JP6725851B2 - Information processing apparatus and control method thereof, information processing system, and program - Google Patents

Description

The present invention relates to an information processing device, a control method thereof, an information processing system, and a program.

In the medical field, one patient is examined/interpreted multiple times by modalities such as CT, MRI, US, and PET, and the patient's condition is followed up. The examination history of such a patient is displayed on the screen so that the time series of the examination can be recognized so that the examination history can be easily recognized. Therefore, the medical history is displayed on the timeline.

Patent Document 1 discloses a mechanism in which all events of a specific patient are displayed on the patient timeline.

Japanese Patent Publication No. 2009-518732

By the way, there are not all doctors who interpret images taken by modalities to diagnose them, so it is common in medical practice in recent years to ask other doctors or doctors in remote areas to read images. Has been done.

Then, the inventors of the present invention are developing a communication system (remote image interpretation system) between such a requesting facility requesting image interpretation and an image interpretation doctor (image interpretation facility) performing image interpretation.

In such a remote interpretation system as well, a timeline display that allows the medical history of the patient to be visually recognized is desired, but in the method disclosed in Patent Document 1, the interpretation request information and the interpretation result that is the diagnostic result. Since the result and the result are mixed, there is a concern that it is difficult to recognize.

Therefore, the present invention, in a mechanism for managing a medical image diagnosis request and an image interpretation result of an image interpretation performed based on the diagnosis request, a mechanism for generating a screen on which inspection information corresponding to the image interpretation result can be easily confirmed. Is intended to provide.

To solve such a problem, the present invention manages request information including a medical image from a requesting facility and image interpretation result information showing a single result for the request information requested by the requesting facility. A storage means for storing information including the request information and the image interpretation result information in association with the patient information , and designation of the patient information stored in the storage means and corresponding to the designated patient information And a display control unit for displaying a screen for displaying the information associated with the patient information, the designation of which is accepted by the accepting unit, in chronological order. control means, and controls to be displayed in the predetermined position is viewed by the user inspection information corresponding to the interpretation result information received by the reception unit at a common time axis.
Further, the present invention stores information including request information including a medical image from a requesting facility and image interpretation result information indicating a single result for the request information requested by the requesting facility in association with patient information. A method of controlling an information processing system comprising storage means for specifying the patient information stored in the storage means and the interpretation result information corresponding to the specified patient information. And a display control step of displaying a screen for displaying the information associated with the patient information whose specification is received in the reception step in chronological order, wherein the display control step is the reception step. and controlling so as to be displayed at a predetermined position to visually recognize the user inspection information corresponding to the interpretation result information in received in a common time axis.
Further, the present invention stores information including request information including a medical image from a requesting facility and image interpretation result information indicating a single result for the request information requested by the requesting facility, in association with patient information. An information processing device capable of communicating with a server device having a storage unit for receiving the designation of the patient information stored in the storage unit and the designation of the image interpretation result information corresponding to the designated patient information. Means and display control means for displaying a screen for displaying the information associated with the patient information whose designation has been accepted by the acceptance means in chronological order, wherein the display control means is accepted by the acceptance means . and controlling so as to be displayed at a predetermined position to visually recognize the user inspection information corresponding to the interpretation result information in a common time axis.
Further, the present invention stores information including request information including a medical image from a requesting facility and image interpretation result information indicating a single result for the request information requested by the requesting facility, in association with patient information. A method of controlling an information processing device capable of communicating with a server device having a storage means, wherein the information processing device responds to designation of patient information stored in the storage means and the designated patient information. And a display control step of displaying a screen for displaying the information associated with the patient information of which the specification is received in the reception step in chronological order, step, and controls to be displayed in the predetermined position is viewed by the user inspection information corresponding to the interpretation result information accepted by the accepting step at a common time axis.
Further, the present invention is a program that causes a computer to function as the above-described information processing device.
Further, the present invention is a server device that manages request information including a medical image from a requesting facility and image interpretation result information indicating a single result for the request information requested by the requesting facility. Storage means for storing information including information and the interpretation result information in association with the patient information , designation of the patient information stored in the storage means and the interpretation result information corresponding to the designated patient information And a display control unit configured to display a screen for displaying the information associated with the patient information, the designation of which is accepted by the accepting unit, in chronological order. and controlling so as to display the test information corresponding to the interpretation result information received by the means at a predetermined position to visually recognize the user in a common time axis.
Further, the present invention stores information including request information including a medical image from a requesting facility and image interpretation result information showing a single result for the request information requested by the requesting facility in association with patient information. A method of controlling a server device having a storage unit for receiving the designation of the patient information stored in the storage unit and the designation of the image interpretation result information corresponding to the designated patient information. And a display control step of displaying a screen for displaying the information associated with the patient information of which designation is accepted in the acceptance step in chronological order, the display control step being accepted in the acceptance step . and controlling so as to be displayed at a predetermined position to visually recognize the user inspection information corresponding to the interpretation result information in a common time axis.
Further, the present invention is a program that causes a computer to function as the above-described server device.

