality 101 and the digital camera 102, the scanner 103, the external image system A 104, the external image system B 105, the electronic medical record system 106, and the PACS 107.

  The general-purpose system 100 receives a DICOM image from the PACS 107, and creates a link for referring to the DICOM image of the PACS 107 based on the received information. The general-purpose system 100 also receives a document image obtained by scanning a photograph from the digital camera 102 and a scanner 103.

  The general-purpose system 100 receives non-DICOM images and meta information on the non-DICOM images from the external image system A 104 and the external image system B 105. The meta information describes the examination date, patient ID and the like in XML (Extensible Markup Language) format.

  The general-purpose system 100 is a message indicating that the image has been acquired in the electronic medical record system 106 when registering a photograph, a document image, or a non-DICOM image, and for registering information related to the image in the electronic medical record. A message (hereinafter referred to as an image registration message) is transmitted.

  Hereinafter, information incidental to a medical image is referred to as incidental information, and incidental information includes data elements including information other than images in DICOM images, meta information on non-DICOM images, and meta information on photographs and document images.

  The general-purpose system 100 cooperates with the external image system B 105 and the PACS 107 to provide a portal function of displaying an image to be managed in response to a request from the electronic medical record system 106 or the like. Thereby, the user can refer to an image using the functions of the external image system B 105 and the PACS 107 via the screen of the general-purpose system 100.

  The modality 101 captures a subject and acquires a DICOM image. The modality 101 communicates with the PACS 107 according to the DICOM standard-compliant protocol and transmits a DICOM image. The CT apparatus, the MRI apparatus, the fundus camera and the endoscope are examples of modalities.

  The digital camera 102 takes a picture. The digital camera 102 performs communication such as FTP (File Transfer Protocol) protocol and folder sharing, and transmits the photo to the general-purpose system 100.

  The scanner 103 scans and images a document to obtain a document image. The scanner 103 performs communication such as FTP protocol and folder sharing, and transmits a document image to the general-purpose system 100.

  The external imaging system A 104 captures a subject and acquires a non-DICOM image. The external image system A 104 performs communication such as FTP protocol and folder sharing, and transmits non-DICOM images and meta information in XML format regarding the non-DICOM images to the general-purpose system 100. The external imaging system A 104 includes an imaging device for acquiring non-DICOM images. The external image system A 104 includes a processor and a memory, and the processor reads out and executes a program stored in the memory to implement the function of the external image system A 104.

  The external image system A 104 captures a non-DICOM image, but does not manage a captured non-DICOM image, and therefore does not issue a unique ID that uniquely identifies the image. Therefore, meta information generated by the external image system A 104 does not include a unique ID uniquely identifying an image. Also, the external image system A 104 does not transmit an image registration message to the electronic medical record system 106.

  The external imaging system B 105 captures an image of a subject to obtain a non-DICOM image. The external image system B 105 performs communication such as FTP protocol and folder sharing, and transmits non-DICOM images and meta-information in XML format regarding the non-DICOM images to the general-purpose system 100. The external imaging system B 105 includes an imaging device for acquiring non-DICOM images. The external image system B 105 includes a processor and a memory, and the processor reads out and executes the program stored in the scale to realize the function of the external image system B 105.

  Furthermore, the external image system B 105 manages the captured non-DICOM image. The external image system B 105 issues a unique ID for uniquely identifying the captured non-DICOM image for management. The meta information generated by the external image system B 105 includes a unique ID that uniquely identifies the image. Also, the external image system B 105 transmits an image registration message to the electronic medical record system 106. In addition, the external image system B 105 can refer to an image managed by the general image system 100 or the electronic medical record system 106 by being linked and called.

  The electronic medical record system 106 stores the medical treatment contents (medical records) of the patient. The electronic medical record system 106 stores information on DICOM images, non-DICOM images, and photographs in which the patient is a subject. In addition, the electronic medical record system 106 stores information (for example, a document image) of a document related to the patient.

  The electronic medical record system 106 receives an image registration / deletion message from the general-purpose system 100, the external image system B 105, and the PACS 107. The electronic medical record system 106 generates and deletes link information from a message received from the general-purpose system 100 or the like so that an image can be referred to via each system. The electronic medical record system 106 may be included in a HIS (Hospital Information System) (not shown). The electronic medical record system 106 includes a processor and a memory, and the processor reads out and executes a program stored in the memory to implement the functions of the electronic medical record system 106.

  The PACS 107 receives DICOM images from the modality 101 and stores them. The PACS 107 is configured of one or more servers. The PACS 107 transmits the received DICOM image to the general-purpose system 100. Upon acquiring the DICOM image received from the modality 101, the PACS 107 transmits an image registration message to the electronic medical record system 106.

  FIG. 2 is a sequence diagram showing processing of each system in the case where information of non-DICOM image taken by the external image system A 104 is registered in the electronic medical record system 106.

