JP2022068035A - Report checking support system, report checking support method, and report checking support program - Google Patents

Abstract

To provide a report checking support system, a report checking support method, and a report checking support program for reducing a user's oversight in an image reading report.SOLUTION: A report checking support system 1 comprises a first terminal device 20, a setting unit 173, and an output control unit 35. In association with creation of an image reading report related to a medical image acquired through inspection on a subject, the first terminal device 20 receives input of a voice related to the medical image as voice data. The setting unit 173 sets an importance flag to the image reading report associated with the voice data. The output control unit 35 causes a second terminal device 33 related to a requesting doctor to output, as a voice from a speaker 336, the details of the voice data related to the importance flag, from among a plurality of image reading reports corresponding to a plurality of inspections requested from the requesting doctor.SELECTED DRAWING: Figure 1

Description

The embodiments disclosed in this specification and drawings relate to a report confirmation support system, a report confirmation support method, and a report confirmation support program.

Conventionally, the problem of overlooking the items described in the interpretation report has been a problem. In order to reduce the oversight, when the creation of the interpretation report for the medical image in which the problem was generated is completed, the completion of the creation of the interpretation report is referred to as the hospital information system (hereinafter referred to as HIS (Hospital Information System)), etc. There is a technology related to report creation notification to notify the system above. Further, in order to manage the reading of the reading report, there is a technique related to report reading management in which a confirmation button is added to the mechanism for referencing the reading report and the reference history of the reading report is confirmed for each logged-in user.

In the report read management, if the radiology report by the doctor requesting the examination is not checked as read in the list of radiology reports, the radiology department should check the radiology report that has not been checked. Contact the client doctor. That is, if the read check mark is checked in the list of interpretation reports, the radiologist determines that the requesting doctor has confirmed the interpretation report. Further, in the report read management, the requesting doctor transfers the contents of the interpretation report to the electronic medical record after confirming the interpretation report. Through such an operation, the radiology department can refer to the contents of the electronic medical record and determine whether or not the interpretation report has been read based on whether or not the interpretation report has been transcribed to the electronic medical record.

However, in the above technique, the purpose is to press the confirmation button for the interpretation report, that is, to mark the interpretation report as read, and the requesting doctor may not be able to confirm the contents of the interpretation report well. In addition, it is difficult for the radiology department to confirm all the electronic medical records because there is no distinction between whether or not there are abnormal findings in multiple interpretation reports and there is no weighting of the findings, and read management is originally managed by HIS. It may be difficult to manage the department system alone because it is information to be collected. In addition, important findings outside the area of interest by the client doctor, findings in organs different from the purpose of examination in the interpretation report, important findings in the interpretation report, etc. may be overlooked.

Japanese Unexamined Patent Publication No. 2013-48990

One of the problems to be solved by the embodiments disclosed in the present specification and the drawings is to reduce the user's oversight in the interpretation report. 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.

The report confirmation support system according to the present embodiment includes a first terminal device, a setting unit, and an output control unit. The first terminal device inputs the voice related to the medical image as voice data in accordance with the creation of the interpretation report regarding the medical image acquired by the examination of the subject. The setting unit sets an important flag for the interpretation report to which the voice data is associated. The output control unit outputs the content of the voice data related to the important flag among the plurality of interpretation reports corresponding to the plurality of examinations requested by the requesting doctor as voice from the speaker of the second terminal device related to the requesting doctor. Let me.

FIG. 1 is a diagram showing a configuration example of a report confirmation support system according to an embodiment. FIG. 2 is a flowchart showing an example of the procedure of report confirmation support according to the embodiment. FIG. 3 is a flowchart showing an example of the procedure for supporting report confirmation according to the embodiment. FIG. 4 is a diagram showing an example of voice input by an image interpreting doctor according to an embodiment. FIG. 5 is a diagram showing an example in which voice data is reproduced for a requesting doctor according to an embodiment. FIG. 6 is a diagram showing an example of a report list displayed on the second display for a plurality of patients who visited the hospital on the same day according to the embodiment. FIG. 7 is a diagram showing an example of a highlighted important report according to an embodiment.

Hereinafter, the report confirmation support system, the report confirmation support method, and the report confirmation support program will be described in detail with reference to the drawings. In the following embodiments, the parts with the same reference numerals perform the same operation, and duplicate description will be omitted as appropriate. The report confirmation support system according to the present application is not limited to the embodiments shown below.

(Embodiment)
The overall configuration of the report confirmation support system according to the embodiment will be described. FIG. 1 is a diagram showing a configuration example of the report confirmation support system 1 according to the embodiment. The report confirmation support system 1 includes an electronic chart system 3, a radiation department server device 5, an information management department terminal device 6, a medical diagnostic imaging device 7, a reception device 8, a medical image management server device 11, and a first. It has a medical image management terminal device 20 corresponding to the terminal device. The medical image management server device 11 and the medical image management terminal device 20 constitute a medical image management system (hereinafter referred to as PACS (Picture Archiving and Communication Systems)) 2.

PACS2 is an information system that manages medical images such as X-ray CT images and MR images, and interpretation reports, which are also called diagnostic imaging reports. The interpretation report includes, for example, the name of the subject, patient information such as the patient ID, the purpose of the examination such as the area of interest, the date and time of the examination, and the medical image of the subject attached (attached) to the interpretation report (hereinafter referred to as a key image). Findings and diagnoses by the image interpreter regarding (call) are described. The findings are the observations of the interpreter on the key images. The findings include, for example, observation results regarding the examination purpose (region of interest) in the examination order by the client doctor, and observation results (hereinafter referred to as important findings) that deviate from the examination purpose. Marks and annotations are appropriately superimposed on the key images in the interpretation report to explain the findings.

It should be noted that the various components mounted on the medical image management terminal device (hereinafter referred to as PACS terminal) 20 may be provided in the report confirmation support system 1 as one or a plurality of terminal devices for each of the above-mentioned various server devices. good. Further, the various server devices in the report confirmation support system 1 may be realized as an integrated server in which the functions of the respective server devices are integrated. That is, the server device in the report confirmation support system 1 may be realized by one integrated server.

Further, the report confirmation support system 1 includes a processing circuit that realizes a setting function 173, an extraction specific function 174, an order generation function 175, and an output control function 35, and a server communication interface 13 in addition to a normal medical image management server device. And may further have a report confirmation support device having a server memory 15. At this time, the medical image management server device (hereinafter referred to as a PACS server) 11 does not have the setting function 173, the extraction specific function 174, and the order generation function 175, unlike the normal PACS server, and has the system control function 171. It will have a storage function 172. In addition, the various components mounted on the PACS terminal 20 will be mounted on the report confirmation support device and the terminal device electrically connected to the normal PACS server.

The electronic medical record system 3 has an electronic medical record server device 31 and a terminal device (hereinafter, referred to as an electronic medical record terminal device) 33 electrically connected to the electronic medical record server device 31. The electronic medical record system 3 is an information system that manages an electronic medical record for recording medical treatment contents. The electronic medical record server device 31 is a computer device that executes processing related to management of the electronic medical record. The electronic medical record terminal device 33 corresponding to the second terminal device is used by a doctor, a nurse, or the like who inputs and refers to an electronic medical record or the like. The electronic medical record server device 31 and the electronic medical record terminal device 33 are connected to a communication network.

The electronic medical record terminal device 33 may be, for example, according to an instruction from a client doctor (also referred to as a clinician) who requests a test for a subject, for example, a test order (for example, a radiation order) which is an order for a test for a subject, or a subject. Enter the visit order (also called outpatient order), which is the order for the visit. The test order is an order for testing a subject. When the test order is the imaging of a subject related to diagnostic imaging, the test order may be, for example, the patient ID of the subject to be tested, the patient name, the test number (test ID) used to identify the test, and the test date. It has order information for each item such as examination site, examination purpose, imaging information, and comments from the requesting doctor. The client doctor corresponds to a reference person who refers to the interpretation report prepared by the radiologist, that is, the image interpretation doctor in PACS2. The electronic medical record server device 31 transmits the test order together with the patient information of the subject and the like to the radiation department server device 5 in response to the input of the test order by the electronic medical record terminal device 33. Various components of the electronic medical record terminal device 33 will be described later.

