JP6548498B2 - Inspection service support system - Google Patents

Description

  The present invention relates to a technique for registering captured image data acquired by a modality used in medical examination in association with an examination order.

  An endoscopic examination order (hereinafter also referred to as “examination order”) is generated in the hospital information system such as the ordering system and issued to the endoscopic sector system. The examination order includes order ID for identifying the examination order, examination start, scheduled time of examination end, patient identification information (patient ID), examination item, doctor in charge of examination, examination room, etc. Is included.

  2. Description of the Related Art Conventionally, an endoscopic examination in which a doctor observes an endoscopic image by inserting an endoscopic tip into a patient's body has been performed. In addition, since the endoscope is equipped with an ultrasonic device, an ultrasonic endoscopy (EUS: Endoscopic ultrasonography) for performing an ultrasonic examination from inside the digestive tract, not from the body surface, has also been put to practical use. Furthermore, in the radiology department, a radiation examination with a radiation examination apparatus is performed as an in-vivo examination different from the endoscopy.

  As described above, although modalities for capturing medical images are diversified, in recent years, a composite examination using a combination of multiple types of modalities has been implemented using differences in the characteristics of each modality. . Diagnostic accuracy is improved by mutually complementing the lacking characteristics in each modality while making use of the strength of each modality.

  In order to carry out the examination, it is necessary that the examination order has been generated in advance, and the modality acquires the examination order before the examination starts, and captures the examination image of the patient regarding the acquired examination order, Register in the image database. Then, when the combined inspection is performed, it is preferable that the photographed image data acquired in each modality be recorded in association with each other. For example, Patent Document 1 adds the first incidental information specifying the second inspection to the first order information and sends it to the first inspection apparatus, and specifies the first inspection in the second order information. Disclosed is a technique for adding additional information of item 2 and sending it to the second inspection apparatus to associate the image data and inspection information acquired in each inspection with the first and second additional information and store them. .

JP, 2008-378, A

  Conventionally, inspection orders are assumed to be acquired and implemented by one modality, and it is not assumed that one inspection order is acquired and implemented by a plurality of modalities. Therefore, in the conventional inspection service support system, an inspection order is generated for each inspection in each modality, and also in Patent Document 1, a separate inspection order is generated for each inspection in each modality in the composite inspection. It is done.

  When one inspection order is generated for the complex inspection and each of a plurality of modalities used in the complex inspection can acquire the inspection order, the photographed image data acquired by each modality is associated with one inspection order Recordable and efficient. However, such a situation should be avoided, since unrelated photographic image data is associated with the inspection order and recorded if an unrelated modality erroneously acquires the inspection order.

  Therefore, in the case where a plurality of modalities can acquire one inspection order, it may be registered when the photographed image data acquired by each modality is registered in association with the inspection order. It is desirable to construct a mechanism to judge the

  The present invention has been made in view of such a situation, and an object thereof is to provide a technique for registering photographed image data acquired by a modality appropriately in association with an inspection order.

  In order to solve the above problems, the inspection service support system according to an aspect of the present invention is a group management unit that manages a plurality of modality groups that can be used for one inspection order, and an inspection together with information about modality from the modality. The reception unit for specifying the order and the reception unit for receiving the photographed image data, the recording unit for recording the photographed image data in association with the order identification information, and the photographed image data received by the reception unit are associated with the order specification information. And an image registration unit registered in the recording unit. The image registration unit is configured to manage the modality obtained by capturing the captured image received by the receiving unit and the modality captured the captured image recorded in association with the order identification information in the recording unit as a group in the group management unit. The photographed image data accepted by the accepting unit is registered in the recording unit in association with the order identification information accepted by the accepting unit.

  It is to be noted that any combination of the above-described constituent elements, one obtained by converting the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program and the like is also effective as an aspect of the present invention.

  According to the present invention, it is possible to provide a technique for registering photographed image data acquired by a modality appropriately in association with an inspection order.

It is a figure showing the composition of the inspection operation support system concerning the embodiment of the present invention. It is a figure which shows the flowchart in which a modality acquires an inspection order. It is a figure which shows an example of the management table of a modality group. It is a figure which shows an example of the database structure in a picked-up image recording part, and a recording condition. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 1-1. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 1-2. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 1-3. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part. FIG. 6 is a diagram showing a flowchart of image registration processing in the first embodiment. It is a figure which shows another example of the management table of a modality group. It is a figure which shows an example of the management table of a test | inspection item. It is a figure which shows an example of the database structure in a picked-up image recording part, and a recording condition. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 2-1. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 2-2. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part. It is a figure which shows the management table of a modality. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 2-3. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 2-4. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part. FIG. 10 is a diagram illustrating a flowchart of image registration processing in Embodiment 2. It is a figure which shows the modification of the management table of a modality. It is a figure which shows an example of the database structure in a picked-up image recording part, and a recording condition. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 3-1. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part. It is a figure which shows the imaging | photography image data and metadata which are transmitted from a modality in case 3-2. It is a figure which shows the example of the recording condition in the picked-up image recording part updated by the image registration part.

  FIG. 1 is a view showing the configuration of an inspection work support system 1 according to an embodiment of the present invention. The examination work support system 1 is a system for supporting examination work, particularly endoscopic examination work, and includes a plurality of modalities and an image management apparatus 10, and each modality includes a LAN (local area network) or the like. It is connected to the image management apparatus 10 by the network 2. The modality is a medical device that captures an examination image and transmits captured image data to the image management apparatus 10. In the embodiment, the modality having the image capturing function is incorporated in each individual case and treated individually, but in another example, a plurality of modalities are incorporated in one case to be integrated. It may be treated as

  In the examination service support system 1, the first room 40a is an endoscope examination room, and the first endoscope observation device 42 and the ultrasonic observation device 48 are disposed. The second chamber 40 b is a radiation examination room, and the second endoscope observation device 44 and the radiation examination device 50 are disposed. The third room 40c is an operating room, and the third endoscope observation device 46 and the rigid endoscope observation device 52 are disposed. The first endoscope observation device 42, the second endoscope observation device 44, the third endoscope observation device 46, the ultrasonic observation device 48, the radiation inspection device 50, and the rigid endoscope observation device 52 are respectively photographed images The inspection service support system 1 is provided as a modality for acquiring data. Although FIG. 1 shows that each modality is disposed in a specific room, each modality may be configured to be movable so as to be able to move between the rooms.

  The first endoscopic observation device 42, the second endoscopic observation device 44, and the third endoscopic observation device 46 are connected to a normal flexible endoscope and are for displaying an endoscopic image on a display It is an observation device. The endoscopic observation device is a basic observation device for performing endoscopic examination, and a doctor performs a general examination using this endoscopic observation device, and also utilizes other modalities, Multiple examinations can be performed.

  The ultrasound observation device 48 is an observation device to which an ultrasound endoscope is connected to display an ultrasound image on a display. The ultrasound endoscope can observe the inside of the tissue that can not be seen with a normal endoscope, and can examine the depth of a lesion such as an ulcer or a submucosal tumor that can not be seen on the surface.

  The radiation inspection apparatus 50 is an inspection apparatus that uses radiation to image structures such as bones, tissues, and organs. The doctor can examine the patient's body in detail by performing a radiological examination in conjunction with a regular endoscopy.

  The rigid endoscope observation apparatus 52 is an observation apparatus to which a rigid endoscope is connected to display a rigid endoscope image on a display. A rigid endoscope is typically a laparoscope that is inserted into the body through a small hole in the abdomen to make a diagnosis or surgery, and has a function to insert a treatment tool or perfuse water. is there.

  Each modality has a function of capturing an examination image according to the operation by the doctor and transmitting the acquired captured image data to the image management apparatus 10. The photographed image data is generally still image data, but may be moving image data. Metadata relating to the captured image is added to the captured image data, and the metadata includes at least information relating to the captured modality and order information relating to the inspection order carried out by the modality. The information on the modality may be information (modality ID) specifying the modality, and the order information includes at least order specifying information (order ID) specifying the examination order, and further examination item information specifying the examination item or the patient It may include an ID or the like. The examination item information may include information indicating an examination type and may include information indicating an examination part.

  The image management apparatus 10 has a function of managing photographed image data acquired by the modality, and the reception unit 12, the image registration unit 14, the group management unit 16, the inspection item management unit 18, the modality management unit 20, and the notification unit 22. , Order search unit 24, order recording unit 28, and photographed image recording unit 30. In FIG. 1, each element described as a functional block that performs various processing can be configured in hardware as a circuit block, a memory, and other LSIs, and as software, it is loaded in a memory. It is realized by a program etc. Therefore, it is understood by those skilled in the art that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof, and is not limited to any of them.

  The order recording unit 28 records a plurality of inspection orders for at least the inspection day. The examination order is uniquely identified by the order ID, and includes order information related to the examination such as examination start, scheduled examination end time, patient ID, examination item, doctor in charge, room information, and the like. The order recording unit 28 captures and records a plurality of inspection orders for one day generated by the hospital information system in the endoscope department system, and, for example, before the start of the inspection work for one day in a medical facility, Acquire and record all inspection orders from the inspection order database in the hospital information system. The order recording unit 28 may be a database of examination orders in the hospital information system.

  Although the examination work support system 1 is configured to have a plurality of modalities, in order for the doctor to carry out the examination using the modalities, the modality accesses the image management apparatus 10 before the examination starts to start the examination order. It is premised to acquire. By the modality acquiring the examination order before the examination starts, the modality transmits the photographed image data taken to the image management apparatus 10 together with the order identification information (order ID) for identifying the inspection order, and the image management apparatus 10 The captured image data can be managed by being linked to the order ID.

FIG. 2 shows a flowchart for the modality to obtain an inspection order. The acquisition process of the inspection order is performed before the start of the inspection.
The medical worker transmits an order request from the modality to the image management apparatus 10 (S10). In the image management apparatus 10, when the receiving unit 12 receives an order request from the modality, the order searching unit 24 searches a plurality of inspection orders recorded in the order recording unit 28 and extracts inspection orders to be transmitted to the modality To do (S12). The inspection order is status managed in the order recording unit 28, and the status of “performed” is set to the inspection order of the inspection which has already ended. Therefore, the order search unit 24 extracts the inspection order for which the status of "conducted" is not set among the inspection orders for the current day, and transmits the inspection order to the modality (S14).

