JP2022043864A - Program, inspection information management method, inspection information management system, terminal device, and medical image diagnostic device - Google Patents

Abstract

To provide a program, an inspection information management method, an inspection information management system, a terminal device, and a medical image diagnostic device that allow sharing of medical information on a patient-by-patient basis between facilities.SOLUTION: In an inspection information management system 1, a terminal device 400 acquires first medical information on a patient that is transmitted from a first in-hospital system 100-1 in a first medical treatment facility H1 mutually communicable with the terminal via a network NW and is obtained from diagnosis conducted by a medical image diagnostic device, stores it in a storage unit, and provides second medical information based on the first medical information to a second in-hospital system 100-2 in a second medical treatment facility H2.SELECTED DRAWING: Figure 1

Description

The embodiments disclosed in the present specification and drawings relate to a program, an examination information management method, an examination information management system, a terminal device, and a medical diagnostic imaging apparatus.

In a medical facility, test information from a test device such as an X-ray CT device is transmitted to an information system such as a hospital information system (hereinafter referred to as "HIS"), and the patient of the patient to be tested. It is accumulated with information. The accumulated test information is referred to between the in-hospital terminal or medical facility installed in the medical facility and the collaborative facility machine linked with this medical facility, and the diagnosis is used not only for treatment but also for optimization of the test. It may be done. Further, the medical facility can output the inspection information to a medium such as a DVD as needed, and the media can store the inspection information and the like.

In the conventional information system, patient information and examination information are generally managed for each medical facility. Therefore, there were few cases where patient information and examination information were shared among a plurality of medical facilities. Sharing and utilizing patient information and examination information requires, for example, wide-area efforts, and complicated conditions such as system construction between multiple medical facilities, security, and management of handling of personal information are required. ..

Most of the test information contained in the media output by the current medical facilities is information of a single test for one test, and the security level is often low in order to emphasize availability. This inspection information is often stored in the media in a form that can be referred to by a general-purpose device, and personal information may be leaked when the media is lost. Furthermore, this media is often in a read-only format, and when sharing updated information, it is necessary to output it to other media again. Therefore, it is difficult to accumulate cumulative examination information on a patient-by-patient basis, and for example, it has not been fully utilized for implementation of dose control using examination information by an X-ray CT apparatus and optimization of examination protocols.

Japanese Patent No. 6570725

A challenge to be solved by the embodiments disclosed in the specification and drawings is to enable the sharing of medical information on a patient-by-patient basis between institutions. However, the problems to be solved by the embodiments disclosed in the present specification and the drawings are not limited to the above problems. The problem corresponding to each effect by each configuration shown in the embodiment described later can be positioned as another problem.

In the program of the embodiment, the computer of the terminal device is made to acquire the first medical information of the patient obtained by the diagnosis of the medical diagnostic imaging device transmitted by the first medical information management device in the first medical facility, and the first medical information is obtained. The medical information is stored in the storage unit, and the second medical information based on the first medical information is provided to the second medical information management device in the second medical facility.

The figure which shows an example of the structure of the inspection information management system 1 of embodiment. The figure which shows an example of the structure of the 1st hospital system 100-1. The figure which shows an example of the content of medical information. The figure which shows an example of the content of inspection information. The figure which shows an example of the structure of the 2nd hospital system 100-2. The sequence diagram which shows an example of the process of inspection information management system 1. The sequence diagram which shows an example of the process of inspection information management system 1. The flowchart which shows an example of the process in 2nd hospital system 100-2.

Hereinafter, the program of the embodiment, the inspection information management method, the inspection information management system, the terminal apparatus, and the medical diagnostic imaging apparatus will be described with reference to the drawings.

FIG. 1 is a diagram showing an example of the configuration of the inspection information management system 1 of the embodiment. The inspection information management system 1 includes, for example, a first in-hospital system 100-1, a second in-hospital system 100-2, and a terminal device 400. The first in-hospital system 100-1 is installed in the first medical facility H1, and the second in-hospital system 100-2 is installed in the second medical facility H2. The first in-hospital system 100-1 and the second in-hospital system 100-2 and the terminal device 400 can communicate with each other via the network NW. In the following description, the first in-hospital system 100-1 and the second in-hospital system 100-2 are collectively referred to as the in-hospital system 100, the first medical facility H1 and the second medical facility H2 are collectively referred to as the medical facility H. be. The number of medical facilities 100 capable of communicating with the terminal device 400 is not limited to two, and may be three or more.

The first in-hospital system 100-1 is an in-hospital system adopted in, for example, a large-scale hospital, and is provided with an information system for managing patient information in addition to modality. The second in-hospital system 100-2 is an in-hospital system adopted in, for example, a small-scale hospital, and is not provided with an information system for managing patient information. Information management is performed.