The radiation department server device 5 and the terminal device electrically connected to the radiation department server device 5 (hereinafter referred to as a radiation department terminal device) are referred to as a radiation department information system (hereinafter referred to as RIS (Radiology Information Systems)). To configure. RIS is an information system that manages information in the radiation department in a hospital. The information in the radiology department in the hospital is, for example, the inspection schedule of various modality. The radiology department terminal device (hereinafter referred to as RIS terminal) inputs various instructions by a radiologist, for example, regarding the management of information in the radiology department in a hospital.

The radiation department server device (hereinafter referred to as RIS server) 5 mainly executes examination by a medical diagnostic imaging apparatus 7 such as a radiation device, and management from appointment of treatment to examination result. The RIS server 5 acquires the contents of patient information, reservation information (examination reservation information, treatment reservation information), etc. from a hospital information system (hereinafter referred to as HIS (Hospital Information System)) server device or electronic medical record server device 31. And accumulate. As an example of operation, the RIS server 5 receives an inspection order from the electronic medical record system 3 and acquires information and the like related to the medical diagnostic imaging apparatus 7 from the inspection order. The RIS server 5 transmits the examination order to the medical diagnostic imaging apparatus 7 specified by the examination order. Normally, the RIS server 5 plays a central role as a work list server of DICOM (Digital Imaging and Communications in Medical) specifications.

The medical image diagnostic apparatus 7 includes, for example, an X-ray diagnostic apparatus, an X-ray computer tomography (CT) apparatus, a magnetic resonance imaging (MRI) apparatus, and a PET (Positron Emission computed tomography) apparatus. ) And SPECT (Single photon emission computed tomography), which is a device for acquiring medical images such as a nuclear medicine diagnostic device. Based on the examination order output from the RIS server 5, the medical diagnostic imaging apparatus 7 executes imaging of the subject in response to an operation in which imaging is started by a technician or the like. By executing the imaging, the medical diagnostic imaging apparatus 7 collects data on the body tissue of the subject. The medical image diagnostic apparatus 7 generates a medical image based on the data. The medical image diagnostic apparatus 7 transmits the generated medical image together with the examination number to the PACS server 11.

The PACS server 11 is a computer device that executes processing related to medical image management. The PACS server 11 has a server communication interface 13, a server memory 15, and a server processing circuit 17. The PACS server 11 is connected to the network and the PACS terminal 20 via the server communication interface 13.

The server communication interface 13 performs data communication between, for example, the electronic medical record system 3, the RIS server 5, the medical image diagnostic device 7, and the first communication interface 21. The communication standard by the server communication interface 13 may be any standard. The server communication interface 13 outputs data acquired by data communication with various server devices to the server memory 15. The server communication interface 13 receives the electrical signal of the input operation input to the first input interface 29 in the PACS terminal 20 via the first communication interface 21. The server communication interface 13 outputs the received electric signal to the server processing circuit 17.

The server memory 15 is a storage device such as an HDD (Hard disk Drive), an SSD (Solid State Drive), or an integrated circuit storage device that stores various information. In addition to HDDs and SSDs, the server memory 15 includes portable storage media such as CDs (Compact Discs), DVDs (Digital Versailles Discs), and flash memories, and semiconductor memory elements such as RAMs (Random Access Memory). It may be a drive device that reads and writes various information between them.

When the server memory 15 receives the medical image from the medical image diagnostic device 7, the server memory 15 stores the examination number and the medical image in association with each other. Various incidental information is attached to the medical image. The incidental information includes a patient name, a patient ID, information related to imaging (for example, slice thickness, slice number, presence / absence of contrast, imaging conditions), and the like. The server memory 15 stores the image interpretation report created by the PACS terminal 20 in association with the inspection number. At this time, the PACS terminal 20 functions as a report creation terminal for creating an image interpretation report. The server memory 15 stores various programs related to the system control function 171 and the storage function 172, the setting function 173, the extraction specific function 174, and the order generation function 175.

The server memory 15 stores data acquired by the system control function 171 and data generated by the extraction specific function 174 and the order generation function 175. The server memory 15 stores various masters that are standard input information in the input items of the input form regarding the visit order (also referred to as outpatient order) and the inspection order (for example, radiation order) generated by the order generation function 175.

The master regarding the visit order is, for example, the name of the department to which the client doctor belongs, the purpose of medical treatment according to the clinical diagnosis name, and the like. The master regarding the test order is, for example, the test site according to the clinical diagnosis name, the test purpose, the imaging information, and the like. The server memory 15 may store a predetermined period used in the output control function 35. The predetermined period is used, for example, to determine whether or not it is necessary to recommend the issuance of a visit order for the subject, and whether or not it is necessary to recommend the issuance of an examination order corresponding to the examination advice by the image interpreting doctor in the interpretation report. The predetermined period is set in advance, for example, one month or two weeks, starting from the time when the interpretation report is generated, the inspection date for the interpretation report, the request date for the inspection, and the like. The predetermined period may be appropriately set according to the name of the disease related to the important findings and the stage of the disease in the important findings. The predetermined period, visit order, examination order, etc. regarding the present embodiment will be described later according to the procedure for executing the process of supporting the confirmation of the interpretation report by the requesting doctor (hereinafter referred to as the confirmation support process).

The server processing circuit 17 includes, for example, as hardware resources, a processor such as a CPU (Central Processing Unit), an MPU (Micro Processing Unit), a GPU (Graphics Processing Unit), and a memory such as a ROM (Read Only Memory) or RAM. Have. Further, the server processing circuit 17 includes an integrated circuit for a specific application (Application Specific Integrated Circuit: ASIC), a field programmable gate array (Field Programmable Gate Array: FPGA), and another complex programmable logic device (Complex Programmable). It may be realized by a CPLD), a simple programmable logic device (SPLD), or the like.

The server processing circuit 17 has a system control function 171, a storage function 172, a setting function 173, an extraction specific function 174, and an order generation function 175. In the system control function 171 and the storage function 172, the setting function 173, the extraction specific function 174, and the order generation function 175, each function is stored in the server memory 15 in the form of a program that can be executed by a computer. The server processing circuit 17 executes the system control function 171 and the storage function 172, the setting function 173, the extraction specific function 174, and the order generation function 175 by the processor that executes the program expanded in the memory.

That is, the server processing circuit 17 corresponds to a processor that realizes a function corresponding to each program by reading a program from the server memory 15 and executing the program. In other words, the server processing circuit 17 in the state where each program is read has a function corresponding to the read program. It should be noted that each function (171 to 175) is not limited to the case where it is realized by a single processing circuit. A processing circuit may be configured by combining a plurality of independent processors, and each function (171 to 175) may be realized by each processor executing a program.

The system control function 171 controls each function of the server processing circuit 17 based on the electric signal corresponding to the input operation received from the user via the first input interface 29. Specifically, the system control function 171 reads the control program stored in the server memory 15 and expands it on the memory in the server processing circuit 17, and controls each part of the PACS server 11 according to the expanded control program. .. When the system control function 171 receives the image interpretation report from the PACS terminal 20, the system control function 171 stores the image interpretation report in association with the inspection number in the server memory 15. In addition, the system control function 171 transmits the interpretation report together with the inspection number to the electronic medical record server device 31. The image interpretation report transmitted to the electronic medical record server device 31 is associated with the electronic medical record of the subject related to the image interpretation report and stored in the electronic medical record server device 31.

