JP2019139434A - Medical report preparation support system, method for preparing medical report, and recording medium - Google Patents

Abstract

To provide a medical report preparation support system that can easily perform a painting edition work on a schema image.SOLUTION: A client terminal 128 includes: an object generation unit 205 for generating a schema image and a painted object surrounded by a written line on the basis of a schema image and information on the written image; a layer setting unit 206 for setting the written line and the painted object in the same layer and setting the schema image in a layer different from the above layer; and a display controller 203 for displaying the schema image, the written line, and the painted object in a display unit 202 by the layer set by the layer setting unit 206.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a medical report creation support apparatus, a medical report creation support method, and a recording medium used for, for example, a medical terminal.

  When a doctor performs an examination or diagnosis, the doctor summarizes the record as a medical report. This medical report includes numerical values and images as test results, findings, diagnosis contents, treatment contents, and the like.

  In recent years, in the medical field, digitization of medical images and medical records has been promoted in order to improve the efficiency of business. For example, Patent Document 1 discloses a technique for creating a medical report using a medical terminal connected to a medical network system.

  Generally, a medical network system is configured by connecting an electronic medical record system and department systems such as a physiological examination department, a specimen examination department, and a cell examination department through a network connection. In the medical terminal connected to this medical network system, a medical report was created by combining the data acquired by each department system with the findings, diagnosis details, treatment details, etc. entered by the doctor. Medical reports are stored in an electronic medical record system.

JP 2009-69977 A

  As described above, in the medical network system, a doctor creates a medical report using a medical terminal. At this time, a schema image that is a schematic diagram of a human body may be used. The doctor expresses the problem part found by the examination by painting a specific part on the schema image.

  When performing the painting operation, the doctor designates a painting area along the line of the schema image with a mouse or a touch pen to perform painting along the line of the schema image. However, it is very troublesome to specify such a filled area.

  In addition, by directly editing the same layer as the schema image, it is possible to perform an operation such as painting along the line of the schema image, but in this case, it is difficult to redo the painting. In other words, when erasing the filled area, a detailed operation that does not erase the line of the original schema image is necessary, which is troublesome.

  It is very troublesome for doctors who have to consider important items such as findings, diagnoses, and treatments to spend time and effort on painting such images.

  The present invention has been made in consideration of the above points, and provides a medical report creation support apparatus, a medical report creation support method, and a recording medium that can easily perform a fill editing operation on a schema image.

One aspect of the medical report creation support apparatus of the present invention is:
An operation input unit that accepts user operations;
A display unit;
An object generation unit that generates a filled object surrounded by the schema image and the writing line based on the schema image and the writing line information input from the operation input unit;
A layer setting unit for setting the writing line and the filled object in the same layer, and setting the schema image in a different layer from the same layer;
A display control unit that displays the schema image, the writing line, and the filled object on the display unit in a layer set by the layer setting unit;
It comprises.

One aspect of the medical report creation support method of the present invention is:
An operation input step for accepting a user operation;
An object generation step of generating a filled object surrounded by the schema image and the writing line based on the schema image and the writing line information input in the operation input step;
A layer setting step for setting the writing line and the filled object in the same layer, and setting the schema image in a different layer from the same layer;
A display step of displaying the schema image, the writing line, and the filled object on a display unit in a layer set by the layer setting step;
including.

One aspect of the recording medium of the present invention is:
A recording medium for storing a medical report creation support program used in a medical report creation support apparatus, which can be read by a computer,
The medical report creation support program includes:
An operation input step for accepting a user operation;
An object generation step of generating a filled object surrounded by the schema image and the writing line based on the schema image and the writing line information input in the operation input step;
A layer setting step for setting the writing line and the filled object in the same layer, and setting the schema image in a different layer from the same layer;
A display step of displaying the schema image, the writing line, and the filled object on a display unit in a layer set by the layer setting step;
including.

  According to the present invention, it is possible to easily perform a fill editing operation on a schema image.

Connection diagram showing an outline of a medical network system according to an embodiment Block diagram showing the main configuration of the client terminal Diagram for explaining generation of filled object by object generator Diagram for explaining generation of filled object by object generator Diagram for explaining medical report creation operation according to the embodiment Diagram for explaining medical report creation operation according to the embodiment Diagram for explaining medical report creation operation according to the embodiment Diagram for explaining medical report creation operation according to the embodiment Diagram for explaining medical report creation operation according to the embodiment The figure which uses for description of the formation process of the write-in line by other embodiment

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

<System configuration>
FIG. 1 is a connection diagram showing an outline of a medical network system 100 to which the medical report creation support apparatus and medical report creation support method of the present embodiment are applied.