FIG. 2 is a diagram showing an example of the configuration of the first in-hospital system 100-1. The first in-hospital system 100-1 includes, for example, a modality 110, a radiology information system (hereinafter “RIS”) 120, a hospital information system (hereinafter “HIS”) 130, and image storage. It includes a communication system (Picture Archiving and Communication Systems, hereinafter "PACS") 140, a display device 150, a transmission / reception device 160, and a short-range communication device 170.

Modality 110 includes a medical diagnostic imaging apparatus 112 and various inspection instruments 114. The medical image diagnostic device 112 is a device for imaging and diagnosing a medical image, and is, for example, an X-ray CT (Computed Tomography) device, an X-ray computed tomography device, an X-ray diagnostic device, and an MRI (Magnetic Resonance Imaging). Equipment etc. are included. The various inspection devices 114 are devices of the modality 110 excluding the medical image diagnostic device 112.

The RIS 120 manages, for example, an examination using a medical diagnostic imaging apparatus 112, and from treatment appointment to examination results. The RIS120 can centrally manage examinations and treatments by non-radiation such as ultrasound, endoscope, and fundus. The RIS 120 acquires medical information (first medical information) such as X-ray image information obtained by a medical image diagnostic apparatus 112 or the like and various information when taking an X-ray image, and provides the information to the HIS 130.

3 and 4 are diagrams showing an example of the contents of medical information. The medical information includes, for example, patient information, image information, examination information, dose information, examination date and time, examination details, and the like. The medical information is represented, for example, in a table format, and may be represented by the category base (category unit) shown in FIG. 3 or the test base (test unit) shown in FIG.

In medical information represented on a category basis, patient information includes, for example, name, date of birth, medical history and information on allergies. The image information includes, for example, an image taken / created by a modality 110 including a medical diagnostic imaging apparatus 112, an electrocardiogram at the time of taking a picture, respiratory waveform information, and a result / report image output by a clinical application of HIS130. The inspection information includes inspection date and time, imaging protocol (imaging conditions, reconstruction conditions) information, contrast medium injection information (contrast information), and device control information. Dose information includes dose report information such as the Radiation Dose Structured Report (RDSR) for medical use in hospitals, and X-ray exposure distribution by site, etc. Includes dose information. The inspection information may include other information. For example, it may include display conditions for displaying an X-ray image on a display device.

In the medical information represented on a test basis, the test date and time includes information on the date and time when the test was performed, and the details indicate the contents of the test performed on the test date and time. The example shown in FIG. 5 shows, for example, that a chest X-ray examination was performed on May 10, 20xx. Although not shown here, the detailed information includes information such as imaging protocol and contrast medium injection information.

The HIS 130 includes, for example, various information systems in the first medical facility H1. Various information systems include, for example, an automatic reception system, a medical accounting system, an electronic medical record system, a pharmacy management system, an admission / discharge management system, and a medical appointment reservation system. The HIS 130 stores various information such as the first medical information provided by the RIS 120 in the storage unit. The HIS 130 causes the transmission / reception device 160 to transmit the first medical information provided by the RIS 120 toward the terminal device 400. The HIS 130 outputs the first medical information provided by the RIS 120 to the short-range communication device 170. The HIS 130 in the first in-hospital system 100-1 is an example of a medical information management device.

The PACS 140 is a system that stores and stores image information and the like output from the modality 110 in a storage unit and displays the image information on the display device 150. The PACS 140 includes, for example, an image server called a DICOM (Digital Imaging and Communications in Medicine) server. The PACS 140 acquires image information transmitted by the modality 110 having a DICOM transmission function and stores it in a storage unit. The PACS 140 displays an image stored in the image server on the display device 150, for example, at the request of the operator.

The display device 150 is, for example, a display, and displays various images such as X-ray images and information such as text information according to the control of an information system such as PACS 140. The transmission / reception device 160 transmits the first medical information to the terminal device 400 via the network NW in accordance with the instruction of the HIS 130. The first medical information may be transmitted through the network NW by a receptionist in the medical facility H, various communication means in the examination room of each modality 110, or the like. The communication between the in-hospital system 100 and the terminal device 400 may be, for example, communication via a network NW using a wireless LAN, a cellular network, or a Wifi network.

The short-range communication device 170 transmits the first medical information output by the HIS 130 toward the terminal device 400 in response to a request from the terminal device 400. The short-range communication may be, for example, short-range wireless communication such as NFC (Near Field Communication), Bluetooth (registered trademark), DSRC (Dedicated Short Range Communication), infrared communication, or communication via a two-dimensional code.

Information can be transmitted and received between the in-hospital system 100 and the terminal device 400 by both communication via network NW and communication via short-range communication. The transmission / reception of information between the in-hospital system 100 and the terminal device 400 may be performed by either communication via network NW or communication via short-range communication.