As described above, in the mechanism for managing the diagnosis request of the medical image and the interpretation result of the interpretation performed based on the diagnosis request, it is possible to generate the screen in which the examination information corresponding to the interpretation result can be easily confirmed. ..

It is a figure which shows the example of the system structure which concerns on this embodiment. It is a figure which shows the example of the hardware constitutions of the information processing apparatus which concerns on this embodiment. It is a figure showing an example of functional composition of an information processing system concerning this embodiment. It is a flow chart explaining the flow which displays a timeline screen. It is a flowchart explaining the flow which produces|generates timeline data. It is a flow chart explaining the flow of timeline drawing processing. It is a flow chart explaining the flow of drawing processing of event data. It is a flow chart explaining the flow of screen display position determination processing. It is an example of the data table managed by the database. It is an example of the data table managed by the database. It is a figure which shows an example of the screen which the user of remote interpretation can peruse. It is a figure which shows an example of the screen which can select an image interpretation list. It is a figure which shows an example of the screen which can select a report. (A) It is an example of an event table. (B) It is an example of a timeline table. It is an example of a timeline screen displayed when the patient information is specified and a display request is made. It is an example of a timeline screen displayed when the patient information and the examination information are specified and a display request is made. It is an example of a timeline screen displayed when the patient information and the report information are specified and a display request is made.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. The configurations shown below are examples, and the present invention is not limited to these.

[System configuration]

FIG. 1 shows an example of the overall configuration of a remote image interpretation system as an information processing system according to this embodiment. In the present embodiment, the remote interpretation system includes a data center, a request facility, an interpretation center, and the home of an image interpretation doctor as each base, and each base is communicably connected via a network 115. In the present embodiment, the requesting facility will be described as the requesting side, and the image interpretation center and the image interpretation doctor will be described as the image interpretation side.

Each user who uses the remote image interpretation system has an authentication server (not shown) in the data center at the time of starting access from the information processing device (109, 112, 113, 114) which is a client terminal arranged at each base. Authenticate using the provided authentication function. After successful authentication, the portal screen is presented on the display of the information processing device of each user. It should be noted that it may be transmitted to the data center and registered in advance.

In the requesting facility 150, the image data (medical image data) of the patient used for the remote interpretation is imaged by the modality 111 such as CT, MRI, US, and PET, which is the imaging device, and then the image relay client 110 in the requesting facility. Sent. The image data here includes, for example, image data of DICOM (Digital Imaging and Communication in Medicine) standard. The image relay client 110 archives the image data transmitted from the modality 111, and then transmits the image data to the image management server 101 arranged in the data center 152. The image management server 101 issues a unique ID (identification information) to each image data and stores it in the external storage device 117. The image data of the DICOM standard is composed of patient information such as patient name, patient ID, and patient's sex, incidental information including imaging conditions such as modality type, and image data. The image data captured by the modality 111 of the requesting facility is transmitted to the data center and registered in the external storage device 117.

The person in charge of the image interpretation requesting work of the requesting facility 150 inputs the information (request information) necessary when requesting the image interpretation using the request terminal 109, and the request information is transmitted to the data center together with the image data. Each request information is stored in the database 108 on the data center side. At this time, the database 108 manages the interpretation request information in association with the requested facility information and the patient information. In this specification, request information and image data correspond to each other, and request information allocation (sorting) is treated as image data allocation.

A person in charge of the image interpretation center who receives the image interpretation request from the requesting facility 150 confirms whether or not the image interpretation request information is sufficiently input using the operation terminal 112, and allocates each request to the image interpretation doctor. I do. As the distribution work, the person in charge of business may manually distribute the image in consideration of the field of specialty of each image interpreting doctor, or the field of expertise of each image interpreting doctor, the image interpretation schedule, etc. may be set in advance and the automatic distribution process performed. You may sort by performing.