  When the modality receives a plurality of inspection orders from the image management apparatus 10, the order list is displayed on the display connected to the modality (S16). When the medical worker selects one inspection order from the order list (S18), the modality transmits a notification of acquisition of the selected inspection order to the image management apparatus 10 (S20). In the image management apparatus 10, when the receiving unit 12 receives the acquisition notification, the fact that the inspection order has been acquired by the modality is registered as the status of the inspection order (S22). For example, the status of this inspection order may be set as "under inspection". Note that the order recording unit 28 also records an inspection order of a composite inspection using a plurality of modalities, and an inspection order of the composite inspection should be acquired by a plurality of modalities. Therefore, in S12, the order search unit 24 also extracts inspection orders whose status is "in inspection", and thus extracts inspection orders other than inspection orders for which the status of "performed" is set as described above. Is configured as.

  On the other hand, when a plurality of modalities can acquire one inspection order, there is an increased risk that modalities unrelated to the combined inspection may erroneously acquire the inspection order. In S18 of FIG. 2, the medical worker selects one inspection order from the order list, but in this order list, the inspection already acquired by another modality and having the status of “in inspection” is set. The order is also included, and the health care worker may mistakenly select the inspection order. In such a case, it is not preferable to associate the captured image data acquired by the modality with the incorrect inspection order (order ID) and register it, so the captured image data is registered in the captured image recording unit 30 in association with the inspection order. When doing this, it is preferable to construct a mechanism for checking whether or not the inspection order may be associated.

Example 1
In the first embodiment, a plurality of modalities usable for one inspection order are grouped in advance, and photographed image data acquired by a plurality of modalities in a grouped relationship is associated with one inspection order and photographed. The image is recorded in the image recording unit 30. Therefore, in the first embodiment, the group management unit 16 manages a plurality of modality groups available for one inspection order.

  FIG. 3 shows an example of a modality group management table. The group management unit 16 holds, in the management table, a combination of a plurality of modalities that can be used in the composite inspection, and manages four groups 1 to 4 in the example of the management table shown in FIG. Each modality is configured to be movable, and is moved between rooms by a nurse or the like before the start of the examination in accordance with the examination item to be performed from now on. The modality can therefore be arranged outside the chamber shown in FIG.

  Group 1 is a group of modalities that can be used in ultrasound examination, and identifies the combination consisting of the first endoscopic observation device 42 and the ultrasonic observation device 48. Group 2 is a group of modalities that can be used in ultrasound examination, and identifies a combination consisting of the second endoscopic observation device 44 and the ultrasonic observation device 48. In FIG. 1, the ultrasonic observation device 48 is disposed in the first chamber 40 a, but in the group 2, the ultrasonic observation device 48 is moved to the second chamber 40 b and used together with the second endoscopic observation device 44. It shows that it is possible.

  Group 3 is a group of a plurality of modalities that can be used in ERCP (Endoscopic retrograde cholangio-pancreatography), and identifies a combination consisting of the second endoscopic observation device 44 and the radiography device 50. Group 4 is a group of a plurality of modalities that can be used in surgery, and identifies a combination consisting of the third endoscopic observation device 46, the rigid endoscopic observation device 52 and the radiographic examination device 50. In FIG. 1, the radiation inspection apparatus 50 is disposed in the second chamber 40b, but in the group 4, when the radiation inspection apparatus 50 is moved to the third chamber 40c, the third endoscopic observation device 46 and the rigid endoscope are It shows that it can be used for surgery together with the observation device 52.

In the examination, the modality takes an image of the patient based on the operation of the doctor. When the modality takes an image, it automatically adds metadata to the captured image data. The following items exist in this metadata.
・ Information about modality ・ order information ・ shooting time ・ shooting order ・ examination doctor's information

  “Information on modality” is information (modality ID) specifying the modality that photographed the image, and the modality ID may be identification information set unique to the device at the time of manufacture, but is uniquely assigned in the medical facility It may be identification information for management. The modality ID is managed in the image management apparatus 10, and the image management apparatus 10 can identify the modality that photographed the image by referring to the modality ID added to the photographed image data.

  The "order information" may be order information acquired by the modality from the image management apparatus 10. The order identification information (order ID) for identifying the examination order, the examination start, the scheduled examination end time, the patient identification information (patient ID), examination item information specifying examination items, doctor information in charge of examination, room information for performing examination. In the first embodiment, the order information added as metadata to the photographed image data may include the order ID and the inspection item information, and the addition of the other information may be omitted.

  The "photographing time" is the time when the image was photographed, and the "photographed order" is the order in which the image was photographed in the examination. This order is, for example, the order in which the doctor operates the release switch of the endoscope connected to the modality, and is assigned in descending order from the number 1. The “conducted doctor information of the examination” is the doctor information that actually carried out the examination, and if there is no change in the attending doctor included in the order information, the attending physician information and the attending doctor information included in the order information become the same. .

  During the examination, each modality transmits the acquired photographed image data to the image management apparatus 10 together with the metadata. In the following, a case will be described where the modality transmits photographed image data to the image management apparatus 10 each time an image is photographed, but the modality collects the plurality of acquired photographed image data after the examination is completed, and the image management apparatus 10 It may be sent to

  In the image management apparatus 10, the receiving unit 12 receives, from the modality, order specifying information for specifying an inspection order and photographed image data together with information on the modality. Here, as described above, the modality-related information (modality ID) and order identification information (order ID) are added to the photographed image data as metadata. The modality ID and the order ID do not necessarily have to be added as metadata of the photographed image data, and when the receiving unit 12 receives the modality ID and the order ID, the modality ID and the order ID related to the photographed image data It may be transmitted from the modality so that the reception unit 12 can recognize that there is a certain condition.

  The photographed image recording unit 30 records photographed image data in association with the order ID. The photographed image recording unit 30 constructs an image database for recording photographed image data in association with the order ID, and for that purpose, acquires and records the order ID of the inspection order for at least the current day from the order recording unit 28.

  The image registration unit 14 registers the photographed image data received by the reception unit 12 in the photographed image recording unit 30 in association with the order ID. By the registration processing by the image registration unit 14, the photographed image recording unit 30 records photographed image data in association with the order ID. Thus, the photographed image data can be extracted from the photographed image recording unit 30 using the order ID as a search key. For example, when the doctor creates the examination report, the photographed image recording unit 30 can be specified by designating the order ID. It becomes possible to read out the photographed image data acquired during the examination.

  FIG. 4 shows an example of the database structure and the recording situation in the photographed image recording unit 30. As shown in FIG. The photographed image recording unit 30 includes at least an “order ID” field, and a “photographed image data” field for associating and recording the order ID. The database structure of this example is provided with a "modality ID" field for recording the ID of the photographed modality, and the registration process by the image registration unit 14 can be made efficient by providing this field.

  The orders A to E are order IDs of inspection orders for one day in a medical facility. The photographed image recording unit 30 acquires order IDs of a plurality of inspection orders for one day from the order recording unit 28 and records them, and associates photographed image data acquired by the modality during inspection with the order ID. It is possible to register. In the example shown in FIG. 4, 30 images 1 to 30 taken by the first endoscope observation device 42 are associated and recorded in the order A, and in the order C, the third endoscope observation device 46 The 25 images 1 to 25 taken in the above-described manner and 10 images 1 to 10 taken by the rigid endoscope observation device 52 are recorded in association with each other. In FIG. 4, the numbers of the images represent the order in which each modality was photographed in the examination, and that the image 1 is the first image photographed in the modality, and the image 30 is the 30th image photographed in the modality. Express that it is an image. The photographed image data of each image is recorded in the photographed image recording unit 30 together with the metadata.

  In the first embodiment, processing performed when the image management apparatus 10 receives photographed image data from a modality under the condition that the photographed image recording unit 30 indicates the recording state of FIG. 4 will be described with respect to several cases.

<Case 1-1>
The case where captured image data regarding order B is transmitted from the modality.
The receiving unit 12 receives the photographed image data acquired by the second endoscope observation device 44 from the second endoscope observation device 44 which is a modality.
FIG. 5 shows photographed image data 60a and metadata 60b transmitted from the modality in case 1-1. In the photographed image data 60a, as metadata 60b, a modality ID (information for specifying the second endoscope observation device 44), an order ID for specifying an inspection order (order B), and a photographing number of 1 are shown. Information is at least included.

  The image registration unit 14 refers to the order ID of the metadata 60b to specify that the photographed image data 60a is acquired for the order B, and the photographed image recording unit 30 associates the photographed image data with the order B. It is determined whether the image has been recorded. Here, referring to FIG. 4, in the order B, photographed image data is not recorded in association yet. When the photographed image data is not recorded in association with the order ID (order B) received by the reception unit 12 in the photographed image recording unit 30, the image registration unit 14 adds the group to the group managed by the group management unit 16. Regardless of the relationship, the photographed image data 60a received by the receiving unit 12 is registered in the photographed image recording unit 30 in association with the order ID received by the receiving unit 12. That is, in Case 1-1, since the photographed image data is not recorded in association with the order B in the photographed image recording unit 30, the image registration unit 14 unconditionally relates the photographed image data 60a to the order B. sign up.

  FIG. 6 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. As shown in FIG. 6, the image registration unit 14 associates the captured image data 60a with the order B in the captured image recording unit 30, and the modality ID (the second endoscopic observation device 44) and the captured image data 60a. Image 1 is registered. Thereafter, when the reception unit 12 receives the photographed image data of the photographing number 2 and subsequent from the second endoscope observation device 44, the image registration unit 14 sequentially registers in the photographed image recording unit 30 in association with the order B. Do.

  As described above, when the photographed image data is registered in the order ID in the photographed image recording unit 30, the image registration unit 14 acquires the photographed image data from the same modality as the modality that has acquired the registered photographed image data. In order, it associates with order ID and registers. The image registration unit 14 refers to the modality ID registered in the captured image recording unit 30 in association with the order ID from the order ID included in the metadata, and the modality ID matches the modality ID included in the metadata. If so, the photographed image data is registered in the photographed image recording unit 30 in association with the order ID. For example, under the recording situation shown in FIG. 4, the reception unit 12 includes, as metadata, the modality ID of the first endoscope observation apparatus 42, the order ID (order A), and information indicating that the imaging number is 31. When the photographed image data is received, the image registration unit 14 registers the photographed image data as the image 31 in association with the order A.

