JP6502016B2 - Medical information processing system and medical information processing apparatus - Google Patents

Description

  The present invention relates to a medical information processing system and a medical information processing apparatus.

  Medical information such as diagnosis results and treatment progress are managed in medical institutions such as regional clinics and general hospitals. Medical information may be managed as electronic information in an electronic medical record or the like. Electronic management of medical information saves labor in inputting, managing, and searching medical information.

  Further, depending on the medical institution, the patient may be allowed to view medical information or the like input in the electronic medical record. However, medical information includes a doctor's findings etc., and it may be difficult for a patient to grasp the described contents. Then, the medical information management apparatus (refer patent document 1) which can create a simple electronic medical record is proposed. The simple electronic medical record is prepared separately from the medical information such as the electronic medical record created by the doctor. The simple electronic medical record describes plain contents so that the contents described therein can be grasped even when the patient views his or her medical record.

JP, 2006-252304, A

  However, even if it is a worker of a medical institution such as a doctor, it may be difficult to grasp the contents of medical information such as electronic medical records. In this regard, the conventional medical information management apparatus may not be able to efficiently provide the information necessary for the worker of the medical institution.

  This embodiment aims to provide a medical information processing apparatus capable of presenting information on medical information to workers of a medical institution.

The medical information processing system of the embodiment includes a medical information storage unit, an extraction unit, a medical term output unit, a related information storage unit, a reference destination information acquisition unit, and an output unit. The medical information storage unit stores medical information. The extraction unit acquires medical information from the medical information storage unit. Furthermore, the extraction unit extracts, from the acquired medical information, specific medical information which is information of a predetermined item including examination information. The medical term output unit outputs a medical term corresponding to the extracted specific medical information. The related information storage unit stores a first table in which a medical term and reference destination information indicating the location of data including the reference information of the medical term are associated. The reference destination information acquisition unit acquires reference destination information from the related information storage unit according to the first table based on the output medical term. The output unit outputs the acquired reference destination information. The related information storage unit further stores a second table in which specific medical information and medical terms are associated, and the medical term output unit outputs medical terms corresponding to the specific medical information extracted based on the second table. Do. The extraction unit extracts, as specific medical information that is examination information, information of one or more items among the type of device used for the examination, the examination region, the disease name, and the examination purpose.

BRIEF DESCRIPTION OF THE DRAWINGS The schematic block diagram which shows the outline | summary of the medical system containing the medical information management apparatus of 1st Embodiment. BRIEF DESCRIPTION OF THE DRAWINGS The schematic block diagram which shows the outline | summary of the medical information management apparatus of 1st Embodiment, and a relevant-information storage apparatus. The schematic of the conversion table memorize | stored in the related information storage device of embodiment. FIG. 7 is a schematic view of a reference destination setting table stored in the related information storage device of the first embodiment. The outline flow chart which shows the outline of operation of the medical information processing system of a 1st embodiment. The outline flow chart which shows the outline of operation of the medical information processing system of a 1st embodiment. The outline block diagram showing the outline of the medical information processing system of a 2nd embodiment. FIG. 13 is a schematic view of a second reference destination setting table stored in a related information storage unit of the third embodiment; The schematic which shows the outline | summary of the reference destination display screen of 3rd Embodiment. The schematic flowchart which shows the outline | summary of operation | movement of the medical information processing system of 5th Embodiment. The schematic flowchart which shows the outline | summary of operation | movement of the medical information processing system of 5th Embodiment.

  The medical information processing system according to the first to fifth embodiments will be described with reference to FIGS. 1 to 11.

First Embodiment
(Medical system 100)
The entire configuration of a medical system 100 including the medical information management apparatus 91 according to the first embodiment will be described with reference to FIG. FIG. 1 is a schematic block diagram showing an example of a medical system 100 according to the first embodiment. As shown in FIG. 1, the medical system 100 includes an HIS (Hospital Information System) 10, a RIS (Radiology Information System) 30, a medical imaging apparatus 50, a PACS (Picture And Archiving Complication System) 70, a medical information processing system 90, and A medical terminal A and a medical terminal B are connected via a network. Note that DICOM (Digital Imaging and Communications in Medicine) may be used as the network standard of the medical system 100 according to this embodiment.

(HIS 10)
The HIS 10 is configured to include the order terminal 11, a doctor terminal (not shown), a reception terminal, an HIS server, and the like. The HIS 10 is an in-hospital information system, and centrally manages in-hospital information such as patient information on the patient such as patient ID, name, sex and blood type, and accounting information such as medical expenses. In addition, the HIS 10 performs processing for issuing an inspection order to the RIS 30. The order terminal 11 is an example of an apparatus for ordering an examination to the RIS 30 (for example, a doctor terminal of internal medicine, surgery or pediatrics, etc.).

  For example, when a test order is created by the user (such as a doctor) via the order terminal 11, the HIS 10 sends the test order to the RIS 30. The examination order includes, for example, examination information, information on examination contents such as examination site (imaging target), disease name, examination purpose, modality and the like. The examination order also includes information such as patient ID to be examined, patient name, examination ID and examination date. The examination order corresponds to an example of “medical information”.

(RIS30)
The RIS 30 is a radiology information management system, and includes an inspection order management device 31. The RIS 30 comprehensively manages information in the radiology department such as examination reservation information by the medical imaging apparatus 50, examination acceptance information, medical image data generated by the medical imaging apparatus 50, and the like.

  As an example of the operation, the RIS 30 receives order information of inspection from the HIS 10, and the inspection order management device 31 acquires modality information etc. from the inspection order. The examination order management apparatus 31 transmits the examination order to the medical imaging apparatus 50 corresponding to the modality specified by the examination order. When the examination order management apparatus 31 transmits an examination order to the medical imaging apparatus 50, examination information (information such as patient ID, examination date, modality, etc.) may be added to tag information such as DICOM tag. . For example, when examination information is added to the DICOM tag in the order information, after the medical image based on the examination order is generated, the image can be managed and communicated as a DICOM image in the medical system 100. Further, as described later, the inspection order management device 31 stores the transmitted inspection order. The examination order management device 31 corresponds to an example of the “medical information storage unit”.

(Medical imaging device 50)
The medical imaging apparatus 50 includes a modality control unit 51, an imaging unit 53, and an image generation unit 55. Examples of the medical imaging apparatus 50 include an X-ray image acquisition apparatus, an X-ray CT apparatus, an MRI apparatus, an ultrasound image acquisition apparatus, SPECT, PET, and the like.

  When the technician or the like performs an operation to start imaging based on the examination order from the RIS 30, the modality control unit 51 receives the operation and causes the imaging unit 53 to start imaging of the subject. Thereby, the imaging unit 53 collects data indicating the state of internal tissue of the subject. The imaging unit 53 also sends the collected data to the image generation unit 55. The image generation unit 55 generates medical image data based on the data received from the imaging unit 53. The modality control unit 51 transmits the medical image data generated by the image generation unit 55 to the PACS 70. The medical imaging apparatus 50 may be configured to transmit examination information on an examination order together with medical image data to the PACS 70.

(PACS 70)
The PACS 70 includes a PACS control unit 71 and an image storage unit 73. When medical image data and examination information are sent from the medical imaging apparatus 50 to the PACS 70, the PACS control unit 71 associates these data and stores them in the image storage unit 73. In other words, medical image data is organized in a system for each of patient ID, patient's name, examination date, and information specifying modality included in examination information and stored in the image storage unit 73. Further, when the examination site, the disease name or the examination purpose related to the medical image data is associated with the examination information received together with the medical image data, the additional information is also stored together with the medical image data.

  Also, as described later, when the PACS 70 receives an acquisition request for medical image data from a computer terminal such as the medical terminal A or the medical terminal B, the PACS control unit 71 determines medical image data corresponding to the acquisition request and examination information associated with it. Etc are read and sent to the computer terminal concerning the acquisition request. The examination information associated with the medical image data may be hereinafter simply referred to as "examination information".

