JP4685122B2 - Medical report system and schema display method - Google Patents

Description

  The present invention relates to a medical report system and schema display method for creating or viewing a medical report on a computer.

  In recent years, medical digital image generation techniques such as CR (Computed Radiography), MRI (Magnetic Resonance Imaging), and CT (Computed Tomography) have been widely used. The medical digital images generated by these medical digital image generation technologies are used, for example, at the time of interpretation by an interpreting doctor or diagnosis by a doctor in charge of a patient.

Interpretation is image diagnosis performed by looking at a medical digital image based on the medical digital image. A doctor who interprets an image (an image interpreting doctor) creates an image interpretation report in which the results of the image interpretation and findings are written based on the medical digital image.
On the other hand, a doctor who examines a subject with reference to a medical image generates a diagnosis report in which a diagnosis result is written.
The interpretation report and diagnosis report generated in this way are effectively used for the treatment of the subject.

In medical reports such as interpretation reports and diagnostic reports as described above, a schema called a schema may be inserted to indicate the affected area of a subject. A schema is a diagram for schematically showing the form (shape, color, pattern, etc.) of a diagnosis target (organ etc.) of a subject.
For example, Patent Document 1 discloses a schema creation device that generates a necessary two-dimensional schema image from three-dimensional schema data.
JP 2006-75490 A

Conventionally, when entering a schema in an interpretation report or a diagnostic report, the schema is handwritten or printed on a report sheet, or in the case of an electronic report, select from a plurality of typical schema patterns. Are often inserted.
Generally, a built-in schema is generated as a view seen from the front (front) of the body. For this reason, when describing an affected part existing in a tubular organ such as the stomach or intestine in a schema, for example, an affected part on the rear wall of the stomach can be described, but an affected part on the front wall cannot be described. In order to solve this, it is necessary to write a schema when the body is viewed from the back side.

  By the way, there is a medical report system that creates an interpretation report and a diagnostic report as described above on a computer. The medical report system is a system in which a user edits a screen displayed on a display device such as a monitor and creates a report by printing the edited screen. In such a medical report system, when a schema is displayed on a display device for editing, the schema viewed from the front of the body and the schema viewed from the back are displayed in parallel on the display device as described above. Then, since the display area of the schema is limited, each schema becomes small. For this reason, there is a disadvantage that it is difficult to describe the affected part on the schema or to edit the report while browsing the schema. In addition, when displaying two schemas, a schema viewed from the front of the body and a schema viewed from the back, in parallel, a plurality of schemas are displayed in parallel on the display device. The disadvantage that it will end.

  In order to eliminate the disadvantages described above, an object of the present invention is to provide a medical report system and a schema display method in which a schema in which an affected area exists is not displayed small even when a plurality of schemas are displayed in parallel.

In order to achieve the above-described object, the medical report system of the first invention is a medical report system for creating or viewing a medical report, and an operation unit that accepts an input operation, and creating or viewing the report. A display unit for displaying a report screen, a storage unit for storing various data for creating a report, and a control unit. The control unit displays display contents to be displayed on the display unit. A report screen that the display control unit displays on the display unit includes a schema column for displaying a schema in part, and the storage unit is a schema displayed on the schema column. has a schema template database for storing a model, the control unit has stored the schema to be displayed on the schema column to the schema template database Shi A schema selection screen for allowing the user to select from among the model templates is displayed on the display unit by the display control unit, and the model of the schema selected as a result of the selection made by the user via the operation unit Is a schema of the hollow organ, and if it is a schema of the hollow organ, the display control unit performs the schema of the hollow organ when the human body is viewed from the front. Is displayed in the schema column, or when a human body is viewed from the back, a rear schema as a schema of the tubular organ is displayed in the schema column, or the frontal schema and the rear surface of the tubular organ are displayed. A selection message is displayed on the display unit for selecting either one of the schemas to be displayed in the schema column, and the user performs the operation via the operation unit in response to the selection message. As a result of the selection, if it is selected to display both the front and back schemas of the tubular organ in the schema column, the display control unit performs either of the front or back schemas. A selection message for selecting whether to fill in the affected area is displayed on the display unit, and as a result of selection made by the user via the operation unit in response to the selection message, it is selected to enter the affected area in the front schema If it is selected that the display control unit displays the frontal schema in the schema column so as to be larger than the backside schema, and the affected area is entered in the backside schema, The display control unit causes the rear schema to be displayed in the schema column so as to be larger than the front schema .