  As described above, by registering the modality ID obtained by photographing the image in the photographed image recording unit 30 in association with the order ID, the registration judgment of the image registration unit 14 can be performed promptly. When the modality ID is not registered in the photographed image recording unit 30, the image registration unit 14 identifies the modality by referring to the metadata of all the photographed image data registered in association with the order ID. Alternatively, it may be determined whether registration is possible.

<Case 1-2>
The 1st case where the photography picture data about order A was transmitted from modality.
The receiving unit 12 receives the photographed image data acquired by the ultrasonic observation device 48 from the ultrasonic observation device 48 which is a modality.
FIG. 7 shows photographed image data 62a and metadata 62b transmitted from the modality in Case 1-2. In the photographed image data 62a, at least a modality ID (information for specifying the ultrasonic observation apparatus 48), an order ID for specifying an inspection order (order A), and information indicating that the photographing number is 1 as metadata 62b. include.

  The image registration unit 14 refers to the order ID of the metadata 62b to specify that the photographed image data 62a is acquired for the order A, and the photographed image recording unit 30 associates the photographed image data with the order A. It is determined whether the image has been recorded. Here, referring to FIG. 4, in the order A, the images 1 to 30 acquired by the first endoscopic observation device 42 have already been registered.

  The image registration unit 14 photographed the photographed image received by the reception unit 12 when the photographed image data is recorded in association with the order ID (order A) received by the reception unit 12 in the photographed image recording unit 30. It is determined whether the modality and the modality which photographed the photographed image recorded in association with the order A in the photographed image recording unit 30 are managed as a group in the group management unit 16.

  Here, the modality for capturing the captured image received by the receiving unit 12 is the ultrasonic observation device 48, and the modality for capturing the captured image recorded in association with the order A in the captured image recording unit 30 is the first endoscopy It is mirror observation apparatus 42 (refer FIG. 4). Therefore, the image registration unit 14 determines whether the ultrasound observation device 48 and the first endoscope observation device 42 are managed as a group in the group management unit 16.

  Referring to FIG. 3, group 1 defines a combination of a first endoscopic observation device 42 and an ultrasonic observation device 48. The image registration unit 14 includes an ultrasonic observation device 48 that has captured a new captured image for the order A, and a first endoscopic observation device 42 that has captured the captured image linked to the order A in the captured image recording unit 30. When the group management unit 16 confirms that the combination of the combinations is managed as a modality group of the complex inspection, the photographed image data 62a accepted by the accepting unit 12 is associated with the order ID (order A) accepted by the accepting unit 12 Are registered in the photographed image recording unit 30. As a result, in the ultrasound examination performed on one patient, captured image data acquired by the first endoscope observation device 42 and the ultrasound observation device 48 can be linked to one examination order and recorded. .

  FIG. 8 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. As shown in FIG. 8, the image registration unit 14 associates the image A with the order A in the captured image recording unit 30 and acquires the captured image data 62 a and the modality ID (ultrasound observation device 48) and the image that is the captured image data 62 a. 1 and have been registered. After that, when the receiving unit 12 receives the photographed image data of the photographing number 2 or later for the order A from the ultrasonic observation device 48, the image registration unit 14 sequentially registers the photographed image recording unit 30 in association with the order A. Do. When the reception unit 12 receives, from the first endoscope observation device 42, the photographed image data of the photographing number 31 or later for the order A, the image registration unit 14 sequentially sets the photographed image recording unit 30 to the order A. It will associate and register.

<Case 1-3>
The 2nd case where the photography picture data about order A was transmitted from modality.
The receiving unit 12 receives the photographed image data acquired by the second endoscope observation device 44 from the second endoscope observation device 44 which is a modality.
FIG. 9 shows photographed image data 64a and metadata 64b transmitted from the modality in Case 1-3. In the photographed image data 64a, as metadata 64b, a modality ID (information for specifying the second endoscope observation device 44), an order ID for specifying an inspection order (order A), and a photographing number of 1 are shown. Information is at least included.

  The image registration unit 14 refers to the order ID of the metadata 64b to specify that the photographed image data 64a is acquired for the order A, and the photographed image recording unit 30 associates the photographed image data with the order A. It is determined whether the image has been recorded. Here, referring to FIG. 4, in the order A, the images 1 to 30 acquired by the first endoscopic observation device 42 have already been recorded.

  The image registration unit 14 photographed the photographed image received by the reception unit 12 when the photographed image data is recorded in association with the order ID (order A) received by the reception unit 12 in the photographed image recording unit 30. It is determined whether the modality and the modality which photographed the photographed image recorded in association with the order A in the photographed image recording unit 30 are managed as a group in the group management unit 16.

  Here, the modality for capturing the captured image received by the receiving unit 12 is the second endoscope observation device 44, and the modality for capturing the captured image recorded in association with the order A in the captured image recording unit 30 is 1 endoscopic observation device 42 (see FIG. 4). Therefore, the image registration unit 14 determines whether the second endoscope observation device 44 and the first endoscope observation device 42 are managed as a group in the group management unit 16.

  Referring to FIG. 3, among the groups 1 to 4, there is no group that defines a combination of the first endoscope observation device 42 and the second endoscope observation device 44. The image registration unit 14 is a second endoscopic observation device 44 that has photographed a new photographed image regarding the order A, and a first endoscopic observation that has photographed the photographed image linked to the order A in the photographed image recording unit 30. When it is confirmed that the combination with the device 42 is not managed by the group management unit 16 as a modality group of the compound inspection, the received image data 64a received by the reception unit 12 is an order ID (order A (order A) ) And not registered in the photographed image recording unit 30. That is, in Case 1-3, the combination of the first endoscope observation device 42 and the second endoscope observation device 44 is not scheduled as a usable group in the compound examination, and therefore the image registration unit 14 The captured image data 64a acquired by the second endoscopic observation device 44 is linked to the order A and is not registered.

At this time, the image registration unit 14 registers the photographed image data 64 a received by the reception unit 12 in the photographed image recording unit 30 in association with an order ID different from the order ID (order A) received by the reception unit 12.
FIG. 10 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. In FIG. 10, “order X” is newly added as the order ID, and the photographed image data 64a accepted by the accepting unit 12 is recorded in the photographed image recording unit 30 in association with the “order X”. The order X is not the ID of the examination order generated in the hospital information system but an order ID newly generated by the image registration unit 14 for recording image data. That is, when the photographed image data 64a accepted by the accepting unit 12 can not be registered in association with the order ID accepted by the accepting unit 12, the image registering unit 14 generates a new order X, associates it with the order X, and registers it. Do. The image registration unit 14 needs to issue an order X so as not to overlap with the orders A to E.

  The photographed image data 64 a and the metadata 64 b are recorded in the photographed image recording unit 30 as the image 1 in association with the order X, but the metadata 64 b includes the order ID (order A). Therefore, when the image registration unit 14 generates a new order X and associates the photographed image data 64a with the order X and registers it, the order ID in the metadata 64b is updated to the order X, and the photographed image data 64a and meta It is preferable to register the data 64 b in the photographed image recording unit 30.

  When the image registration unit 14 generates a new order X, thereafter, the photographed image data acquired for the order A by the second endoscopic observation device 44 is linked to the order X and registered in the photographed image recording unit 30. There is a need to. Therefore, the image registration unit 14 holds the relationship between the combination of the modality ID of the second endoscope observation device 44, the order A, and the order X, and the second endoscope observation device 44 relates to the order A. The acquired photographed image data is processed so as to be associated with the order X and registered in the photographed image recording unit 30.

  FIG. 11 is a flowchart of the image registration process in the first embodiment. The modality that has captured the image transmits the captured image data and metadata to the image management apparatus 10. Hereinafter, this modality is also referred to as a "source modality". In the image management apparatus 10, the receiving unit 12 receives the photographed image data and the metadata (S30). This metadata includes at least a modality ID and an order ID.

  The image registration unit 14 refers to the recording status of the photographed image recording unit 30 and determines whether photographed image data of the transmission source modality is already registered in the received order ID (S32). Here, if the photographed image data of the transmission source modality has already been registered in association with the received order ID (Y in S32), the image registration unit 14 uses the photographed image recording unit 30 to set the order ID to the photographed image data Is registered (S36).

  On the other hand, when the captured image data of the transmission source modality is not registered in the captured image recording unit 30 (N in S32), the image registration unit 14 has already registered the captured image data of another modality in the received order ID. It is determined whether it is (S34). Here, if the photographed image data of another modality is not registered in association with the received order ID (N in S34), the photographed image recording unit 30 uses the photographed image data in the order ID in the image registration unit 14 Register (S36).

  On the other hand, when photographed image data of another modality is registered (Y in S34), the image registration unit 14 manages the combination of the image transmission source modality and the other modality as a group in the group management unit 16 It is determined whether it has been done (S38). When a combination of these modalities is managed as a group (Y in S38), the image registration unit 14 registers photographed image data in the order ID in the photographed image recording unit 30 (S36). However, when the combination of these modalities is not managed as a group (N in S38), the image registration unit 14 registers a new order ID in the photographed image recording unit 30, and the photographed image data is registered in the new order ID. Register (S40).

  Although the example in which the photographed image data is registered in the new order ID in S40 is shown, the image registration unit 14 may register the photographed image data in the photographed image recording unit 30 without generating a new order. That is, when the photographed image data can not be associated with the order ID received by the reception unit 12, the image registration unit 14 may register the photographed image data without associating the photographed image data with the order ID.

  The registration processing in the above cases 1-1 to 1-3 is premised on the group management unit 16 managing a combination of a plurality of modalities shown in FIG. Although FIG. 3 shows a plurality of modality groups available for the inspection order, the group management unit 16 may manage a plurality of modality groups available for the inspection item of the inspection order.

