JP6073731B2 - Medical information management device - Google Patents

Description

  Embodiments described herein relate generally to a medical information management apparatus.

  Image data generated by a medical image diagnostic apparatus such as an X-ray CT apparatus, an MRI apparatus, an ultrasonic diagnostic apparatus, or a nuclear medicine diagnostic apparatus is managed by a DICOM (Digital Imaging and Communications in Medicine) server.

  A system that receives image data from a medical image diagnostic apparatus, stores the image data in an image data storage unit of a DICOM server (hereinafter simply referred to as “server”), searches for image data in response to a request from a terminal in the network, and transfers the image data to the terminal (For example, Patent Document 1). This system is sometimes referred to as PACS (Picture Archiving and Communication System). The server is an example of “storage means”.

  Examples of terminals in the network include a hospital information system (HIS), a radiology information system (RIS), a viewer, and a report creation terminal. The whole of these devices connected via a network may be referred to as a “medical information management apparatus”.

  Using these devices, an interpretation report is created from examination of a patient (also referred to as a subject) as follows.

  The HIS receives a patient examination, creates patient information including patient identification information, and an examination order including examination conditions, and sends the examination order to the RIS.

  The RIS receives the patient information and the examination order, creates request information, and sends the created request information to the medical image diagnostic apparatus.

  The medical image diagnostic apparatus performs an inspection based on the request information. The medical image diagnostic apparatus sends examination execution information to the RIS, and sends generated image data to the server.

  The server stores the image data and the incidental information in association with each other in the image data storage unit. Tags are attached to image data and incidental information. Since the information stored in the image data storage unit is limited to that with a tag, information other than the incidental information without a tag cannot be stored in the image data storage unit. Information other than incidental information is stored in a storage unit of RIS or HIS.

  In this medical image diagnostic apparatus, a server manages a large amount of information including photographed image data required for each system such as RIS, HIS, viewer, and report creation terminal, and tags are used to connect between systems. Is quickly and reliably delivered.

  When creating a report, image data and supplementary information can be referred to by searching the image data and supplementary information from the server and displaying them on the viewer.

  However, when creating a report, there may be a request to refer to information other than incidental information, for example, patient contraindication information or comments generated in the examination process.

  In order to satisfy this requirement, for example, a new tag is added to the contraindication information and comments of the patient, and there is a restriction that the systems must be reconstructed.

  Therefore, when a report is created, patient contraindication information and comments are read from the RIS or HIS and displayed on the report creation terminal.

JP 2008-257544 A

  However, when creating a report, image data and incidental information are displayed in the viewer, and patient contraindication information and comments are displayed on the report creation terminal. It was.

  This embodiment solves the above-described problem, and an object thereof is to provide a medical information management apparatus capable of improving workability when creating a report.

  In order to solve the above problems, the medical information management apparatus according to the embodiment includes a storage unit and a management unit. The storage means receives the subject information including the identification information of the subject and the examination order including the conditions for the examination, and obtains image data of the subject by imaging the subject along the examination order. The image data acquired by the diagnostic apparatus is stored in association with incidental information including subject information. The management means causes the display unit to display predetermined medical information including the examination order corresponding to the acquired image data and the examination execution information sent from the medical image diagnostic apparatus. Screen information is captured as image data, and the captured screen information is stored in the storage means so as to be readable in association with the acquired image data.

1 is a configuration block diagram of a medical information management apparatus according to an embodiment. The figure which shows an example of request information. The figure which shows the other example of request information. The figure which shows the other example of request information. The figure which shows an example of implementation information. The figure which shows the other example of implementation information. The flowchart which shows a series of operation | movement until registering the information of a screen with a server. The flowchart which shows a series of operation | movement until it displays the information of a screen on a viewer.

  Next, an embodiment of the medical information management apparatus will be described with reference to the drawings.

  This medical information management apparatus captures patient contraindication information and comments as image data, stores them in a server, and displays the contraindication information together with image data and incidental information on a viewer, thereby creating workability when creating a report. It is possible to improve.

  Here, the incidental information includes patient information (patient name, patient ID, date of birth, sex) for identifying a patient, examination information (examination date, examination ID, examination UID) for identifying an examination, display Conditions (number of pixels, number of bits, patient orientation) are included.

  The information other than the incidental information includes, for example, patient contraindication information, comments at the time of the examination order, comments at the time of imaging, and the date of issue of the examination order, in addition to the examination order and the execution information. Here, information that is information other than incidental information, and is medical information that occurs from the occurrence of an examination order to the occurrence of implementation information, and information that can be referred to when creating a report is referred to as “predetermined medical information” There is.