The image interpretation doctor who performs image interpretation uses the image interpretation terminal 113 (or the image interpretation terminal 114 placed in the home 153) arranged in the image interpretation center 151, and uses the image interpretation terminal corresponding to the image interpretation request assigned by the person in charge of business. The image data is downloaded from the external storage device 117 and referred to for image interpretation. After that, the image interpretation doctor creates a report, which is the image interpretation result information obtained by the image interpretation, by using an application (not shown) operating on the image interpretation terminal 113. The report transmitted from the image interpretation doctor terminal is processed by the business server 105 and stored in the database 108. At this time, the image interpretation result information stored in the database 108 is stored in association with the request information, that is, in a state where the requested facility information and the patient information can be specified. Here, as the terminal on the side of the image interpretation facility, an example of the image interpretation center and the home of the image interpretation doctor is shown, but it may be arranged at any place, and it may be referred to using a mobile terminal or the like. I do not care.

Further, users such as a person in charge of performing an image interpretation requesting job at the requested facility, a person in charge of the image interpretation center, and an image interpreting doctor exchange messages between users via the network 115 using the message function provided by the operation server 105. It can be carried out. The radiologist can consult with other radiologists and exchange opinions with other radiologists using such messages. In addition, the requesting facility and the person in charge of the interpretation center can discuss the request schedule and the interpretation result. When such a message is related to a specific patient, the history of the message is managed in the database 108 in association with the patient information. It should be noted that not only patient information but also specific request information and reports may be associated and managed. Although details will be described later, such exchange of messages is processed by the business server 105 and managed in the database 108 in a unit of “thread” which is a collection of participants, titles, and messages.

Furthermore, each user who uses the remote interpretation system can request the display of the timeline screen so that the examination history can be recognized in time series of the examination in order to follow up the specific patient via each terminal. it can. When a timeline screen display request is made via each terminal, the business server 105 can generate a timeline screen using request information and image interpretation result information (report information) of the corresponding patient managed in the database 108. Information is collected and sent to each terminal. Then, each terminal uses the received information to generate and display a timeline screen.

FIG. 2 is a diagram illustrating an example of a hardware configuration of an information processing device such as various servers and terminals. The CPU 201 centrally controls each device and controller connected to the system bus 204. The ROM 202 or the external memory 211 stores a BIOS (Basic Input/Output System), an operating system (OS), and various programs necessary for realizing the functions of each terminal.

The RAM 203 functions as a main memory, a work area, etc. of the CPU 201. The CPU 201 implements various operations by loading a program or the like required for executing the processing from the ROM 202 or the external memory 211 into the RAM 203 and executing the program. The input controller 205 controls input from an input device 209 such as a pointing device (not shown) such as a keyboard or a mouse. The video controller 206 controls the display on the display 210.

The memory controller 207 controls access to the external memory 211 that stores various data and the like. Examples of the external memory 211 include an external storage device (HD), a flexible disk (FD), and a compact flash (registered trademark) memory connected to a PCMCIA card slot via an adapter. The communication I/F controller 208 performs connection and communication control with an external device via a network (for example, the network 115 shown in FIG. 1). The communication I/F controller 208 is capable of communication using TCP/IP, for example.

Various programs for implementing the present invention are recorded in the external memory 211 and are executed by the CPU 201 by being loaded into the RAM 203 as needed. Further, the definition file and various information tables used when the program is executed are also stored in the external memory 211, and detailed description thereof will be given later.

[Function configuration]

FIG. 3 is a diagram illustrating a functional configuration of each server according to this embodiment.

The terminal used by each user is communicably connected to the business server 105 and the image management server 101 via the network 115 as described above. The database 108, which is the destination to which the business server 105 refers to the data, includes a user data table 321, a requested facility data table 322, a patient data table 323, an image interpretation request data table 324, an examination data table 325, a report data table 326, and thread data. A table 327 and a message data table 328 are provided.

For the image data transmitted from the modality 111 via the image relay client 110, the image management unit 311 of the image management server 101 issues a unique ID (identification information) for each image data, and the external storage device 117 Store in. At that time, the inspection management unit 305 of the business server 105 updates the inspection data table 325 of the database 108.

When the request reception request is received from the request terminal 109, the image interpretation request management unit 304 of the business server 105 analyzes the request and updates the patient data table 323 and the image interpretation request data table 324 of the database 108.