The storage function 172 acquires a medical image together with an examination number from the medical image diagnostic device 7. The storage function 172 stores the medical image in the server memory 15 together with the patient information such as the patient ID and the examination number.

The setting function 173 associates the voice data corresponding to the voice of the image interpreter input via the first input interface 29 with the image interpretation report corresponding to the input of the voice. The voice data is voice data generated by the image interpretation doctor at the time of creating the image interpretation report or after the image interpretation report is created, and is input by the microphone in the first input interface 29. The content of the audio data includes, for example, important findings and advice for the next inspection regarding the important findings.

The setting function 173 associates the voice data with the patient ID of the subject, the inspection number related to the inspection of the subject, and the like at the time of inputting the voice. That is, the voice data is stored in the server memory 15 as a voice file associated with the patient ID, the examination number, and the like. At this time, the setting function 173 identifies the interpretation report corresponding to the patient ID and the examination number. The setting function 173 associates audio data with the identified interpretation report. The association between the interpretation report and the audio data corresponds to, for example, an attachment of the audio data (or an audio file) to the interpretation report, for example, an attachment.

The setting function 173 sets an important flag for the interpretation report associated with the voice data to indicate to the attending physician that the interpretation report is important. That is, the interpretation report for which the important flag is set corresponds to the interpretation report to which the audio data is associated. The important flag corresponds to the interpretation data having important findings. Further, the setting function 173 associates the inspection advice specified in the voice data by the extraction identification function 174 with the interpretation report associated with the voice data.

The extraction specific function 174 extracts the audio content (hereinafter referred to as audio content) from the audio data associated with the interpretation report. For example, the extraction specific function 174 extracts a character string from the voice data by using an existing voice recognition program. The extraction specific function 174 uses, for example, an existing natural language processing program having morphological analysis, parsing, context analysis, semantic analysis, etc., to execute natural language processing on the extracted character string. , Extract audio content. The extraction specific function 174 is not limited to using the above-mentioned voice recognition program or natural language processing program in extracting voice content from voice data, and has been learned to output voice content by inputting voice data. A model (for example, a recurrent neural network (RNN) may be used. A speech recognition program, a natural language processing program, and the trained model are stored in the server memory 15.

The extraction identification function 174 identifies a part related to or overlaps with the audio content in the description content by comparing the description content in the interpretation report related to the audio data with the audio content. The extraction identification function 174 associates the identified portion with the interpretation report using the patient ID and examination number. At this time, the extraction identification function 174 may create an emphasis report that emphasizes the portion specified in the interpretation report. In addition, the extraction identification function 174 identifies inspection advice regarding at least one of the findings and the diagnosis in the corresponding interpretation report in the character string extracted from the audio data. The specific inspection advice is, for example, inspection purpose, inspection site, imaging information, and the like. The extraction identification function 174 associates the extracted examination advice with the interpretation report using the patient ID and examination number.

The order generation function 175 sets the visit order in which predetermined items are input based on the visitable date and time of the subject, the patient information of the subject, and the schedule of the requesting doctor, which are output from the information management department terminal device 6 described later. Generate. The predetermined items are, for example, the name of the department to which the client doctor belongs, the purpose of medical treatment according to the name of the clinical diagnosis, the date and time of the visit of the subject, and the like. The order generation function 175 outputs the generated visit order to the electronic medical record terminal device 33 via the server communication interface 13.

If there is a character string that matches the master of the examination in the examination advice, the order generation function 175 indicates the date and time when the subject can be visited, the patient information of the subject, and the schedule of the requesting doctor, which is output from the terminal device 6 of the information management department. And based on the modality's inspection schedule for inspection advice, generate an inspection order with the given items entered. The predetermined items are, for example, the name of the department to which the client doctor belongs, the purpose of the examination, the date and time of the examination, the examination site, the imaging information, and the like. The order generation function 175 outputs the generated inspection order to the electronic medical record terminal device 33 via the server communication interface 13.

The server processing circuit 17 that realizes the system control function 171 and the storage function 172, the setting function 173, the extraction specifying function 174, and the order generation function 175 is an example of the system control unit, the storage unit, the setting unit, the extraction specifying unit, and the order generation unit. Is.

The PACS terminal 20 corresponds to a first terminal device and has a first communication interface 21, a first memory 23, a first processing circuit 25, a first display 27, and a first input interface 29. The PACS terminal 20 is used for storing and managing medical images and interpretation reports, displaying medical images related to interpretation, creating interpretation reports, and the like. The PACS terminal 20 functions as, for example, a management terminal for managing medical images acquired by the medical image diagnosis device 7, a viewer, and a report creation terminal. note that. The PACS terminal 20 may be connected to a plurality of networks.

The PACS terminal 20 as a report creation terminal displays a report creation screen for a template of an interpretation report in which predetermined information is written, and creates an interpretation report by inputting findings and the like on the report creation screen. The predetermined information is, for example, patient information, examination information, request source information, etc., which are the targets of the interpretation report. The report creation terminal inputs audio related to the medical image as audio data in accordance with the creation of the interpretation report on the medical image acquired by the examination on the subject. The PACS terminal 20 transmits the created image interpretation report to the PACS server 11 via the first communication interface 21.

The first communication interface 21 performs data communication with the server communication interface 13. The first communication interface 21 outputs the data acquired by the data communication with the PACS server 11 to the first memory 23. The first communication interface 21 transmits the electric signal of the input operation input to the first input interface 29 to the server communication interface 13.

The first memory 23 is a storage device such as an HDD, an SSD, or an integrated circuit storage device that stores various information. The first memory 23 is a drive device for reading and writing various information between a portable storage medium such as a CD, DVD, and a flash memory, a semiconductor memory element such as a RAM, and the like, in addition to an HDD and an SSD. May be good. The first memory 23 stores various information transmitted from the PACS server 11 via the first communication interface 21. For example, the first memory 23 stores a medical image acquired by the first processing circuit 25 via the first communication interface 21, a template of an interpretation report, and the like. The first memory 23 stores a program related to the display function 251.

The first processing circuit 25 has, for example, a processor such as a CPU, MPU, and GPU and a memory such as a ROM or RAM as hardware resources. Further, the first processing circuit 25 may be realized by an ASIC, FPGA, CPLD, SPLD or the like. The first processing circuit 25 has a control function for controlling the PACS terminal 20, a report creation function for creating an image interpretation report, a display function 251 and the like. The control function, the report creation function, and the display function 251 are stored in the first memory 23 in the form of a program that can be executed by a computer. The first processing circuit 25 executes the display function 251 by the processor that executes the program expanded in the memory. That is, the first processing circuit 25 corresponds to a processor that realizes a function corresponding to the program by reading the program from the first memory 23 and executing the program.

In other words, the first processing circuit 25 in the state where the program is read has a function corresponding to the read program. The control function, the report creation function, and the display function 251 are not limited to the case where they are realized by a single processing circuit. A processing circuit may be configured by combining a plurality of independent processors, and the control function, the report creation function, and the display function 251 may be realized by each processor executing a program. The first processing circuit 25 that realizes the display function 251 is an example of the display control unit. The first processing circuit 25 controls the first display 27 for various displays on the first display 27 by the display function 251.

The first display 27 displays a GUI (Graphical User Interface) for accepting various operations from the user and various information. Examples of the first display 27 include a liquid crystal display (LCD: Liquid Crystal Display), a CRT (Casode Ray Tube) display, an organic EL display (OELD: Organic Electro Luminescence Display), a plasma display, or any other display as appropriate. , Can be used. Further, the first display 27 may be a desktop type or may be configured by a tablet terminal or the like capable of wireless communication with the PACS server 11.

The first display 27 displays a medical image related to an examination performed on a subject and a report creation screen by a report creation function, a display function 251 and the like. The first display 27 displays findings, diagnoses, and the like input to the report creation screen via the first input interface 29.