According to a second aspect of the present invention, there is provided a schema display method in a medical report system including a display unit that displays a report screen for creating or viewing a medical report, an operation unit, a storage unit, and a control unit. a schema display method for displaying, the control unit, to select a schema to be displayed on the schema field for displaying a schema of the report screen has, from the schema template stored in the storage unit schema a first step of a selection screen Ru is displayed on the display unit, the control unit, the first result of a selection made in accordance with the display which is in process, stationery tubes schema chosen for A second step of determining whether or not the schema is an empty organ, and a model of the schema selected in the first step as a result of the determination made in the second step Seen but if a was the schema of the luminal organ, wherein the control unit, whether to display only the front schemata is a schema of the tube empty organs when viewed body from the front to the schema field, the human body from the back In this case, select either one of the rear schema, which is the schema of the ductal organ in the case, and either the front schema and the rear schema of the duct organ will be displayed in the schema section. As a result of selection performed by the user via the operation unit in response to the selection message, both a frontal schema and a back schema of the tubular organ are displayed. When it is selected to display in the schema column, the control unit selects a selection message for selecting whether to fill in the affected part in the front schema or the back schema. In the case where it is selected as a result of the selection performed by the user via the operation unit in response to the selection message, the fourth step of displaying the page on the display unit is to enter the affected part on the front schema When the control unit displays the front schema in the schema column so as to be larger than the rear schema, and selects to enter the affected part in the rear schema, the control unit performs the display control unit. And a fifth step of displaying the rear schema in the schema column so as to be larger than the front schema .

  According to the present invention, it is possible to provide a medical report system and a schema display method in which a schema in which an affected area exists is not displayed small even when a plurality of schemas are displayed in parallel.

Hereinafter, the medical report system of this embodiment will be described.
The medical report system of this embodiment performs a test such as generating a medical image using a specific medical device (ultrasonic diagnostic apparatus, MRI, CT, etc.) and then includes a schema based on the test result. This is a system for creating a diagnostic report or an interpretation report. Here, the medical report system of this embodiment does not include a specific medical device, and has only a configuration for creating a report.
FIG. 1 is a diagram illustrating a configuration example of a medical report system 100 according to the present embodiment.
As illustrated in FIG. 1, the medical report system 100 according to the present embodiment includes an operation unit 1, a display unit 2, a storage unit 3, and a control unit 4.

The operation unit 1 is an input device such as a keyboard and a mouse, and receives input from the user of the medical report system 100.
The display unit 2 is a display device such as a CRT (Cathode Ray Tube) monitor or LCD (Liquid Crystal Display), and displays a display screen for creating a medical report according to the control of the display control unit 41 described later.

The storage unit 3 is a storage device such as an HDD (Hard Disk Drive) or a flash memory, and stores various data for creating a report of the medical report system 100.
The storage unit 3 further includes a schema template DB (database) 31.
The schema template DB 31 stores in advance a plurality of types of schema templates for various diagnostic sites for which reports are to be created. The model stored in the schema model DB 31 is, for example, a schema when a hollow organ such as the stomach or intestine is viewed from the front of the human body (hereinafter referred to as a frontal schema) or a hollow organ viewed from the back of the human body. Case schema (hereinafter referred to as rear schema). Details of a method for generating a report using the schema template stored in the schema template DB 31 will be described later.

The control unit 4 controls the operation of the entire medical report system 100.
The control unit 4 further includes a display control unit 41.
The display control unit 41 is a control block that controls the screen display of the display unit 2, and displays a report screen, for example, on the screen of the display unit 2 to cause the user to create a report.
An example of a report screen displayed on the display unit 2 when the display control unit 41 creates a report is shown in FIG.
As shown in FIG. 2, the report screen 200 includes a patient information column 201, an examination information column 202, a finding column 203, and a schema column 204.
2 shows an example of a screen at the time of creating a report, but the screen that the display control unit 41 displays on the display unit 2 even when the report is viewed is the same screen as the report screen 200 shown in FIG. It is.