  Hereinafter, a configuration in which predetermined medical information is captured as image data and stored in a server will be described with reference to FIG. FIG. 1 is a configuration block diagram of a medical information management apparatus.

  As shown in FIG. 1, the medical information management apparatus is provided in the RIS 1. The medical information management apparatus may be provided in the PACS server 2 or in the HIS 4.

[RIS]
As illustrated in FIG. 1, the RIS 1 includes a storage unit 11 and an interface 12. The interface 12 includes an operation unit 13, a display unit 14, a control unit 15, and a communication unit 16. Means for displaying a medical image on the display unit 14 and storing the displayed screen information in the storage unit 11 in a readable manner is an example of “management unit”.

  The operation unit 13 includes a mouse, a keyboard, and the like, and designates one area of the screen of the display unit 14.

  The RIS 1 receives the patient information and the examination order and creates request information. The created request information (including patient information and examination order) is sent to the medical image diagnostic apparatus 5. This request information includes predetermined medical information that is referred to when creating a report. The control unit 15 causes the display unit 14 to display this request information.

  The medical image diagnostic apparatus 5 performs an examination based on the sent request information. The inspection execution information is sent to RIS1. This implementation information is stored in the storage unit 11. This implementation information is included in predetermined medical information that is referred to when creating a report. The control unit 15 causes the display unit 14 to display this execution information.

  The interface 12 captures information on a screen on which predetermined medical information (including request information and execution information) is displayed as image data (image data), and stores it in the server 2. When the interface 12 captures screen information, image data is generated as two-dimensional image data. Image data as information on this screen is distinguished from patient image data captured by the medical image diagnostic apparatus 5.

  As an example of the request information, “patient status” is shown in FIG. FIG. 2 is a diagram illustrating an example of information on a screen on which “patient status” is displayed.

  As shown in FIG. 2, the items of request information include height / weight (“height”, “weight”), physical condition (“rescue category”, “visual impairment”, “hearing impairment”, “language impairment”, “Consciousness disorder”, “mental disorder”, “motor disorder”, “internal disorder”, “xylocaine”, “iodine”, “penicillin”, “pilin”), infection (“HCV”, “HBS antigen”, “ Syphilis ") and biochemical tests (" BUN "). Here, the data of each item of the physical condition, infectious disease, and biochemical examination correspond to “predetermined medical information”.

  The display unit 14 displays a list of these predetermined medical information (plural types of medical information).

  The interface 12 takes in the screen information (shown in FIG. 2) designated by the operation of the operation unit 13 as image data, and associates it with the inspection UID, for example, and transmits it to the server 2 from the communication unit 16. The data is stored in the storage unit 23. The incidental information related to the screen information is not limited to the inspection UID. For example, you may link | relate with test | inspection ID and a receipt number (hereinafter the same). The designation of “patient condition” is indicated by an arrow “▲” in FIG.

  As data of each item, there are “XX”, “XX”, “□□”, “None”, “Yes”, “Unknown”, “Blank”. Among these data, “□□” and “Yes” correspond to “specific information”. The specific information is displayed in a distinguishable color, for example, “red” with respect to other information.

  In response to the display of the specific information on the display unit 14, the interface 12 captures information on a predetermined screen on which the specific information is displayed, and transmits the information to the server 2 from the communication unit 16 in association with the inspection UID, for example. The image data is stored in the image data storage unit 23 of the server 2.

  “Comment” is shown in FIG. 3 as an example of the request information. FIG. 3 is a diagram illustrating an example of information on a screen on which “comment” is displayed.

  As shown in FIG. 3, the items of request information include “anticipated disease name”, “request department comment”, “examination purpose”, “special instruction”, “other details”, “interpretation comment”, “imaging instruction comment”, There are “Contraindications / Infectious Diseases Comments”, “Radiation Comments”, “Engineer Photography Comments”. The data of these items corresponds to “information other than incidental information”.

  The display unit 14 displays a list of these predetermined medical information (plural types of medical information).

  The interface 12 takes in screen information (shown in FIG. 3) designated by the operation of the operation unit 13 as image data, and associates it with an inspection UID, for example, and transmits it to the server 2 from the communication unit 16. The data is stored in the storage unit 23. The designation of “comment” is indicated by an arrow “▲” in FIG.

Data input using the operation unit 13 is displayed in the column of these items. The data displayed in the irradiation comment item column is shown in FIG.
When each item is designated by the operation unit 13, an input screen is displayed in the item column. FIG. 3 shows an input screen displayed in the comment field at the time of engineer shooting.

  As described above, the control unit 15 selectively displays a plurality of types of medical information related to “patient status” and a plurality of types of medical information related to “comments” (see FIGS. 2 and 3).