  When the user captures and registers a non-DICOM image using the external image system A 104 (S 201), the external image system A 104 creates meta information based on the examination date and time, patient ID and the like related to the non-DICOM image (S 202). The external image system A 104 transmits the non-DICOM image and the meta information of the non-DICOM image to the general-purpose system 100 (S 203).

  The general-purpose system 100 stores the received non-DICOM image and meta information (S204), and transmits an image registration message to the electronic medical record system 106 (S205).

  The electronic medical record system 106 registers the information of the non-DICOM image based on the received message. Specifically, the electronic medical record system 106 creates and stores link information for accessing the non-DICOM image on the general-purpose system 100 (S206).

  FIG. 3 is a sequence diagram showing processing of each system in the case where a non-DICOM image taken by the external image system B 105 is registered in the electronic medical record system 106.

  When the user captures and registers a non-DICOM image using the external image system B 105 (S301), the external image system B 105 stores the captured non-DICOM image (S 302). The external image system B 105 creates meta information based on the unique ID issued to uniquely identify the non-DICOM image, the examination date, the patient ID, and the like (S303). The external image system B 105 transmits an image registration message to the electronic medical record system 106 (S 304).

  The electronic medical record system 106 registers the information of the non-DICOM image based on the received message. Specifically, the electronic medical record system 106 creates and stores link information for accessing the non-DICOM image on the external image system B 105 (S305).

  The external image system B 105 transmits the non-DICOM image and the created meta information to the general-purpose system 100 (S306). The general-purpose system 100 stores the received non-DICOM image and meta information (S307).

  FIG. 4 is an example of meta information output by the external image system A 104.

  The meta information includes a block 401 indicating examination information enclosed by <Study> tags, including the examination date and time enclosed by <StudyDateTime> tags, the registration date and time enclosed by <RegisteredDateTime> tags, and <Type> tag. The type information enclosed by is described. In addition, the <PatientInfo> tag describes the patient ID surrounded by the <PatientID> tag, and it is associated with which patient the examination has been performed. In addition, there is a block 402 indicating series information enclosed by <Series> tags, and is configured to be able to group images under inspection. In the series information there is an <Images> tag, in which there are <ImageInfo> blocks 403 and 404 representing individual image information. In the image information, the file name of the image enclosed by the <ImageFileName> tag and the shooting date and time enclosed by the <ContentDateTime> tag are stored. Since the external image system A 104 does not assign a unique ID, the block 401, the block 402, the block 403, and the block 404 do not include the unique ID.

  FIG. 5 is an example of meta information output by the external image system B 105.

  The meta information includes a block 501 indicating examination information surrounded by <Study> tags, and unlike the block 401 of FIG. 4, the attribute StudyUid indicating a unique ID uniquely identifying an examination is described. The block 502 indicating series information is also different from the block 402 in FIG. 4 and describes an attribute SeriesUid indicating a unique ID uniquely identifying the series. The blocks 503 and 504 indicating image information are also described in the attribute ImageUid indicating a unique ID uniquely identifying an image, unlike the blocks 403 and 404 of FIG. 4.

  FIG. 6 is a diagram showing an example of a functional configuration of the general-purpose system 100. As shown in FIG.

  The ID generation unit 601 issues a unique ID to an image received from a device that does not issue a unique ID, such as the digital camera 102, the scanner 103, and the external image system A104. The unique ID issuance process will be described later.

  The control unit 602 outputs the DICOM image, the photograph, the document image, the non-DICOM image, and the meta information received from the image acquisition unit 603 to the storage unit 605. When the unique ID is not included in the image or the meta information, the unique ID issued by the ID generation unit 601 is acquired, and when it is output to the storage unit 605, the unique ID is set to identify the image. If the image and the meta information do not include the patient ID, the image is displayed on the UI unit 606, the user is caused to input the patient ID, and the input patient ID is associated with the image. Further, after storing the photograph, the document image and the non-DICOM image in the storage unit 605, the control unit 602 outputs an image registration message to the communication unit 604. The processing of the control unit 602 will be described later.

  The image acquisition unit 603 acquires a photograph from the digital camera 102, a document image from the scanner 103, a non-DICOM image and meta information from the external image system A 104 and the external image system B 105, and outputs a DICOM image from the PACS 107 to the control unit 602. .

  The communication unit 604 outputs the image registration message received from the control unit 602 to the electronic medical record system 106.

  The storage unit 605 organizes and stores the images received from the control unit 602 in a form that allows search and acquisition based on the patient ID and the like.

  The UI unit 606 displays a list of images stored in the storage unit 605 based on a request from the electronic medical record system 106 or the like. Also, it provides a function capable of referring to an image of the external image system B 105 or PACS 107 in cooperation with the image list. Furthermore, when the UI unit 606 receives an image not including the patient ID, the UI unit 606 displays a screen for causing the user to input the patient ID. Thereby, the image not including the patient ID is associated with the patient, and the input information is output to the storage unit 605.