The patient information column 201 is a column for entering information about a patient for which a report is to be created. The information entered in the patient information column 201 is not limited in the present invention, but is, for example, patient ID (unique number assigned to each patient), patient name, date of birth, sex, age at examination, and the like.
The examination information column 202 is a column for entering information relating to the examination performed to create a report. The information described in the examination information column is, for example, information on the examination date, the modality (medical device) that performed the examination, and the like.

The observation column 203 is a column for the user (doctor) to interpret or diagnose based on the examination result by the medical device and to enter the observation. The information described in the observation column is, for example, information indicating the site of the affected part or a finding for each site.
The schema column 204 is a column for describing a schema.
In the schema column 204, the user selects and describes a desired schema by referring to the schema template stored in the schema template DB 31.
In the schema column 204 of this embodiment, when displaying a schema of a hollow organ (tubular viscera such as stomach and intestine), a schema viewed from the front of the body and a schema viewed from the back are displayed in parallel. To do.

  The control unit 4 has a schema selection function that allows the user to select a desired schema from the schema templates stored in the schema template DB 31 when a schema is described in the schema column 204 at the time of report creation or report browsing.

Hereinafter, the schema selection function will be described.
FIG. 3 is a flowchart showing an operation example of the medical report system 100 when the schema selection function is executed.

Step ST1:
The control unit 4 activates a schema selection function in response to an operation via the operation unit 1 of a user (doctor or the like). The operation for starting the schema selection function is, for example, an operation such as selecting the schema column 204 on the report screen 200 shown in FIG.
Step ST2:
The display control unit 41 causes the display unit 2 to display a selection message for selecting a schema portion described in the schema column 204. The selection message is displayed in a format such as a dialog box (a window including the selection message). In this dialog box, for example, options such as “whole body”, “head”, “chest”, “abdomen”, “internal organ” are displayed, and the user can select a region of the schema to be described in the schema column 204. be able to. These parts are set in advance and stored in the storage unit 3.
Note that the display control unit 41 may cause the display unit 2 to display a window for performing selection in a plurality of stages. That is, when “internal organs” is selected in the above-described option examples, further options such as “stomach”, “duodenum”, and “liver” may be displayed.

Step ST3:
The display control unit 41 reads the schema template of the part selected in step ST2 from the schema template DB 31, displays the list on the display unit 2, and allows the user to select it.
When the display control unit 41 displays a list of schema templates of the hollow organs such as the stomach and intestine, one schema template includes a front schema template viewed from the front of the body and a back schema template viewed from the back of the body. Is displayed in one set. This is shown in FIG.
FIG. 4 is a diagram showing an example of a schema selection screen 300 for allowing the user to select one from a plurality of schema models of the hollow organ.

The schema selection screen 300 shown in FIG. 4 is an example of a selection screen when a region “stomach” is selected in step ST2. As shown in FIG. 4, the schema selection screen 300 includes stomach schema templates 301 to 304.
Here, as shown in FIG. 4, the display control unit 41 displays the front schema templates 301-1 to 304-1 and the rear schema templates 301-2 to 304-2 in one set, respectively. In FIG. 4, the front schema templates 301-1 to 304-1 and the rear schema templates 301-2 to 304-2 are displayed side by side, but the present invention is not limited to this. The display position and display form of the front schema template and the rear schema template are not limited. That is, for example, the display control unit 41 may display the back schema template and the front schema template side by side. Accordingly, the display control unit 41 may display the schema template by a display method so that it can be seen that the front schema and the rear schema are associated with each other. For schema models other than the hollow organ, it is not necessary to display the front schema and the back schema in one set, and for example, only one front schema may be displayed.
In the schema template DB 31, the schema model of the hollow organ is stored in association with the template of the front schema and the template of the back schema. In step ST3, the display control unit 41 reads both the front schema template and the rear schema template stored in association with each other from the schema template DB 31 and displays them.
Note that the schema selection screen 300 for displaying the front schema template and the rear schema template shown in FIG. 4 in one set is merely a preferred example, and the present invention is not limited to this. That is, in the schema model selection screen of the hollow organ of the medical report system of the present invention, the front schema template and the back schema template do not necessarily need to be displayed as one set, for example, only the front schema template is displayed. You may be made to do.