<Case 1-4>
FIG. 12 shows another example of the modality group management table. The group management unit 16 holds, in the management table, a combination of a plurality of modalities that can be used for the inspection item. In this example, combinations of a plurality of usable modalities are managed for a group name specifying an inspection item.

  The ultrasound examination group (1) is a group of a plurality of modalities usable in ultrasound examination, and identifies a combination consisting of the first endoscopic observation device 42 and the ultrasound observation device 48. The ultrasound examination group (2) is a group of a plurality of modalities usable in ultrasound examination, and identifies a combination consisting of the second endoscope observation device 44 and the ultrasound observation device 48. The ERCP group is a group of a plurality of modalities usable in ERCP, and identifies a combination consisting of the second endoscopic observation device 44 and the radiography device 50. The surgery group is a group of modalities that can be used in surgery and identifies a combination consisting of the third endoscopic observation device 46, the rigid endoscopic observation device 52 and the radiographic examination device 50. Here, the group name corresponds to the inspection item included in the inspection order.

  In Case 1-4, following the example of Case 1-2, description will be made of the case where the reception unit 12 receives the photographed image data acquired by the ultrasonic observation device 48 for the order A from the ultrasonic observation device 48 as the modality. Do.

  Referring to FIG. 7, image registration unit 14 refers to the order ID of metadata 62 b to specify that photographed image data 62 a is acquired for order A, and photographed image recording unit 30 determines the order A It is determined whether photographed image data is recorded in association with each other. Here, referring to FIG. 4, in the order A, the images 1 to 30 acquired by the first endoscopic observation device 42 have already been registered.

  The image registration unit 14 photographed the photographed image received by the reception unit 12 when the photographed image data is recorded in association with the order ID (order A) received by the reception unit 12 in the photographed image recording unit 30. It is determined whether the modality and the modality which photographed the photographed image recorded in association with the order A in the photographed image recording unit 30 are managed as a group in the group management unit 16.

  Here, it is assumed that the order A is an inspection order having ultrasonic inspection as an inspection item, and the image registration unit 14 receives, for example, order information recorded in the order recording unit 28 or order information added as metadata 62 b. To identify the inspection item (ultrasound inspection) corresponding to the order A. The image registration unit 14 refers to the group table shown in FIG. 12 and specifies a group managed by the group management unit 16 regarding the inspection item of the order A, that is, an ultrasonic inspection group. In the example shown in FIG. 12, two ultrasound examination groups are set.

  When the modality obtained by capturing the captured image received by the receiving unit 12 is included in the group managed by the group management unit 16 with respect to the inspection item corresponding to the order A, the image registration unit 14 receives the image received by the receiving unit 12 The image data 62 a is registered in the photographed image recording unit 30 in association with the order A received by the receiving unit 12. Specifically, in the group table shown in FIG. 12, the combination of modalities established as an ultrasonic examination group is (1) a combination of the first endoscopic observation device 42 and the ultrasonic observation device 48, (2) a second endoscopy There are two ways of combining the mirror observation device 44 and the ultrasonic observation device 48. Referring to FIG. 4, the order A includes the captured image data acquired by the first endoscopic observation device 42, and therefore, the order A includes the ultrasound examination group (1). It can be seen that it is possible to register captured image data from the ultrasound observation device 48 that is being Therefore, the image registration unit 14 determines that the ultrasonic observation device 48 which has taken a new image is included in a group managed as an ultrasonic examination group, and associates the photographed image data 62a with the order A. It is registered in the photographed image recording unit 30.

  According to Case 1-4, the image registration unit 14 can determine whether or not the combination of modalities can be limited to the group related to the inspection item, so that there is an advantage that the determination time can be shortened.

  As described above, in the first embodiment, a plurality of modalities that can be used for one inspection order are grouped in advance, and photographed image data acquired by a plurality of modalities in a grouped relationship is associated with one inspection order. The contents to be recorded in the photographed image recording unit 30 have been described. In the first embodiment, it is assumed that photographed image data acquired by a plurality of modalities are not associated with one inspection order unless they are in a grouped relationship.

  The image registration unit 14 may be configured to register the photographed image data in association with the order ID received by the reception unit 12 even if the conditions described in the first embodiment are not satisfied. In this case, the notification unit 22 may notify the user to that effect. The timing of this notification may be, for example, when the doctor specifies the order ID and reads the photographed image data from the photographed image recording unit 30 when creating the examination report.

  In the first embodiment, the group management unit 16 manages the combination of individual modalities, but may manage the combination of types of modalities.

Example 2
In the second embodiment, the maximum number of modality capable of capturing an image is set in advance for each examination item. When the number of modalities that captured images for one inspection order is less than the maximum number, the captured image data acquired by the new modality can be registered in the captured image recording unit 30 in association with the inspection order. If, on the other hand, the number of modalities that captured images for one inspection order has reached the maximum number, the captured image data acquired by the new modality will be registered in the captured image recording unit 30 in association with the inspection order. Make it impossible.

  FIG. 13 shows an example of the inspection item management table. The examination item management unit 18 manages, in the examination item management table, the examination item and the maximum number of modality capable of capturing images regarding the examination item in association with each other. In this inspection item management table, regarding an inspection order whose inspection item is "upper part normal", at most one modality can capture an image, and "ultrasound inspection" and "ERCP" are considered as inspection items. Regarding examination order, it is registered that up to 2 modality can take images and up to 3 modality can take pictures regarding examination order whose examination item is "surgery". ing.

  In the “upper normal” inspection item, it is planned to take an image by any one of the first endoscope observation device 42, the second endoscope observation device 44, and the third endoscope observation device 46, Therefore, in the inspection item management table, the maximum number of images that can be captured is set to one. In the examination item of “ultrasound examination”, it is planned that the endoscopic observation device and the ultrasonic observation device 48 take images, and therefore, in the examination item management table, the maximum number of images that can be taken is two. It is set. In the inspection item “ERCP”, it is planned that the endoscopic observation device and the radiation inspection device 50 capture images, and therefore, in the inspection item management table, the maximum number of images that can be captured is set to two. . Further, in the examination item of "surgery", it is planned that the endoscopic observation device, the rigid endoscope observation device 52 and the radiographic examination device 50 take images, and therefore, in the examination item management table, imaging is possible Maximum number is set to three.

  The photographed image recording unit 30 is prohibited to record photographed image data from the number of modalities exceeding the maximum number associated with the inspection item. For example, since the maximum number of modality that can be imaged is determined to be two for an inspection order having “ultrasound inspection” as an inspection item, the photographed image data already acquired by the two modalities regarding the inspection order is If it is registered in the photographed image recording unit 30, the image registration unit 14 associates the photographed image data acquired by one more modality with the order identification information (order ID) of the examination order, and carries out photographing. It is not registered in the image recording unit 30. On the other hand, when the photographed image data acquired by one modality is registered in the photographed image recording unit 30 regarding the inspection order, the image registration unit 14 has another room because there is still a margin for one. The photographed image data acquired by one modality is registered in the photographed image recording unit 30 in association with the order ID of the inspection order.

  As described in the first embodiment, during examination, each modality transmits the acquired captured image data to the image management apparatus 10 together with metadata. In the following, a case will be described where the modality transmits photographed image data to the image management apparatus 10 each time an image is photographed, but the modality collects the plurality of acquired photographed image data after the examination is completed, and the image management apparatus 10 It may be sent to

  In the image management apparatus 10, the receiving unit 12 receives, from the modality, order specifying information for specifying an inspection order and photographed image data, as well as information on the modality. In the second embodiment, the modality-related information (modality ID) and order identification information (order ID) are attached to the photographed image data as metadata, but the modality ID and the order ID are not necessarily the photographed image data. It does not have to be added as metadata, and when the accepting unit 12 accepts a modality ID and an order ID, the modality can recognize from the modality that the accepting unit 12 recognizes that it is a modality ID and an order ID related to photographed image data. It may be sent. As described in the first embodiment, the metadata may include patient ID, examination item information, and the like as the order information in addition to the order ID.

  The photographed image recording unit 30 records photographed image data in association with the order ID. The photographed image recording unit 30 constructs an image database for recording photographed image data in association with the order ID, and for that purpose, acquires and records the order ID of the inspection order for at least the current day from the order recording unit 28.

  The image registration unit 14 registers the photographed image data received by the reception unit 12 in the photographed image recording unit 30 in association with the order ID. By the registration processing by the image registration unit 14, the photographed image recording unit 30 records photographed image data in association with the order ID. Thus, the photographed image data can be extracted from the photographed image recording unit 30 using the order ID as a search key. For example, when the doctor creates the examination report, the photographed image recording unit 30 can be specified by designating the order ID. It becomes possible to read out the photographed image data acquired during the examination.

  FIG. 14 shows an example of the database structure and the recording situation in the photographed image recording unit 30. The photographed image recording unit 30 includes at least an “order ID” field, and a “photographed image data” field for associating and recording the order ID. The database structure of this example is provided with an "inspection item" field for recording an inspection item of an inspection order and a "modality ID" field for recording an ID of a captured modality, and these fields are provided. Thus, the registration processing by the image registration unit 14 can be made efficient.

  The orders A to E are order IDs of inspection orders for one day in a medical facility. The photographed image recording unit 30 acquires order IDs of a plurality of inspection orders for one day from the order recording unit 28 and records them, and associates photographed image data acquired by the modality during inspection with the order ID. It is possible to register. In the example shown in FIG. 14, 30 images 1 to 30 taken by the first endoscopic observation device 42 are associated and recorded in the order A, and the second endoscopic observation device 44 is in the order B. The 22 images 1 to 22 taken in the above are linked and recorded, and in order C, the 25 images 1 to 25 taken by the third endoscopic observation device 46 and the rigid endoscopic observation device Ten images 1 to 10 taken at 52 are linked and recorded. In FIG. 14, the numbers of the images represent the order in which the imaging was performed in each modality in the examination, and that the image 1 is the first image captured in the modality, and the image 30 is the 30th image captured in the modality Express that it is an image. The photographed image data of each image is recorded in the photographed image recording unit 30 together with the metadata.

  In the second embodiment, processing performed when the image management apparatus 10 receives photographed image data from a modality under the condition that the photographed image recording unit 30 indicates the recording state of FIG. 14 will be described with respect to several cases.