The report transmitted from the image interpretation doctor terminal is processed by the report management unit 302 of the business server 105, the report is stored in the external storage device 117, and the image interpretation result data table of the database 108 is updated.

The message thread executed between the users is processed by the message management unit 301 of the business server 105, and the thread data table 327 of the database 108 that manages the thread associated with the patient information is updated. The message management unit 301 of the business server 105 manages each message by updating the message data table 328 as a message associated with each thread.

When the user gives an instruction to display the timeline screen, the timeline control unit 303 of the business server 105 identifies the data corresponding to the patient information from each table in the database 108 and gives an instruction to display the data. Sent to the terminal. As a result, the timeline screen can be displayed on each terminal.

[Data table]

Next, an example of each data table stored in the database 108 will be described with reference to FIGS. 9 and 10.

The user data table 321 illustrated in FIG. 9A includes a user ID 901, a user name 902, and a role 903 for the system, which are set for each user who can log in to the remote image interpretation system. It is also possible to change the display content of the portal screen according to the role 903 defined here.

The requested facility data table 322 shown in FIG. 9B is registered with the requested facility information of the remote interpretation system, and is composed of the requested facility ID 911 and the requested facility hospital name 912.

A patient data table 323 shown in FIG. 9C is a table to which patient data included in the interpretation request information is sequentially added, and is composed of a requesting facility ID 921, a patient ID 922, a patient name 923, and a birth date 924. There is.

The image interpretation request data table 324 illustrated in FIG. 9D is a table in which the request contents included in the image interpretation request information are sequentially added, and the request ID 931, the request facility ID 932, the patient ID 933, and the request date 934 are assigned to each request. , An inspection ID 935, an inspection type 936, an inspection part 937, a request status 938, and a request reception user 939 who is a person in charge of the image interpretation center.

The examination data table 325 shown in FIG. 10A includes an examination UID 1001, an examination date 1002, a modality type 1003, a requesting facility ID 1004, a patient ID 1005, and an image ID 1006 of the examination corresponding to the request information.

The report data table 326 illustrated in FIG. 10B is a table that manages report information created by an image interpretation doctor, and includes a report ID 1011, a requesting facility ID 1012, a request ID 1013, a patient ID 1014, a status 1015 indicating the state of the report, and an image interpretation in charge. It is composed of a doctor 1016, an interpretation date 1017, a target region 1018, and an interpretation result 1019.

The thread data table 327 shown in FIG. 10C includes a thread ID 1021, a thread title 1022, a thread owner 102, a participant 1024, a requesting facility ID 1025, and a patient ID 1026.

The message data table 328 illustrated in FIG. 10D includes a message ID 1031, a thread ID 1032, a user name 1033 who has transmitted the message, a transmission date 1034, and a message text 1035 that is the contents of the message.

[Processing flow]

Next, processing until the timeline screen is displayed will be described using the flowcharts of FIGS. 4 to 8.

In the following processing, the CPU of each of the information processing apparatus (109, 112, 113, 114), which is a client terminal that can request display of the timeline screen, and the CPU of the business server 105 reads the program stored in each storage unit. It is realized by executing.

In step S<b>401, the CPU 201 of the information processing device receives a display instruction of a timeline screen that specifies at least a patient from the user via the portal screen, and transmits patient information to the business server 105.

Hereinafter, three methods by which the user gives an instruction to display the timeline screen will be described using the screen examples of FIGS. 11 to 13. The difference in the display instruction method causes a difference in the display content of the timeline screen described later. FIG. 11A is a portal screen for specifying patient information and instructing display of the timeline screen, and FIG. 12 illustrates specifying patient information and request information and instructing display of the timeline screen. FIG. 13 is a portal screen in this case, and FIG. 13 is a report screen in which the patient information and the report information are specified and a display instruction of the timeline screen is given.

A portal screen 1101 in FIG. 11A is an initial screen when the user name “Taro Interpretation” 1106 logs in, and a HOME button 1102 for displaying the portal screen, when starting the assigned image interpretation, and other image interpretations. A remote image interpretation button 1103 used when retrieving the image interpretation contents of a doctor, a timeline button 1104 for instructing display of a timeline screen, and a report button 1105 for instructing transition to a report screen are provided.

Further, on the portal screen 1101, an information display field 1111 transmitted from an image interpretation center or the like, a message field 1114 in which a thread of a message in which the participant is included is displayed, and a summary for grasping the status of the assigned image interpretation. A column 1112, a memo column 1115 for storing memos, a schedule column 1113 for grasping the latest interpretation schedule, and the like are provided.