The first input interface 29 receives various input operations from the user, converts the received input operations into electric signals, and outputs the received input operations to the first processing circuit 25. Further, the converted electric signal is output to the server processing circuit 17 via the first communication interface 21 and the server communication interface 13. For example, the first input interface 29 receives selection instructions, various conditions, and the like from the user. As the first input interface 29, for example, input devices such as a mouse, a keyboard, a trackball, a switch, a button, a joystick, a touch pad, and a touch panel display can be appropriately used.

The first input interface 29 has a microphone that converts the voice generated by the image interpretation doctor or the like into an electric signal at the time of creating the image interpretation report or after the image interpretation report is created. For the microphone, for example, the voice input is turned on by a specific operation by a user such as an image interpreting doctor for the input device. The specific operation is, for example, pressing a specific button related to voice input, pressing a specific key on the keyboard, maintaining the pressed state of the specific key (for example, a shift key), and the like. That is, the microphone is in a state where voice can be input while a specific operation is being executed. Further, for example, when a specific operation is canceled, the microphone becomes incapable of voice input. Specifically, when important findings are present in a key image or interpretation report, in response to a particular operation by the interpreter, the microphone is generated by the interpreter, for example, such as the important findings or advice for the next examination. The voice is input as voice data.

In the present embodiment, the first input interface 29 is not limited to the one provided with physical operation parts such as a mouse, a keyboard, a trackball, a switch, a button, a joystick, a touch pad, and a touch panel display. For example, a processing circuit for an electric signal that receives an electric signal corresponding to an input operation from an external input device provided separately from the device and outputs the electric signal to the server processing circuit 17 and the first processing circuit 25 is also the first. 1 Included in the example of the input interface 29. Further, the first input interface 29 may be configured by a tablet terminal or the like capable of wireless communication with the PACS server 11.

The electronic medical record terminal device 33 corresponds to the second terminal device, and corresponds to the second communication interface 331, the second memory 333, the second processing circuit 335, the speaker 336, the second display 337, and the second input interface 339. And prepare. The electronic medical record terminal device 33 is used for displaying an image interpretation report or the like, and inputting an electronic medical record, a visit order, an inspection order, or the like.

The second communication interface 331 performs data communication with the electronic medical record server device 31 and the server communication interface 13. The second communication interface 331 outputs the data acquired by the data communication with the electronic medical record server device 31 and the PACS server 11 to the second memory 333. The second communication interface 331 transmits the electric signal of the input operation input to the second input interface 339 to the electronic medical record server device 31, the server communication interface 13, and the like.

For example, the second communication interface 331 acquires the electronic medical record regarding the subject and the schedule of the requesting doctor within a predetermined period from the electronic medical record server device 31, and stores the electronic medical record in the second memory 333. Further, the second communication interface 331 acquires the modality inspection schedule from the RIS server 5 and stores it in the second memory 333 in accordance with the acquisition of the electronic medical record relating to the subject. The second communication interface 331 may acquire various information from the PACS server 11 and store it in the second memory 333, if necessary. For example, the second communication interface 331 receives the visit order and the inspection order generated by the order generation function 175 from the PACS server 11.

The second memory 333 is a storage device such as an HDD, an SSD, or an integrated circuit storage device that stores various information. The second memory 333 is a drive device for reading and writing various information between a portable storage medium such as a CD, DVD, or a flash memory, a semiconductor memory element such as a RAM, or the like, in addition to the HDD or SSD. May be good. The second memory 333 stores various information transmitted from the electronic medical record server device 31 and the PACS server 11 via the second communication interface 331. The second memory 333 stores programs related to various functions such as the output control function 35 executed by the second processing circuit 335.

The second processing circuit 335 has, for example, a processor such as a CPU, MPU, and GPU and a memory such as ROM and RAM as hardware resources. Further, the second processing circuit 335 may be realized by an ASIC, FPGA, CPLD, SPLD or the like. The second processing circuit 335 has a terminal control function for controlling the electronic medical record terminal device 33, an output control function 35 for controlling various outputs by the electronic medical record terminal device 33, and the like. The terminal control function and the output control function 35 are stored in the second memory 333 in the form of a program that can be executed by a computer. The second processing circuit 335 executes the terminal control function and the output control function 35 by the processor that executes the program expanded in the memory. That is, the second processing circuit 335 corresponds to a processor that realizes a function corresponding to the program by reading the program from the second memory 333 and executing the program.

In other words, the second processing circuit 335 in the state where the program is read has a function corresponding to the read program. The terminal control function and the output control function 35 are not limited to the case where they are realized by a single processing circuit. A processing circuit may be configured by combining a plurality of independent processors, and the terminal control function and the output control function 35 may be realized by each processor executing a program. The second processing circuit 335 that realizes the output control function 35 is an example of the output control unit. The second processing circuit 335 controls the second display 337 and the like for various displays on the second display 337 by the output control function 35.

The second processing circuit 335 outputs the contents of the voice data related to the important flag as voice from the speaker 336 in order from the plurality of interpretation reports corresponding to the plurality of examinations requested by the client doctor by the output control function 35. Let me. The plurality of interpretation reports may be related to the patient who visited the hospital on the day. Further, the output control function 35 may control the second input interface 339 so as not to accept other operations in the electronic medical record terminal device 33 until the output of the voice is completed, that is, the reproduction of the voice data is completed. The access of the requesting doctor to the electronic medical record terminal device 33 corresponds to, for example, a login operation via the second input interface 339 after the power is turned on to the electronic medical record terminal device 33.

The output control function 35 displays a list of a plurality of interpretation reports (hereinafter referred to as a report list) together with important flags on the second display 337 of the electronic medical record terminal device 33. Also. The output control function 35 displays the patient information (for example, the patient ID and the name of the subject) in the interpretation report corresponding to the voice data on the second display 337 during the reproduction period of the voice data.

When the electronic medical record terminal device 33 is installed in an environment where the personal information of the subject is not leaked, such as the examination room of the client doctor, that is, a private room, the output control function 35 uses the patient ID, the name of the subject, and the interpretation report. The inspection purpose of the inspection may be further output as a voice from the speaker 336. The audio item output from the speaker 336 can be appropriately set by the second input interface 339 or the like.

The timing of voice output from the speaker 336 based on the voice data is not limited to the time when the requesting doctor logs in to the electronic medical record terminal device 33. For example, the output control function 35 may output the content of the voice data as voice from the speaker 336 according to preset conditions. The condition is set, for example, by a user's instruction via the second input interface 339. The conditions include, for example, a private room in which the subject and other patients cannot enter without the consent of the client, the machine name (for example, the client name) of the electronic medical record terminal device 33, the position information of the electronic medical record terminal device 33, and the time. It can be appropriately set so as to protect the personal information of the subject according to the band or the like. That is, depending on the setting of the conditions, important findings can be followed by a team such as a department to which the client doctor belongs. Further, the output control function 35 transfers the content of the audio data from the audio output device by connecting the terminal of the audio output device such as earphones or headphones that can be worn by the client to the electronic medical record terminal device 33. It may be output as audio.

Output control when the reference item in the interpretation report (hereinafter referred to as important report) with the important flag attached in the report list is selected by the client via the second input interface 339 (hereinafter referred to as important report selection). The function 35 displays the important report on the second display 337, highlighting the portion identified by the extraction identification function 174. When the highlighting report is generated by the extraction specific function 174, the output control function 35 displays the highlighting report as a trigger for inputting the important report selection. The emphasis of the specified part in the interpretation report includes changing the hue to a hue (such as red) that makes the specified part stand out, changing the font, and adding character modification such as underline.