  The general-purpose system 100 is an information processing device realized by, for example, a computer, and the information processing device includes a memory, a processor, and a communication circuit. The information processing apparatus includes, as a memory, at least one of, for example, a random access memory (RAM), a hard disk, a flash memory, and a solid state drive (SSD). The information processing apparatus includes, as a processor, a central processing unit (CPU), a graphics processing unit (GPU), an application specific integrated circuit (ASIC), a simple programmable logic device (SPLD), a complex programmable logic device (CPLD), and an FPGA (field-programmable). At least one of Gate Array, etc. is included. The processor implements a function as the general-purpose system 100 by reading and executing a program stored in the memory. Instead of storing the program in the memory, the program may be directly incorporated into the circuit of the processor. In this case, the processor implements the function as the general-purpose system 100 by reading and executing a program incorporated in the circuit. Each processor may be configured as a single circuit for each processor, or a plurality of independent circuits may be combined into one processor. The information processing apparatus may have a plurality of communication circuits according to the purpose.

  FIG. 7 is a flowchart when the ID generation unit 601 generates a unique ID.

  When receiving the request, the ID generation unit 601 acquires, from the control unit 602, the device identification ID of the device that has captured the image to be issued a unique ID (S701). Next, the ID generation unit 601 reads the object identifier assigned to the general-purpose system 100 (S702), and reads the hospital ID (S703).

  The object identifier is unique identification information defined to represent the general-purpose image management system 100 itself, the hospital ID is an ID defined by the system vendor, and a unique ID is issued for each hospital. Do.

  Next, the ID generation unit 601 acquires the current date and time (S704). Thereafter, the ID generation unit 601 generates an inspection UID based on the information acquired and read in S701 to S704 (S705), and generates a series UID from the inspection UID (S706). The ID generation unit 601 generates an image UID from the series UID (S707). The ID generation unit 601 repeats the process of S 707 for the number of images (S 708), and generates each UID of the inspection, series, and image.

  FIG. 8 shows an example of the inspection UID, the series UID, and the image UID generated by the ID generation unit 601.

  The ID generation unit 601 generates an inspection UID by connecting the object identifier 801, the hospital ID 802, the device identification ID 803, and the current date and time 804 with a period. Further, the ID generation unit 601 generates a series UID by connecting the integer 1 to the generated inspection UID 805 with a period to generate a series UID, and connects an integer starting with 1 to the series UID 806 with a period to generate an image UID. Note that the above UID is an example, and it may be a value that can uniquely identify each attribute.

  FIG. 9 is a flowchart when the general-purpose system 100 stores an image and meta information and outputs an image registration message.

  The control unit 602 reads the received image and meta information (S901). The control unit 602 checks whether the patient ID is described in either the image or the meta information (S902).

  If the patient ID is described in either the image or the meta information (YES in S902), the control unit 602 checks whether the unique ID is described in either the image or the meta information (S903). Here, the unique ID includes identification information (for example, an image UID) for uniquely identifying the image.

  If the unique ID is described in either the image or the meta information (YES in S903), the image, the inspection information described in the meta information, the series information, and the image information are stored in the storage unit 605 (S904). Finish.

  On the other hand, when the patient ID is not described in either the image or the meta information (NO in S902), the UI unit 606 causes the user to input and acquire the patient ID (S905). The control unit 602 acquires the unique ID from the ID generation unit 601 (S906), and stores the image and the unique ID, the examination information described in the meta information, the series information and the image information in the storage unit 605 (S907).

  The control unit 602 outputs an image registration message to the electronic medical record system 106 via the communication unit 604 based on the parameters set in advance in the system (S908).

  Even in the case where the unique ID is not described in any of the image or the meta information (NO in S903), the processes in S906 to S908 are performed.

  FIG. 10 is an example of an image registration message output by the control unit 602 via the communication unit 604.

  The message has a block 1001 indicating an event type enclosed by <Event> tags. In the example of FIG. 10, since the event type is IMPORT, it indicates that the examination is registered.

  After block 1001, there is a block 1002 indicating examination information surrounded by <Study> tags having an attribute StudyUid indicating an examination UID. In the block 1002, the inspection date and time enclosed by the <StudyDateTime> tag, the registration date and time enclosed by the <RegisteredDateTime> tag, and the type information enclosed by the <Type> tag are described. In addition, a device identification ID surrounded by a <DeviceId> tag is described, and in which device the examination is performed is associated. Furthermore, the <PatientInfo> tag describes a patient ID surrounded by the <PatientID> tag, and it is associated with which patient the examination was performed.

  There is also a block 1003 indicating series information enclosed by <Series> tags having an attribute SeriesUid indicating a series UID, and is configured to be able to group images under inspection.