<Case 2-1>
The case where photographed image data regarding order A is transmitted from the modality.
The receiving unit 12 receives the photographed image data acquired by the ultrasonic observation device 48 from the ultrasonic observation device 48 which is a modality.
FIG. 15 shows photographed image data 66a and metadata 66b transmitted from the modality in case 2-1. In the photographed image data 66a, at least a modality ID (information for specifying the ultrasonic observation apparatus 48), an order ID for specifying an inspection order (order A), and information indicating that the photographing number is 1 as metadata 66b. include.

  The image registration unit 14 refers to the order ID of the metadata 66b to specify that the photographed image data 66a is acquired for the order A, and the photographed image recording unit 30 associates the photographed image data with the order A. It is determined whether the image has been recorded. Referring to FIG. 14, images 1 to 30 acquired by the first endoscope observation device 42 have already been registered in the order A.

  The image registration unit 14 checks the inspection item management table in the inspection item management unit 18 when the photographed image data is recorded in association with the order ID (order A) received by the reception unit 12 in the photographed image recording unit 30. Referring to the inspection item (ultrasound inspection) of order A, the maximum number of modality that can capture an image is acquired. At this time, the image registration unit 14 specifies that the inspection item of the order A is an ultrasonic inspection from the inspection items registered for the order A in the captured image recording unit 30, thereby making it possible to obtain the maximum number of units efficiently. Can be Here, the maximum number of images that can be captured for ultrasound examination is set to two.

  In the photographed image recording unit 30, the image registration unit 14 associates the number of modalities that have acquired the photographed image data recorded in association with the order ID (order A) received by the reception unit 12 with the inspection item of the inspection order. It is determined whether the maximum number of modifiable modality can be reached. Here, if the number of modalities for which captured image data has been acquired for order A has reached the maximum number of modifiable modalities associated with the inspection item of order A, the image registration unit 14 is acquired by the new modality. The captured image data is not registered in the captured image recording unit 30 in association with the order ID received by the receiving unit 12. On the other hand, if the number of modalities that acquired captured image data for order A is less than the maximum number of modifiable modality associated with the inspection item of order A, the captured image data acquired by the new modality is The reception unit 12 is registered in the photographed image recording unit 30 in association with the order ID received. As a result, the image registration unit 14 avoids a situation in which photographed image data from modalities exceeding the maximum number set in the inspection item management table is recorded in association with the inspection order.

  In Case 2-1, the number of modalities for which captured image data recorded in association with the order A is acquired in the captured image recording unit 30 is one unit (only the first endoscope observation device 42), while The maximum number of ultrasonic inspections, which are inspection items of order A, is two. Therefore, the image registration unit 14 determines that the captured image data 66a acquired by the new ultrasonic observation device 48 can be registered in association with the order A, and associates the captured image data 66a with the order A It is registered in the recording unit 30.

  FIG. 16 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. As shown in FIG. 16, the image registration unit 14 associates the image A with the order A in the captured image recording unit 30, and the modality ID (ultrasound observation device 48) that acquires the captured image data 66a and the image that is the captured image data 66a. 1 and have been registered. After that, when the receiving unit 12 receives the photographed image data of the photographing number 2 and subsequent from the ultrasonic observation device 48, the image registration unit 14 sequentially registers in the photographed image recording unit 30 in association with the order A.

  As described above, when the photographed image data is registered in the order ID in the photographed image recording unit 30, the image registration unit 14 acquires the photographed image data from the same modality as the modality that has acquired the registered photographed image data. In order, it associates with order ID and registers. The image registration unit 14 refers to the modality ID registered in the captured image recording unit 30 in association with the order ID from the order ID included in the metadata, and the modality ID matches the modality ID included in the metadata. If so, the photographed image data is registered in the photographed image recording unit 30 in association with the order ID. For example, under the recording condition shown in FIG. 14, the reception unit 12 includes, as metadata, the modality ID of the first endoscope observation apparatus 42, the order ID (order A), and information indicating that the imaging number is 31. When the photographed image data is received, the image registration unit 14 registers the photographed image data as the image 31 in association with the order A.

  As described above, by registering the modality ID obtained by photographing the image in association with the order ID in the photographed image recording unit 30, it is possible to quickly determine whether the registration by the image registration unit 14 is possible. When the modality ID is not registered in the photographed image recording unit 30, the image registration unit 14 refers to the metadata of the photographed image data registered in association with the order ID to determine whether registration is possible or not. You may do so.

  Further, by registering the inspection item of the inspection order in association with the order ID in the photographed image recording unit 30, the image registration unit 14 can confirm the inspection item of the inspection order by referring to the photographed image recording unit 30. The process of acquiring the maximum number from the inspection item management unit 18 can be streamlined. When the inspection item is not registered in the photographed image recording unit 30, the image registration unit 14 refers to the order information of the order recording unit 28 or the metadata 66b of the photographed image data 66a to check the inspection item. It may be acquired.

<Case 2-2>
The case where captured image data regarding order B is transmitted from the modality.
The receiving unit 12 receives the photographed image data acquired by the first endoscope observation device 42 from the first endoscope observation device 42 which is a modality.
FIG. 17 shows photographed image data 68a and metadata 68b transmitted from the modality in Case 2-2. In the photographed image data 68a, as metadata 68b, a modality ID (information for specifying the first endoscope observation apparatus 42), an order ID for specifying an inspection order (order B), and a photographing number of 1 are shown. Information is at least included.

  The image registration unit 14 refers to the order ID of the metadata 68 b to specify that the photographed image data 68 a is acquired for the order B, and the photographed image recording unit 30 associates the photographed image data with the order B. It is determined whether the image has been recorded. Referring to FIG. 14, in the order B, images 1 to 22 acquired by the second endoscopic observation device 44 have already been registered.

  The image registration unit 14 checks the inspection item management table in the inspection item management unit 18 when the photographed image data is recorded in association with the order ID (order B) received by the reception unit 12 in the photographed image recording unit 30. With reference to this, the maximum number of modality which can capture an image for the inspection item (upper part normal) of order B is acquired. Here, the maximum number of images that can be photographed for the upper normal is set to one.

  In the photographed image recording unit 30, the image registration unit 14 associates the number of modalities that have acquired the photographed image data recorded in association with the order ID (order B) received by the reception unit 12 with the inspection item of the inspection order. It is determined whether the maximum number of modifiable modality can be reached. In Case 2-2, the number of modalities for which captured image data recorded in association with the order B is acquired in the captured image recording unit 30 is one unit (second endoscope observation device 44). The maximum number set to the upper normal which is an inspection item is one. Therefore, the image registration unit 14 determines that the photographed image data 68a acquired by the new first endoscope observation apparatus 42 can not be registered in association with the order B, and sets the photographed image data 68a to the order B. Do not link and register.

At this time, the image registration unit 14 registers the photographed image data 68 a received by the reception unit 12 in the photographed image recording unit 30 in association with an order ID different from the order ID (order B) received by the reception unit 12.
FIG. 18 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. In FIG. 18, “order Y” is newly added as the order ID, and the photographed image data 68 a accepted by the accepting unit 12 is recorded in the photographed image recording unit 30 in association with the “order Y”. The order Y is not the ID of the examination order generated in the hospital information system, but the order ID newly generated by the image registration unit 14 for recording image data. That is, when the photographed image data 68a accepted by the accepting unit 12 can not be registered in association with the order ID accepted by the accepting unit 12, the image registering unit 14 generates a new order Y, associates it with the order Y, and registers it. Do. The image registration unit 14 needs to issue an order Y so as not to overlap with the orders A to E.

  The photographed image data 68 a and the metadata 68 b are recorded in the photographed image recording unit 30 as the image 1 in association with the order Y, but the metadata 68 b includes the order ID (order B). Therefore, when the image registration unit 14 generates a new order Y and associates the photographed image data 68a with the order Y and registers it, the order ID in the metadata 68b is updated to the order Y, and the photographed image data 68a and meta It is preferable to register the data 68 b in the photographed image recording unit 30.

  When the image registration unit 14 generates a new order Y, thereafter, the photographed image data acquired for the order B by the first endoscope observation device 42 is linked to the order Y and registered in the photographed image recording unit 30. There is a need to. Therefore, the image registration unit 14 holds the relationship between the combination of the modality ID of the first endoscope observation apparatus 42 and the order B and the order Y, and the first endoscope observation apparatus 42 relates to the order B. The acquired photographed image data is processed so as to be associated with the order Y and registered in the photographed image recording unit 30.

  Although the example of registering the photographed image data in the new order ID (order Y) is shown, the image registration unit 14 may register the photographed image data in the photographed image recording unit 30 without generating the new order. . That is, when the photographed image data can not be associated with the order ID received by the reception unit 12, the image registration unit 14 may register the photographed image data without associating the photographed image data with the order ID.

  The above has described the processing for registering captured image data using the restriction on the maximum number of modifiable modality set in the inspection item. Below, on the premise of this algorithm, a method for further improving the accuracy of the registration process will be described.

  FIG. 19 shows a modality management table. The modality management unit 20 manages the modality in association with the image registration restriction information in the modality management table. The image registration restriction information is information that determines whether the image registration unit 14 has restrictions in relation to other modalities when registering the photographed image data in the photographed image recording unit 30.

  When the image registration unit 14 tries to register the photographed image data in the photographed image recording unit 30 in association with the order ID under the restriction of the maximum number of images, the image registration restriction information of the modality that photographed this image And when the image registration restriction information of the modality that photographed the image already recorded in the photographed image recording unit 30 in association with the order ID is “restricted”, the photographed image data is associated with the order ID Do not register. That is, in the photographed image recording unit 30, the photographed image data acquired by one modality indicating that the image registration restriction information indicates “constrained” can be registered for one inspection order, but the image registration restriction information indicates “constrained” The photographed image data acquired by the two modalities indicating “.” Is not registered.

  Therefore, when the image registration restriction information of the new modality to which the photographed image data has been transmitted indicates “no restriction”, the image registration unit 14 inspects the photographed image data if the restriction on the maximum number shown in FIG. 13 is cleared. The image can be registered in the photographed image recording unit 30 in association with the order.