The output control function 35 recommends issuing a visit order for the subject if there is no visit order for the subject within a predetermined period from the starting date such as the generation time of the important report for the subject in the important report. It is displayed on the display 337. Specifically, the output control function 35 determines whether or not the subject is scheduled to visit the hospital within a predetermined period in the electronic medical record of the subject regarding the important report. If the subject is not scheduled to visit the hospital within a predetermined period, the output control function 35 displays a character example for recommending the visit of the subject to the requesting doctor on the second display 337.

Further, the output control function 35 responds to the setting instruction of the visit order of the subject regarding the important report by the instruction of the client via the second input interface 339, and confirms the visit date and time of the subject to the subject. The instruction (hereinafter referred to as a visit confirmation instruction) and the schedule of the requesting doctor are output to the information management department terminal device 6. The output control function 35 receives the visit order generated by the order generation function 175 via the second communication interface 331, and displays the received visit order on the second display 337.

Further, the output control function 35 has an inspection order corresponding to the inspection advice if there is no inspection order corresponding to the inspection advice within a predetermined period from the starting date such as the generation time of the important report for the subject in the important report. The recommendation for issuance (hereinafter referred to as a recommended inspection order) is displayed on the second display 337. Specifically, the output control function 35 determines whether or not there is a recommended test order within a predetermined period in the electronic medical record of the subject regarding the important report. If there is no recommended test order within a predetermined period, the output control function 35 displays a character example for recommending the issuance of the recommended test order to the requesting doctor on the second display 337. At this time, the output control function 35 may receive the inspection order generated by the order generation function 175 via the second communication interface 331 and display the received inspection order on the second display 337.

The output control function 35 recommends confirmation of the test result for the subject (hereinafter referred to as result confirmation recommendation) to the reception device 8 described later before the visit date of the subject regarding the interpretation report for which the important flag is set. Output. The result confirmation recommendation is, for example, a character string such as "The test result is available, so please check with your doctor." At this time, the output control function 35 outputs a print instruction of the character string related to the result confirmation recommendation to the reception device 8 at the time of the visit of the subject.

The speaker 336 is mounted on the electronic medical record terminal device 33, and the speaker 336 may be realized as an audio output device such as an earphone or a headphone that can be worn by a client. The speaker 336 outputs the content of the voice data by voice by the output control function 35. The speaker 336 may further output the patient ID, the name of the subject, the inspection purpose of the inspection related to the interpretation report, and the like as voice by the output control function 35.

The second display 337 displays a GUI (Graphical User Interface) for receiving various operations from the user and various information. Examples of the first display 27 include a liquid crystal display (LCD: Liquid Crystal Display), a CRT (Casode Ray Tube) display, an organic EL display (OELD: Organic Electro Luminescence Display), a plasma display, or any other display as appropriate. , Can be used. Further, the second display 337 may be a desktop type or may be configured by a tablet terminal or the like capable of wireless communication with the electronic medical record server device 31.

Under the control of the output control function 35, the second display 337 displays a login screen for the electronic medical record terminal device 33 by the client, an electronic medical record related to the subject, a report list, patient information of the subject, and the like. Specifically, the second display 337 displays the login screen when the power is turned on to the electronic medical record terminal device 33 or when the requesting doctor who operates the electronic medical record terminal device 33 is changed. The second display 337 displays the patient information in the interpretation report corresponding to the audio data during the reproduction period of the audio data by the speaker 336. In addition, the second display 337 displays a report list together with an important flag during the reproduction period.

Further, the second display 337 uses the output control function 35 to display the recommendation for issuing the visit order, for example, as a character string. In addition, the second display 337 displays the visit order generated by the order generation function 175 and in which a predetermined item is input. The second display 337 uses the output control function 35 to display the recommendation for issuing the recommended inspection order, for example, as a character string. Further, the second display 337 displays an inspection order generated by the order generation function 175 and in which a predetermined item is input.

In addition, the second display 337 highlights the portion specified by the extraction identification function 174 to display the important report, triggered by the selection of the important report. When the highlight report is generated, the second display 337 displays the highlight report triggered by the input of the important report selection. At this time, the second display 337 may display the electronic medical record of the subject regarding the selected important report.

The second input interface 339 receives various input operations from a user such as a requesting doctor, converts the received input operations into an electric signal, and outputs the received input operations to the second processing circuit 335. Further, the converted electric signal is output to the electronic medical record server device 31 via the second communication interface 331. For example, the second input interface 339 receives selection instructions, various conditions, and the like from the user. As the second input interface 339, for example, a mouse, a keyboard, a trackball, a switch, a button, a joystick, a touch pad, a touch panel display, and the like can be appropriately used.

The second input interface 339 inputs the login instruction of the requesting doctor on the login screen. The second input interface 339 inputs to the electronic medical record displayed on the second display 337 according to the instruction of a user such as a requesting doctor. The second input interface 339 inputs an instruction for selecting an interpretation report in the report list. The second input interface 339 inputs the issuance instruction of the visit order in response to the recommendation of issuance of the visit order. The second input interface 339 inputs information necessary for the visit order on the display screen of the visit order in which the predetermined items are input. The second input interface 339 inputs an inspection order issuance instruction in response to the inspection order issuance recommendation. The second input interface 339 inputs information necessary for the inspection order on the display screen of the inspection order in which the predetermined items are input.

In the present embodiment, the second input interface 339 is not limited to the one provided with physical operation parts such as a mouse, a keyboard, a trackball, a switch, a button, a joystick, a touch pad, and a touch panel display. For example, there is also an electric signal processing circuit that receives an electric signal corresponding to an input operation from an external input device provided separately from the device and outputs this electric signal to the electronic chart server device 31 and the second processing circuit 335. It is included in the example of the second input interface 339. Further, the second input interface 339 may be configured by a tablet terminal or the like capable of wireless communication with the electronic medical record server device 31 or the like.

The information management department terminal device 6 is a terminal of the information management department (hereinafter, referred to as an information management terminal) arranged in the information management department that manages patient information of a subject. The information management terminal 6 is instructed by the electronic medical record terminal device 33 to confirm the visit date and time of the subject from the electronic medical record terminal device 33 to the subject (hereinafter, visit confirmation), triggered by the instruction to set the visit order by the client doctor via the second input interface 339. (Called an instruction) and the schedule of the requesting doctor are received. The operator of the information management terminal 6 or the contact person who contacts the subject confirms with the subject the available date and time of the visit in the vacant date and time in the schedule of the requesting doctor. The means for confirming the date and time when the subject can be visited can be any means of communication such as telephone and e-mail. By adjusting the schedule of the client doctor and the schedule of the subject, the operator or the contact person determines the date and time when the visit is possible. The information management terminal 6 transmits the visitable date and time to the PACS server 11 by inputting the confirmed visitable date and time.

The reception device 8 has a printing machine 81 that prints a reception slip indicating the reception of the subject's visit. For example, the printing machine 81 prints a reception slip for the subject, triggered by an input instruction for acceptance by the subject at the time of visit. The reception input instruction by the subject at the time of visit is, for example, reading the barcode printed on the visit reservation slip of the subject and various input operations related to the visit in the reception device 8. The reception device 8 receives the result confirmation recommendation from the output control function 35 before the visit date of the subject regarding the interpretation report for which the important flag is set. The printing machine 81 prints the result confirmation recommendation on the reception slip printed with the visit of the subject. Specifically, the printing machine 81 prints a character string related to the result confirmation recommendation on the reception slip, triggered by the reception instruction.

The overall configuration of the report confirmation support system 1 has been described above. Hereinafter, the procedure of the process of supporting the confirmation of the important report (hereinafter referred to as the report confirmation support process) will be described. 2 and 3 are flowcharts showing an example of the procedure of the report confirmation support process.

(Report confirmation support processing)
(Step S201)
The PACS terminal 20 inputs the voice of the image-reading doctor regarding the medical image as voice data via the microphone in accordance with the creation of the image interpretation report for the medical image. For example, the image interpreting doctor creates an image interpretation report via the first input interface 29, and then performs a specific operation if the image interpretation report contains important findings. Next, the image interpreter inputs a voice regarding important findings and the like. The voice data corresponding to the input voice is transmitted to the PACS server 11.