  In the series information, there is an <Images> tag, in which there are <ImageInfo> blocks 1004 and 1005 representing individual image information having an attribute ImageUid indicating an image UID. The image information stores the file name of the image enclosed by the <ImageFileName> tag and the shooting date and time enclosed by the <ConentDateTime> tag.

  As described above, the information processing apparatus according to the first embodiment registers the information of the medical image in the electronic medical record system based on whether or not the external image system assigns the unique ID to the medical image. Control whether to send a message or not. Thereby, when the external image system has already transmitted the message regarding the information on the medical image to the electronic medical record system, the transmission of the message from the information processing apparatus to the same image is suppressed. If the external imaging system has not sent a message regarding the information on the medical image to the electronic medical chart system, the message is sent from the information processing apparatus. Thereby, the medical image is efficiently managed, and the information is properly registered also on the electronic medical record system. The information processing apparatus can prevent the user from being confused by interfering with the operation of the electronic medical record system or information registered in duplicate.

  Although the general-purpose system 100 is configured to perform network connection with the digital camera 102 and the scanner 103 in the first embodiment, the present invention is not limited to this. The general-purpose system 100 may be configured to capture an image from the digital camera 102 or the scanner 103 using a portable medium such as a memory card.

  In the first embodiment, the meta information is passed in XML format. However, in the case of meta information not including a unique ID, the patient ID and examination date and time are described in the EXIF tag and file name of the JPEG image. Good.

  In the first embodiment, the general-purpose system 100 receives the DICOM image from the PACS 107. However, the general-purpose system 100 may receive the DICOM image from the modality 101.

  Although the unique ID is issued by the general-purpose system 100 in the first embodiment, an issuing device (not shown) may be provided outside the general-purpose system 100 to issue the unique ID. Since the unique ID is not assigned to the medical image acquired from the external image system A 104, the general-purpose system 100 requests the external issuing device to issue a unique ID for the medical image. The general-purpose system 100 is configured not to transmit the image registration message to the electronic medical record system 106 when acquiring the medical image to which the unique ID issued by the issuing device is added.

Example 2
In the second embodiment, an example will be described in which the electronic medical record system is inquired as to whether or not an image registration message has already been transmitted. In addition, about the part which overlaps with Example 1, detailed description here is abbreviate | omitted by using the above-mentioned description.

  FIG. 11 is a diagram showing an example of a functional configuration of the general-purpose system 100. As shown in FIG. The general-purpose system 100 is realized by, for example, a computer, and is an example of the information processing apparatus according to the second embodiment.

  In addition to the function of the control unit 602 in FIG. 6, the control unit 1102 inquires the presence or absence of registration of examination information to a system outside the general-purpose system 100 via the communication unit and transmits an image registration message to the electronic medical record system 106 It is determined whether to do. The processing will be described later.

  In addition to the function of the communication unit 604 in FIG. 6, the communication unit 1104 inquires the external system of the general-purpose system 100 whether registration of inspection information is present and outputs the result to the control unit 1102.

  FIG. 12 is a sequence diagram showing an example of processing of each system in the case where information of non-DICOM images taken by the external image system B 105 is registered in the electronic medical record system 106.

  When the user captures and registers a non-DICOM image using the external image system B 105 (S 1201), the external image system B 105 stores the captured non-DICOM image (S 1202). The external image system B 105 creates meta information based on the unique ID issued to uniquely identify the non-DICOM image, the examination date and time, the patient ID and the like (S1203), and transmits it to the general-purpose system 100 (S1204).

  The general-purpose system 100 stores the received non-DICOM image and meta information (S1205), and inquires the electronic medical record system 106 whether the examination information described in the received meta information has been registered (S1206). The electronic medical record system 106 determines whether or not the examination information has been registered in the general-purpose system 100, and transmits the result information.

  If the examination information does not exist in the electronic medical chart system 106, the general-purpose system 100 transmits an image registration message to the electronic medical chart system (S1207). If the examination information is present in the electronic medical record system 106, the image registration message has already been transmitted from the external image system B 105 to the electronic medical record system 106, so the general-purpose system 100 does not transmit the image registration message.

  The electronic medical record system 106 creates and stores link information for accessing the non-DICOM image on the general-purpose system 100 or the external image system B 105 based on the received image registration message (S1208).

  FIG. 13 is a flowchart when the general-purpose system 100 stores an image and meta information and outputs a message.

  The control unit 1102 reads an image and meta information received from a system external to the general-purpose system 100 (S1301). The control unit 1102 confirms whether the patient ID is described in either the image or the meta information (S1302).

  If the patient ID is described in either the image or the meta information (YES in S1302), the control unit 1102 confirms whether the unique ID is described in the image or the meta information (S1303).

  If the unique ID is described in either the image or the meta information (YES in S1303), the image, the inspection information described in the meta information, the series information, and the image information are stored in the storage unit 605 (S1304). The control unit 1102 inquires of the electronic medical record system 106 whether the examination information having the examination UID is already registered (S1305).