  In the medical network system 100, an electronic medical chart system 110 and a physiological examination department system 120 are connected via a server 130 via a network.

  In the electronic medical record system 110, a plurality of in-hospital electronic medical record terminals 112-1, 112-2,..., 112-n are connected to an electronic medical record server 111. Information stored in the electronic medical record server 111 can be viewed from the in-hospital electronic medical record terminals 112-1, 112-2,..., 112-n. In addition, the information of the electronic medical record server 111 can be rewritten by an authorized in-hospital electronic medical record terminal 112-1, 112-2, ..., 112-n.

  In the physiological examination department system 120, an electrocardiograph 121, a Holter electrocardiogram analyzer 122, an ultrasonic diagnostic device 123, a lung function test device 124, a blood pressure pulse wave test device 125, a printer 126, a scanner 127, and a client terminal 128 are connected to the network. Configured. These devices are installed in a physiological examination room. The physiological examination department system 120 may be connected to an examination device that performs other physiological examinations, such as an exercise load device and an electroencephalogram examination device.

  Test result data obtained by each of the test apparatuses 121 to 125 of the physiological test department system 120 is stored in the server 130. That is, the server 130 has a function as a department data storage unit that collects and stores physiological test result data of the physiological examination department. The server 130 also stores inspection result reports formed by the inspection apparatuses 121 to 125. Each of the inspection devices 121 to 125 obtains a representative value or the worst value of the inspection result based on a predetermined calculation formula, and forms these inspection values in a predetermined format to form an inspection result report. Are output to the server 130 together with other detailed inspection result data.

  Test result data and test result reports stored in the server 130 can be viewed by a user such as a doctor using the client terminal 128.

  Further, the doctor can create a medical report by using the client terminal 128 while viewing the test result data and the test result report and using the test result data and the test result report. This medical report is sent to the server 130 and the electronic medical record server 111.

  The medical report creation support apparatus and medical report creation support method of this embodiment are applied to this client terminal 128. In FIG. 1, the client terminal 128 is shown as a stationary terminal, but the client terminal 128 may be, for example, a tablet terminal.

<Configuration of client terminal and medical report creation process>
Next, the configuration of the client terminal 128 and the medical report creation support process will be described with reference to FIGS.

  FIG. 2 is a block diagram showing a main configuration of the client terminal 128. In addition, the client terminal 128 actually has a function of performing communication with the server 130 in addition to the configuration of FIG. 2, but in FIG. 2, only the configuration related to the medical report creation support process is shown in order to simplify the diagram. Is shown.

  The client terminal 128 includes an operation input unit 201, a display unit 202, and a display control unit 203. Specifically, the operation input unit 201 is a keyboard or a mouse, and the display unit 202 is a display. When the client terminal 128 is a tablet-type terminal, the operation input unit 201 and the display unit 202 are realized by a liquid crystal display with a touch panel.

  In addition to this configuration, the client terminal 128 includes a schema image storage unit 204, an object generation unit 205, and a layer setting unit 206.

  The schema image storage unit 204 is embodied by a memory, for example, and stores a plurality of schema images. A selection signal for specifying a schema image to be used is input from the operation input unit 201 to the schema image storage unit 204. The schema image storage unit 204 generates a schema image corresponding to the selection signal from a plurality of schema images as an object generation unit. 205 and the layer setting unit 206.

  The object generation unit 205 inputs the writing line information from the operation input unit 201 and the schema image from the schema image storage unit 204, and generates a region surrounded by the writing line and the schema image as a filled object. Specifically, writing line information is generated by the user specifying a line type and coordinates using the operation input unit 201, and the writing line information is input to the object generation unit 205 and the layer setting unit 206. .

  For example, as illustrated in FIG. 3, the object generation unit 205 detects an intersection between the writing line and the schema image (lung schema image), passes through the intersection, and is surrounded by the writing line and the outline of the object image. Create an area as a filled object.

  Further, as shown in FIG. 4, for example, the object generation unit 205 generates an area surrounded by a writing line in the schema image as a filled object.