Step ST4:
The control unit 4 determines whether or not the schema template selected in step ST3 belongs to the hollow organ.
If the schema model selected in step ST3 is not a tubular organ, the process proceeds to step ST5. If the schema template is a tubular organ, the process proceeds to step ST6.
Step ST5:
The display control unit 41 displays the schema template selected in step ST3 in the schema column 204. The schema display in the schema column 204 in this step is not particularly limited in the present invention. That is, for example, the image data of the selected schema may be read from the schema template DB 31 by the display control unit 41 and enlarged / reduced according to the size of the schema column.

Step ST6:
When one of the schema templates is selected by the user's operation via the operation unit 1 in step ST3, the display control unit 41 displays only the front schema among the selected schema templates in the schema column 204 or the rear schema. The display unit 2 displays a selection message for causing the user to select whether to display only in the schema column 204 or to display both the front and back schemas in the schema column 204. This selection message may be displayed in a dialog box format, similar to the selection message in step ST2.
In step ST6, if it is selected to display only the front schema, the process proceeds to step ST7. If only the rear schema is displayed, the process proceeds to step ST8, and both are selected to be displayed. In that case, the process proceeds to step ST9.

Step ST7:
The display control unit 41 displays only the front schema in the schema column 204 among the schema templates selected in step ST3.
Step ST8:
The display control unit 41 displays only the rear schema in the schema column 204 among the schema templates selected in step ST3.

Step ST9:
When the user selects to display both the front schema and the rear schema in the schema column 204 in step ST6, the display control unit 41 asks the user whether to fill in the affected part in the front schema or the rear schema. A selection message for selection is displayed on the display unit 2. This selection message may be displayed in a dialog box format, similar to the selection message in steps ST2 and ST6.
For example, when the affected part is present on the rear surface of the tubular organ, the affected part can be written on the front schema viewed from the front, and when the affected part is present on the front surface of the tubular organ, the rear schema viewed from the rear side. You can fill in the affected area. For this reason, in this step ST9, the user is made to select any of them.
Here, when the affected part is written on the frontal schema (when the affected part exists on the rear surface of the tubular organ), the process proceeds to step ST10, and when the affected part is written on the rear schema (the affected part exists on the front surface of the tubular organ). In the case), the process proceeds to step ST11, and when the affected part exists on both the entire surface and the rear surface of the tubular organ, the process proceeds to step ST12.

Step ST10:
The display control unit 41 displays both the front schema and the rear schema in the schema column 204 so that the front schema among the schema templates selected in step ST3 is larger than the rear schema.
An example of the display of the schema column 204 when the front schema is displayed larger than the rear schema is shown in FIG.
As shown in FIG. 5, a front schema 401 and a rear schema 402 are displayed side by side in the schema column 204, and the front schema 401 is displayed larger than the rear schema 402.
FIG. 5 is merely an example of the schema column in which the front schema is displayed in parallel larger than the rear schema, and the present invention is not limited to this.
That is, for example, in FIG. 5, the front schema and the rear schema are displayed side by side, but the present invention is not limited to this, and for example, these may be displayed side by side. In the present invention, the front schema and the rear schema need only be displayed in the same schema column regardless of their shape and position.
In FIG. 5, the front schema 401 is displayed about four times as large as the rear schema 402, but the present invention is not limited to this. That is, it is only necessary that the front schema 401 is clearly displayed larger than the rear schema 402. Preferably, the size may be displayed on the front schema 401 so that the user can easily enter the affected area, or the size of the user so that the user who has seen the front schema 401 can clearly grasp the position of the affected area.