  If the examination information having the examination UID has already been registered in the electronic medical record system 106 (YES in S1306), the process ends. If not registered (NO in S1306), the control unit 1102 outputs an image registration message to the electronic medical record system 106 via the communication unit 1104 based on the parameters set in advance in the system (S1310).

  On the other hand, when the patient ID is not described in either the image or the meta information (NO in S1302), the UI unit 606 causes the user to input and acquire the patient ID (S1307). The control unit 1102 acquires the unique ID from the ID generation unit 601 (S1308), and stores the image and the unique ID, the inspection information described in the meta information, the series information and the image information in the storage unit 605 (S1309). Finally, the process of S1310 is performed.

  Also, when the unique ID is not described (NO in S1303), the processes in S1308 to S1310 are executed.

  As described above, before transmitting the message to the electronic medical record system, the information processing apparatus according to the second embodiment inquires whether information of the same unique ID is already registered. Thereby, even when various image systems are mixed, it is possible to suppress duplicate transmission of messages for the same image. The information processing apparatus can prevent the user from being confused by interfering with the operation of the electronic medical record system or information registered in duplicate.

[Example 3]
In the third embodiment, an example will be described in which an image system external to the information processing apparatus is inquired as to whether or not an image registration message has been sent to the electronic medical record system. In addition, about the part which overlaps with Example 1 and Example 2, the detailed description here is abbreviate | omitted by using the description mentioned above. The general-purpose system 100 is realized by, for example, a computer, and is an example of the information processing apparatus according to the third embodiment.

  FIG. 14 is a sequence diagram showing an example of processing of each system when registering a non-DICOM image taken by the external image system B 105 in the electronic medical record system 106.

  When the user captures and registers a non-DICOM image using the external image system B 105 (S 1401), the external image system B 105 stores the captured non-DICOM image (S 1402). The external image system B 105 creates meta information based on the unique ID issued to uniquely identify the non-DICOM image, the examination date and time, the patient ID and the like (S1403), and transmits it to the general-purpose system 100 (S1404).

  The general-purpose system 100 stores the received non-DICOM image and meta information (S1405), and inquires of the external image system B 105 whether or not the received non-DICOM image information has been transmitted to the electronic medical record system 106 (S1406) .

  As a result of the inquiry, when the external image system B 105 has not transmitted the image registration message to the electronic medical record system 106, the general-purpose system 100 transmits the image registration message to the electronic medical record system 106 (S1407).

  The electronic medical record system 106 creates and stores link information for accessing the general-purpose system 100 based on the received message (S1408).

  FIG. 15 is a flowchart illustrating an example of processing in which the general-purpose system 100 stores an image and meta information and outputs a message.

  The control unit 1102 reads an image and meta information received from the external image system B 105 (S1501). The control unit 1102 confirms whether the patient ID is described in the image or the meta information (S1502).

  If the patient ID is described in either the image or the meta information (YES in S1502), the control unit 1102 confirms whether the unique ID is described in the image or the meta information (S1503).

  If the patient ID is described in either the image or the meta information (YES in S1503), the control unit 1102 stores the image, the examination information described in the meta information, the series information, and the image information in the storage unit 605 ( S1504). The control unit 1102 inquires the external image system B 105 whether or not the information on the image having the image UID has been transmitted to the electronic medical record system 106 (S1505).

  As a result of the inquiry, when the external image system B 105 has sent the message to the electronic medical record system 106 (YES in S1506), the process is ended as it is.

  As a result of the inquiry, when the external image system B 105 has not transmitted the message to the electronic medical record system 106 (NO in S1506), the control unit 1102 registers an image via the communication unit 1104 based on the parameters set in the system in advance. A message representing that has been made is output to the electronic medical record system 106 (S1510).

  On the other hand, when the patient ID is not described in either the image or the meta information (NO in S1502), the UI unit 606 causes the user to input and acquire the patient ID (S1507). The control unit 1102 acquires the unique ID from the ID generation unit 601 (S1508), and stores the image, the unique ID, the examination information described in the meta information, the series information, and the image information in the storage unit 605 (S1509). Finally, the process of S1510 is performed.

  Also, when the unique ID is not described in any of the image and the meta information (NO in S1503), the processing in S1508 to S1510 is executed.

  As described above, before transmitting the message to the electronic medical record system, the information processing apparatus according to the third embodiment inquires whether the external image system having registered the image has transmitted the message. Thereby, even when various external image systems coexist, it is possible to suppress duplicate transmission of messages for the same image. The information processing apparatus can prevent the user from being confused by the operation of the electronic medical record system or information registered in duplicate.