  3 and 4, the object generation unit 205 inputs the writing line information from the operation input unit 201 and the schema image from the schema image storage unit 204, and uses the writing line and the schema image as input. Processing to generate the enclosed area as a filled object is performed.

  Incidentally, in an actual user operation, the writing line is cut before the intersection as shown in FIG. 3 without forming the intersection as shown in FIG. 3, or in the middle without forming a rounded curve as shown in FIG. There is a possibility of running out of. In such a case, the object generation unit 205 optionally corrects the writing line to be extended to forcibly create an area surrounded by the writing line and the schema image, and generates the area as a filled object. May be. In the present embodiment, the area surrounded by the writing line and the schema image includes an area created by such an option.

  The layer setting unit 206 inputs writing line information, filled object information, and schema image information, sets the writing line and the filled object to the same layer, and sets the schema image to a layer different from the layer. To do. The layer setting unit 206 outputs the set layer information to the display control unit 203 in addition to the input writing line information, the fill object information, and the schema image information.

  The display control unit 203 causes the display unit 202 to display the schema image, the writing line, and the filled object on the layer set by the layer setting unit 206.

  Next, an example of creating a medical report using the client terminal 128 will be described. Hereinafter, an example of creating a carotid ultrasound report as a medical report will be described.

  When the doctor who is the user sets the mode of the client terminal 128 to the new report creation mode, the report creation screen (carotid ultrasound examination report template) shown in FIG. Specifically, items such as the name of the subject are displayed on the upper stage, the measurement values acquired by the ultrasonic diagnostic apparatus 123 are displayed on the next stage, and a plurality of schema images are displayed on the next stage. Although not shown in the figure, items such as a doctor's findings, diagnosis contents, treatment contents, and the like are displayed in the lower part of the schema image.

  When the doctor selects a desired schema image from a plurality of schema images using the mouse of the operation input unit 201 or the like, the selected schema image is enlarged and displayed in a pop-up manner as shown in FIG. In the example of FIG. 6, a schema image of the right carotid artery is selected and displayed as a pop-up.

  Next, in order to show the detected plaque in the carotid artery, the doctor writes a writing line L1 on the schema image using the operation input unit 201 as shown in FIG.

  Then, the object generation unit 205 of the client terminal 128 generates an area surrounded by the writing line L1 and the schema image as a filled object X1. Further, the layer setting unit 206 sets the writing line L1 and the filled object X1 in the same layer, and sets the schema image in a layer different from the layer.

  Next, as shown in FIG. 8, when the doctor designates the fill object X1 to be filled with the operation input unit 201 while the fill button B1 is activated (for example, when the mouse is clicked), the fill object is displayed. Is filled with the specified color. For example, if red is designated using the operation input unit 201, the filled object X1 indicating the plaque is highlighted in red and painted. When the fill object X1 is designated (for example, when the mouse is clicked), the layer setting unit 206 may set the layer of the fill object X1 to the same layer as the writing line L1.

  Next, when the doctor presses the save button B2 using the operation input unit 201, the edited schema image, the writing line L1, the filled object X1, and the layers thereof are saved, as shown in FIG. Reflected in the report.

  Here, the doctor may want to delete the once created fill object X1 on the edit screen of the fill object X1 as shown in FIG. In this case, the doctor designates the filled object X1 to be deleted using the operation input unit 201 with the delete button B3 activated (for example, clicks the mouse).

  When such an operation is performed, the display control unit 203 of the client terminal 128 collectively deletes the specified filled object X1 and the writing line L1 that is the same layer as the filled object X1 (not displayed). ). However, schema images that are different from those layers are not deleted.

  That is, when a specific paint object X1 that has already been displayed is subjected to a paint release operation via the operation input unit 201, the display control unit 203 is in the same layer as the specific paint object X1, The writing line L1 surrounding the fill object X1 is hidden together with the specific fill object X1.

  As a result, the filled object X1 to be deleted and the original writing line L1 can be deleted by a simple operation.

  As described above, according to the present embodiment, the object generation unit 205 that generates the filled object X1 surrounded by the schema image and the write line L1, based on the schema image and the write line L1, and the write line The layer setting unit 206 sets the L1 and the filled object X1 in the same layer and sets the schema image to a layer different from the same layer, and the schema image, the writing line L1, and the filled object X1 are set by the layer setting unit 206. By providing the display control unit 203 to be displayed on the display unit 202 with a different layer, it becomes possible to easily perform the painting editing work on the schema image.