(Overview of Medical Information Processing System 90)
The medical information processing system 90 includes a medical information management device 91, a medical report storage device 93, and a related information storage device 95. Among these, the outline of the processing of the medical information management apparatus 91 is as follows.
(1) The medical information management device 91 performs processing related to storage and readout of a medical report with the medical report storage device 93.
(2) The medical information management apparatus 91 acquires medical information related to the read medical report, and extracts information of a predetermined item in the medical information. In an example of the first embodiment, examination information (specific medical information described later) is extracted from the examination order as medical information.
(3) Based on the conversion table of the related information storage unit 95, the medical information management unit 91 converts the information of the predetermined item into a medical term. Related information and medical terms will be described together with the configuration of the related information storage device 95 described later.
(4) Based on the reference destination setting table of the related information storage device 95, the medical information management device 91 acquires reference destination information corresponding to the converted medical term and the input user attribute information. The reference destination setting table and the reference destination information will be described together with the configuration of the related information storage device 95.
(5) The medical information management apparatus 91 sends reference destination information to a computer terminal (an example of an “external terminal”) such as the medical terminal A or the medical terminal B.

  Hereinafter, the configuration of the medical report storage device 93, the configuration of the related information storage device 95, and the contents of each processing in the medical information management device 91 will be described. A computer terminal such as a medical terminal A or a medical terminal B in the following description is, for example, a terminal for creating a medical report (interpretation report creating terminal or the like). Or it is a terminal (request medical terminal etc.) of the doctor who requested the examination. That is, the computer terminal indicates a terminal that may display medical information and medical terms.

(Medical report storage 93)
The medical report storage device 93 stores a medical report such as an interpretation report created on a computer terminal such as the medical terminal A or the medical terminal B. For example, the medical report received from the medical terminal A by the medical information management device 91 is stored in the medical report storage device 93 in association with patient information such as a patient ID. Further, when the diagnostic report is stored in the medical report storage device 93, the diagnostic report may be associated with medical image data (key image or the like) or information on the storage location of the medical image data.

(Related information storage device 95)
The related information storage device 95 will be described with reference to FIGS. FIG. 2 is a schematic block diagram showing an outline of the medical information management apparatus 91 and the related information storage apparatus 95 of the first embodiment. FIG. 3 is a schematic view of the conversion table 953 stored in the related information storage device 95 of the embodiment. FIG. 4 is a schematic diagram of the reference destination setting table 955 stored in the related information storage device 95 of the first embodiment. As shown in FIG. 2, the related information storage device 95 is configured to include a transmission / reception unit 951, a conversion table 953, and a reference destination setting table 955.

<Transceiver 951>
The transmission / reception unit 951 is a communication interface for exchanging examination information, medical terms, and reference destination information between the medical information management device 91 and the related information storage device 95. In addition, the related information storage device 95 receives, from the external device, a medical term newly added via the transmission / reception unit 951 and information (specific medical information) of a predetermined item in the medical information associated with the medical term. The related information storage unit 95 updates the conversion table 953 based on these pieces of information. Further, the external device receives a combination of reference destination information newly added via the transmission / reception unit 951, a medical term associated with the reference destination information, and a user attribute. The related information storage unit 95 updates the reference destination setting table 955 based on these pieces of information.

<Conversion table 953>
The conversion table 953 is a table for converting medical information such as a test order or a medical information group (specific medical information) into medical terms or medical term groups assumed from the medical information or the like. As shown in FIG. 3, the conversion table 953 in the first embodiment stores a plurality of combinations of specific medical information and medical terms related to the specific medical information. Medical information is, for example, examination information included in an examination order to RIS 30. In the conversion table 953 in the example of FIG. 3, a plurality of types of examination information corresponding to each medical term are divided into a plurality of items. For example, the examination information includes the modality of the image acquisition apparatus (medical imaging apparatus 50) for generating a medical image, the region of the subject to be imaged, the name of a suspected disease or disease, and the image acquisition apparatus. Information on multiple items such as inspection purpose is included. Further, the medical terms stored in combination with the various examination information are medical terms assumed from a combination of modality, disease name, and examination purpose. Examples of medical terms include terms used in medical reports such as an interpretation report, etc., for the explanation of the patient's health condition or disease status etc. related to specific medical information and specified by examination information etc. . Hereinafter, specific examples will be described.

  Here, the conversion table 953 will be described with reference to an example shown in FIG. Moreover, about this example, in the condition where a patient is suspected of "lung cancer", it is demonstrated as what the examination order of the imaging diagnosis for the purpose of a close examination of the chest was made by the doctor. When this test order is created, first the disease name is identified. In this example it is "lung cancer". In addition, in this example, it is determined that the “fine inspection” of the lung itself is necessary to diagnose the condition of “lung cancer” by the doctor. It is identified. Furthermore, the “X-ray CT apparatus” is identified by the doctor as a modality suitable for the identified “lung cancer”, “chest”, and “detailed examination”. In this way, an inspection order is generated. In the example of FIG. 1, this inspection order is generated by the order terminal 11 in the HIS 10.

  As described above, the examination order includes examination information including a combination of a plurality of items such as a site, a disease name, an examination purpose and a modality, in order to diagnose a disease of a predetermined site of a patient. The conversion table 953 stores patterns of combinations of a plurality of examination information assumed and combinations of medical terms related to the respective patterns. The above-mentioned specific example is an examination order of a modality "X-ray CT apparatus" which targets the site "chest" of a patient, for the purpose of examination "examination of the patient" whose disease name is "lung cancer" is suspected. For specific medical information extracted from this examination order, "primary lesion" and "lymph node metastasis" are associated as related medical terms. That is, "primary lesion" and "lymph node metastasis" are combined as medical terms assumed from a medical image based on the specific medical information (examination information of a predetermined item in an examination order).

  Also, as another example of FIG. 3, the case of examination order of modality "MRI" targeting the site "head" of the patient for the purpose of examination "examination of patient" suspected of disease name "lung cancer" It can be mentioned. In this case, the medical terms to be combined with the pattern are "brain metastasis" and "TNM classification". In this examination order, as in the case of the above-mentioned "X-ray CT apparatus", the disease name is "lung cancer" and the examination purpose is "fine examination". However, the imaging target site of the patient is the "head". The modality is "MRI". Related medical terms differ depending on the difference in the contents of items of examination information. That is, in the above example, the medical terms "primary lesion" and "lymph node metastasis" are combined, but in this example, the medical terms "brain metastasis" and "TNM classification" are combined. The conversion table 953 corresponds to an example of the “second table”. In addition, the part described as "N / A" in FIG. 3 shows the case where the test order is performed in a state where the disease name and the health condition are unknown or not determined.

  As described later, when the medical information management apparatus 91 extracts a plurality of types of information from the examination information of the examination order, the extracted examination information is converted into related medical terms based on the conversion table 953.

<Reference setting table 955>
The reference setting table 955 is a table for providing reference information of medical terms. The reference information is information for assisting in understanding or grasping of the medical term according to the user layer (attribute of the user) in contact with the medical term. The reference information is usually stored in a different place depending on the type of the content, the degree of difficulty, and the like. For example, a website for workers at medical institutions has specialized information, and a website for general patients has information that can be easily and easily understood. Therefore, the reference destination setting table 955 stores the storage location (location) of each reference information for each user attribute in order to provide the reference information according to the user attribute. As shown in FIG. 4, the reference destination setting table 955 stores a plurality of combinations of medical terms, user attributes, and information indicating storage destinations of reference information of the medical terms according to the user attributes. In addition, about the information which shows the storage destination of the reference information of a medical term, it may only describe it as "reference destination information" hereafter.

  Since the level of reference information necessary for understanding and grasping medical terms differs between patients and doctors, the reference destination setting table 955 varies reference destination information according to user attributes such as doctors and patients. . In the example of FIG. 4, the medical term “primary site”, the user attribute “patient”, and reference destination information “http: // ddd” are combined. That is, when the user who touches the medical term "primary site" is "patient", the reference information in reference destination "http: // ddd" is suitable for understanding the word "primary site". Reference information "http: // ddd" is assigned to the medical term "primary site". On the other hand, when the user is a "doctor", it is referred to the medical term "primary site" as the reference information in reference destination "http: // eee" is suitable for understanding "primary site". Information "http: // eee" is assigned. For example, even if it is a medical term that a patient needs to grasp an outline, in the case of a doctor, it may be necessary to grasp in more detail or widely. In other words, doctor-specific reference information for understanding medical terms may be complicated or difficult for the patient, in which case simple information should be provided for the patient.