Example 4
In the fourth embodiment, an example will be described in which the presence or absence of the message transmission to the electronic medical record is described in the meta information received from the external image system by the information processing apparatus. In addition, about the part which overlaps with Example 1 thru | or Example 3, detailed description here is abbreviate | omitted by using the description mentioned above.

  In the fourth embodiment, in addition to the control unit 602 in the first embodiment, the control unit 1102 reads meta information acquired from the external image system A 104 or the external image system B 105, and determines whether to transmit a message to the electronic medical record system 106 Determine

  FIG. 16 is an example of meta information output by the external image system B 105.

  In the meta information, there is a block 1601 indicating whether it is necessary to send a message surrounded by <RequireSendMessage> tags. In the example of FIG. 16, since the message transmission necessity is True, it indicates that the message transmission is necessary.

  After block 1601 there is a block 1602 showing the examination information enclosed in <Study> tags with attribute StudyUid indicating the examination UID. A block 1602 describes the inspection date and time enclosed by the <StudyDateTime> tag, the registration date and time enclosed by the <RegisteredDateTime> tag, and the type information enclosed by the <Type> tag.

  In addition, a device identification ID surrounded by a <DeviceId> tag is described, and in which device the examination is performed is associated. Furthermore, the <PatientInfo> tag describes a patient ID surrounded by the <PatientID> tag, and it is associated with which patient the examination was performed.

  Further, there is a block 1603 indicating series information enclosed by <Series> tags having an attribute SeriesUid indicating a series UID, and is configured to be able to group images under inspection.

  In the series information is an <Images> tag, in which there are <ImageInfo> blocks 1604 and 1605 representing individual image information having an attribute ImageUid indicating an image UID. The image information stores the file name of the image enclosed by the <ImageFileName> tag and the shooting date and time enclosed by the <ConentDateTime> tag.

  FIG. 17 is a flowchart showing an example of processing in which the general-purpose system 100 stores an image and meta information and outputs an image registration message to the electronic medical record system 106.

  The control unit 1102 reads the received image and meta information (S1701). The control unit 1102 confirms whether the patient ID is described in the image or the meta information (S1702).

  If the patient ID is described in either the image or the meta information (YES in S1702), the control unit 1102 confirms whether the unique ID is described in the image or the meta information (S1703).

  If the unique ID is described in either the image or the meta information (YES in S1703), the control unit 1102 stores the image, the examination information described in the meta information, the series information, and the image information in the storage unit 605 ( S1704). The control unit 1102 confirms whether or not the message transmission necessity is described in the meta information (S1705).

  If it is described in the meta information that the message transmission is necessary (YES in S1705), the control unit 1102 outputs an image registration message to the electronic medical record system 106 via the communication unit 1104 based on the parameters set in advance in the system ( S1709).

  If the message transmission information is not described in the meta information, or if it is described that transmission is unnecessary (NO in S1705), the processing is ended as it is.

  On the other hand, when the patient ID is not described (NO in S1702), the UI unit 606 causes the user to input and acquire the patient ID (S1706). The control unit 1102 acquires the unique ID from the ID generation unit 601 (S1707), and stores the image, the unique ID, the inspection information described in the meta information, the series information, and the image information in the storage unit 605 (S1708). Finally, the process of S1709 is performed.

  Also, when the unique ID is not described in any of the image or the meta information (NO in S1703), the processing in S1707 to S1709 is performed.

  As described above, the information processing apparatus according to the fourth embodiment determines whether a message is transmitted to the electronic medical record system based on the information described in the meta information acquired from the external image system. This makes it possible to suppress duplicate messages being sent to the same image while various external image systems are mixed, without having to inquire of an external image system or electronic medical record system. . The information processing apparatus can prevent the user from being confused by the operation of the electronic medical record system or information registered in duplicate.

[Example 5]
In the fifth embodiment, a case where image data is deleted in the information processing apparatus will be described as an example. In addition, about the part which overlaps with Example 1 thru | or 4, detailed description here is abbreviate | omitted by using the description mentioned above.

  The control unit 1102 in the fifth embodiment receives an instruction to delete an image input by the user via the UI unit 606 in addition to the function of the control unit 602 in the first embodiment. In addition to the function of the communication unit 604 of the first embodiment, the communication unit 1104 in the fifth embodiment outputs a message representing deletion of an image to the electronic medical record system 106.

  FIG. 18 is a flowchart illustrating an example of processing when the general-purpose system 100 deletes an image.

  When the control unit 1102 receives the inspection UID to be deleted from the UI unit 606 (S1801), the control unit 1102 reads the inspection information to be deleted from the storage unit 605 (S1802). The control unit 1102 deletes the examination information from the storage unit 605 (S1803).

  The control unit 1102 acquires the output mode from the system setting and confirms it (S1804). If the output mode is "do not output", the process ends. If the output mode is "output all", a message indicating that the image has been deleted is output to the electronic medical record system 106, and the process is terminated.