  Further, according to the present embodiment, since the writing line L1 and the filled object X1 are set in the same layer, and the schema image is set in a layer different from the same layer, the writing line L1 and the filled object are filled. It is possible to easily perform processing such as changing the display of the object X1 from non-display and changing the color simultaneously with the writing line L1 and the filled object X1. For example, in the embodiment, when a specific filled object X1 is designated and an operation of hiding it is performed, the writing line L1 corresponding to the filled object X1 is also hidden. Further, if a specific filled object X1 is designated and an operation for changing the color to red is performed, the writing line L1 corresponding to the filled object X1 is also set to red. As a result, the display of the filled object X1 and the writing line L1 can be changed in a lump, and the editing operation becomes easier. Of course, the display line L1 and the filled object X1 may be changed from display to non-display and color change separately instead of simultaneously.

  The above-described embodiments are merely examples of implementation in carrying out the present invention, and the technical scope of the present invention should not be construed as being limited thereto. That is, the present invention can be implemented in various forms without departing from the gist or main features thereof.

  For example, in addition to the process of the above-described embodiment, as shown in FIG. 10, a process of forcibly forming the write line so as to penetrate the schema image may be performed. That is, when a writing line as shown in FIG. 3 is drawn by a user such as a doctor using the operation input unit 201, the display control unit 203 extends the writing line and sets the writing line as shown in FIG. Form and display. In this way, the person who sees the medical report can recognize the line of the schema image clearly from the writing line, and which part (which line) is drawn by the doctor. Can be clearly identified.

  Further, for example, in the above-described embodiment, the case where the medical report creation support apparatus and the medical report creation support method according to the present invention are implemented and executed by the client terminal 128 has been described. The medical report creation support method can also be embodied and executed by another device having the functions of FIG.

  Each process of the medical report creation support apparatus and the medical report creation support method according to the present invention can also be realized by a device having a calculation unit, an operation input unit, and a display unit executing a program. For example, a program for realizing each process of the medical report creation support apparatus and the medical report creation support method according to the present invention is recorded in a computer-readable recording medium such as a memory, a disk, a tape, a CD, and a DVD. The computer of the device having the calculation unit, the operation input unit, and the display unit may read out the program to execute each process of the above-described embodiment.

  The present invention is applicable to, for example, a client terminal that is connected to a medical network system and used to create a medical report.

DESCRIPTION OF SYMBOLS 100 Medical network system 128 Client terminal 201 Operation input part 202 Display part 203 Display control part 204 Schema image storage part 205 Object generation part 206 Layer setting part L1 Write line X1 Fill object

Claims (5)

An operation input unit that accepts user operations;
A display unit;
An object generation unit that generates a filled object surrounded by the schema image and the writing line based on the schema image and the writing line information input from the operation input unit;
A layer setting unit for setting the writing line and the filled object in the same layer, and setting the schema image in a different layer from the same layer;
A display control unit that displays the schema image, the writing line, and the filled object on the display unit in a layer set by the layer setting unit;
A medical report creation support apparatus comprising: When a specific fill object that has already been displayed is filled and hidden via the operation input unit,
The display control unit is in the same layer as the specific fill object, and the writing line surrounding the specific fill object is hidden together with the specific fill object.
The medical report creation support apparatus according to claim 1. The color change of the writing line and the filled object is performed simultaneously with the writing line and the filled object.
The medical report creation support apparatus according to claim 1 or 2. An operation input step for accepting a user operation;
An object generation step of generating a filled object surrounded by the schema image and the writing line based on the schema image and the writing line information input in the operation input step;
A layer setting step for setting the writing line and the filled object in the same layer, and setting the schema image in a different layer from the same layer;
A display step of displaying the schema image, the writing line, and the filled object on a display unit in a layer set by the layer setting step;
Medical report creation support method including A recording medium for storing a medical report creation support program used in a medical report creation support apparatus, which can be read by a computer,
The medical report creation support program includes:
An operation input step for accepting a user operation;
An object generation step of generating a filled object surrounded by the schema image and the writing line based on the schema image and the writing line information input in the operation input step;
A layer setting step for setting the writing line and the filled object in the same layer, and setting the schema image in a different layer from the same layer;
A display step of displaying the schema image, the writing line, and the filled object on a display unit in a layer set by the layer setting step;
Including a recording medium.