The short-range communication device 170 displays a two-dimensional code, for example, a QR code (registered trademark) on the touch panel 420 when performing communication via the two-dimensional code, or is provided separately from the display device 150 of the in-hospital system 100. It may also be a function of reading the two-dimensional code displayed on the two-dimensional code display device. The exchange of information of the terminal device 400 of the first in-hospital system 100-1 via the two-dimensional code will be described later.

FIG. 5 is a diagram showing an example of the configuration of the second in-hospital system 100-2. The second in-hospital system 100-2 includes, for example, a modality 210, a display device 220, a transmission / reception device 230, a short-range communication device 240, and a storage unit 250. Modality 210 includes, for example, a medical diagnostic imaging apparatus 212 and various inspection instruments 214.

The medical image diagnosis device 212 includes, for example, a list creation unit 216 and an integration unit 218. The medical image diagnosis device 212 has the same functions as the medical image diagnosis device 112 in the first in-hospital system 100-1, and also has the functions of the list creation unit 216 and the integration unit 218.

The list creation unit 216 creates a disclosure request list based on the operation of a doctor who makes a diagnosis using the medical image diagnosis device 212. The disclosure request list is a list that specifies the items of the examination required for diagnosis among the items included in the medical information. The list creation unit 216 transmits the created disclosure request list to the terminal device 400 by using the transmission / reception device 230 or the short-range communication device 24.

The integration unit 218 integrates the first medical information based on the diagnosis result of the medical image diagnostic device 212 and the second medical information transmitted by the terminal device 400. The integration unit 218 integrates the information required at the end of the examination using the medical diagnostic imaging apparatus 212 or at the end of the examination into the second medical information. The information to be integrated may be automatically determined by the second in-hospital system 100-2, or may be manually determined by a doctor or a technician.

For example, if it is determined that storage is necessary because the image or the like that is the basis of the diagnosis is included in the second medical information, the doctor may decide to store the image and integrate it, or the examination condition. Similarly, if it is determined that storage is necessary, the physician may decide to store the test conditions and integrate them. The integration unit 218 may automatically integrate the dose information, or the engineer or the like may extract and integrate the dose information. The medical image diagnostic device 212 causes the display device 220 to display an image based on the integrated medical information.

At this time, the medical image diagnosis device 212 may display the medical information obtained by its own diagnosis and the second medical information on the display device 220 so as to be distinguishable. The list creation unit 216 and the integration unit 218 may be provided in an area other than the medical diagnostic imaging apparatus 212 in the second in-hospital system 100-2. In the in-hospital system 100 including an information system such as HIS 130 like the first in-hospital system 100-1, the list creation unit 216 and the integration unit 218 may be provided in these information systems.

Since the second in-hospital system 100-2 does not have RIS, HIS, and PACS like the first in-hospital system 100-1, the medical diagnostic imaging apparatus 212 creates, for example, the first medical information by itself. The medical image diagnosis device 212 stores various information such as the first medical information in the storage unit like the HIS 130 of the first in-hospital system 100-1. The medical image diagnosis device 212 causes the transmission / reception device 160 to transmit the created first medical information toward the terminal device 400. The medical image diagnosis device 212 outputs the created first medical information to the short-range communication device 240. The medical image diagnostic device 212 in the second in-hospital system 100-2 is an example of a medical information management device. The medical information management device may be a device other than the medical diagnostic imaging device, or may be the medical diagnostic imaging device itself.

The various inspection devices 214, the display device 220, the transmission / reception device 230, and the short-range communication device 240 in the second hospital system 100-2 include various inspection devices 114, a display device 150, and a transmission / reception device 160 in the first hospital system 100-1. And has the same functions as the short-range communication device 170.

The storage unit 250 stores the second medical information transmitted by the terminal device 400. The storage unit 250 is realized by, for example, a semiconductor memory element such as a RAM (Random Access Memory) or a flash memory. The storage unit 250 may be provided in the medical diagnostic imaging apparatus 212, or may be provided in another area of the second in-hospital system 100-2.

The storage unit 250 may be realized by a hard disk, an optical disk, or the like. The second medical information may be stored in a ROM other than the storage unit 250, an external medium such as a microSD card, a storage, or the like, or data sharing or a cloud using an external network that the second in-hospital system 100-2 can communicate with. It may be stored in an external memory, for example, via a route. The storage unit 250 is controlled by the cloud server, for example, when the cloud server that manages the external memory receives a read / write request. For example, iCloud (registered trademark), Google Drive, Microsoft One Drive (registered trademark). ) Etc. may be a cloud storage service or the like.