  If the output mode is “output only when own system generation unique ID”, it is checked whether the examination UID starts with identification information including the object identifier of the general purpose system 100 and the hospital ID (S1806). If the head of the inspection UID starts with the identification information of the general-purpose image management system (YES in S1806), the process of S1805 is executed. In the case of the next system generated unique ID, since the medical image is managed only by the general-purpose system 100 and the electronic medical record system 106, it is necessary to notify the electronic medical record system 106 that the medical image has been deleted.

  If the examination UID does not start with the identification information including the object identifier of the general-purpose system 100 and the hospital ID (NO in S1806), the process ends.

  FIG. 19 is an example of a message representing image deletion output by the control unit 602 via the communication unit 604.

  The message includes a block 1901 indicating an event type enclosed by <Event> tags. In the example of FIG. 19, since the event type is DELETE, it indicates that the inspection is deleted.

  After block 1901, there is a block 1902 indicating examination information surrounded by <Study> tags having an attribute StudyUid indicating an examination UID. A block 1902 describes the inspection date and time enclosed by the <StudyDateTime> tag and the registration date and time enclosed by the <RegisteredDateTime> tag. Furthermore, the <PatientInfo> tag describes a patient ID surrounded by the <PatientID> tag, and it is associated with which patient the examination was performed.

  There is also a block 1903 indicating series information enclosed by <Series> tags having an attribute SeriesUid indicating a series UID, and is configured to be able to group images under inspection.

  In the series information, there is an <Images> tag, in which there are <ImageInfo> blocks 1904 and 1905 representing individual image information having an attribute ImageUid indicating an image UID. The image information stores the file name of the image enclosed by the <ImageFileName> tag and the shooting date and time enclosed by the <ConentDateTime> tag.

  As described above, the information processing apparatus according to the fifth embodiment controls whether a message indicating deletion is transmitted to the electronic medical record system based on the unique ID at the time of image deletion. This makes it possible to prevent the link of the image from being unexpectedly deleted from the electronic medical record system while being able to be referred to by an external image system.

[Modification]
In the above-mentioned embodiment, although the case where general-purpose system 100 acquires a non-DICOM image and meta information was explained to an example, it does not restrict to this. For example, general-purpose system 100 may obtain a DICOM image from modality 101 and determine whether the DICOM tag includes a unique ID. When the DICOM tag does not include the unique ID, it is determined that the image registration message is not transmitted from the modality 101 to the electronic medical record system 106, and the general system 100 transmits the image registration message to the electronic medical record system 106.

  In another example, for example, the general-purpose system 100 may obtain a photograph or a document image from the digital camera 102 or the scanner 103 and perform the same processing as the above-described embodiment. In this case, the general-purpose system 100 determines whether a photo or document image has meta-information, and if the meta-information is not included, the meta-information is generated and stored in association with the photo or document image. You may If the image or meta information does not include the unique ID, the same processing as the above-described embodiment is performed to generate the unique ID, and the unique ID is registered in the electronic medical record system 106 in association with the generated unique ID. You may send a message.

  In the above-described embodiment, whether to transmit the image registration message to the electronic medical record system 106 based on whether or not the unique ID is included in at least one of the image and the meta information acquired from the external image system The control case has been described as an example. Here, the unique ID is identification information for uniquely identifying an image. The identification information includes, for example, an image UID. The present invention is not limited to this, and may include an inspection UID or series UID as a unique ID, and the general-purpose system 100 does not transmit an image registration message only when all of the image UID, series UID, and inspection UID are included. It is also possible to control so that the image registration message is not transmitted when any one is included.

  Although the information described in the XML format is shown as an example of the meta information in the above-described embodiment, the present invention is not limited to this. For example, the file name is also an example of meta information, and the general-purpose system 100 may acquire a patient ID or the like described in the file name.

  In the above-mentioned embodiment, although the case where the general-purpose system 100 or the electronic medical record system 106 is connected to the PACS 107 has been described as an example, the present invention is not limited to this. For example, when the PACS 107 is not connected, the image registration message may not be transmitted from the modality 101 to the electronic medical record system 106. In this case, the universal system 100 acquires a DICOM image from the modality 101. A unique ID is associated with the DICOM image acquired from the modality 101 by the modality 101. The general-purpose system 100 may perform the same process as in the second embodiment and the third embodiment, and may transmit an image registration message to the electronic medical record system 106.

  The present invention supplies a program that implements one or more functions of the above-described embodiments to a system or apparatus via a network or storage medium, and one or more processors in a computer of the system or apparatus read and execute the program. Can also be realized. It can also be implemented by a circuit (eg, an ASIC) that implements one or more functions.

  The information processing apparatus in each of the above-described embodiments may be a single apparatus, or may be an information processing system in which a plurality of apparatuses are communicably combined with each other to execute the above-described processing. Be The above-described process may be performed by a common server device or a group of servers. The information processing apparatus and the plurality of apparatuses constituting the information processing system only need to be able to communicate at a predetermined communication rate, and do not need to be present in the same facility or in the same country.