  As described above, in the reference setting table 955, the reference address “http: // ddd” for the patient, in order to present the reference information for assisting the understanding such as the explanation of the medical term according to the user layer, It is distinguished from the reference destination "http: // eee" for doctors. Although the reference destination information in FIG. 4 is a URL or an IP address, the reference destination information may be referenced not only on the Internet (WAN) but also on the network (LAN) of the medical system 100. For example, the configuration may be such that a database or the like of reference information exists on the network of the medical system 100. The reference destination setting table 955 corresponds to an example of the “first table”.

  In the reference destination indicated in the reference destination information, reference information such as character information, audio information, a still image, and a moving image is stored. The reference information is presented to the user by, for example, a web browser of a computer terminal.

  As described later, the medical information management apparatus 91 acquires reference destination information from the reference destination setting table 955 based on the medical terms converted by the conversion table 953 and the input of the user attribute via the input unit or the like.

(Medical information management device 91)
Next, the configuration and processes of the medical information management apparatus 91 will be described with reference to FIGS. As shown in FIG. 2, the medical information management apparatus 91 includes a main control unit 911, a transmission / reception unit 913, a medical information extraction unit 915, and a reference destination information acquisition unit 917.

<Main control unit 911 / Transmission unit 913>
The main control unit 911 controls the entire medical information management apparatus 91 and controls each of the above-described units. The transmitting and receiving unit 913 is a communication interface for exchanging examination information, medical terms, and reference destination information between the medical information management apparatus 91 and the external apparatus. The external device is a computer terminal such as the examination order management device 31, the medical report storage device 93, the related information storage device 95, or the medical terminal A.

  For example, the main control unit 911 receives an acquisition request for an interpretation report from the medical terminal A via the transmission / reception unit 913. The acquisition request includes at least one type of search query such as patient ID, examination ID, examination date or patient name. The main control unit 911 searches the medical report storage device 93 via the transmission / reception unit 913 for a corresponding interpretation report based on the search query related to the acquisition request. As a result of the search, if there is an interpretation report corresponding to the acquisition request, the interpretation report is read out. The read image interpretation report is sent by the main control unit 911 via the transmission / reception unit 913 to the medical terminal A related to the acquisition request.

  Regarding transmission and reception of data between the reference destination information acquisition unit 917 and the inspection order management device 31, and transmission and reception of data between the reference destination information acquisition unit 917 and the related information storage device 95, the main control unit 911 and transmission / reception unit It takes place via 913. However, unless stated otherwise, transmission and reception of data via the main control unit 911 and the transmission and reception unit 913 will be omitted and described below. Also, the transmission / reception unit 913 corresponds to an example of the “output unit”.

<Medical Information Extraction Unit 915>
The medical information extraction unit 915 extracts information of a predetermined item from medical information in order to convert medical information such as a test order into medical terms. In addition, about the information of the said predetermined item below, it may describe as "specific medical information" for convenience of explanation. As an example of the specific medical information, examination information or the like included in medical information such as an examination order corresponds. That is, modality, site, disease name, examination purpose, etc.

In order to acquire specific medical information, the medical information extraction unit 915 generally performs the following processing.
(1) First, in order to extract specific medical information, target medical information is specified.
(2) The medical information is acquired from the storage location of the specified medical information.
(3) Identify the type of information to be extracted from the acquired medical information. This is because it is necessary to extract the specific medical information from the medical information before converting the specific medical information to the medical terms by the conversion table 953.
(4) The extracted specific medical information is sent to the reference destination information acquisition unit 917.
Specific examples of these processes are described below.

  An example of extraction processing of specific medical information by the medical information extraction unit 915 will be described. First, in parallel with the medical report acquisition process by the main control unit 911, the medical information extraction unit 915 executes a medical information acquisition process related to the medical report.

First setting information
The medical information management device 91 extracts specific medical information from medical information, converts the specific medical information into medical terms, and specifies reference destination information from medical terms and user attribute information. Therefore, in the medical information management apparatus 91, first setting information in which the type of medical information to be acquired is set according to the type of medical report requested from the computer terminal is stored in advance. The type of medical report is a report such as a medical report in which an interpretation report or a medical examination finding is described, classified into attributes of the description content. The type of medical report may be classified, for example, by medical department to which the person who created the medical report belongs.

  A series of processing of the medical information management apparatus 91 is performed for presentation of reference information that supports grasping of the content of the medical report. Therefore, the medical information that is the source of the specific medical information needs to be related to the medical report requested from the computer terminal such as the medical terminal A. In other words, even if reference information not related to the medical report is presented, it may not be possible to support grasping of the content of the medical report. In this respect, the medical information management apparatus 91 can specify the type of corresponding medical information based on the type of medical report according to the first setting information.

  For example, in the case of an interpretation report, there is a medical image to be a target of the report, and the report includes medical terms related to interpretation results of a predetermined medical image. In order to grasp medical terms in the interpretation report, reference terms of medical terms relating to medical images and medical terms used for the interpretation report may be required. In addition, the examination order includes information of a plurality of items such as modality, the site of the subject to be imaged, the name of a suspected or affected disease, and the purpose of examination by the image acquisition device. These pieces of information relate to the medical terms in the interpretation report. Therefore, information contained in the examination order can be used as the specific medical information associated with such medical terms. That is, in the first setting information, when the type of medical report is an interpretation report, the type of corresponding medical information is set as an examination order.

  In the case of a configuration in which designation of medical information to be acquired is performed by a user who requests reference destination information, as in the modification described later, the configuration is such that medical information is acquired without using the first setting information. It may be For example, when the user inputs an examination ID in the computer terminal, the medical information management apparatus 91 may receive the ID and acquire an examination order based on the ID. The same applies to the medical information identification process described next.

"Identification of medical information to acquire"
The medical information extraction unit 915 analyzes the content of a medical report acquisition request (a search query or the like) from the computer terminal, and specifies the type of medical report to be acquired. Further, the medical information extraction unit 915 applies the specified type of medical report to the first setting information to specify the type of medical information to be acquired. For example, as a result of analyzing the acquisition request from the computer terminal, when the medical information extraction unit 915 specifies that the type of the medical report according to the request is an interpretation report, the medical information extraction unit 915 determines based on the first setting information. It is determined that the type of medical information to be acquired is an examination order.

  The medical information extraction unit 915 identifies the medical information to be acquired based on the identified type of medical information and the information on the medical report. Information on the medical report includes the ID of the medical report or the patient ID, or the examination ID if the medical report involves an examination. Alternatively, in the case of an interpretation report, incidental information (image ID, examination ID, etc.) of medical image data (key image etc.) associated with the interpretation report may be used. As described above, when an interpretation report is requested, the medical information extraction unit 915 identifies the type of medical information to be acquired as an examination order, and thus the report ID, patient ID, examination ID, and image. The inspection order to be acquired is specified using at least one of the IDs. Among the above identification information, the report ID corresponds to an example of “second identification information”. The items other than the report ID correspond to an example of the “first identification information”.

Acquisition of medical information
The medical information extraction unit 915 requests acquisition of the medical information to the storage destination (predetermined storage device or the like) of the specified medical information. For example, the medical information extraction unit 915 makes a request for acquiring medical information using the examination ID or the like as a search condition at the storage destination of the specified medical information. In the case of an interpretation report, the image ID of the key image and the series ID of the image are specified from the information (report ID, patient ID and the like) related to the interpretation report, and the examination ID is specified from the image ID and the like. Further, the medical information extraction unit 915 sends an examination order acquisition request to the examination order management device 31 together with the examination ID.

  The inspection order management apparatus 31 receives an acquisition request for an inspection order via the transmission / reception unit 311. Further, the inspection order management device 31 searches whether there is an inspection order relating to the acquisition request. Further, when there is a corresponding examination order, the examination order management device 31 sends the examination order to the medical information management device 91. The medical information extraction unit 915 receives the examination order according to the acquisition request via the transmission / reception unit 913, and executes the following medical information extraction processing.

Second setting information
In the medical information management apparatus 91, the second setting information for extracting the specific medical information from the medical information by the medical information extraction unit 915 is a storage unit (not shown; corresponds to an example of the “extraction item storage unit”). Is stored in That is, for each type of medical information, items of information to be extracted from medical information including information of a plurality of items (types) are set in advance. When the medical information is a test order, these items include modality, site, disease name, test purpose, and the like. The second setting information corresponds to an example of “setting information”.