The storage unit may be provided in the in-hospital system 100 including the information system, such as the first in-hospital system 100-1. In the first in-hospital system 100-1, the storage unit may be provided in, for example, RIS120, HIS130, or PACS140, or may be provided in another area in the first in-hospital system 100-1. .. The storage unit may be provided in another device or the like with which the first in-hospital system 100-1 can communicate.

The medical image diagnosis device 212 provided with the second medical information by the terminal device 400 stores, for example, the second medical information in the storage unit 250. A doctor who makes a diagnosis using the medical image diagnostic apparatus 212 determines, for example, the necessity of an examination based on the second medical information stored in the storage unit 250. As a result of the judgment, the doctor issues a test order as needed.

If the information necessary for the diagnosis is included in the second medical information, the doctor does not carry out the examination and uses the second medical information as it is for the diagnosis. If the information required for diagnosis is information that requires follow-up or the like, the doctor optimizes the conditions using the second medical information. In addition, when conducting an examination involving radiation exposure such as an X-ray CT device, the doctor refers to the dose information included in the second medical information and uses the second medical information for the purpose of optimizing the medical exposure. You may. The doctor may compare and optimize the imaging protocol with other facilities in combination with the second medical information. From the viewpoint of patient safety, doctors use the second medical information for anaphylactic shock countermeasures, such as prevention of patient misunderstanding by identity verification using patient information, and discontinuation or mitigation measures of contrast examination by sharing in advance such as contrast agent allergy. May be.

The second in-hospital system 100-2, which received the second medical information, integrates the protocols and images contained in the second medical information as past examination information with the existing protocols and images, and manages the dose and contrast agent. Can be utilized in. The second in-hospital system 100-2 can use past protocols and images included in the second medical information as reference information for adjusting the imaging conditions.

In the embodiment, the first in-hospital system 100-1 including an information system such as RIS120 or HIS130 transmits the first medical information to the terminal device 400, and the terminal device 400 does not include an information system such as RIS120 or HIS130. The second medical information is provided to the second in-hospital system 100-2. On the other hand, the in-hospital system without the information system may transmit the first medical information to the terminal device 400, or the terminal device 400 may provide the second medical information to the in-hospital system including the information system. good. When the in-hospital system provided with the information system is provided with the second medical information by the terminal device 400, the second medical information stored in the storage unit of the in-hospital system can be referred to by RIS120, HIS130, an electronic medical record, or the like. You may.

The terminal device 400 includes, for example, a transmission / reception interface 410, a touch panel 420, a processing circuit 430, a memory 440, and a short-range communication interface 450. The terminal device 400 is, for example, a terminal device owned by a patient, for example, a portable terminal device such as a smartphone, a tablet terminal, a smart watch, or a portable terminal device such as a laptop personal computer. The terminal device of the embodiment is a smartphone. It is assumed that the terminal device 400 has, for example, a program (application program) for transmitting and receiving medical information to and from the in-hospital system 100 running. The terminal device 400 stores and manages medical information (first medical information) transmitted by the in-hospital system 100 in the memory 440.

The transmission / reception interface 410 receives various information including the first medical information transmitted by the in-hospital system 100. The transmission / reception interface 410 outputs various received information to the processing circuit 430. The transmission / reception interface 410 transmits various information including the second medical information output by the processing circuit 430 to the in-hospital system 100 of the medical facility H via the network NW.

The touch panel 420 functions as an input interface for the patient to input information and an output interface for displaying the information.

The processing circuit 430 includes, for example, an acquisition function 431, a storage processing function 432, an encryption function 433, a decryption function 434, a restriction function 436, a display control function 435, and a provision function 437. The processing circuit 430 realizes these functions by, for example, a hardware processor executing a program stored in a memory (storage device, storage circuit) 440.

The hardware processor is, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an application specific integrated circuit (ASIC), or a programmable logic device (for example, a simple programmable logic device (Simple Programmable Logic)). It means a circuit (circuitry) such as a device (SPLD) or a complex programmable logic device (CPLD), a field programmable gate array (FPGA)). Instead of storing the program in the memory 440, the program may be configured to be directly embedded in the circuit of the hardware processor. In this case, the hardware processor realizes the function by reading and executing the program embedded in the circuit. The hardware processor is not limited to the one configured as a single circuit, but may be configured as one hardware processor by combining a plurality of independent circuits to realize each function. The storage device may be a non-temporary (hardware) storage medium. Further, a plurality of components may be integrated into one hardware processor to realize each function.

The acquisition function 431 acquires the first medical information transmitted by the in-hospital system 100. The acquisition function 431 outputs the acquired first medical information to the storage processing function 432. The storage processing function 432 integrates the first medical information output by the acquisition function 431 with the medical information stored in the memory 440 to create the second medical information. The storage processing function 432 stores the created second medical information in the memory 440 as new medical information (second medical information). The acquisition function 431 is an example of an acquisition unit, the storage processing function 432 is an example of a storage processing unit, and the memory 440 is an example of a storage unit.