  In the modality management table shown in FIG. 19, the image registration restriction information of the first endoscope observation device 42, the second endoscope observation device 44, and the third endoscope observation device 46 is set to “constrained”. The image registration restriction information of the other modality, that is, the ultrasonic observation device 48, the radiation inspection device 50, and the rigid endoscope observation device 52 is set to "no restriction".

  In general, in endoscopic examination, a plurality of endoscopic observation devices are not substantially simultaneously used. Therefore, in the modality management table shown in FIG. 19, the image registration restriction information of the endoscope observation apparatus is set to “constrained”, and the photographed image recording unit 30 is associated with one inspection order (order ID). The photographed image data from the endoscopic observation apparatus of the table is not recorded. For example, when the first endoscope observation device 42 or the second endoscope observation device 44 transmits the photographed image data relating to the order C to the image management device 10 with reference to the recording state of FIG. 14, the photographed image recording unit At 30, captured image data acquired by the third endoscopic observation device 46 has already been registered in the order C. Therefore, the image registration unit 14 associates the photographed image data acquired by the first endoscope observation device 42 or the second endoscope observation device 44 different from the third endoscope observation device 46 with the order C. Do not register.

  A concrete procedure will be described. When the receiving unit 12 receives captured image data from a modality for which image registration restriction information indicating that there is a restriction is set, the image registration unit 14 acquires the captured image data recorded in the captured image recording unit 30. If the selected modality includes a modality in which image registration restriction information indicating that there is a restriction is set, the photographed image data received by the receiving unit 12 is associated with the order ID received by the receiving unit 12 for shooting. It is not registered in the image recording unit 30. On the other hand, if the modality obtained from the captured image data recorded in the captured image recording unit 30 does not include the modality for which the image registration restriction information indicating that there is a restriction is set, the image registration unit 14 accepts the image. The photographed image data accepted by the unit 12 is registered in the photographed image recording unit 30 in association with the order ID accepted by the accepting unit 12.

<Case 2-3>
The 1st case where the photography picture data about order C was transmitted from modality.
The receiving unit 12 receives the photographed image data acquired by the radiation inspection apparatus 50 from the radiation inspection apparatus 50 which is a modality.
FIG. 20 shows photographed image data 70a and metadata 70b transmitted from the modality in case 2-3. The photographed image data 70a includes at least a modality ID (information for specifying the radiation inspection apparatus 50), an order ID for specifying an inspection order (order C), and information indicating that the photographing number is 1 as the metadata 70b. It is done.

  The image registration unit 14 refers to the order ID of the metadata 70b to specify that the photographed image data 70a is acquired for the order C, and the photographed image recording unit 30 associates the photographed image data with the order C. It is determined whether the image has been recorded. Referring to FIG. 14, in the order C, images 1 to 25 already acquired by the third endoscopic observation device 46 and images 1 to 10 acquired by the rigid endoscopic observation device 52 are registered. ing.

  When the photographed image data is recorded in association with the order ID (order C) received by the reception unit 12 in the photographed image recording unit 30, the image registration unit 14 refers to the modality management table in the modality management unit 20. The image registration restriction information set in the radiation inspection apparatus 50 is examined.

  Here, in the radiation inspection apparatus 50, image registration restriction information indicating that there is no restriction is set. Therefore, in the photographed image recording unit 30, regardless of whether or not the photographed image data from the modality for which the image registration restriction information indicating restriction is set is already registered in the order C, the image registration unit 14 It is determined that the photographed image data 70a acquired by the inspection device 50 can be registered in association with the order C.

  Subsequently, the image registration unit 14 refers to the examination item management table in the examination item management unit 18 and acquires the maximum number of modality that can capture images regarding the examination item (surgery) of the order C. Here, the maximum number of images that can be taken for surgery is set to three.

  In the photographed image recording unit 30, the image registration unit 14 associates the number of modalities that have acquired the photographed image data recorded in association with the order ID (order C) received by the reception unit 12 with the inspection item of the inspection order. It is determined whether the maximum number of modifiable modality can be reached. In Case 2-3, the number of modalities for which the photographed image data recorded in association with the order C is acquired in the photographed image recording unit 30 is two (the third endoscopic observation device 46 and the rigid endoscopic observation device 52), and the maximum number of surgery set as the examination item of order C is three. Therefore, the image registration unit 14 determines that the photographed image data 70a acquired by the new radiation inspection apparatus 50 can be registered in association with the order C, and is registered in the photographed image recording unit 30 in association with the order C. .

  FIG. 21 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. As shown in FIG. 21, the image registration unit 14 associates the order C with the image registration unit 14 with the modality ID (radiographic examination apparatus 50) that has acquired the photographed image data 70 a and the image 1 that is the photographed image data 70 a. And have registered. After that, when the receiving unit 12 receives the photographed image data of the imaging number 2 and thereafter from the radiation inspection apparatus 50, the image registration unit 14 sequentially registers in the photographed image recording unit 30 in association with the order C.

<Case 2-4>
The 2nd case where the photography picture data about order C was transmitted from modality.
The receiving unit 12 receives the photographed image data acquired by the first endoscope observation device 42 from the first endoscope observation device 42 which is a modality.
FIG. 22 shows photographed image data 72a and metadata 72b transmitted from the modality in case 2-4. In the photographed image data 72a, as metadata 72b, a modality ID (information for specifying the first endoscope observation device 42), an order ID for specifying an inspection order (order C), and a photographing number of 1 are shown. Information is at least included.

  The image registration unit 14 refers to the order ID of the metadata 72b to specify that the photographed image data 72a is acquired for the order C, and the photographed image recording unit 30 associates the photographed image data with the order C. It is determined whether the image has been recorded. Referring to FIG. 14, in the order C, images 1 to 25 already acquired by the third endoscopic observation device 46 and images 1 to 10 acquired by the rigid endoscopic observation device 52 are registered. ing.

  When the photographed image data is recorded in association with the order ID (order C) received by the reception unit 12 in the photographed image recording unit 30, the image registration unit 14 refers to the modality management table in the modality management unit 20. The image registration restriction information set in the first endoscope observation device 42 is examined.

  Here, image registration restriction information indicating that there is a restriction is set in the first endoscope observation device 42. Therefore, if photographed image data from a modality for which image registration restriction information indicating that there is a restriction is already set is registered in the order C in the photographed image recording unit 30, the first endoscope observation device 42 The acquired photographed image data can not be registered in association with the order C. Therefore, the image registration unit 14 determines whether the modality for which the photographed image data recorded for the order C is acquired in the photographed image recording unit 30 includes a modality for which image registration restriction information indicating that there is a restriction is set. Do.

  If the modality obtained from the photographed image data recorded in the photographed image recording unit 30 includes a modality in which image registration restriction information indicating that there is a restriction is set, the image registration unit 14 receives the image data from the reception unit 12. The received image data 72a received is not registered in the captured image recording unit 30 in association with the order ID (order C) received by the receiving unit 12. On the other hand, if the modality obtained from the photographed image data recorded in the photographed image recording unit 30 does not include the modality in which the image registration restriction information indicating that there is a restriction is set, the image registration unit 14 On the condition that the restriction on the maximum number is cleared, the photographed image data 72a received by the receiving unit 12 is registered in the photographed image recording unit 30 in association with the order ID (order C) received by the receiving unit 12.

  In the case 2-4, referring to FIG. 14, in the order C, the images taken by the third endoscope observation device 46 and the rigid endoscope observation device 52 have already been registered. The image registration unit 14 refers to the modality management table shown in FIG. 19 and confirms that although there is no restriction in the rigid endoscope observation apparatus 52, there is a restriction in the third endoscope observation apparatus 46. Therefore, the image registration unit 14 determines that the captured image data 72a acquired by the new first endoscopic observation device 42 can not be registered in association with the order C, and sets the captured image data 72a to the order C. Do not link and register.

  At this time, the image registration unit 14 registers the photographed image data 72 a received by the reception unit 12 in the photographed image recording unit 30 in association with an order ID different from the order ID (order C) received by the reception unit 12.

  FIG. 23 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. In FIG. 23, “order Z” is newly added as the order ID, and the photographed image data 72a accepted by the accepting unit 12 is recorded in the photographed image recording unit 30 in association with the “order Z”. The order Z is not the ID of the examination order generated in the hospital information system but an order ID newly generated by the image registration unit 14 for recording image data. That is, when the photographed image data 72a accepted by the accepting unit 12 can not be registered in association with the order ID accepted by the accepting unit 12, the image registering unit 14 generates a new order Z and associates it with the order Z and registers it. Do. The registration process is as described for Case 2-2.

  Although an example of registering photographed image data in a new order ID (order Z) has been described, the image registration unit 14 may register photographed image data in the photographed image recording unit 30 without generating a new order. . That is, when the photographed image data can not be associated with the order ID received by the reception unit 12, the image registration unit 14 may register the photographed image data without associating the photographed image data with the order ID.

  FIG. 24 is a flowchart of the image registration process in the second embodiment. The modality that has captured the image transmits the captured image data and metadata to the image management apparatus 10. Hereinafter, this modality is also referred to as a "source modality". In the image management apparatus 10, the receiving unit 12 receives the photographed image data and the metadata (S50). This metadata includes at least a modality ID and an order ID.

  The image registration unit 14 refers to the recording status of the photographed image recording unit 30 and determines whether photographed image data of the transmission source modality is already registered in the received order ID (S52). Here, if the photographed image data of the transmission source modality has already been registered in association with the received order ID (Y in S52), the photographed image recording unit 30 uses the photographed image data as the order ID in the photographed image recording unit 30. Is registered (S60).

  On the other hand, when the photographed image data of the transmission source modality is not registered in the photographed image recording unit 30 (N in S52), the image registration unit 14 already registers the photographed image data of the other modality in the received order ID. It is determined whether or not (S54). Here, if the photographed image data of another modality is not registered in association with the received order ID (N in S 54), the photographed image recording unit 30 uses the photographed image data in the order ID in the image registration unit 14. Register (S60).

  On the other hand, when photographed image data of another modality is registered (Y in S 54), the image registration unit 14 determines whether image registration restriction information indicating that there is restriction is set in the image transmission source modality ( S56). Here, when the image registration restriction information indicating no restriction is set (N in S56), the image registration unit 14 counts the number of modalities that have photographed the image registered in the order (the number of present photographing number) Is compared with the maximum number of modifiable modality that is associated with the inspection item of the order, and it is determined whether the current number of imaging is less than the maximum number (S58).