  According to an embodiment of the present invention, a program of software that implements the functions of the embodiments described above is supplied to a system or apparatus, and a computer of the system or apparatus reads and executes a code of the supplied program. Including the form.

  Therefore, the program code itself, which is installed in the computer to realize the processing according to the embodiment by the computer, is also one of the embodiments of the present invention. In addition, based on instructions included in a program read by a computer, an OS or the like running on the computer performs part or all of the actual processing, and the functions of the above-described embodiment may be realized by the processing. .

  The form which combined the above-mentioned embodiment suitably is also contained in the embodiment of the present invention.

100 general-purpose image management system 101 modality 102 digital camera 103 scanner 104 external image system A
105 External Imaging System B
106 Electronic medical record system 107 PACS
601 ID generation unit 602 control unit 603 image acquisition unit 604 communication unit 605 storage unit 606 UI unit 1102 control unit 1104 communication unit

Claims (15)

An acquisition unit configured to acquire, from a first external system, a medical image and incidental information that is information incidental to the medical image;
If neither the medical image nor the incidental information includes identification information uniquely identifying the medical image, information on the medical image in a second external system different from the first external system Control to output a message for registering the information to the second external system,
A control unit configured to control not to output the message to the second external system when the identification information is included in at least one of the medical image and the incidental information;
An information processing apparatus comprising: The apparatus further includes a generation unit that generates the identification information when neither the medical image nor the incidental information includes identification information that uniquely identifies the medical image.
The control means is controlled to output the message including the generated identification information when the identification information is not included in any of the medical image or the incidental information. An information processing apparatus according to claim 1.   The control means is characterized by associating the generated identification information with the medical image when any of the medical image or the incidental information does not include identification information for uniquely identifying the medical image. The information processing apparatus according to claim 2.   4. The apparatus according to claim 2, wherein the generation means generates identification information for uniquely identifying the medical image based on an object identifier for uniquely identifying the information processing apparatus. Information processor as described. The control means inquires of the second external system whether information related to the medical image is registered.
If the information regarding the medical image is not registered in the second external system, control is performed to output the message to the second external system,
5. The information processing apparatus according to claim 1, wherein when the information related to the medical image is registered in the second external system, the message is controlled not to be output to the second external system. The information processing apparatus according to any one of the items. The control means inquires of the first external system whether or not the message has been transmitted to the second external system.
Controlling to output the message to the second external system when the first external system does not transmit the message to the second external system;
2. The system according to claim 1, wherein, when the first external system transmits the message to the second external system, control is performed not to output the message to the second external system. The information processing apparatus according to any one of claims 5 to 10. The control means is configured to output the message to the second external system when it is described in the additional information that the message needs to be output to the second external system. Control
When it is described in the accompanying information that it is unnecessary to output the message to the second external system, control is performed so that the message is not output to the second external system. The information processing apparatus according to any one of claims 1 to 6, wherein:   The information processing apparatus according to any one of claims 1 to 7, wherein the second external system is an electronic medical record system. An information processing apparatus for managing medical images, comprising:
A deletion unit that deletes the medical image stored in the storage unit based on a user's instruction;
When identification information uniquely identifying the medical image is identification information generated by the information processing apparatus, a control is performed to output a message indicating that the medical image has been deleted to an external system.
A control unit configured to control the message not to be output to the external system when the identification information uniquely identifying the medical image is not the identification information generated by the information processing apparatus;
An information processing apparatus comprising:   The information processing apparatus according to any one of claims 1 to 9, wherein the identification information includes an image UID that uniquely identifies the medical image.   The information processing apparatus according to any one of claims 1 to 10, wherein the identification information includes an examination UID that uniquely identifies an examination in which the medical image is captured.   The message according to any one of claims 1 to 11, wherein the message is a message for registering link information to the medical image stored in the first external system in the second external system. An information processing apparatus according to any one of the preceding items. An acquisition unit configured to acquire, from a first external system, a medical image and incidental information that is information incidental to the medical image;
If neither the medical image nor the incidental information includes identification information uniquely identifying the medical image, information on the medical image in a second external system different from the first external system Control to output a message for registering the information to the second external system,
A control unit configured to control not to output the message to the second external system when the identification information is included in at least one of the medical image and the incidental information;
An information processing system characterized by having. Acquiring a medical image and incidental information, which is information incidental to the medical image, from a first external system;
If neither the medical image nor the incidental information includes identification information uniquely identifying the medical image, information on the medical image in a second external system different from the first external system Control to output a message for registering the information to the second external system,
Controlling not to output the message to the second external system when the identification information is included in at least one of the medical image and the incidental information;
An information processing method characterized by comprising:   A program for causing a computer to execute the information processing method according to claim 14.

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