<< Extraction of specific medical information >>
When the medical information extraction unit 915 acquires medical information, it extracts information related to a predetermined item from the medical information, that is, specific medical information, based on the second setting information. Further, the medical information extraction unit 915 sends the specific medical information to the reference destination information acquisition unit 917.

  The medical information extraction unit 915 may specify the type of medical report based on the format of the acquired medical report, instead of analyzing the medical report acquisition request. Further, the main control unit 911 may perform the medical information acquisition process. In that case, the medical information extraction unit 915 determines the type of medical information based on the data related to the acquisition request of the medical information (for example, the examination order) performed by the main control unit 911. Alternatively, the medical information extraction unit 915 may determine the type of medical information based on the format of the acquired medical information.

  Further, the medical information extraction unit 915 specifies an item of information to be extracted from the medical information based on the setting information according to the type of the medical information determined. When the medical information is a test order, these items include modality, site, disease name, test purpose, and the like. Further, the medical information extraction unit 915 extracts information related to these items, that is, specific medical information from the medical information. Further, the medical information extraction unit 915 sends the specific medical information to the reference destination information acquisition unit 917. The medical information extraction unit 915 corresponds to an example of the “extraction unit”.

  Note that the second setting information may not be used. For example, the medical information extraction unit 915 may be configured to specify the item of information to be acquired from the medical information with reference to the item of the specific medical information in the conversion table 953. In the case of this configuration, the conversion table (953) used by the medical information extraction unit 915 is classified according to the type of medical report (differential of medical report of internal medicine, interpretation report, etc.).

  When an examination order is acquired as medical information, the medical information extraction unit 915 refers to the conversion table 953 for examination information corresponding to the examination order. Further, the medical information extraction unit 915 specifies a predetermined item to be extracted from the examination order with reference to the item of the specific medical information in the conversion table 953 for examination information.

<Reference information acquisition unit 917>
The reference destination information acquisition unit 917 receives the specific medical information from the medical information extraction unit 915, and sends a conversion processing request to the related information storage device 95 together with the specific medical information. When the related information storage device 95 receives the conversion processing request together with the specific medical information through the transmission / reception unit 951, the related information storage device 95 converts the specific medical information into a medical term based on the conversion table 953. For example, as described above, the conversion table 953 associates and stores each of the specific medical information, which is a combination of modality, site, disease name, examination purpose, etc., with the medical term. The related information storage device 95 converts a combination of predetermined items (specific medical information) in examination information into medical terms associated with the combination based on the conversion table 953. The related information storage unit 95 sends the converted medical term to the medical information management unit 91 via the transmission / reception unit 951.

  In the conversion table 953, there may be a case where there is no medical term associated with the specific medical information related to the conversion request. In that case, the related information storage device 95 may be configured to send, to the medical information management device 91, error information indicating that the specific medical information could not be converted into medical terms by the conversion table 953.

  When receiving the medical term from the related information storage device 95, the reference destination information acquisition unit 917 associates the medical term and the specific medical information related to the conversion request, and stores the related term in the storage unit (not shown). Further, the reference destination information acquisition unit 917 receives user attribute information from the computer terminal (medical terminal A or the like) according to the medical report acquisition request via the main control unit 911 and the transmission / reception unit 913. The user attribute information is input, for example, at an input unit (not shown) of the computer terminal according to the acquisition request.

  However, the user attribute information is not limited to the one input in the input unit. If the user attribute can be determined based on the logon account of the OS in the computer terminal, the login account in the application that creates the acquisition request of the image interpretation report, etc., the user attribute is acquired from the account information.

  The reference destination information acquisition unit 917 searches the related information storage device 95 for the reference destination in which the reference information for the predetermined user corresponding to the medical term is stored. That is, the reference destination information acquisition unit 917 sends the medical term and the user attribute information converted by the related information storage device 95. Here, it is assumed that the related information storage unit 95 stores a reference destination setting table 955. For example, as described above, the reference destination setting table 955 stores a combination of medical terms and user attribute information and reference destination information. The related information storage unit 95 searches the reference destination setting table 955 for reference destination information of medical terms corresponding to the designated user attribute. Note that, as described above, the reference destination information is information indicating a storage area in which reference information necessary for understanding and grasping of medical terms is stored in accordance with the level (user layer) of the user.

  For example, reference information "AAA. Html" for the user attribute "patient" necessary for understanding the medical term "pneumonia" is stored in "PC 01 \ D \ XXX \ Y YY \", and the combination is The case of being stored in the reference destination setting table 955 will be described. When the user attribute information “patient” is acquired in the medical information management device 91 and the medical term “pneumonia” acquired by the conversion table 953 is acquired, the medical information extraction unit 915 is a related information storage device. Make a request for obtaining reference information on “pneumonia” for “patient” in 95. The related information storage device 95 searches the reference destination setting table 955 based on the medical term and user attribute information received from the medical information management device 91. If there is corresponding reference destination information, the related information storage unit 95 sends the retrieved reference destination information to the medical information management unit 91 via the transmission / reception unit 951.

  In the reference destination setting table 955, there may be cases where there is no reference destination information related to the acquisition request. In that case, the related information storage device 95 may be configured to send, to the medical information management device 91, error information indicating that there is no reference destination information that corresponds to the reference destination setting table 955.

  The medical information management device 91 reads out the stored medical terms and associates the read medical terms with the acquired reference destination information. Furthermore, the medical information management device 91 sends such information to a computer terminal such as the medical terminal A that has made a medical report acquisition request. The combination of the associated medical term and reference destination information may be sent to the medical terminal A together with the medical report. In addition, as described above, when information indicating that the specific medical information could not be converted into medical terms is acquired, or when information indicating that there is no reference destination information corresponding to the medical terms is acquired, medical These pieces of information may be sent to the medical terminal A together with the report. In the computer terminal such as the medical terminal A, based on the error information, for example, the display unit (not shown) displays that there is no reference information of the acquired medical report.

  In the computer terminal, when the medical report is displayed, reference destination information for each medical term is displayed according to the operation.

  The medical information management device 91 and the related information storage device 95 correspond to an example of the “medical information processing device”. Also, the main control unit 911 corresponds to an example of the “acquisition unit”. Further, the reference destination information acquisition unit 917 corresponds to an example of the “medical term output unit”.

<< Modification 1 >>
In the above description, the medical information management device 91 sends an instruction to convert specific medical information into medical terms to the related information storage device 95. As a result, the medical information management device 91 receives medical terms from the related information storage device 95. Thereafter, the medical information management device 91 is configured to execute a search instruction of reference destination information to the related information storage device 95 based on the medical term and the user attribute information. However, the present embodiment is not limited to such a configuration.

  For example, the medical information management apparatus 91 first acquires specific medical information and user attribute information. Furthermore, the medical information management device 91 sends user attribute information to the related information storage device 95 together with the specific medical information. The related information storage unit 95 converts specific medical information into medical terms. In this example, the medical term is not sent to the medical information management device 91 at this point, and reference destination information is searched based on the medical term and the user attribute information. The related information storage device 95 sends the converted medical term and the retrieved reference destination information to the medical information management device 91 after the reference destination information is retrieved.

<< Modification 2 >>
In the above description, the medical report and the medical term and reference destination information are transmitted to the computer terminal as different data. However, the present embodiment is not limited to such a configuration.

  For example, when reference destination information corresponding to a stored medical term is acquired, the medical information management device 91 searches for the medical term from the description content of the medical report. When the medical term is retrieved from the description content of the medical report, a link (hyperlink or the like) to which the reference information of the medical term is referred is embedded in the part indicating the medical term of the medical report. That is, the medical information management apparatus 91 transmits the medical report to a computer terminal such as the medical terminal A after embedding the reference destination link in the medical term part of the medical report. In the computer terminal displaying such a medical report, when an operation for specifying a medical term in which a link is embedded is performed via the operation unit or the like, the computer terminal reads out the reference information stored in the reference destination. The read reference information is presented to the user via a display unit or the like of the computer terminal.

<< Modification 3 >>
Further, in the above description, the medical term and the reference destination information are sent to the computer terminal together with the medical report or before or after the medical report is sent. However, the present embodiment is not limited to such a configuration. For example, when displaying a medical report on a computer terminal such as the medical terminal A, the medical information management apparatus 91 receives user attribute information from the computer terminal and acquires medical terms and reference destination information by the above processing. It may be configured to be sent to the computer terminal.