When the user presses the timeline button 1104 to give an instruction to display the timeline screen from the portal screen 1101 shown in FIG. 11A, the patient selection screen 1121 shown in FIG. 11B is displayed. By inputting the requested facility 1122 and the patient name 1123 of the patient who generated the screen and pressing the OK button 1124, a display instruction of the timeline screen specifying the patient information is made. It should be noted that the request input is not indispensable as long as the patient can be specified.

The screen 1201 of FIG. 12 is a screen to which the remote interpretation button 1103 of the portal screen 1101 of FIG. On the screen 1201, by inputting each condition and pressing the search button 1205, the contents satisfying the condition are searched from the image interpretation request data table 324 of the database 108 and displayed on the screen. The example in FIG. 12 is an example in the case where the “interpreted image” is selected and the search button 1205 is pressed.

On the display screen, a status column 1211, which shows the status of image interpretation, a request column 1212, which displays an icon for browsing the request content, an image 1213, which displays an icon for activating a viewer for browsing medical images, and a report which is a finding. The finding column 1214 in which the icon for activating the report browsing screen is displayed, the timeline column 1215 for instructing the display of the timeline screen, the request source column 1216 indicating the requested facility, the patient ID 1217, the patient name 1218, the age 1219, Gender 1220, examination type 1221, examination part 1222, and request date/time 1223 are displayed.

When the user gives an instruction to display the timeline screen from the screen 1201 shown in FIG. 12, by pressing the icon of the timeline column 1215 of the desired image interpretation request, the timeline screen specifying the patient information and the request information is displayed. Is displayed.

The report screen 1301 of FIG. 13 is a screen to which the report button 1105 of the portal screen 1101 of FIG. As the work list, the report information of the image interpretation which the logged-in image interpretation doctor is in charge of is searched from the report data table 326 and displayed. By selecting the report information desired to input the finding from the work list and pressing the finding entry button 1341, the input screen (not shown) of the report is activated. When report information is selected from the work list and the screen display button 1342 is pressed, a viewer that displays a medical image corresponding to the report information is activated. When report information is selected from the work list and the timeline button 1343 is pressed, an instruction to display a timeline screen specifying patient information and report information is issued. When report information is selected from the work list and the return button 1344 is pressed, it is returned to the image interpretation center as the report input processing is completed.

Further, by specifying the request source 1322, the patient information 1323, the patient name 1324, etc. in the search area 1321 of the report screen 1301 and pressing the search button 1325, the report of the patient who is not in charge can be referred to. Is displayed in the search result display area 1331. In the search result display area 1331, a requested facility ID 1332, a patient ID 1333, a request date 1334, an inspection site 1335, a status 1336, and an inspection site 1337 are displayed. FIG. 13 shows an example in which “Kannon Hospital” is entered and searched as the request source. When the screen display button 1342 is pressed while the report information (for example, the report information 1338) is specified by the user, the viewer that displays the medical image corresponding to the report information is activated. Further, when the user presses the timeline button 1343 with the report information specified, the user is instructed to display the timeline screen specifying the patient information and the report information.

In this way, when the display instruction of the timeline screen is received from the user via the portal screen, the CPU 201 of the information processing device transmits the reception information to the business server 105.

In S402, the CPU 201 of the business server 105 receives the display instruction of the timeline screen specifying the patient information by receiving the display instruction of the timeline screen from the information processing apparatus.

In S403, the CPU 201 of the business server 105 specifies the thread data table 327 of the thread related to the patient information received in S402 and the message data table 328 of the message information of the thread. Further, necessary acquisition is performed from these tables and stored in the event table shown in FIG. 14A generated in the memory on the business server. The event table includes an event occurrence date/time 1401, an occurrence place 1402, an event classification 1403, and display data 1404, and these pieces of information are appropriately acquired from the thread data table 327 and the message data table 328. Further, in the event classification 1403, a classification indicating a message is registered.

In S404, the CPU 201 of the business server 105 acquires the examination data related to the patient information received in S402 from the examination data table 325 and stores it in the event table generated in the memory of the business server. In the case of the inspection data, the occurrence place 1402 is registered with the requested facility name indicating the facility where the inspection action for the patient was performed, the event occurrence date 1401 is registered with the inspection date, and the event classification 1403 is registered with “examination performed”. .. Furthermore, as the display data, the inspection content specified from the inspection data table 325, the representative image, and the like are registered.