  If the current number of photographed images is less than the maximum number (Y in S58), the image registration unit 14 registers photographed image data in the order ID in the photographed image recording unit 30 (S60). On the other hand, if the current number of captured images has reached the maximum number (N in S58), the image registration unit 14 registers a new order ID in the captured image recording unit 30, and the captured image data is registered in the new order ID. Register (S64).

  In S56, when image registration restriction information indicating that there is a restriction is set in the image transmission source modality (Y in S56), the image registration unit 14 registers the image of the modality that photographed the image registered in the order. The restriction information is examined, and it is determined whether the image of the modality for which the restricted image registration restriction information is set is registered (S62). When the image of the modality to which the image registration restriction information with restriction is set is registered (Y in S62), the image registration unit 14 registers a new order ID in the photographed image recording unit 30, and sets the new order ID as the new order ID. , Register the photographed image data (S64).

  On the other hand, when the image of the modality for which the restricted image registration restriction information is set is not registered (N in S62), the image registration unit 14 counts the number of modality that photographed the image registered in the order And the maximum number of modifiable modality that are associated with the inspection item of the order, to determine whether the current number is lower than the maximum (S58). Here, if the current number of photographed images is less than the maximum number (Y in S58), the image registration unit 14 registers photographed image data in the order ID in the photographed image recording unit 30 (S60). On the other hand, if the current number of captured images has reached the maximum number (N at S58), the image registration unit 14 registers a new order ID in the captured image recording unit 30, and registers captured image data in the new order ID. To do (S64).

  FIG. 25 shows a modification of the modality management table. In the modality management table shown in FIG. 25, the image registration restriction information is information that determines whether or not there is a restriction in relation to the same kind of modality when the image registration unit 14 registers the photographed image data in the photographed image recording unit 30. Set as In combined examination, although different types of imaging may be simultaneously performed using different types of modalities, generally, the same types of modalities are not simultaneously used at the same time. In FIG. 25, in view of the possibility of using a plurality of rigid endoscopes simultaneously in examination, unregistered image registration constraint information is set for two rigid endoscope observation apparatuses. This makes it possible to simultaneously use the first rigid endoscope observation apparatus and the second rigid endoscope observation apparatus in the combined examination.

  As described above, in the second embodiment, the maximum number of modalities that can capture an image is set according to the inspection item, and the captured image data is associated with the inspection order and recorded in the captured image recording unit 30 within the maximum number. The contents were explained. In the second embodiment, taking into consideration the image registration restriction information, the photographed image data determined to be unsuitable is not associated with one inspection order.

  The image registration unit 14 may be configured to register the photographed image data in association with the order ID received by the reception unit 12 even if the conditions described in the second embodiment are not satisfied. In this case, the notification unit 22 may notify the user to that effect. The timing of this notification may be, for example, when the doctor specifies the order ID and reads the photographed image data from the photographed image recording unit 30 when creating the examination report.

Example 3
In the third embodiment, attribute information is assigned in advance to a modality in one examination. Here, in a complex inspection using a plurality of modalities, different attribute information is assigned to each modality. For example, when performing an ultrasound examination in the first chamber 40a, the first endoscope observation device 42 and the ultrasound observation device 48 are used, but the “end number 1” of the first endoscope observation device 42 is used. The attribute information of “number 2” is assigned to the ultrasonic observation device 48 as the attribute information. Although this attribute information may be manually assigned by a medical worker, if, for example, the first endoscope observation device 42 and the ultrasound observation device 48 are mutually connected, any device may be assigned its own. It may be configured to assign attribute information and attribute information of another device.

  In the third embodiment, different attribute information is assigned to each of a plurality of modalities used in the compound inspection. Therefore, in the compound inspection, when the image management apparatus 10 receives photographed image data from a legitimate modality, Taking advantage of the fact that the attribute information of each modality is different, and thus the attribute information is different, photographed image data is registered in the inspection order.

  As described in the first embodiment, during examination, each modality transmits the acquired captured image data to the image management apparatus 10 together with metadata. In the following, a case will be described where the modality transmits photographed image data to the image management apparatus 10 each time an image is photographed, but the modality collects the plurality of acquired photographed image data after the examination is completed, and the image management apparatus 10 It may be sent to

  In the image management apparatus 10, the receiving unit 12 receives, from the modality, the information on the modality, the attribute information of the modality assigned to the modality in the examination, the order specifying information for specifying the examination order, and the photographed image data. In the third embodiment, the modality-related information (modality ID) and order identification information (order ID) are attached to the photographed image data as metadata, but the modality ID and the order ID are not necessarily the photographed image data. It does not have to be added as metadata, and when the accepting unit 12 accepts a modality ID and an order ID, the modality can recognize from the modality that the accepting unit 12 recognizes that it is a modality ID and an order ID related to photographed image data. It may be sent. As described in the first embodiment, the metadata may include patient ID, examination item information, and the like as the order information in addition to the order ID.

  The third embodiment differs from the first and second embodiments in that the receiving unit 12 receives attribute information of the modality assigned to the modality in the examination.

  The photographed image recording unit 30 records photographed image data in association with the order ID. The photographed image recording unit 30 constructs an image database for recording photographed image data in association with the order ID, and for that purpose, acquires and records the order ID of the inspection order for at least the current day from the order recording unit 28.

  The image registration unit 14 registers the photographed image data received by the reception unit 12 in the photographed image recording unit 30 in association with the order ID. By the registration processing by the image registration unit 14, the photographed image recording unit 30 records photographed image data in association with the order ID. Thus, the photographed image data can be extracted from the photographed image recording unit 30 using the order ID as a search key. For example, when the doctor creates the examination report, the photographed image recording unit 30 can be specified by designating the order ID. It becomes possible to read out the photographed image data acquired during the examination.

  FIG. 26 shows an example of the database structure and the recording situation in the photographed image recording unit 30. The photographed image recording unit 30 includes at least an “order ID” field, and a “photographed image data” field for associating and recording the order ID. The database structure of this example is provided with a "modality ID" field for recording the captured modality ID and a "modality attribute information" field for recording attribute information of the modality assigned to the modality in the examination. By providing these fields, the registration processing by the image registration unit 14 can be streamlined.

  The orders A to E are order IDs of inspection orders for one day in a medical facility. The photographed image recording unit 30 acquires order IDs of a plurality of inspection orders for one day from the order recording unit 28 and records them, and associates photographed image data acquired by the modality during inspection with the order ID. It is possible to register. In the example shown in FIG. 26, 30 images 1 to 30 taken by the first endoscope observation device 42 are associated and recorded in the order A, and the second endoscope observation device 44 is in the order B. The 22 images 1 to 22 taken in the above are linked and recorded, and in order C, the 25 images 1 to 25 taken by the third endoscopic observation device 46 and the rigid endoscopic observation device Ten images 1 to 10 taken at 52 are linked and recorded. In FIG. 26, the numbers of the images represent the order taken in each modality in the examination, that the image 1 is the first image taken in the modality, and the image 30 is the 30th one taken in the modality. Express that it is an image. The photographed image data of each image is recorded in the photographed image recording unit 30 together with the metadata.

  In the third embodiment, processing performed when the image management apparatus 10 receives photographed image data from a modality under the condition that the photographed image recording unit 30 indicates the recording state of FIG. 26 will be described with respect to several cases.

<Case 3-1>
The 1st case where the photography picture data about order A was transmitted from modality.
The receiving unit 12 receives the photographed image data acquired by the ultrasonic observation device 48 from the ultrasonic observation device 48 which is a modality.
FIG. 27 shows photographed image data 74a and metadata 74b transmitted from the modality in case 3-1. In the photographed image data 74a, as metadata 74b, a modality ID (information for specifying the ultrasonic observation apparatus 48), an order ID for specifying an inspection order (order A), modality attribute information (number 2), and a photographing number is 1 And at least information indicating that the

  The image registration unit 14 refers to the order ID of the metadata 74 b to specify that the photographed image data 74 a is acquired for the order A, and the photographed image recording unit 30 associates the photographed image data with the order A. It is determined whether the image has been recorded. Referring to FIG. 26, in the order A, images 1 to 30 acquired by the first endoscopic observation device 42 have already been registered.

  When the photographed image data is recorded in association with the order ID (order A) received by the reception unit 12 in the photographed image recording unit 30, the image registration unit 14 receives the photographed image data 74a received by the reception unit 12 Another modality (first endoscopic observation device) in which the acquired attribute information of the acquired modality (ultrasound observation device 48) acquires the photographed image data recorded in association with the order ID (order A) in the photographed image recording unit 30 It is judged whether it is the same as the attribute information of 42).

  Here, if the attribute information of the ultrasonic observation device 48 and the attribute information of the first endoscope observation device 42 are the same, the image registration unit 14 receives the photographed image data 74 a received by the reception unit 12. It does not register in the photographed image recording unit 30 in association with the order ID (order A) received by the unit 12. On the other hand, if the attribute information of the ultrasonic observation device 48 and the attribute information of the first endoscope observation device 42 are different, the image registration unit 14 receives the photographed image data 74 a received by the reception unit 12. The unit 12 registers it in the photographed image recording unit 30 in association with the order ID (order A) received.

  In Case 3-1, the attribute information of the ultrasonic observation device 48 is “number 2”, and the attribute information of the first endoscope observation device 42 is “number 1”, which are different. Therefore, the image registration unit 14 registers the photographed image data 74 a in the photographed image recording unit 30 in association with the order A.

  FIG. 28 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. As shown in FIG. 28, in the captured image recording unit 30, the image registration unit 14 relates the modality A to the order A, and acquires modality ID (ultrasound observation device 48) that acquired captured image data 74a, and modality attribute information (number 2). And the image 1 which is the photographed image data 74a. After that, when the receiving unit 12 receives the photographed image data of the photographing number 2 and subsequent from the ultrasonic observation device 48, the image registration unit 14 sequentially registers in the photographed image recording unit 30 in association with the order A.