FIG. 4 is a diagram showing an example of voice input by an image interpreter IpD. As shown in FIG. 4, when the interpretation report displayed on the first display 27 contains important findings, the image interpreter IpD performs a specific operation and performs a voice "lung cancer other than the region of interest" regarding the important findings. "There is a suspicion of" is input to the PACS terminal 20 as voice data Vd.

(Step S202)
The server processing circuit 17 associates the patient ID and the examination number with the voice data Vd at the time of voice input by the setting function 173. Next, the setting function 173 identifies an interpretation report corresponding to the patient ID and the examination number. The setting function 173 associates the voice data Vd with the identified interpretation report. The setting function 173 sets an important flag for the interpretation report associated with the voice data Vd.

(Step S203)
The server processing circuit 17 extracts the content of the voice from the voice data Vd by the extraction identification function 174. Next, the extraction specific function 174 compares the extracted voice content, that is, the character string with the description in the interpretation report in the interpretation report related to the audio data Vd. As a result, the extraction identification function 174 identifies the portion corresponding to the extracted audio content in the interpretation report. Further, the extraction specifying function 174 identifies a character string (hereinafter, referred to as inspection advice) corresponding to the inspection advice in the extracted voice content. The extraction identification function 174 associates the identified inspection advice with the interpretation report.

(Step S204)
When the requesting doctor accesses (logs in) to the electronic medical record terminal device 33 (Yes in step S204), the processes of steps S205 to S207 are executed in parallel. If the requesting doctor does not access (log in) to the electronic medical record terminal device 33 (No in step S204), this step is repeated.

(Step S205)
The second processing circuit 335 outputs the content of the voice data Vd related to the important flag as voice from the speaker 336 by the output control function 35. At this time, as a condition for voice output, for example, when the electronic medical record terminal device 33 is installed in a private room (for example, a medical examination room) where the subject and other patients cannot enter without the consent of the requesting doctor, or when the request is made. When a voice output device that can be worn by a doctor is connected to the electronic medical record terminal device 33, the output control function 35 reproduces the voice data Vd by displaying the patient ID, patient name, examination purpose, etc. regarding the voice data Vd to be played. It may be output from the speaker 336 as an audio before.

FIG. 5 is a diagram showing an example in which voice data Vd is reproduced for the requesting doctor ReD after accessing the electronic medical record terminal device 33 via the second input interface 339. As shown in FIG. 5, for example, after the requesting doctor RdD accesses the electronic medical record terminal device 33, the voice data Vd is reproduced as the voice "There is a suspicion of lung cancer other than the region of interest".

(Step S206)
The output control function 35 displays the patient information regarding the interpretation report corresponding to the reproduced voice data Vd on the second display 337. The patient information is, for example, a patient ID, a patient name, or the like. In addition to the patient information, the output control function 35 may display the inspection purpose of the subject and the like on the second display 337. Further, as shown in FIG. 5, the second display 337 displays an exclamation mark or the like for providing an alert to the client doctor ReD during the reproduction period of the audio data Vd relating to the important findings. May be good.

(Step S207)
The output control function 35 displays the report list on the second display 337 together with the important flag. FIG. 6 is a diagram showing an example of the report list RL displayed on the second display 337 with respect to a plurality of patients who visited the hospital on the day. As shown in FIG. 6, in the interpretation report accompanied by the audio data Vd, "important finding" IFI is described in the finding item as an important flag, and "report" is highlighted in the reference item. ing. In FIG. 6, the reproduction of the voice data Vd is executed, for example, in the order of patient IDs 9999 and 9999. The output control function 35 may highlight the items of the interpretation report corresponding to the audio data Vd in the report list RL during the audio reproduction period.

(Step S208)
When the interpretation report (important report) for which the important flag is set is selected in the report list RL by the instruction of the client doctor Red via the second input interface 339 (Yes in step S208), the process of step S209 is executed. Will be done. If the important report is not selected in the report list RL (No in step S208), the processes of steps S205 to S208 are repeated. At this time, the audio data Vd related to the important report is sequentially reproduced. When the audio data Vd relating to all the important reports in the report list RL is reproduced, the second input interface 339 waits for the selection instruction. As shown in FIG. 6, when there are a plurality of important reports in the report list RL, the output control function 35 is the first until all the audio data associated with all the important reports in the report list RL are reproduced. 2 The input of the operation via the input interface 339 may be locked. At this time, the content of this step is "not only the visit data on the day but also the interpretation is completed and all the audio data with the important flag attached is reproduced (in some cases, it may be urgent)".

(Step S209)
The second display 337 displays the selected interpretation report (important report) by emphasizing the portion specified in step S203 by the output control function 35. FIG. 7 is a diagram showing an example of a highlighted important report. As shown in FIG. 7, the important report IR is displayed on the second display 337 with the portion related to the voice data Vd emphasized.

(Step S210)
If there is a visit order for the subject within a predetermined period from the time when the interpretation report is generated (Yes in step S210), the process of step S214 is executed. If there is no visit order for the subject within a predetermined period from the time when the interpretation report is generated (No in step S210), the process of step S211 is executed. If there is no visit order for the subject within a predetermined period from the time when the interpretation report is generated, as shown in the report list RL in FIG. The wording is highlighted and is displayed on the second display 337. At this time, when "No next visit scheduled" NVP is selected via the second input interface 339, the output control function 35 uses the patient information and contact information (telephone number, address, e-mail) of the subject regarding the important report. The address, etc.) is displayed on the second display 337. This makes it possible for the client doctor ReD to easily convey the contents of the important report to the subject, either verbally or in writing.

(Step S211)
The output control function 35 causes the second display 337 to display the recommendation of issuing a visit order regarding the subject in the important report. The output control function 211 causes the second display 337 to display, for example, a character string "Why don't you issue a visit order because there are important findings" regarding the recommendation for issuing a visit order.

(Step S212)
An instruction to issue a visit order for the subject is input by the requesting doctor ReD via the second input interface 339. The output control function 35 outputs the visit confirmation instruction of the subject and the schedule of the requesting doctor Red to the information management terminal 6 in response to the setting instruction of the visit order. Next, the operator or the like of the information management terminal 6 confirms the available date and time of the subject's visit to the subject via various transmission means in the vacant date and time in the schedule of the requesting doctor Red. By adjusting the schedule of the requesting doctor Red and the schedule of the subject, the operator or the like of the information management terminal 6 determines the visitable date and time of the subject and inputs it to the information management terminal 6. The information management terminal 6 transmits the confirmed visitable date and time to the PACS server 11.

(Step S213)
The order generation function 175 generates a visit order in which predetermined items are input based on the visitable date and time determined by adjusting the schedule of the requesting doctor Red and the schedule of the subject, patient information, and the schedule of the requesting doctor Red. do. Next, the order generation function 175 outputs the generated visit order to the electronic medical record terminal device 33 via the server communication interface 13. The output control function 35 displays the visit order generated by the order generation function 175 on the second display 337.

(Step S214)
If there is a test order corresponding to the test advice for the subject in the important report within a predetermined period from the time when the interpretation report is generated (Yes in step S214), the process of step S216 is executed. If there is no test order corresponding to the test advice for the subject in the important report within a predetermined period from the time when the interpretation report is generated (No in step S214), the process of step S215 is executed.

(Step S215)
The output control function 35 causes the second display 337 to display a recommendation for issuing a test order regarding the subject in the important report. The output control function 211 causes the second display 337 to display, for example, a character string "Why don't you issue an examination order because there is an examination advice from an image interpreting doctor" regarding the recommendation of issuing an examination order.