The encryption function 433 encrypts the second medical information when storing the second medical information in the memory 440. The decryption function 434 decodes the encrypted second medical information when reading the second medical information stored in the memory 440. The encryption function 433 re-encrypts the second medical information when the medical information stored in the memory 440 is provided to the in-hospital system 100 as the second medical information.

The encryption by the encryption function 433 and the decryption by the decryption function 434 may be performed as necessary. For example, the encryption function 433 may encrypt the second medical information when designated by the patient or the medical facility H. The decoding function 434 may, for example, decode all of the second medical information, or decodes the items included in the disclosure request list transmitted by the second hospital system 100-2, and is not included in the disclosure request list. Items may not be decrypted.

The encryption function 433 may use, for example, an encryption key determined by the patient or may use the patient's biometric information when encrypting the second medical information. Information using the patient's biological information includes, for example, three-dimensional data such as fingerprints, palm prints, voice prints, irises, veins, and faces.

The display control function 435 causes the touch panel 420 to display the item of the second medical information created by the storage processing function 432. The display control function 435 displays the item of the second medical information on the touch panel 420, so that the patient can select the information for which the disclosure by providing to the medical facility H is restricted by the input operation to the touch panel 42. The touch panel 420 is an example of an information display device, and the display control function 435 is an example of a display control unit.

The restriction function 436 receives instructions for items whose provision is restricted by the patient selecting from the items of the second medical information displayed on the touch panel 420, for example. The restriction function 436 restricts the information to be disclosed among the second medical information according to the instruction of the received patient. The restriction function 436 generates the second medical information including the items of the second medical information excluding the items for which the patient has restricted the disclosure. The encryption function 433 encrypts the second medical information restricted by the restriction function 436. In FIGS. 3 and 4, disclosure of information is not restricted, and items that can be disclosed are marked with a check mark in the disclosure column.

The restriction function 436 restricts the disclosure of the information selected by the patient himself, so that the restricted information cannot be referred to or used from the medical facility H side. The restriction function 436 may determine the information for restricting the disclosure, or may determine when providing the medical information to the medical facility H. The limiting function 436 may determine the disclosure range based on the necessary information requested from the medical facility H side.

The display control function 435 causes the touch panel 420 to display the second medical information restricted by the restriction function 436. The display control function 435 causes the touch panel 420 to display the second medical information in a table format, for example, at the reception desk of the medical facility H or the examination room of the medical diagnostic imaging apparatus 112, as shown in FIGS. 3 and 4, for example. This makes it possible to disclose the second medical information. The display control function 435 may display the first medical information and the second medical information before the storage processing function 432 is integrated on the touch panel 420. At this time, the display control function 435 may display the first medical information and the second medical information so that the patient can distinguish them.

The providing function 437 causes the in-hospital system 100 to transmit the second medical information not restricted by the limiting function 436 to the transmission / reception interface 410 via the network NW. When the disclosure request list is transmitted by the in-hospital system 100, the providing function 437 includes items included in the disclosure request list, and provides second medical information including items not restricted by the restriction function 436 to the network NW. Is transmitted to the transmission / reception interface 410 toward the in-hospital system 100 via the above. The providing function 437 provides the second medical information to the in-hospital system 100 by transmitting the second medical information to the transmission / reception interface 410. The providing function 437 is an example of the providing unit.

When the second medical information is provided by the terminal device 400, the medical facility H may take in all the second medical information that can be acquired from the terminal device 400, or may take in the minimum information required for the examination. .. When the second medical information is provided by the terminal device 400, the medical facility H is asked to decode the second medical information stored in the memory 440 on the terminal device 400 in advance, and receives the information as it is. Alternatively, the requested information may be specified and the terminal device 400 may perform decryption and receive the information. If the provided information is insufficient, the patient of the terminal device 400 may be notified separately to encourage the provision of the information. For example, when performing a diagnosis using an X-ray CT device in a medical facility H, the corresponding test information and dose information are useful information, so the terminal device 400 confirms whether or not there is such information, and the information is provided. May make the request. The medical facility H may request information in advance, assuming the contents of the medical examination expected from the interview.

The memory 440 stores medical information created by the storage processing function 432. The memory 440 is realized by, for example, a semiconductor memory element such as a RAM or a flash memory. When the terminal device is a stationary terminal device, the memory 440 may be realized by, for example, a hard disk, an optical disk, or the like. The medical information may be stored in a ROM other than the memory 440 in the terminal device 400, an external medium such as a microSD card, a storage, or the like, or by data sharing using an external network with which the terminal device 400 can communicate or via the cloud. For example, it may be stored in an external memory. The external memory is controlled by the cloud server when the cloud server that manages the external memory receives a read / write request, and is, for example, a cloud storage service such as iCloud, Google Drive, or Microsoft One Drive. ..