Step ST11:
The display control unit 41 displays both the front schema and the rear schema in the schema column 204 so that the rear schema is larger than the front schema among the schema templates selected in step ST3.
Also in step ST11, as in step ST10, both the front and back schemas need only be displayed in the schema column 204 regardless of their shape and position. In contrast to step ST10, it is sufficient that the rear schema is clearly displayed larger than the front schema. Preferably, the size may be displayed so that the user can easily enter the affected area on the back schema, or the size of the user can clearly grasp the position of the affected area on which the user who viewed the back schema has entered.

Step ST12:
The display control unit 41 displays both the front schema and the rear schema in the schema column 204 so that the front schema and the rear schema are displayed in the same size among the schema templates selected in step ST3. .
Also in step ST12, as in steps ST10 and ST11, both the front schema and the rear schema need only be displayed in any shape / position relationship in the schema column 204.
However, in this step ST12, since both the front schema and the rear schema are displayed in the same size in the schema column 204, it is inevitable that each schema is displayed small.

  As described above, in the medical report system 100 according to the present embodiment, the control unit 4 has a schema selection function for displaying a schema in the schema column 204 according to a user's selection at the time of report creation or report browsing. Can be launched. In the schema selection function, the control unit 4 determines whether or not the organ selected by the user via the operation unit 1 is a hollow organ. If the user chooses whether to display the front schema or the rear schema viewed from the back, and the user chooses to display both, select which schema to fill in the affected area The display control unit 41 displays the selected schema larger than the unselected schema. For this reason, when the front schema and the rear schema are displayed in parallel in the schema column 204, the schema to which the affected area is to be written is displayed small, and it is difficult to enter, or the schema in which the affected area is entered is small. The disadvantage of being displayed and not being able to grasp the exact position of the affected area image can be eliminated.

  Further, in the medical report system 100 of the present embodiment, the display control unit 41 displays the template of the front schema and the back of the schema selection screen 300 for determining which template is selected from the schema templates of the hollow organ. Since the schema template is displayed in one set, the user can understand at a glance that the front schema template and the rear schema template are associated with each other.

The present invention is not limited to the embodiment described above.
That is, when implementing the present invention, various modifications, combinations, sub-combinations, and alternatives may be made to the components of the above-described embodiments within the technical scope of the present invention or an equivalent scope thereof.

  In the above-described embodiment, as described with reference to the flowchart shown in FIG. 3, in the schema selection function, when the region of the tubular organ is selected by the user, only the front schema is displayed in step ST7. Although the user selects whether to select only the rear schema or display both, and the display control unit 41 displays in steps ST7 to 12 according to the result, the present invention is not limited to this. The control unit may forcibly display both the front schema and the back schema in parallel when the part selected by the user is a hollow organ. In this case, the control unit may cause the user to perform selection in step ST9 of the flowchart illustrated in FIG. 3 and cause the display control unit to perform display in the same manner as in steps ST10 to 12 in accordance with the selection result. .

  In the above-described embodiment, in step ST9 of the flowchart shown in FIG. 3, the control unit 4 allows the user to select whether the affected part is written in the front schema or the back schema, and according to the result. In steps ST10 to ST12, the display control unit 41 performs display, but the present invention is not limited to this. For example, the control unit 4 refers to the information corresponding to the site of the affected part among the information entered in the finding column 203 of the report screen 200 shown in FIG. 2, and determines whether the affected part is on the front side or the rear side of the tubular organ. By determining, the display control unit 41 automatically determines whether to display the front schema larger than the rear schema, or to display the rear schema larger than the front schema, and determines to the display control unit 41. You may make it display with the displayed method. By doing in this way, the effort at the time of a user's report preparation (or browsing) can be reduced.

  Moreover, although embodiment mentioned above demonstrated the case where two schemas, the front schema seen from the front of the body and the back schema seen from the back, were displayed in parallel, the present invention is not limited to this. That is, the present invention can be applied even when displaying in parallel other than the front schema and the rear schema. Further, the present invention is applicable not only when the number of schemas to be displayed in parallel is two but also when there are three or more. That is, for example, in the case where a right-sided schema viewed from the right side of the body and a left-sided schema viewed from the left side are displayed in parallel in addition to the frontal and backside schemas, the affected area is filled in ( Only the schema to be displayed) may be displayed larger than the other schemas.