  The medical information management apparatus 91 in this example stores screen data of a user attribute input screen displayed corresponding to the display of the medical report. The medical information management device 91 sends this screen data to the computer terminal together with the medical report or before or after the timing of sending the medical report. In the computer terminal, when the medical report is displayed, an input screen of a user attribute based on the screen data is displayed according to the operation. When the user attribute is input as characters on the input screen or the user attribute is selectively input from the displayed drop-down menu or check box, the computer terminal inputs the information to the medical information management apparatus 91. Send user attribute information according to. When receiving the user attribute information, the medical information management device 91 sends reference destination information corresponding to the medical term to the computer terminal, as in the above embodiment or the above modification.

<< Modification 4 >>
Further, in the above description, the medical information management device 91 is configured to acquire an examination order from the examination order management device 31 and acquire specific medical information from the examination order. However, the present embodiment is not limited to such a configuration. For example, the incidental information of the medical image data stored in the image storage unit 73 of the PACS 70 may include specific medical information such as a modality, an examination site, and a disease name. In that case, the medical information management apparatus 91 may be configured to acquire incidental information of medical image data stored in the image storage unit 73 as medical information. In this configuration, the medical information management device 91 acquires specific medical information from the incidental information.

(Operation of medical information processing system 90)
Next, the operation of the medical information processing system 90 in the first embodiment will be described with reference to FIG. 5 and FIG. 5 and 6 are flowcharts showing an outline of the operation of the medical information processing system 90 according to the first embodiment. In the following, the operation of the medical information management apparatus 91 will be mainly described. Further, the case where the medical report is an interpretation report will be described.

<Step 01>
The main control unit 911 receives an acquisition request for an interpretation report from the medical terminal A via the transmission / reception unit 913.

<Step 02>
The main control unit 911 searches the medical report storage device 93 via the transmission / reception unit 913 to determine a corresponding interpretation report, and determines whether there is a corresponding interpretation report.

<Step 03>
As a result of the search, if there is an image interpretation report corresponding to the acquisition request (S 02; Yes), the image interpretation report is read out. The read image interpretation report is sent by the main control unit 911 via the transmission / reception unit 913 to the medical terminal A related to the acquisition request.

<Step 04>
As a result of the search, when there is no interpretation report corresponding to the acquisition request (S02; No), an error indicating that there is no interpretation report corresponding to the acquisition request is outputted, and a series of processing concerning acquisition of reference destination information is ended. Do.

<Step 05>
The medical information extraction unit 915 identifies the type of medical report according to the acquisition request from the computer terminal. Further, the type of the report is applied to the first setting information to specify the type of medical information to be acquired. The medical information extraction unit 915 also acquires information (examination ID and the like) related to the medical report from the data of the medical report acquisition request. Further, the medical information extraction unit 915 specifies the medical information to be acquired or the storage destination of the medical information based on the specified type of medical information and the information on the medical report. Further, the medical information extraction unit 915 makes a request for acquiring medical information based on the information on the medical report to a storage destination such as a device storing the specified medical information. For example, the medical information extraction unit 915 sends an examination order acquisition request based on the examination ID or the like to the examination order management device 31. The process of S05 may be performed before or in parallel with these processes, not after S02 to S04.

<Step 06>
The examination order management apparatus 31 as a storage destination for storing the medical information searches for the corresponding examination order in response to the examination order acquisition request received from the medical information management apparatus 91.

<Step 07>
As a result of the search, if there is an examination order corresponding to the acquisition request (S06; Yes), the examination order management apparatus 31 sends the examination order to the medical information management apparatus 91.

<Step 08>
As a result of the search, if there is no inspection order corresponding to the acquisition request (S06; No), the inspection order management device 31 outputs an error indicating that there is no inspection order corresponding to the acquisition request, and the medical information management device A step 91 terminates a series of processing concerning acquisition of reference destination information.

<Step 09>
When acquiring the examination order as medical information, the medical information extraction unit 915 extracts the specific medical information from the examination order based on the second setting information. For example, in accordance with the type of medical information, the medical information extraction unit 915 identifies an item of information to be extracted from the medical information based on the second setting information. If the medical information is an examination order, the medical information extraction unit 915 extracts specific medical information such as modality, site, disease name, and examination purpose. Further, the medical information extraction unit 915 sends the specific medical information to the reference destination information acquisition unit 917.

<Step 10>
The reference destination information acquisition unit 917 receives the specific medical information from the medical information extraction unit 915, and sends a conversion processing request to the related information storage device 95 together with the specific medical information.

<Step 11>
The related information storage device 95 converts specific medical information into medical terms based on the conversion table 953. The related information storage unit 95 sends the converted medical term to the medical information management unit 91 via the transmission / reception unit 951. The medical information management device 91 receives medical terms from the related information storage device 95.

<Step 12>
The reference destination information acquisition unit 917 receives a medical term from the related information storage device 95, associates the medical term with specific medical information, and stores the medical term in a storage unit (not shown). Further, the reference destination information acquisition unit 917 receives user attribute information from the computer terminal (medical terminal A or the like) according to the medical report acquisition request via the main control unit 911 and the transmission / reception unit 913.

<Step 13>
The medical information extraction unit 915 sends the medical terms and user attribute information converted by the related information storage unit 95. The related information storage unit 95 searches the reference destination setting table 955 for reference destination information of medical terms corresponding to the user's attribute (user layer).

<Step 14>
If there is corresponding reference destination information, the related information storage unit 95 sends the retrieved reference destination information to the medical information management unit 91 via the transmission / reception unit 951. The medical information management device 91 receives reference destination information from the related information storage device 95.

<Step 15>
The medical information management device 91 reads out the stored medical terms and associates the read medical terms with the acquired reference destination information. Furthermore, the medical information management device 91 sends such information to a computer terminal such as the medical terminal A that has made a medical report acquisition request. In the computer terminal, when the medical report is displayed, reference destination information for each medical term is displayed according to the operation.

(Action / effect)
The operation and effects of the medical information processing system 90 including the medical information management apparatus 91 according to the first embodiment described above will be described.

  The medical information management apparatus 91 according to the first embodiment acquires medical information according to the type of medical report from the storage unit (the examination order management apparatus 31 or the like) of the medical information when there is a medical report acquisition request. . The medical information management apparatus 91 also extracts specific medical information for converting medical information into medical terms in order to obtain medical terms. Further, the medical information management device 91 converts the specific medical information based on the conversion table 953 of the related information storage device 95. Further, the medical information management device 91 acquires reference destination information on a medical term according to the specified user attribute information, based on the reference destination setting table 955 of the related information storage device 95. Reference destination information is sent to the medical terminal that has requested a medical report.

  According to such a configuration, the user who refers to the medical report can easily obtain the reference destination information of the medical term included in the medical report, so that the reference information according to the user's knowledge level can be presented easily. It is possible. Furthermore, the medical information management apparatus 91 refers not only to patients who refer to medical reports, but also to persons with relatively high knowledge levels such as workers of medical institutions, etc., referring to medical information according to their knowledge levels. It is possible to present information.

<< Modification 5 >>
In the above description, the medical information extraction unit 915 or the main control unit 911 generates a search condition of medical information corresponding to a medical report, and acquires medical information from a storage device of medical information such as the examination order management device 31. Configuration. However, the present embodiment is not limited to such a configuration. For example, regardless of acquisition of a medical report, the medical information management apparatus 91 may directly receive information specifying medical information from a computer terminal such as the medical terminal A and execute acquisition processing of reference destination information. For example, the medical information management apparatus 91 according to the fifth modification receives the information specifying the examination order such as the examination ID directly from the computer terminal regardless of the acquisition of the medical report, and receives the examination order from the examination order management apparatus 31. Executes processing until acquisition and subsequent acquisition of reference destination information.

<< Modification 6 >>
Further, in the above, reference destination information corresponding to the user layer in contact with the medical term is acquired based on the user attribute and the medical term. However, the medical information management apparatus is not limited to such a configuration. For example, in the reference destination setting table 955, medical terms and reference destination information for each user attribute may be stored in association with each other. In the sixth modification, the reference destination information acquisition unit 917 acquires reference destination information for each user layer set in advance, using medical terms output based on the conversion table 953. For example, if the reference information for a patient and the reference information for a doctor are different for a predetermined medical term (such as a primary site), the reference information acquisition unit 917 determines the reference information for the patient and the doctor. It acquires the reference destination information for each.