The short-range communication interface 450 is a device capable of executing short-range communication with the short-range communication device 170 provided in the in-hospital system 100. The short-range communication interface 450 transmits the second medical information to the second medical facility H2 via short-range wireless communication such as NFC, Bluetooth, DSRC, and infrared communication.

When the short-distance communication interface 450 executes communication via the two-dimensional code to acquire the first medical information, the short-distance communication interface 450 reads the two-dimensional code displayed by the short-distance communication device 170 of the in-hospital system 100. When providing the second medical information, the short-range communication interface 450 causes the touch panel 420 to display a two-dimensional code including the second medical information.

Here, the exchange of information of the terminal device 400 of the first in-hospital system 100-1 via the two-dimensional code will be described. For example, when the first in-hospital system 100-1 transmits medical information to the terminal device 400, the HIS 130 creates a two-dimensional code including the first medical information and displays it on the display device 150 or the like. Using the short-range communication interface 450 described later, the terminal device 400 reads the two-dimensional code displayed on the display device 150 or the like, reads the first medical information, and outputs the information to the acquisition function 431.

On the other hand, when the terminal device 400 provides the second medical information to the in-hospital system 100, the providing function 437 creates, for example, a two-dimensional code including the second medical information stored in the memory 440. The short-range communication interface 450 displays the two-dimensional code created by the providing function 437 on the touch panel 420. For example, the second in-hospital system 100-2 includes a reader that reads a two-dimensional code, reads the two-dimensional code displayed on the touch panel 420, reads the second medical information, and outputs the second medical information to the HIS 130.

The storage processing function 432 of the terminal device 400 has the same integrated function as the integrated unit 218 provided in the in-hospital system 100. For example, when the terminal device 400 does not disclose all the information of the second medical information, the storage processing function 432 of the terminal device 400 performs the integration. Each piece of information in the second medical information is managed by, for example, a unique ID or a tag, and duplicated information is not stored. The second medical information may be updated at the time of storing the information, or may be performed in advance. When the first medical information and the second medical information are different, the latest information can be maintained by integrating the respective information.

Next, the processing of the inspection information management system 1 will be described. 6 and 7 are sequence diagrams showing an example of processing of the inspection information management system 1. Here, the first medical information created based on the examination by the medical image diagnostic device 112 in the first hospital system 100-1 is transmitted to the terminal device 400, and the second medical information created by the terminal device 400 is transmitted to the second hospital system. An example of transmitting to 100-2 will be described. The terminal device 400 here is a portable terminal device owned by a patient who has undergone an examination by the medical diagnostic imaging device 112 in the first medical facility H1.

First, the process until the terminal device 400 stores the first medical information created by the first in-hospital system 100-1 in the memory will be described. The first in-hospital system 100-1 determines whether or not the examination in the medical diagnostic imaging apparatus 112 has been completed (step S101). If it is determined that the examination has not been completed, the first in-hospital system 100-1 repeats the process of step S101. If it is determined that the examination is completed, the RIS 120 creates the first medical information (step S103).

Subsequently, the HIS 130 causes the terminal device 400 to transmit the connection information for requesting the terminal connection to the transmission / reception device 160 (step S105). The terminal device 400 to which the connection information has been transmitted determines whether or not to approve the connection (step S107). When approving the connection, the terminal device 400 transmits the approval information to the first hospital system 100-1 (step S109). If the connection is not approved, the terminal device 400 transmits the denial information to the first hospital system 100-1 (step S111).

Subsequently, the first in-hospital system 100-1 determines whether or not the approval information has been received (step S113). If it is determined that the approval information has not been received and the denial information has been received, the inspection information management system 1 ends the process shown in FIG. 6 as it is. If it is determined that the approval information has been received, the first in-hospital system 100-1 encrypts the first medical information for transfer (step S115) and transfers it to the terminal device 400 (step S117).

Subsequently, the terminal device 400 receives the first medical information transmitted by the first hospital system 100-1 and decodes the first medical information (step S119). Subsequently, the storage processing function 432 compares the received first medical information with the medical information stored in the memory 440, and determines whether or not the information to be integrated is included in the first medical information (step). S121).

When it is determined that the information to be integrated is not included in the first medical information, the storage processing function 432 advances the processing to step S129. When it is determined that the information to be integrated is included in the first medical information, the storage processing function 432 includes duplicate information in the information included in the first medical information that overlaps with the medical information stored in the storage unit. It is determined whether or not it is included (step S123). If it is determined that the duplicate information is not included, the storage processing function 432 advances the processing to step S127.