In S405, the CPU 201 of the business server 105 acquires the request data relating to the patient information received in S402 from the image interpretation request data table 324 and stores it in the event table created in the memory on the business server. In the case of image interpretation request data, the requested facility name is registered in the occurrence location 1402, the request date is registered in the event occurrence date 1401, and “request acceptance” is registered in the event classification 1403. Further, as the display data 1404, the patient name, examination type, examination site, etc. specified from the image interpretation request data table 324 are registered.

In S406, the CPU 201 of the business server 105 acquires the report data related to the patient information received in S402 from the report data table 326 and stores it in the event table generated in the memory of the business server. In the case of report data, the interpretation center 1402 is registered in the interpretation center, the event occurrence date 1401 is the interpretation date, and the event classification 1403 is “interpretation result”. Further, as the display data 1404, an image interpretation doctor name, an image interpretation result, an image interpretation site, and the like are registered.

The order of registration in S403 to S406 is not limited to this.

In S407, the CPU 201 of the business server 105 creates timeline data using the information registered in the event table. Details of S407 will be described with reference to FIG.

In S501, the CPU 201 of the business server 105 sorts the event data registered in the event table by the event occurrence date/time (date/time information).

In S502, the CPU 201 of the business server 105 creates the timeline table shown in FIG. The timeline table includes a timeline display date 1411 and the number of events 1412 that have occurred.

In step S<b>503, the CPU 201 of the business server 105 registers the date of occurrence of the first event registered in the event table in the timeline table.

In S504, the CPU 201 of the business server 105 counts up the number of events in the timeline table.

In S505, the CPU 201 of the business server 105 determines whether or not the date of occurrence of the next event registered in the event table is the same as the date of occurrence of the most recently registered event, and if it is determined in S505 that it is the same. , S506 to count up the number of events in the timeline table. On the other hand, if it is determined that they are not the same, the process proceeds to S507, and the display date of the next month is added to the timeline table.

In step S508, the CPU 201 of the business server 105 determines whether the display date added to the timeline table in step S507 matches the event occurrence date.

If it is determined in S509 that they match, the process proceeds to S509, and the number of events in the timeline table is incremented. On the other hand, if it is determined that they do not match, the process proceeds to S510 without canting.

In S510, the CPU 201 of the business server 105 determines whether or not all the events registered in the event table have been registered in the timeline table. If it is determined that the processing has not ended, the processing returns to S505 and continues. On the other hand, if it is determined that the processing has ended, the processing ends.

This is the end of the description of the flowchart in FIG.

In S408 of FIG. 4, the CPU 201 of the business server 105 transmits the event table information and the timeline table information generated by the processing of FIG. 5 to the information processing apparatus.

In step S409, the CPU 201 of the information processing device receives event data and timeline data from the business server 105.

In S410, the CPU 201 of the information processing device performs a timeline drawing process. Details of the timeline drawing process will be described with reference to FIG.

In S601, the CPU 201 of the information processing device performs an initial reset process. Specifically, the dotted line flag is set to 0, the reading position is reset, and the drawing position is reset.

In S602, the CPU 201 of the information processing device sets the reading position to 1 in the timeline data.

In step S603, the CPU 201 of the information processing device acquires the number of events that has occurred from the timeline data.

In S604, the CPU 201 of the information processing device determines whether the number of generated events acquired in S603 is zero. If it is determined that the value is not 0, the process proceeds to S605 and the year/month label is drawn.

In S606, the CPU 201 of the information processing device draws a solid line (first timeline axis) with a length corresponding to the number of generated events acquired in S603. That is, the solid line indicates that it is the period during which the information regarding the image interpretation is stored.

In S607, the CPU 201 of the information processing device advances the drawing position by the drawing in S606.

In S608, the CPU 201 of the information processing apparatus sets the dotted line flag to 0 and proceeds to S614.

On the other hand, if it is determined in S604 that the number of generated events is 0, the process proceeds to S609, and it is determined whether the dotted line flag is 0.

When it is determined in S609 that the dotted line flag is 0, the process proceeds to S610, and the year/month label of the reading position is drawn.

In S611, the CPU 201 of the information processing device draws a dotted line (second timeline axis) with a predetermined length. That is, the dotted line indicates that there is a period in which no information regarding image interpretation is stored. The length of the dotted line may be the same as one event of the practice line, but may be shorter than this. This is because there is no event information displayed on the dotted line.