(Step S216)
The order generation function 175 generates an examination order in which predetermined items are input, based on the visitable date and time, patient information, the schedule of the requesting doctor Red, and the examination schedule of the modality regarding examination advice. Next, the order generation function 175 outputs the generated inspection order to the electronic medical record terminal device 33 via the server communication interface 13. The output control function 35 displays the inspection order generated by the order generation function 175 on the second display 337.

(Step S217)
The output control function 35 outputs a result confirmation recommendation to the reception device 8 before the visit date of the subject regarding the important report. The output control function 35 may output a character string related to the result confirmation recommendation to the reception device 8.

(Step S218)
The reception device 8 receives the result confirmation recommendation from the output control function 35 before the visit date of the subject regarding the important report. The subject inputs an input instruction for acceptance by the subject at the time of visit to the reception device 8. The printing machine 81 prints the result confirmation recommendation on the reception slip, triggered by the input instruction for reception by the subject at the time of visit. Specifically, the character string related to the result confirmation recommendation is printed on the reception slip by the printing machine 81 triggered by the input instruction of the above reception, so that the subject can also be prompted to confirm the test result, and the requesting doctor can confirm it. It is possible to reduce the oversight of important findings by RED.

According to the report confirmation support system 1 according to the embodiment described above, the voice related to the medical image is input as the voice data Vd along with the creation of the interpretation report regarding the medical image acquired by the inspection for the subject, and the voice is heard. An important flag is set for the interpretation report associated with the data Vd, and the content of the audio data Vd related to the important flag is set among the multiple interpretation reports corresponding to the multiple examinations requested by the requesting doctor Red. , Is output as voice from the speaker 336 of the electronic medical record terminal device 33. For example, the report confirmation support system 1 outputs the content of the voice data as voice from the speaker after the requesting doctor Red accesses the second terminal device (electronic medical record terminal device 33).

As a result, according to this report confirmation support system 1, if there are important findings in the interpretation report, the interpretation doctor IpD can input the contents of the important findings and advice for the next examination for the subject by voice. , Important flag can be set automatically without troublesome operation. Therefore, according to this report confirmation support system 1, it is possible to reduce the burden on the image interpreter IpD regarding the setting of the important flag, and it is possible to improve the image interpretation throughput.

In addition, according to the report confirmation support system 1, the audio data Vd related to the interpretation report (important report) for which the important flag is set can be automatically reproduced and output as audio. That is, according to this report confirmation support system 1, it is possible to confirm the content of important findings by voice without opening the electronic medical record of the subject regarding the important report, that is, without visually confirming the important report by the client doctor Red. can.

For these reasons, according to this report confirmation support system 1, it is not necessary to open the electronic medical record of the subject related to the important report (for example, click operation or display operation on another screen) in the reproduction of the voice data Vd. Therefore, the burden on the requesting doctor ReD can be reduced, and the omission of confirmation of important findings can be prevented by the voice output. Furthermore, according to this report confirmation support system 1, the client doctor ReD grasps the nuances of the importance of the description contents (that is, the importance of the findings) in the important report by the inflection of the voice of the image interpreter IpD to be reproduced. be able to. As a result, according to the report confirmation support system 1, it is possible to improve the throughput for confirming important findings while reducing the omission of confirmation of important findings.

Further, according to the report confirmation support system 1, after the requesting doctor Red accesses the electronic medical record terminal device 33, the report list RL can be displayed on the second display 337 together with the important flag. As a result, the client doctor ReD can easily grasp the important report in the report list RL, and can reduce the omission of confirmation of the important finding. Further, according to the report confirmation support system 1, the patient information in the interpretation report corresponding to the voice data Vd can be displayed on the second display 337 during the reproduction period of the voice data Vd. As a result, the client doctor ReD can easily grasp the subject related to the currently output voice while preventing the leakage of the personal information of the subject.

Further, according to the report confirmation support system 1, the content of the voice is extracted from the voice data Vd, the part related to the extracted content is specified in the interpretation report related to the voice data Vd, and the voice data is specified. The interpretation report related to Vd is displayed on the second display 337 with the specified part highlighted. As a result, in the interpretation report in which the important flag is set, the character string of the part corresponding to the content of the voice (for example, the finding) is character-qualified. It is highlighted for clarity. Therefore, according to this report confirmation support system 1, it is possible to improve the throughput for confirming important findings while reducing the omission of confirmation of important findings.

In addition, according to this report confirmation support system 1, it is recommended to issue a visit order for a subject if there is no visit order for the subject within a predetermined period from the time when the interpretation report is generated for the subject related to the important report. , Is displayed on the second display 337. As a result, according to this report confirmation support system 1, it is possible to recommend the requesting doctor ReD to visit the subject regarding the important report, and to reduce the omission of confirmation of the important findings to explain the important findings to the subject. can do.

In addition, according to this report confirmation support system 1, in response to the setting instruction of the visit order via the second input interface 339, the instruction to confirm the visit date and time of the subject to the subject and the schedule of the requesting doctor ReD. Is output to the information management terminal 6, and a predetermined item is input based on the visitable date and time of the subject determined by the response to the subject, the patient information of the subject, and the schedule of the requesting doctor ReD. An order is generated, and the generated visit order is displayed on the second display 337. As a result, according to this report confirmation support system 1, it is possible to easily issue a visit order and reduce the burden on the requesting doctor Red.

Further, according to this report confirmation support system 1, if there is no inspection order corresponding to the inspection advice in the voice data Vd within a predetermined period from the time when the interpretation report is generated, it is recommended to issue an inspection order corresponding to the inspection advice. Is displayed on the second display 337. As a result, according to the report confirmation support system 1, it is possible to recommend the re-examination of the subject regarding the important report to the requesting doctor ReD based on the examination advice, and it is possible to reduce the omission of the re-examination request.

In addition, according to this report confirmation support system 1, the date and time when the subject can be visited, the patient information of the subject, the schedule of the requesting doctor ReD, and the modality examination schedule regarding examination advice, which are determined by the response to the subject, are set. Based on this, an inspection order in which a predetermined item is input is generated, and the generated inspection order is displayed on the second display 337. As a result, according to this report confirmation support system 1, it is possible to easily issue a visit order and reduce the burden on the requesting doctor Red.

In addition, according to this report confirmation support system 1, the result confirmation recommendation regarding the important report is output to the reception device 8 before the visit date of the subject, and the result confirmation recommendation is made on the reception slip printed with the visit of the subject. To print. As a result, according to this report confirmation support system 1, the character string related to the result confirmation recommendation is printed on the reception slip, so that the subject confirms the test result at the time of the examination of the subject by the requesting doctor ReD. Since it is possible to easily approach to, it is possible to reduce the omission of confirmation of important findings by the client doctor ReD.

From the above, according to this report confirmation support system 1, it is possible to reduce omission of confirmation of important findings. In addition, according to this report confirmation support system 1, it is possible to reduce the burden on the requesting doctor ReD and the image interpretation doctor IpD, and improve the image interpretation throughput and the confirmation throughput of important findings.

(Application example)
An application example is that when multiple interpretations are performed on a medical image in the creation of an interpretation report, the necessity of attaching (associating) audio data Vd to the interpretation report is determined by the interpretation doctor regarding the last interpretation among the multiple interpretations. It is to be decided by the instruction of. The voice data Vd in this application example corresponds to the voice input by the microphone in the first input interface 29 in the interpretation different from the last interpretation among the plurality of interpretations.

The first input interface 29 inputs approval or update to the voice data Vd by the user (reading doctor) regarding the final interpretation. The interpreter for the final interpretation has the authority to edit the audio data Vd. The first input interface 29 may input a deletion instruction for deleting the voice data Vd by a user (hereinafter referred to as a final interpretation doctor) regarding the final interpretation. The final image interpreter is, for example, an image interpreter who has a high degree of specialized knowledge regarding important findings.