  The control unit 15 can display a corresponding comment field by designating a comment field, which is one of a plurality of types of medical information, using the operation unit 13.

  As an example of the request information, “Patient Sending Comment” is shown in FIG. FIG. 4 is a diagram illustrating an example of information on a screen on which “Sending Comment” is displayed.

  As shown in FIG. 4, when the column of “Sending Comment” is designated by the operation unit 13, the control unit 15 displays an input screen in the column of “Sending Comment”. An example of the displayed input screen is shown as “2012.8.01 13:51 OO... OO” in FIG.

  The interface 12 takes in the screen information (shown in FIG. 4) designated by the operation of the operation unit 13 as image data, and associates it with the inspection UID, for example, and transmits it to the server 2 from the communication unit 16. The data is stored in the storage unit 23.

  As an example of the implementation information, “shooting room operation” is shown in FIG. FIG. 5 is a diagram illustrating an example of information on a screen on which “shooting room work” is displayed.

  As shown in FIG. 5, there are side effect history (“execution date”, “side effect registration date”, “type”, “drug”, “side effect”) and an input screen thereof as items of execution information.

  The interface 12 takes in the screen information (shown in FIG. 5) designated by the operation of the operation unit 13 as image data, and associates it with the inspection UID, for example, and transmits it to the server 2 from the communication unit 16. The data is stored in the storage unit 23. The designation of “side effect history” is indicated by an arrow “▲” in FIG.

  As another example of the implementation information, “shooting room operation” is shown in FIG. FIG. 5 is a diagram illustrating an example of information on a screen on which “shooting room work” is displayed.

  As shown in FIG. 6, the items of implementation information include “patient ID”, “patient history”, “patient information”, “examination information”, “comment”, and “execution information”.

  FIG. 6 shows “inspection date / time; 2012/09/10” as an example of “inspection information”, and “inspection site”, “number of times”, “tube voltage”, “tube current”, “ FIG. 6 shows the “imaging time”, “slice number”, “inspection start”, “inspection end”, “scan start”, and “total dose value”.

  The interface 12 takes in the screen information (shown in FIG. 6) designated by the operation of the operation unit 13 as image data, and associates it with the inspection UID, for example, and transmits it to the server 2 from the communication unit 16. The data is stored in the storage unit 23.

〔server〕
Next, the server 2 will be described with reference to FIG.
The server 2 acquires the image data generated by the medical image diagnostic apparatus 5 via the network, and stores and manages it.

  As illustrated in FIG. 1, the server 2 includes a communication unit 21, a control unit 22, and an image data storage unit 23.

  The communication unit 21 receives image data from the medical image diagnostic apparatus 5. In addition, the communication unit 21 receives the information of the screen captured and transmitted by the interface 12.

  The control unit 22 includes a so-called CPU, and controls each unit constituting the server 2. The control unit 22 stores the image data in the image data storage unit 23 in association with the accompanying information (including the inspection UID). In addition, the control unit 22 stores the received screen information in the image data storage unit 23 in association with the accompanying information (including the inspection UID).

  The control unit 22 attaches a tag and causes the image data storage unit 23 to store screen information. The screen information may be stored in the same storage area as the image data, or may be stored in a different storage area.

[Viewer]
Next, the viewer 3 will be described with reference to FIG.

  As shown in FIG. 1, the viewer 3 includes a communication unit 31, a control unit 32, and a display unit 33.

  The viewer 3 displays the image data sent from the server 2 or the like via the network on the display unit 33. The person in charge of image interpretation can perform image processing such as volume rendering, MPR processing, and MIP processing using a 3D viewer. Also, in MPR processing, MIP processing, etc., processing can be performed by changing the thickness of image data, or average image data in the thickness direction can be generated.

  The communication unit 31 communicates with other devices via a network, and transmits and receives image data and the like.

  The control unit 32 includes a so-called CPU, and controls each unit constituting the viewer 3. The control unit 32 may have a part of the function of the management unit.

  The control unit 32 searches the image data storage unit 23 of the server 2 for image data, supplementary information, and screen information (predetermined medical information), for example, on the condition of the examination UID, and displays the display unit. 33 is displayed.

  Thereby, the screen information shown in FIGS. 2 to 4 can be displayed on the display unit 33. At this time, the control unit 32 may display the screen information before or after the image data. When displaying the screen information after the image data, it is possible to alert the radiographer in charge by displaying an identification mark indicating that the screen information is present.

  The control unit 32 may display a list of screen information together with image data by thumbnail display. Thereby, it is possible to notify the person in charge of interpretation that there is screen information.