  The medical information management device 91 sends the medical term and the reference destination information to the computer terminal such as the medical terminal A or the like that has made the acquisition request for the medical report, as described above. However, in this modification, reference destination information for each user attribute is associated with medical terms and sent to the computer terminal. In the computer terminal, when the medical report is displayed, reference destination information for each user attribute for each medical term is displayed according to the selection operation of the medical term and the user attribute.

  Note that each of the first to sixth modifications described above can be combined as appropriate. For example, in the case of combining the second modification and the third modification, when the user attribute is input while the medical report is displayed on the computer terminal, the medical information management device 91 acquires medical information related to the medical report, Specific medical information is extracted. Also, specific medical information is converted into medical terms, and reference destination information corresponding to medical terms is acquired. In this configuration, the medical information management apparatus 91 acquires the medical report again, and embeds a link in the part of the medical term corresponding to the medical report. The medical information management device 91 sends the medical report again to the computer terminal. In the computer terminal, the medical report to be displayed is replaced with the medical report in which the link is embedded.

Second Embodiment
Next, a medical system 100 according to a second embodiment will be described with reference to FIG. FIG. 7 is a schematic block diagram showing an outline of a medical system 100 including the medical information management apparatus 91 of the second embodiment. The description of the parts common to the first embodiment will be omitted. In the first embodiment, the medical information management apparatus 91 retrieves an examination order from the examination order management apparatus 31. As a result of the search, the medical information management apparatus 91 extracts specific medical information from the acquired examination order and converts it into medical terms.

  On the other hand, the medical information management apparatus 91 in the second embodiment extracts a predetermined word from findings of a medical report. In the second embodiment, the medical information management device 91 converts the predetermined word into a medical term. In the second embodiment, the predetermined word may be described as “specified medical information”. Further, the medical information management device 91 acquires reference destination information from the medical term. The configuration of the second embodiment will be described below.

(Constitution)
As shown in FIG. 7, the medical information processing system 90 includes a medical information management device 91, a medical report storage device 93, and a related information storage device 95, as in the first embodiment. Further, as in the first embodiment, the medical information management apparatus 91 includes a main control unit 911, a transmission / reception unit 913, a medical information extraction unit 915, and a reference destination information acquisition unit 917. Further, as in the first embodiment, the medical information management apparatus 91 performs processing related to storage and readout of a medical report by the main control unit 911 and the medical information extraction unit 915.

(Extraction process)
In the specific example of the second embodiment, specific medical information is extracted from a medical report. The medical information extraction unit 915 in the medical information management apparatus 91 extracts information (specific medical information) of a predetermined item set in advance from the finding column, the examination information display column, the patient information display column, etc. of the medical report. For example, the medical information extraction unit 915 extracts text information (free text) indicating a finding included in the finding column. Further, the medical information extraction unit 915 extracts clauses, phrases, and words set in advance from the text information.

  As an example, the medical information extraction unit 915 cuts out clauses, phrases, and words from text information (such as finding sentences) in a medical report by using a sentence analysis application such as syntactic tree analysis or morphological analysis. The medical information extraction unit 915 compares the clauses, phrases, and words extracted by the text analysis application with the extracted words stored in advance. As a result of the comparison, the medical information extraction unit 915 extracts, if any of the extracted clauses, phrases, and words to be extracted, there is one to be extracted.

  The medical information extraction unit 915 performs morphological analysis and syntax tree analysis on the finding sentences and the like of the diagnostic reading report by the application, if it is described using a specific example of the diagnostic reading report. Thereby, the medical information extraction unit 915 cuts out, for example, nouns, noun phrases, etc. from the sentences of the interpretation result.

  In the medical information management apparatus 91, combinations of clauses, phrases, and words to be extracted from the interpretation report are stored in advance in a storage unit (not shown). For example, it is a combination of a word indicating a modality, a word indicating an examination site, a word indicating a clinical disease name, and a word indicating an examination purpose. The medical information extraction unit 915 compares the information to be extracted in the storage unit with the extracted noun phrase or the like by the text analysis application. Based on this comparison, the medical information extraction unit 915 determines whether there is a combination corresponding to a preset combination among the extracted nouns or noun phrases.

  From the interpretation report, cut out clauses, phrases, and words are cut out, and the terms “X-ray CT device (modality)”, “chest (test site)”, “lung cancer (clinical), which are the terms stored in advance, are stored. The items corresponding to the disease name), "follow-up observation (for inspection purpose)", etc. are extracted. Furthermore, if the combination of the extracted terms and the like corresponds to a preset combination, etc., the medical information extraction unit 915 extracts the combination of the terms and the like as specific medical information.

  The terms etc. extracted by the medical information extraction unit 915, or a combination of terms is treated as specific medical information. For example, the specific medical information is converted into a medical term by the reference destination information acquisition unit 917 or the like. This point is the same as that of the first embodiment. Further, the reference destination information acquisition unit 917 acquires reference destination information based on the medical term and the user attribute information. This point is also the same as that of the first embodiment.

(Action / effect)
The operation and effects of the medical information processing system 90 including the medical information management apparatus 91 according to the second embodiment described above will be described.

  When the medical report according to the medical report acquisition request is acquired, the medical information management apparatus 91 according to the second embodiment analyzes the text of the medical report. By this analysis, the medical information management device 91 extracts specific medical information from the text information included in the medical report. Further, the medical information management device 91 converts the specific medical information based on the conversion table 953 of the related information storage device 95. Further, the medical information management device 91 acquires reference destination information corresponding to the converted medical term and for each input user attribute information based on the reference destination setting table 955 of the related information storage device 95. Reference destination information is sent to the medical terminal that has requested a medical report.

  According to such a configuration, the user who refers to the medical report can easily obtain the reference destination information of the medical term included in the medical report, so that the reference information according to the user's knowledge level can be presented easily. It is possible. Furthermore, the medical information management apparatus 91 refers not only to patients who refer to medical reports, but also to persons with relatively high knowledge levels such as workers of medical institutions, etc., referring to medical information according to their knowledge levels. It is possible to present information.

Third Embodiment
Next, a medical system 100 according to a third embodiment will be described with reference to FIGS. 8 and 9. FIG. 8 is a schematic view of a second reference destination setting table stored in the related information storage unit of the third embodiment. FIG. 9 is a schematic view showing an outline of a reference destination display screen according to the third embodiment. The third embodiment is different from the first embodiment or the second embodiment in the display method of reference destination information. The description of the parts common to the first embodiment will be omitted.

  In the first embodiment or the second embodiment, the information (URL etc.) of the storage location of the reference information presented for the understanding of the medical report is presented as the reference destination information. On the other hand, in the third embodiment, the contents of the reference destination information are different, and the reference destination setting table 955 in the related information storage device 95 is also different. Hereinafter, setting of reference destination information in the third embodiment may be described as a second reference destination setting table.

(Second reference setting table)
As shown in FIG. 8, in the second reference destination setting table in the third embodiment, the storage location of the reference information and the file name of the reference information are associated as reference destination information with respect to the combination of medical terms and user attribute information. Are stored.

  Similar to the above embodiment, in the second reference destination setting table of the third embodiment, the reference destination information and the reference information are made different according to the knowledge level for each user attribute such as the doctor and the patient. In the example of FIG. 8, the medical term “pneumonia”, the user attribute “patient”, and reference destination information “C: ¥ ccc. Doc” are combined. That is, when the user who touches the medical term "pneumonia" is "patient", the file name "ccc" stored in the memory location "C drive" as reference information suitable for understanding the term "pneumonia" "Doc" is assigned.

  On the other hand, “D: ¥ DDD.ppt” is assigned as reference information suitable for the user “doctor” to refer to the term “pneumonia”. That is, in the second reference setting table in the example of FIG. 8, it is suitable for the doctor who has touched the term “pneumonia” to refer to the file “DDD.ppt” stored in the memory location “D drive”. This reference destination information is assigned.

  Furthermore, index information may be associated with this reference information. The index information is information indicating in which part of the data of the reference information specified by the file name the information corresponding to the medical term is described. For example, in the second reference destination setting table of FIG. 8, a combination of medical terms and user attribute information is associated with reference information or reference destination information, but index information is further added in the second reference destination setting table. It is matched. Index information is information indicating any part of a file in which reference information of medical terms is described, and in one example, is information indicating a page number or a chapter or section in the reference information.