In S612, the CPU 201 of the information processing device advances the drawing position by the drawing in S611.

In S613, the CPU 201 of the information processing apparatus sets the dotted line flag to 1 and proceeds to S614.

On the other hand, when it is determined in S609 that the dotted line flag is not 0 (the dotted line flag is 1), the process proceeds to S614.

In S614, the CPU 201 of the information processing device advances the reading position of the timeline data to the next position.

In S615, the CPU 201 of the information processing device determines whether there is data at the reading position of the timeline data. If there is no data, the process ends, and if there is data, the process returns to S603 to continue the process.

As a result, a screen on which the timeline axis of the timeline screen and the year/month label are displayed, that is, the timeline axis generated based on the date/time information is provisionally generated. This is the end of the description of FIG.

In S411 of FIG. 4, the CPU 201 of the information processing apparatus performs a process of drawing event data on the timeline screen generated by the process described in FIG. Details of the drawing process will be described with reference to FIG. 7.

In S701, the CPU 201 of the information processing apparatus sets the reading position of the event data received in S409 to 1.

In step S702, the CPU 201 of the information processing apparatus acquires the data of the reading position set in step S701 from the event data.

In step S703, the CPU 201 of the information processing apparatus determines whether the place of occurrence is the image interpretation center.

When it is determined in S703 that the place of occurrence is the image interpretation center, the process proceeds to S704, and the CPU 201 of the information processing apparatus determines the position where the event data is arranged in the right area of the timeline axis. If it is determined in S703 that the place of occurrence is not the image interpretation center, the process proceeds to S705, and the placement position is determined to be the left area of the timeline axis.

In the present process, the image interpretation center is set to the right side of the timeline axis, but it may be located on the left side or may be divided into upper and lower parts for display support. That is, when the occurrence location registered in the event table is set to one of the areas divided by the timeline axis for displaying the event information on the requesting facility side, the event information on the image interpretation side is divided by the timeline axis. It is sufficient to decide on the other of the two areas.

In this way, by changing the area in which the timeline axis is displayed according to the place where the event occurs, it is possible to make the history of the request clear on the timeline screen that displays the medical history of the patient.

In S706, the CPU 201 of the information processing device displays an icon corresponding to the event at a position on the corresponding timeline axis. Specifically, an icon 1508 as shown in FIG. 15 is displayed on the solid timeline axis 1506. Note that it may not be directly above the timeline axis, and may be displayed near the timeline axis 1506.

In S707, the CPU 201 of the information processing device draws the display data specified by the event table at the arrangement position determined in S74 or S705. Specifically, when the place of occurrence is the request source, event information 1509a, 1509b, 1509c is displayed on the left side of the timeline axis as in the timeline screen 1501 shown in FIG. On the other hand, when the place of occurrence is the image interpretation center, the event information 1510 is displayed on the right side of the timeline axis.

In S708, the CPU 201 of the information processing apparatus sets the event data reading position next.

In step S709, the CPU 201 of the information processing apparatus determines whether there is data at the event data reading position. If there is no data, the process ends, and if there is, the process returns to step S702 and continues processing.

By performing the processing of FIG. 7 as described above, drawing information used to display the timeline screen including the timeline axes 1506 and 1507 and the event information 1509 and 1510 as shown in FIG. 15 is generated. ..

Next, in S412, the CPU 201 of the information processing device performs a process of determining the screen display position. Specific processing will be described with reference to FIG.

In step S801, the CPU 201 of the information processing apparatus determines whether or not the instruction is to display the timeline screen specifying the examination information in addition to the patient information when the display of the timeline screen in step S401 is accepted. Specifically, when the icon displayed in the timeline column 1215 shown in FIG. 12 is selected and a display request for the timeline screen is made, it is determined that the display instruction is made in a state in which the inspection information is specified. To be done.

When it is determined in S801 that the examination information is the specified timeline screen display instruction, the process proceeds to S802, and the CPU 201 of the information processing device displays the past in the icon area 1601 that transitions to another examination of the same patient. An icon 1602 that transitions to the similarity request and an icon 1603 that transitions since the recent similarity are drawn.

FIG. 16 is a timeline screen displayed when a request for displaying the timeline screen is made in a state where the inspection information is specified.