  When the report is created, screen information (predetermined medical information) is displayed on the viewer together with the image data and the accompanying information, so that it is possible to improve workability at the time of interpretation.

[HIS]
Next, the HIS 4 will be described with reference to FIG.

  The HIS 4 accepts the patient's examination, creates patient information and an examination order, and sends it to the RIS 1.

  The HIS 4 generally includes a wide range of systems such as an automatic reception system, an electronic medical record system, an entrance / exit management system, a medical accounting system, and a pharmacy management system.

(Operation)
Next, an operation for registering screen information will be described with reference to FIG. FIG. 7 is a flowchart showing a series of operations until the screen information is registered in the server.

  As shown in FIG. 7, when predetermined medical information is displayed on the display unit 14, the interface 12 captures screen information as image data (S101). The screen information is taken in when the screen is designated by the operation unit 13 or when the specific information (see FIG. 2) is displayed.

  Next, the interface 12 associates the acquired screen information with the inspection UID and transmits the information from the communication unit 16 to the server 2 (S102). Note that the information on the screen may be associated with the examination ID or the reception number.

  Next, the server 2 receives the transmitted screen information by the communication unit 21 and stores it in the image data storage unit 23 in association with the inspection UID (S103).

  Next, an operation when displaying screen information will be described with reference to FIG. FIG. 8 is a flowchart showing a series of operations until screen information is displayed on the viewer.

  First, an inspection UID is input using an input unit (not shown) of the viewer 3 (S201).

  Next, screen information associated with the input inspection UID is read from the image data storage unit 23 together with the image data and accompanying information (S202).

  Next, the control unit 32 determines whether image data has been designated (S203).

  When the control unit 32 determines that the image data is designated (S203: Yes), the control unit 32 displays the image data on the display unit 33 (S204).

  When it is determined that the image data is not specified (S203: No), the control unit 32 determines whether the screen information is specified (S205).

  When it is determined that the screen information is designated (S205: Yes), the control unit 32 displays the screen information on the display unit 33 (S206). Thereby, the screen information is displayed together with the image data and the supplementary information, and the person in charge of interpretation is only the display unit 33 of the viewer 3 and the image data, supplementary information, and screen information (information necessary for report creation). Predetermined medical information (see FIGS. 2 to 4)) can be viewed, and the workability of report creation is improved.

  When it is determined that the screen information is not designated (S205: No), the control unit 32 returns to S201 in which the inspection UID is input.

  In this embodiment, the screen information in the RIS 1 is shown as the screen information to be captured as image data and stored in the server 2. However, the screen information in the HIS 4 may be used. When the screen information in the HIS4 is captured as image data, a management means for capturing the screen information in the HIS4 may be provided in the HIS4.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, rewrites, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

1 RIS
DESCRIPTION OF SYMBOLS 11 Memory | storage part 12 Interface 13 Operation part 14 Display part 15 Control part 16 Communication part 2 Server 21 Communication part 22 Control part 23 Image data storage part 3 Viewer 31 Communication part 32 Control part 33 Display part 4 HIS
5 Medical diagnostic imaging equipment

Claims (7)

Obtained by a medical image diagnostic apparatus that receives subject information including identification information of a subject and an examination order including examination conditions, images the subject along the examination order, and obtains image data of the subject. Storage means for storing the associated image data in association with incidental information including subject information;
The display screen displays predetermined medical information including the examination order relevant to the acquired image data and the examination execution information sent from the medical image diagnostic apparatus, and the displayed screen. Management means for capturing the information of the image as image data and storing the captured screen information in the storage means in association with the acquired image data;
A medical information management apparatus comprising: The management means stores the captured screen information in the storage means in relation to the incidental information;
The medical information management apparatus according to claim 1. The management means captures information on the screen when receiving a capture instruction from the operation unit;
The medical information management apparatus according to claim 1, wherein the medical information management apparatus is a medical information management apparatus. The management means receives the information on the screen related to the specific information in response to the display of the specific information of the medical information on the display unit,
The medical information management apparatus according to claim 1, wherein the medical information management apparatus is a medical information management apparatus. The management means displays a list of a plurality of types of medical information on the display unit,
The medical information management apparatus according to claim 1. The management means is further configured to display, on the display unit, related information related to at least one of the plurality of types of the medical information displayed in the list in response to designation by the operation unit.
The medical information management apparatus according to claim 5. The predetermined medical information includes, in addition to the examination order and the execution information, any one of a contraindication information of a subject, a comment at the time of the examination order, and a comment at the time of imaging, or a combination of two or more. Including,
The medical information management apparatus according to any one of claims 1 to 6, wherein:

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