When the voice data Vd is approved or updated by the last interpretation doctor, the setting function 173 associates the approved or updated voice data with the interpretation report. At this time, the setting function 173 sets an important flag for the interpretation report associated with the voice data Vd. The setting function 173 deletes the voice data Vd if the voice data Vd is not updated and approved by the last image interpreter. That is, the processing content in the setting function 173 in this application example is executed between, for example, step S201 and step S202 in the report confirmation support processing shown in FIG.

According to the report confirmation support system 1 according to the application example of the above-described embodiment, the voice data Vd is input in a different interpretation from the last interpretation when a plurality of interpretations are performed, and is input by the user regarding the last interpretation. When the voice data Vd is approved or updated, the approved or updated voice data is associated with the interpretation report, and if the voice data Vd is not updated and approved by the user, the voice data is deleted. As a result, the authority to edit the voice data Vd can be given to the final image interpreter, so that important findings and the reliability of the voice data Vd can be improved. Since other effects are the same as those in the embodiment, the description thereof will be omitted.

When the technical idea in the present embodiment is realized by the report confirmation support method, the report confirmation support method creates an interpretation report on the medical image acquired by the examination on the subject, and the voice data on the medical image is voiced. Input from the first terminal device (PACS terminal 20) as Vd, set an important flag for the interpretation report associated with the voice data Vd, and set multiple interpretations corresponding to multiple examinations requested by the requesting doctor ReD. In the report, the content of the voice data Vd related to the important flag is output as voice from the speaker of the second terminal device (electronic medical record terminal device 33). Since the processing procedure and the effect in the report confirmation support method are the same as those in the embodiment, the description thereof will be omitted.

When the technical idea in the present embodiment is realized by the report confirmation support program, the report confirmation support program is accompanied by the creation of an interpretation report on the medical image obtained by the examination on the subject, and the voice related to the medical image. An important flag is set for the interpretation report associated with the voice data Vd input from the first terminal device (PACS terminal 20), and the interpretation reports corresponding to the plurality of examinations requested by the requesting doctor ReD. Among them, it is realized that the content of the voice data Vd related to the important flag is output as voice from the speaker of the second terminal device (electronic medical record terminal device 33).

For example, the report confirmation support process can be realized by installing the report confirmation support program on the computer of the PACS server 11 or the integrated server in the hospital information system and deploying these on the memory. At this time, the program that allows the computer to execute the method can be stored and distributed in a storage medium such as a magnetic disk (hard disk, etc.), an optical disk (CD-ROM, DVD, etc.), or a semiconductor memory. .. Since the processing procedure and the effect in the report confirmation support program are the same as those in the embodiment, the description thereof will be omitted.

According to at least one embodiment described above, it is possible to reduce user oversight in the interpretation report.

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, changes, and combinations of embodiments 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 Report confirmation support system 2 Medical image management system (PACS)
3 Electronic medical record system 5 Radiation department server device (RIS server)
6 Information management department terminal equipment (information management terminal)
7 Medical image diagnostic device 8 Reception device 11 Medical image management server device (PACS server)
13 Server communication interface 15 Server memory 17 Server processing circuit 20 Medical image management terminal device (PACS terminal, 1st terminal device)
21 1st communication interface 23 1st memory 25 1st processing circuit 27 1st display 29 1st input interface 31 Electronic medical record server device 33 Electronic medical record terminal device (2nd terminal device)
35 Output control function 81 Printing machine 171 System control function 172 Storage function 173 Setting function 174 Extraction specific function 175 Order generation function 251 Display function 331 Second communication interface 333 Second memory 335 Second processing circuit 336 Speaker 337 Second display 339 2 input interface

Claims (13)

A first terminal device that inputs audio related to the medical image as audio data in accordance with the creation of an interpretation report on the medical image acquired by the examination of the subject.
A setting unit for setting an important flag for the interpretation report associated with the voice data, and a setting unit.
An output control unit that outputs the content of voice data related to the important flag as voice from the speaker of the second terminal device related to the requesting doctor among a plurality of interpretation reports corresponding to a plurality of examinations requested by the requesting doctor. ,
Report confirmation support system equipped with. After the requesting doctor accesses the second terminal device, the output control unit outputs the content of the voice data from the speaker as the voice.
The report confirmation support system according to claim 1. The output control unit displays a list of the plurality of interpretation reports together with the important flag on the display of the second terminal device.
The report confirmation support system according to claim 1 or 2. The output control unit displays the patient information in the interpretation report corresponding to the voice data on the display of the second terminal device during the reproduction period of the voice data.
The report confirmation support system according to any one of claims 1 to 3. Further, an extraction specifying unit for extracting the content of the voice from the voice data and specifying a part related to the extracted content in the interpretation report related to the voice data is provided.
The output control unit displays the interpretation report related to the voice data on the display of the second terminal device, emphasizing the specified portion.
The report confirmation support system according to any one of claims 1 to 4. If the subject in the interpretation report for which the important flag is set does not have a visit order for the subject within a predetermined period from the time when the interpretation report is generated, the output control unit sets the visit order for the subject. Issuance recommendation is displayed on the display of the second terminal device.
The report confirmation support system according to any one of claims 1 to 5. In response to the setting instruction of the visit order, the output control unit relates to the instruction to confirm the visit date and time of the subject to the subject and the schedule of the requesting doctor to manage the patient information of the subject. Output to the terminal of the information management department
Further provided with an order generation unit that generates a visit order in which a predetermined item is input based on the visitable date and time, the patient information of the subject, and the schedule of the client doctor.
The output control unit displays the generated visit order on the display of the second terminal device.
The report confirmation support system according to claim 6. If there is no inspection order corresponding to the inspection advice in the voice data within a predetermined period from the time when the interpretation report is generated, the output control unit recommends issuing an inspection order corresponding to the inspection advice. Displayed on the display of the second terminal device,
The report confirmation support system according to claim 7. The order generation unit generates an examination order in which predetermined items are input based on the available date and time of visit, the patient information, the schedule, and the examination schedule of the modality regarding the advice of the examination.
The output control unit displays the generated inspection order on the display of the second terminal device.
The report confirmation support system according to claim 8. Further equipped with a reception device having a printing machine for printing a reception slip indicating the reception of the subject's visit.
The output control unit outputs a recommendation for confirmation of the test result to the reception device before the visit date of the subject regarding the interpretation report for which the important flag is set.
The reception device prints a recommendation for confirmation of the result of the test on a reception slip printed by the printing machine with the visit of the subject.
The report confirmation support system according to any one of claims 1 to 9. When a plurality of interpretations are performed on the medical image in the preparation of the interpretation report, the audio data is input in an interpretation different from the last interpretation among the plurality of interpretations.
The setting unit is
When the voice data is approved or updated by the user regarding the last interpretation, the approved or updated voice data is associated with the interpretation report.
If the voice data is not updated and approved by the user, the voice data is deleted.
The report confirmation support system according to any one of claims 1 to 10. Along with the creation of the interpretation report on the medical image obtained by the examination on the subject, the voice related to the medical image is input as voice data from the first terminal device.
An important flag is set for the interpretation report to which the voice data is associated, and the important flag is set.
Of the plurality of interpretation reports corresponding to the plurality of examinations requested by the requesting doctor, the content of the voice data related to the important flag is output as voice from the speaker of the second terminal device related to the requesting doctor. To do,
Report confirmation support method. On the computer
Along with the creation of the interpretation report on the medical image obtained by the examination on the subject, an important flag is set for the interpretation report associated with the audio data input from the first terminal device of the audio on the medical image. death,
Of the plurality of interpretation reports corresponding to the plurality of examinations requested by the requesting doctor, the content of the voice data related to the important flag is output as voice from the speaker of the second terminal device related to the requesting doctor. To do,
Report confirmation support program to realize.

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