When it is determined that the duplicate information is included, the storage processing function 432 executes the duplication exclusion process (step S125), excludes the duplicate items, and stores the medical information and the first medical information in the memory 440. Is integrated to create a second medical information (step S127). Subsequently, the encryption function 433 encrypts the created second medical information (step S129), and the storage processing function 432 stores the encrypted second medical information in the memory 440. In this way, the inspection information management system 1 ends the process shown in FIG.

Subsequently, the process until the second in-hospital system 100-2 acquires and stores the second medical information stored in the terminal device 400 will be described. First, the terminal device 400 determines whether or not there is the second medical information stored in the memory 440 (step S201). When it is determined that there is no second medical information stored in the memory 440, the examination information management system 1 ends the process shown in FIG. 7.

When it is determined that there is the second medical information stored in the memory 440, the terminal device 400 transmits the provideable information indicating that the second medical information can be provided to the second hospital system 100-2 (step). S203). Subsequently, the list creation unit 216 creates a disclosure request list (step S205).

Here, a procedure for creating a disclosure request list in the list creating unit 126 and transmitting it to the terminal device 400 will be described. FIG. 8 is a flowchart showing an example of processing in the second in-hospital system 100-2. In creating the disclosure request list, the list creation unit 216 acquires an examination order issued by a doctor (step S301). The inspection order is an order for inspection used in the diagnosis by the medical image diagnostic apparatus 212.

Subsequently, the second in-hospital system 100-2 adds the request for patient information to the disclosure request list (step S303). Subsequently, the second in-hospital system 100-2 determines whether or not there is a test accompanied by radiation exposure as a test item used for diagnosis (step S305). If it is determined that there is no examination involving radiation exposure, the second in-hospital system 100-2 proceeds to step S313.

If it is determined that there is an examination involving radiation exposure, the list creation unit 216 adds a request for dose information to the disclosure request list (step S307). Subsequently, the list creation unit 216 determines whether or not the inspection is performed by an X-ray CT apparatus as an inspection used for diagnosis (step S309). If it is determined that the inspection used for diagnosis is not an inspection by an X-ray CT apparatus, the list creation unit 216 advances the process to step S313.

When it is determined that the examination used for diagnosis is an examination by an X-ray CT apparatus, the list creation unit 216 adds a request for an imaging protocol to the disclosure request list (step S311). Subsequently, the list creation unit 216 determines whether or not the test used for diagnosis is a test using a contrast medium (step S313). If it is determined that the test used for diagnosis is not a test using a contrast medium, the second in-hospital system 100-2 ends the process shown in FIG.

If it is determined that the test used for diagnosis is a test using a contrast medium, the list creation unit 216 adds a request for contrast information to the disclosure request list (step S315). In this way, the second in-hospital system 100-2 ends the process shown in FIG.

Returning to the process shown in FIG. 7, the second in-hospital system 100-2 transmits the created disclosure request list to the terminal device 400 (step S207). The terminal device 400 determines whether or not the items included in the disclosure request list are not restricted and the disclosure is approved (whether the disclosure is possible) (step S209).

When it is determined that the disclosure of the items included in the disclosure request list is not approved, the inspection information management system 1 ends the process shown in FIG. 7. When it is determined that the disclosure of the items included in the disclosure request list is approved, the decoding function 434 reads out the second medical information stored in the memory 440 and decodes it (step S211).

Subsequently, the encryption function 433 encrypts the decrypted second medical information for transfer (step S213) and transfers it to the second hospital system 100-2 (step S215). The second in-hospital system 100-2 receives the second medical information transmitted by the terminal device 400 and decodes the second medical information (step S217). Subsequently, the second in-hospital system 100-2 stores the decoded second medical information in the storage unit (step S219). In this way, the inspection information management system 1 ends the process shown in FIG. 7.

The examination information management system 1 of the embodiment stores the medical information obtained by the diagnosis of the medical facility in the terminal device 400 of the patient and provides it to another medical facility. Therefore, the patient can provide the result of the diagnosis in a plurality of medical facilities to the medical facility. Therefore, it is possible to share medical information on a patient-by-patient basis between facilities, and it is possible to avoid duplicate examinations.

The examination information management system 1 of the embodiment stores and manages medical information by the patient himself / herself by the terminal device 400. Therefore, in the medical system, the need for wide-area data management can be eliminated, and flexible measures can be taken. Further, by managing the medical information with the terminal device 400, it is possible to carry out comprehensive examination management for each patient, and it is possible to finely share information not only between facilities but also with other facilities. Therefore, it is possible to easily review the inspection contents. Furthermore, since duplicate inspections can be eliminated, it is possible to optimize the number of inspections and make effective use of resources.