  The index information is information of at least one of divisions such as chapters (refer to FIG. 9 “Chapter II IV” and the like) and page numbers preset in a file “DDD.ppt”. In addition, in the case where page numbers are assigned again to chapters and sections in the reference information, a combination of index information such as “Chapter II” and “Section IV” and page numbers is index information. The index information allows you to instantly indicate the file name and specific parts within the file. Therefore, the user who has touched the reference information can browse the reference information efficiently and quickly. The part indicated in the index information such as the index information and the page number corresponds to an example of “reference part which is a part of reference information”.

(Reference target information acquisition process)
The reference destination information acquisition unit 917 searches the second reference destination setting table for the reference destination in which the related information storage device 95 stores reference information for a predetermined user corresponding to the medical term. That is, the reference destination information acquisition unit 917 sends the medical term and the user attribute information converted by the related information storage device 95. The related information storage unit 95 searches in the second reference destination setting table whether reference destination information of medical terms for each user attribute is stored.

  If there is corresponding reference destination information, the related information storage unit 95 sends the retrieved reference destination information to the medical information management unit 91 via the transmission / reception unit 951.

  The medical information management device 91 reads out the stored medical terms and associates the read medical terms with the acquired reference destination information. Furthermore, the medical information management device 91 sends such information to a computer terminal such as the medical terminal A that has made a medical report acquisition request. When index information is associated with reference destination information, the index information is also sent to the medical terminal A. Further, the medical information management apparatus 91 may store in advance screen data of a reference destination display screen as shown in FIG. When the main control unit 911 receives the reference destination information and the index information from the related information storage device 95, the main control unit 911 assigns the information to the screen data. The main control unit 911 sends the medical term and the generated reference destination display screen to the computer terminal such as the medical terminal A.

  In the computer terminal, when the medical report is displayed, the reference destination information for each medical term is displayed by the reference destination display screen as shown in FIG. 9 according to the operation. When any reference destination information (such as a file name) is selected on the reference destination display screen by the operation unit or the like for the purpose of understanding medical terms in a computer terminal, a specific chapter or identification is made from that file based on the index information. Jump to a section, a specific page, etc. At the end of that, reference information such as commentary corresponding to medical terms is described.

(Action / effect)
The operation and effects of the medical information processing system 90 including the medical information management apparatus 91 according to the third embodiment described above will be described.

  When the medical information management apparatus 91 according to the third embodiment receives a request for obtaining a medical report, specific medical information for converting medical information into medical terms by the method as in the first embodiment or the second embodiment. Extract Further, the medical information management device 91 converts the specific medical information based on the conversion table 953 of the related information storage device 95. Further, the medical information management device 91 acquires reference destination information corresponding to the converted medical term and for each designated user attribute information based on the reference destination setting table 955 of the related information storage device 95. Reference destination information is sent to the medical terminal that has requested a medical report.

  According to such a configuration, the user who refers to the medical report can easily obtain the reference destination information of the medical term included in the medical report, so that the reference information according to the user's knowledge level can be presented easily. It is possible. Furthermore, the medical information management apparatus 91 refers not only to patients who refer to medical reports, but also to persons with relatively high knowledge levels such as workers of medical institutions, etc., referring to medical information according to their knowledge levels. It is possible to present information.

  In the third embodiment, index information may be associated with reference destination information. The index information is sent to the computer terminal that requested the medical report together with medical terms and reference destination information. According to such a configuration, if the user performs an operation to display the reference information of the medical term while browsing the medical report, the file name and the specific part in the file can be immediately grasped by the index information. Can. Therefore, the user who has touched the reference information can browse the reference information efficiently and quickly.

Fourth Embodiment
Next, a medical system 100 according to a fourth embodiment will be described. In the fourth embodiment, unlike the first to third embodiments, the medical information management apparatus 91 stores a display screen of reference information based on reference destination information. The description of the parts common to any one of the first to third embodiments will be omitted.

  The medical information management device 91 stores screen data of a display screen of reference information to be transmitted to the computer terminal in response to the reference destination information. When the medical term and the reference destination information are acquired, the medical information management device 91 reads screen data of the display screen of the reference information and assigns the data of the medical term. In this reference information display screen, a display tab is created for each medical term related to the medical report. On this display screen, display tabs for each medical term, for example, a display tab for "lung cancer", a display tab for "pneumonia", a display tab for "primary tumor", etc. are created and assigned to the display screen of reference information.

  In the computer terminal that has requested the medical report, the display screen of the medical report and the reference information is switched and displayed according to the operation. Furthermore, on the reference information display screen, display tabs for each medical term are presented. That is, when the user performs an operation to select one of these display tabs, the medical term assigned to the selected display tab is selected. Furthermore, based on the data of the reference information selection screen, the computer terminal specifies reference destination information associated with the selected medical term, and acquires reference information from the reference destination. Furthermore, the computer terminal assigns the acquired reference information to the corresponding display tab of the display screen of the reference information. The acquired reference information is displayed on the corresponding tab of the reference information display screen.

  The medical information management apparatus 91 may obtain reference information for each medical term in advance based on the reference destination information, and assign the reference information to the display tab for each medical term on the display screen of the reference information. In this configuration, data in which reference information is assigned to a display tab for each medical term and display tabs in advance is transmitted to the display screen of the reference information on the computer terminal. In this configuration, the computer terminal does not perform the process of acquiring the reference information after the selection operation of the display tab, so that it is possible to rapidly present the reference information for each medical term. In addition, the tab may display a title indicating medical terms and reference destinations.

(Action / effect)
The operation and effects of the medical information processing system 90 including the medical information management apparatus 91 according to the fourth embodiment described above will be described.

  Also in the fourth embodiment, as in the first to third embodiments, the user who refers to the medical report can easily obtain the reference destination information of the medical terms included in the medical report, so the medical information The management device 91 can present reference information according to the user's knowledge level. Furthermore, the medical information management apparatus 91 refers not only to patients who refer to medical reports, but also to persons with relatively high knowledge levels such as workers of medical institutions, etc., referring to medical information according to their knowledge levels. It is possible to present information.

  Further, the medical information management apparatus 91 in the fourth embodiment sends a display screen of reference information in response to the medical report. This reference information display screen is provided with display tabs for each medical term. Therefore, the user browsing the medical report on the computer terminal can easily browse the reference information for each medical term simply by switching the display tab of the display screen of the reference information.

<< Modification A >>
In the above description, on the display screen of the reference information generated by the medical information management apparatus 91, a display tab for each medical term is provided. However, the present embodiment is not limited to such a configuration. For example, the reference information for each medical term or the reference information for the reference may be displayed on the display screen of the reference information by dividing the display window. Furthermore, the display tab or the display window may be divided for each user attribute, and when there is a plurality of reference destination information, the display tab or the display window may be divided for each reference destination.

Fifth Embodiment
Next, a medical system 100 according to a fifth embodiment will be described. In the fifth embodiment, unlike the first to fourth embodiments, the medical information management apparatus 91 acquires a medical image as medical information and analyzes the medical image. Furthermore, the medical information management apparatus 91 uses the analysis result as specific medical information. The description of the parts common to any of the first to fourth embodiments is omitted.

(Operation of medical information processing system 90)
The operation of the medical information processing system 90 of the fifth embodiment will be described with reference to FIG. 10 and FIG. 10 and 11 are flowcharts showing an outline of the operation of the medical information processing system 90 according to the fifth embodiment.

<Step 51>
The main control unit 911 receives an acquisition request for an interpretation report from the medical terminal A via the transmission / reception unit 913.

<Step 52>
The main control unit 911 searches the medical report storage device 93 via the transmission / reception unit 913 to determine a corresponding interpretation report, and determines whether there is a corresponding interpretation report.

<Step 53>
As a result of the search, if there is an image interpretation report corresponding to the acquisition request (S52; Yes), the image interpretation report is read out. The read image interpretation report is sent by the main control unit 911 via the transmission / reception unit 913 to the medical terminal A related to the acquisition request.

<Step 54>
As a result of the search, when there is no diagnostic reading report that corresponds to the acquisition request (S52; No), an error indicating that there is no diagnostic reading report that corresponds to the acquisition request is output, and a series of processing for acquiring reference destination information is ended. Do.