FIG. 1 is a diagram illustrating a configuration example of a medical report system according to the present embodiment. FIG. 2 is a diagram illustrating an example of a report screen displayed on the display unit by the display control unit when the report is created. FIG. 3 is a flowchart showing an operation example of the medical report system of the present embodiment when the schema selection function is executed. FIG. 4 is a diagram showing an example of a schema selection screen for allowing the user to select one from a plurality of schema models of the hollow organ. FIG. 5 is a diagram illustrating an example of display in the schema column when the front schema is displayed larger than the rear schema.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 100 ... Medical report system, 1 ... Operation part, 2 ... Display part, 3 ... Memory | storage part, 31 ... Schema template DB, 4 ... Control part, 41 ... Display control part

Claims (2)

A medical reporting system for creating or viewing medical reports,
An operation unit that accepts input operations;
A display unit for displaying a report screen for creating or viewing a report;
A storage unit for storing various data for creating a report;
A control unit;
Have
The control unit includes a display control unit that controls display contents to be displayed on the display unit,
The report screen displayed on the display unit by the display control unit has a schema column for displaying a schema in part,
The storage unit has a schema template database that stores a schema template to be displayed in the schema column;
The controller is
The display control unit causes the display unit to display a schema selection screen for allowing the user to select a schema to be displayed in the schema column from among the schema templates stored in the schema template database. As a result of the selection made by the user, it is determined whether or not the selected schema model is an empty organ schema,
In the case of a schema of a tubular organ, the display control unit is configured to display only a frontal schema that is a schema of the tubular organ when the human body is viewed from the front in the schema column. Either a back schema as a schema of the tubular organ when viewed from the back is displayed in the schema column, or both a front schema and a back schema of the hollow organ are displayed in the schema column 1 Display a selection message for selecting one on the display,
As a result of the selection performed by the user via the operation unit in response to the selection message, when it is selected to display both the frontal schema and the rear schema of the tubular organ in the schema column, The display control unit causes the display unit to display a selection message for selecting whether to fill in the affected part in the front schema or the back schema,
As a result of selection made by the user via the operation unit in response to the selection message, when it is selected that the affected part is to be written on the front schema, the display control unit is used to display the front schema on the rear schema. If it is selected to display the affected area on the back schema and display the affected area on the back schema, the display control section is used to make the back schema larger than the front schema. A medical report system to be displayed in the schema column . A schema display method for displaying a schema in a medical report system including a display unit that displays a report screen for creating or viewing a medical report, an operation unit, a storage unit, and a control unit. And
Wherein the control unit is a schema to be displayed on the schema field for displaying a schema of the report screen has a schema selection screen for selecting is displayed on the display unit from the schema template stored in the storage unit A first step,
A second step in which the control unit determines whether or not the selected schema model is a schema of a hollow organ as a result of the selection made in accordance with the display performed in the first step;
As a result of the determination made in the second step, when the model of the schema selected in the first step is a schema of a hollow organ, the control unit is concerned when the human body is viewed from the front. Only the frontal schema, which is a schema of the tubular organ, is displayed in the schema column, or the back schema, which is the schema of the tubular organ when the human body is viewed from the back, is displayed in the schema column, or the tubular organ A third step of causing the display unit to display a selection message for selecting either one of the front schema and the rear schema in the schema column;
As a result of the selection performed by the user via the operation unit in response to the selection message, when it is selected to display both the frontal schema and the rear schema of the tubular organ in the schema column, A fourth step in which the control unit displays a selection message on the display unit for selecting which of the front schema and the back schema to fill in the affected area;
As a result of selection made by the user via the operation unit in response to the selection message, when it is selected that the affected part is to be written in the front schema, the control unit compares the front schema with the rear schema. If the display is made to be displayed in the schema column and the affected area is selected to be written on the back schema, the display control section is used to make the back schema larger than the front schema. And a fifth step of displaying in the schema column .

Images