<Case 3-2>
The 1st case where the photography picture data about order A was transmitted from modality.
The receiving unit 12 receives the photographed image data acquired by the ultrasonic observation device 48 from the ultrasonic observation device 48 which is a modality.
FIG. 29 shows photographed image data 76a and metadata 76b transmitted from the modality in case 3-2. In the photographed image data 76a, a modality ID (information for specifying the ultrasonic observation apparatus 48), an order ID for specifying an inspection order (order A), modality attribute information (number 1), and a photographing number of 1 as metadata 76b. And at least information indicating that the
Compared to case 3-1 shown in FIG. 27, in this case 3-2, the attribute information of the modality is “number 1”, and is different from case 3-1 in that point.

  The image registration unit 14 refers to the order ID of the metadata 76 b to specify that the photographed image data 76 a is acquired for the order A, and the photographed image recording unit 30 associates the photographed image data with the order A. It is determined whether the image has been recorded. Referring to FIG. 26, in the order A, images 1 to 30 acquired by the first endoscopic observation device 42 have already been registered.

  When the photographed image data is recorded in association with the order ID (order A) received by the reception unit 12 in the photographed image recording unit 30, the image registration unit 14 receives the photographed image data 76a received by the reception unit 12 Another modality (first endoscopic observation device) in which the acquired attribute information of the acquired modality (ultrasound observation device 48) acquires the photographed image data recorded in association with the order ID (order A) in the photographed image recording unit 30 It is judged whether it is the same as the attribute information of 42).

  In Case 3-2, the attribute information of the ultrasonic observation device 48 is “number 1”, and the attribute information of the first endoscope observation device 42 is “number 1”, and both are the same. Therefore, the image registration unit 14 relates the photographed image data 76a to the order A and determines that registration is not possible, and links the photographed image data 76a to the order A so as not to be registered.

At this time, the image registration unit 14 registers the photographed image data 76 a received by the reception unit 12 in the photographed image recording unit 30 in association with an order ID different from the order ID (order A) received by the reception unit 12.
FIG. 30 shows an example of the recording situation in the photographed image recording unit 30 updated by the image registration unit 14. In FIG. 30, "order Q" is newly added as the order ID, and the photographed image data 76a received by the reception unit 12 is recorded in the photographed image recording unit 30 in association with the "order Q". The order Q is not the ID of the examination order generated in the hospital information system but an order ID newly generated by the image registration unit 14 for recording image data. That is, when the photographed image data 76a accepted by the accepting unit 12 can not be registered in association with the order ID accepted by the accepting unit 12, the image registering unit 14 generates a new order Q and associates it with the order Q and registers it. Do. The image registration unit 14 needs to issue an order Q so as not to overlap with the orders A to E.

  The photographed image data 76 a and the metadata 76 b are recorded in the photographed image recording unit 30 as the image 1 in association with the order Q, but the metadata 76 b includes the order ID (order A). Therefore, when the image registration unit 14 generates a new order Q and associates the photographed image data 76a with the order Q and registers it, the order ID in the metadata 76b is updated to the order Q, and the photographed image data 76a and meta It is preferable to register the data 76 b in the photographed image recording unit 30.

  After the image registration unit 14 generates a new order Q, it is necessary that the photographed image data acquired for the order A by the ultrasound observation device 48 be linked to the order Q and registered in the photographed image recording unit 30 thereafter. is there. Therefore, the image registration unit 14 holds the relationship between the combination of the modality ID of the ultrasonic observation device 48, the order A, the attribute information, and the order Q, and the ultrasonic observation device 48 acquires the order A The photographed image data is processed so as to be linked to the order Q and registered in the photographed image recording unit 30.

  Although the example of registering the photographed image data to the new order ID (order Q) is shown, the image registration unit 14 may register the photographed image data in the photographed image recording unit 30 without generating a new order. . That is, when the photographed image data can not be associated with the order ID received by the reception unit 12, the image registration unit 14 may register the photographed image data without associating the photographed image data with the order ID.

  As described above, in the third embodiment, the content of recording the photographed image data in the photographed image recording unit 30 in association with the inspection order by using the attribute information of the modality assigned to the modality in the inspection has been described.

  The image registration unit 14 may be configured to register the photographed image data in association with the order ID received by the reception unit 12 even if the conditions described in the third embodiment are not satisfied. In this case, the notification unit 22 may notify the user to that effect. The timing of this notification may be, for example, when the doctor specifies the order ID and reads the photographed image data from the photographed image recording unit 30 when creating the examination report.

  The present invention has been described above based on a plurality of embodiments. It is understood by those skilled in the art that these embodiments are exemplifications, and that various modifications can be made to the combination of each component and each processing process, and such modifications are also within the scope of the present invention. is there.

The present invention is also characterized by the following items.
[Item 1]
An inspection item management unit that manages the inspection item and the maximum number of modality that can capture an image with respect to the inspection item,
A receiving unit for receiving, from the modality, order specifying information for specifying an inspection order and photographed image data together with information on the modality;
A recording unit that records captured image data in association with order identification information;
An inspection work support system comprising: an image registration unit that associates photographed image data received by the reception unit with order identification information and registers the image data in the recording unit,
The image registration unit is configured such that the number of modalities for which captured image data recorded in the recording unit in association with the order specifying information has reached the maximum number of imaginable modality associated with the inspection item of the inspection order. In this case, the photographed image data acquired by the new modality is not registered in the recording unit in association with the order specifying information received by the receiving unit, but is recorded in the recording unit in association with the order specifying information. If the number of modalities that acquired the captured image data is less than the maximum number of modifiable modalities associated with the inspection item of the inspection order, the accepting unit acquires the captured image data acquired by the new modality Register in the recording unit in association with the received order identification information.
Inspection service support system characterized by
[Item 2]
The method further includes a modality management unit that manages modality in association with image registration restriction information, and the image registration restriction information is associated with other modality when the image registration unit registers photographed image data in the recording unit. It determines whether there is a restriction,
When the receiving unit receives captured image data from a modality in which image registration restriction information indicating that there is a restriction is set:
The image registration unit receives the image if the modality obtained from the captured image data recorded in the recording unit includes a modality for which image registration restriction information indicating that there is a restriction is set. The photographed image data is not registered in the recording unit in association with the order identification information received by the reception unit;
The image registration unit receives the image from the reception unit if the modality obtained from the captured image data recorded in the recording unit does not include the modality for which the image registration restriction information indicating that there is a restriction is set. Registering the photographed image data in the recording unit in association with the order identification information received by the reception unit;
The inspection service support system according to claim 1, characterized in that:
[Item 3]
A receiving unit for receiving, from the modality, attribute information of the modality assigned to the modality in the examination, order specifying information for specifying the examination order, and photographed image data, together with information on the modality;
A recording unit that records captured image data in association with order identification information;
An inspection work support system comprising: an image registration unit that associates photographed image data received by the reception unit with order identification information and registers the image data in the recording unit,
The image registration unit may be another modality attribute information in which the photographed image data in which the attribute information of the modality acquired the photographed image data received by the reception unit is recorded in association with the order identification information in the recording unit If they are the same, the photographed image data received by the reception unit is not registered in the recording unit in association with the order specifying information received by the reception unit, while the photographed image data received by the reception unit is acquired If the attribute information of the selected modality is different from the attribute information of another modality for acquiring the photographed image data recorded in association with the order specifying information in the recording unit, the photographed image data received by the receiving unit is The reception unit registers in the recording unit in association with the order identification information received by the reception unit.
Inspection service support system characterized by

1 ... inspection work support system, 10 ... image management device, 12 ... reception unit, 14 ... image registration unit, 16 ... group management unit, 18 ... inspection item management unit, 20 ... Modality management unit, 22 ... notification unit, 24 ... order search unit, 28 ... order recording unit, 30 ... photographed image recording unit, 42 ... first endoscope observation device , 44: second endoscopic observation device, 46: third endoscopic observation device, 48: ultrasonic observation device, 50: radiological examination device, 52: rigid endoscope Observation device.

Claims (7)

A group management unit that manages a plurality of modality groups usable for one inspection order;
A reception unit that receives, from the modality, order specifying information for specifying an inspection order and photographed image data together with information related to the modality;
A recording unit that records captured image data in association with order identification information;
An inspection work support system comprising: an image registration unit that associates photographed image data received by the reception unit with order identification information and registers the image data in the recording unit,
The image registration unit manages, as the group, the modality of capturing the captured image received by the receiving unit and the modality of capturing the captured image recorded in the recording unit in association with the order specifying information. If the received image data is received, the photographed image data received by the reception unit is registered in the recording unit in association with the order identification information received by the reception unit.
Inspection service support system characterized by   The image registration unit manages, as the group, the modality of capturing the captured image received by the receiving unit and the modality of capturing the captured image recorded in the recording unit in association with the order specifying information. 2. The examination service support system according to claim 1, wherein the photographed image data accepted by the acceptance unit is not registered in the recording unit in association with the order identification information accepted by the acceptance unit, when not being registered. .   The image registration unit associates the photographed image data received by the reception unit with order identification information different from the order identification information received by the reception unit, and registers the captured image data in the recording unit. Inspection service support system described in 2. The order identification information is added to the captured image data as metadata,
The image registration unit updates the added order identification information to the different order identification information, and registers photographed image data in the recording unit.
The inspection service support system according to claim 3, characterized in that.   3. The examination service support system according to claim 2, wherein the image registration unit registers the photographed image data received by the reception unit in the recording unit without being associated with order identification information. The image registration unit is configured to receive the image data regardless of the group managed by the group management unit when the captured image data is not recorded in association with the order identification information received by the reception unit in the recording unit. The photographed image data accepted by the unit is registered in the recording unit in association with the order identification information accepted by the accepting unit.
The inspection service support system according to any one of claims 1 to 5, characterized in that: The group management unit manages a plurality of modality groups that can be used for inspection items of the inspection order,
The image registration unit receives the modality when the modality obtained by photographing the photographed image received by the reception unit is included in the group managed by the group management unit with respect to the inspection item corresponding to the order identification information. The photographed image data is registered in the recording unit in association with the order identification information received by the reception unit.
The inspection service support system according to any one of claims 1 to 6, characterized in that:

Images