<Step 55>
The medical information extraction unit 915 identifies a key image associated with an interpretation report according to the acquisition request from the computer terminal. Further, the medical information extraction unit 915 acquires the specified key image. The process of S55 may be performed before these processes or in parallel with these processes, not after S52 to S54.

<Step 56>
The medical information extraction part 915 acquires the information concerning a predetermined item from the incidental information of the acquired key image. For example, from the incidental information of the key image, the database of the image storage unit 73 of the PACS 70, and the like, the information regarding the predetermined item such as the examination modality, the examination region, and the disease name concerning the key image is acquired.

<Step 57>
The medical information extraction unit 915 selects one of the image automatic analysis methods set in advance based on the acquired content of the key image or the accompanying information of the key image. Further, the medical information extraction unit 915 analyzes the image based on the selected image automatic analysis method to extract specific medical information. For example, the medical information extraction unit 915 specifies an image analysis method by CAD (Computer Aided Diagnosis) based on the content of the acquired key image or the accompanying information of the key image.

<Step 58>
The medical information extraction unit 915 quantifies, for example, medical image data by the specified image analysis method, and performs anatomical site specification, lesion site indication, medical condition evaluation, and the like. As a specific example, detection of a shadow in an image, evaluation of a state of a lesion, and the like are performed by contour extraction of a specific part of a medical image, threshold processing such as pixel values, and pattern recognition.

<Step 59>
The medical information extraction unit 915 extracts specific medical information from the result of analysis of the image. For example, the medical information extraction unit 915 stores in advance a combination of the result of the image analysis and the text information or the medical term corresponding to the result. The medical information extraction unit 915 acquires corresponding text information or medical terms from the result of the image analysis based on the combination. For example, the medical information extraction unit 915 applies analysis results such as the presence or absence of shadows in an image, evaluation of a lesion site, etc. to the combination to extract predetermined terms and the like (specific medical information).

<Step 60 to S65>
The process from acquiring the specific medical information to acquiring the medical term and the reference destination information and transmitting it is the same as S10 to S15 described in the first embodiment, and thus the description will be omitted.

(Action / effect)
The operation and effects of the medical information processing system 90 including the medical information management apparatus 91 according to the fifth embodiment described above will be described.

  Also in the fifth embodiment, as in the first to fourth embodiments, the user who refers to the medical report can easily obtain the reference destination information of the medical terms included in the medical report. It is possible to simply present reference information according to the knowledge level. Furthermore, the medical information management apparatus 91 refers not only to patients who refer to medical reports, but also to persons with relatively high knowledge levels such as workers of medical institutions, etc., referring to medical information according to their knowledge levels. It is possible to present information.

[Effect of the embodiment]
The medical information management apparatus according to the first to fifth embodiments and the variation thereof extracts specific medical information from medical information such as a medical report or an examination order in order to understand the contents of the medical report. The medical information management device also converts specific medical information into related medical terms. Further, the medical information management apparatus acquires information indicating the reference destination of the medical term in accordance with the level of the user. Further, the medical information management apparatus sends not only the medical report but also reference destination information for each medical term to the computer terminal that has requested the medical report. According to such a configuration, the user who refers to the medical report can easily obtain the reference destination information of the medical terms included in the medical report, and can refer to the information according to the user's knowledge level. It is possible.

  In addition, the first to fifth embodiments and the modifications thereof can be combined as appropriate. Further, in these embodiments, when a medical report is displayed on a computer terminal such as the medical terminal A, user attribute information is input to the computer terminal, and the medical information management apparatus 91 receives it and uses medical terms and references. The destination information may be acquired and sent to the computer terminal. Further, the reference destination information and the reference information may be set in advance in the reference destination information setting table. These pieces of information are displayed in order of importance on the computer terminal. Further, in the first to fifth embodiments and the modifications thereof, it is possible to apply to a health checkup report instead of a medical report.

  While embodiments of the invention have been described, the above embodiments have been presented by way of example only and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, substitutions, and modifications can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and the gist of the invention, and are included in the invention described in the claims and the equivalent scope thereof.

100 medical system 10 HIS
11 order terminal 30 RIS
31 inspection order management apparatus 311 transmitting / receiving unit 50 medical imaging apparatus 51 modality control unit 70 PACS
71 PACS Control Unit 73 Image Storage Unit 90 Medical Information Processing System 91 Medical Information Management Device 911 Main Control Unit 913 Transmitter / Receiver 915 Medical Information Extractor 917 Reference Information Acquisition Unit 93 Medical Report Storage Device 95 Related Information Storage Device 951 Transmitter / Receiver

Claims (12)

A medical information storage unit for storing medical information;
An extraction unit that acquires the medical information from the medical information storage unit and extracts, from the medical information, specific medical information that is information of a predetermined item including examination information;
A medical term output unit that outputs a medical term corresponding to the specific medical information;
A related information storage unit storing a first table in which a medical term and reference destination information indicating the location of data including reference information of the medical term are associated;
A reference destination information acquisition unit that acquires the reference destination information from the related information storage unit according to the first table based on the output medical term;
An output unit that outputs the acquired reference destination information;
The extraction unit extracts, as the specific medical information that is the examination information, information of one or more items among the type of device used for the examination, the examination region, the disease name, and the examination purpose,
The related information storage unit stores a second table in which the specific medical information and the medical term are associated,
The medical information processing system, wherein the medical term output unit outputs a medical term corresponding to the specific medical information extracted based on the second table. The extraction item storage unit further stores setting information of the predetermined item to be extracted as the specific medical information by the extraction unit.
The medical information is an examination order,
The medical information processing system according to claim 1, wherein the extraction unit extracts the specific medical information from an examination order based on the setting information. And an acquisition unit for acquiring user attributes,
The first table in the related information storage unit associates and stores a combination of the medical term and the user attribute, and the reference destination information;
The reference destination information acquisition unit acquires the reference destination information based on the output medical term and the user attribute.
The medical information processing system according to claim 1 or 2, characterized by The first table in the related information storage unit stores, for each user attribute, the reference destination information corresponding to the user attribute in association with the medical term.
The reference destination information acquisition unit acquires the reference destination information based on the output medical term and the user attribute.
The medical information processing system according to claim 1 or 2, characterized by The extraction unit receives an acquisition request for a medical report based on first identification information from an external terminal, and acquires a medical report according to the acquisition request.
Determining the type of the medical report based on second identification information identifying the medical report;
Identifying the medical information to be acquired based on the type;
The medical information processing system according to claim 1, characterized in that: It further comprises an extraction item storage unit for storing setting information of items to be extracted by the extraction unit,
The medical information is a medical report,
The medical information processing system according to claim 1, wherein the extraction unit extracts the specific medical information from the acquired medical report based on the setting information. The extraction unit extracts the specific medical information by performing text analysis on the acquired medical report.
The medical information processing system according to claim 6 , characterized in that. The medical report is searched whether there is a term in the report that corresponds to the output medical term, and the acquired reference information is linked to the term in the report. The medical information processing system according to claim 5 or 6 . And the output unit, to said external terminal performing a request for acquiring the medical report, a medical report in response to the request, claim 5-8, characterized in that sending the reference destination information 1 Information processing system described in the above. The medical information processing system according to claim 1, wherein information indicating importance is further associated with the reference destination information, and the reference destination information is displayed in order according to the importance. The related information storage unit further includes, with respect to the reference destination information, a file name of reference information specified based on the reference destination information and a reference location that is a part of the reference information in the first table. The medical information processing system according to claim 1, wherein the medical information processing system is associated and stored. An extraction unit which acquires medical information and extracts specific medical information which is information of a predetermined item including examination information from the medical information;
A medical term output unit which outputs a medical term corresponding to the extracted specific medical information based on a combination of the specific medical information and the medical term stored in advance;
An acquisition unit for acquiring user attributes;
Reference destination information for acquiring the output medical term and the reference destination information corresponding to the acquired user attribute based on the combination of the medical term stored in advance, the user attribute, and the reference destination information indicating the location of the reference information Acquisition part,
An output unit for outputting the extracted medical terms and reference destination information ;
The extraction unit is characterized by extracting, as the specific medical information that is the examination information, information of one or more items among a type of an apparatus used for an examination, an examination region, a disease name, and an examination purpose. Medical information processing device.

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