In the above embodiment, the transmission of the first medical information to the terminal device 400 by the in-hospital system 100 is executed with the end of the examination as a trigger, but is executed with the examination end notification in the medical diagnostic imaging apparatus 112 as a trigger. May be good. The first medical information may be collectively transmitted at the time of notification of Modality Worklist Management (MPPS), examination accounting, and discharge. The first information transmitted to the terminal device 400 by the in-hospital system 100 may use a public key method or the like during communication, or patient authentication (user authentication) may be executed when passing through the network NW. You may.

In the above embodiment, the in-hospital system 100 transmits the first medical information to the terminal device 400 by the HIS 130, but the first medical information may be transmitted to the terminal device 400 by another device or the like. For example, the RIS 120 and the PACS 140 may transmit the first information, or the modality 110 such as the medical diagnostic imaging apparatus 112 may transmit the first information.

According to at least one embodiment described above, the computer of the terminal device receives the first medical information of the patient obtained by the diagnosis of the medical diagnostic imaging device transmitted by the first medical information management device in the first medical facility. By acquiring, storing the medical information in the storage unit, and having the second medical information management device in the second medical facility provide the first medical information, it is possible to share the medical information on a patient-by-patient basis between the facilities. do.

Although some embodiments have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other embodiments, and various omissions, replacements, and changes can be made without departing from the gist of the invention. These embodiments and variations thereof are included in the scope of the invention described in the claims and the equivalent scope thereof, as are included in the scope and gist of the invention.

1 ... Inspection information management system 100-1 ... 1st hospital system 100-2 ... 2nd hospital system 100-3 ... 3rd hospital system 110, 210, 310 ... Modality 112, 312 ... Medical diagnostic imaging device 120 ... RIS
130 ... HIS
316 ... Integration 140 ... PACS
150, 320 ... Display device 160, 330 ... Transmission / reception device 170, 340 ... Short-range communication device 350 ... Storage unit 400 ... Terminal device 410 ... Transmission / reception interface 420 ... Touch panel 430 ... Processing circuit 431 ... Acquisition function 432 ... Storage processing function 433 ... Encryption function 434 ... Decryption function 435 ... Display control function 436 ... Restriction function 437 ... Provided function 440 ... Memory 450 ... Short-range communication interface NW ... Network

Claims (11)

On the computer of the terminal device,
To acquire the patient's first medical information obtained by the diagnosis of the medical image diagnostic device provided in the first medical facility.
The acquired first medical information is stored in the storage unit, and the information is stored in the storage unit.
A program for providing a second medical facility with a second medical information based on the first medical information. To the computer of the terminal device
The second medical information is encrypted and
The program according to claim 1, wherein the second medical information stored in the storage unit is decoded and provided to the second medical facility. To the computer of the terminal device
The program according to claim 1 or 2, which limits the items included in the second medical information to be provided to the second medical facility. On the computer of the terminal device,
The information display device provided in the terminal device is made to execute the process of displaying the item of the second medical information.
To the computer of the terminal device
The program according to claim 3, wherein the instruction of the restricted item selected by the patient from the items displayed on the information display device is accepted. The program according to any one of claims 1 to 4, which causes the selection of the second medical information provided to the second medical facility based on the disclosure request list transmitted by the second medical facility. The computer of the terminal device
Acquire the first medical information by the medical diagnostic imaging device transmitted by the first medical information management device in the first medical facility,
The first medical information is stored in the storage unit, and the information is stored in the storage unit.
An examination information management method for providing a second medical information based on the first medical information to a second medical information management device in a second medical facility. A first medical information management device provided in the first medical facility and transmitting the patient's first medical information by a medical diagnostic imaging device to a terminal device,
A terminal device that acquires and stores the first medical information transmitted by the first medical information management device and provides the second medical information based on the stored first medical information to the second medical facility.
An inspection information management system provided in the second medical facility and comprising a second medical information management device for acquiring the second medical information provided from the terminal device. The inspection information management system according to claim 7, wherein the second medical information provided to the second medical information management device is stored in a storage unit. The examination information management system according to claim 7 or 8, further comprising an integrated unit that integrates the first medical information and the second medical information. The acquisition unit that acquires the patient's first medical information by the medical diagnostic imaging device transmitted by the first medical information management device in the first medical facility, and
A storage processing unit that stores the first medical information in the storage unit,
A terminal device including a providing unit for providing the first medical information to a second medical information management device in a second medical facility. It is installed in the second medical facility to diagnose patients and obtain medical information.
Acquire the second medical information based on the first medical information of the patient obtained by the diagnosis of the medical diagnostic imaging apparatus provided in the first medical facility, which is transmitted by the first medical information management device in the first medical facility. Medical diagnostic imaging equipment.

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