In step S<b>803, the CPU 201 of the information processing apparatus determines the display position so that the inspection icon can be identified and the inspection icon 1508 a is located at the center of the timeline screen 1501 as illustrated in FIG. 16. To do. It should be noted that it is only necessary that the inspection icon can be identified, and it is not essential to locate it in the center.

When the instruction is the display instruction of the timeline screen in which the examination is specified in S801, the process proceeds to S804, and it is determined whether the instruction is the display instruction of the timeline screen in which the report information is specified. Specifically, when the timeline button 1343 is pressed while the report information shown in FIG. 13 is specified and a request for displaying the timeline screen is made, the display performed with the report information specified is displayed. Judged as a request.

When it is determined in S804 that the instruction is to display the timeline screen specifying the report information, the process proceeds to S805, and the CPU 201 of the information processing device displays the past icon area 1601 in the icon area 1601 that transitions to another examination of the same patient. An icon 1602 that transitions to the similarity request and an icon 1603 that transitions since the recent similarity are drawn.

FIG. 17 is a timeline screen displayed when a request for displaying the timeline screen is made in a state where the report information is specified.

In step S806, the CPU 201 of the information processing apparatus determines the display position so that the inspection icon can be identified and the inspection icon 1508a is positioned at the center of the timeline screen 1501 as shown in FIG. Then, the process ends. It should be noted that it is only necessary that the inspection icon can be identified, and it is not essential to locate it in the center.

In S807, the CPU 201 of the information processing apparatus performs a process of highlighting the event information 1510a of the image interpretation result, and ends the process. Specifically, as shown in FIG. 17, the event information 1510a can be highlighted by surrounding it with a wavy line.

If it is determined in S804 that the request is not for displaying the timeline screen specifying the report information, the process proceeds to S808. Specifically, when the display request of the timeline screen is made by pressing the timeline button 1104 of the portal screen 1101 shown in FIG. 11, the transition is made in this way.

In S808, the CPU 201 of the information processing apparatus determines the display position so that the oldest examination or the newest examination of the patient is displayed, and ends the processing.

By performing the processing of FIG. 8 as described above, when the timeline screen including the timeline axes 1506 and 1507 and the event information 1509 and 1510 as shown in FIGS. 15 to 17 is displayed on the screen of the display. The drawing position is determined.

In S413, the CPU 201 of the information processing device displays the timeline screen on the display at the drawing position determined in S412 (display control).

The timeline screen 1501 shown in FIGS. 15 to 17 may be provided with a detailed button in each event information area. Specifically, when the detail button 1520 provided in the examination execution event information area is pressed, it is preferable to activate the viewer that displays the medical image of the examination. Further, when the detail button 1521 provided in the event information area of the request reception is pressed, it is preferable to display a screen (not shown) displaying the request information. Furthermore, it is preferable to activate the report screen when the detail button 1522 provided in the event information area of the image interpretation result is pressed. Furthermore, when the detail buttons 1523 and 1524 provided in the event information area of the message are pressed, it is preferable to display a message display screen (not shown) in which the entire text of the message can be confirmed.

Further, the requester facility name 1502, patient name 1503, and age 1504, which are the basic information of the patient, may be displayed in the header portion of the timeline screen 1501.

In the present embodiment, the processing until the timeline screen is displayed has been described with reference to the flowcharts of FIGS. 4 to 8. In this way, the event information on the request side can be divided into one on the timeline axis. By displaying (requesting event information) and displaying the event information of the image interpretation side (image interpretation side event information) on the other side, the interpretation request of the medical image and the interpretation result performed based on the interpretation request are managed. With such a mechanism, it is possible to generate a timeline screen capable of visually identifying the medical history of the patient.

Furthermore, by setting the drawing position and the emphasis condition when drawing the timeline screen according to what kind of information is added to the patient information in addition to the patient information when making a display request, The medical history can be easily identified visually.

In this embodiment, the business server identifies necessary information from each table of the database 108, transmits data so that each terminal can generate a timeline screen, and the terminal side analyzes the received data based on the received data. The control for generating the timeline screen has been described as an example. However, the business server may generate a timeline screen in advance, and the generated timeline screen may be transmitted to the terminal and displayed on the display of the terminal.

The present invention can be embodied as, for example, a system, an apparatus, a method, a program, a storage medium, or the like. Specifically, the present invention may be applied to a system including a plurality of devices, or It may be applied to a device consisting of one device.

The present invention includes a software program that enables the functions of the above-described embodiments to be directly or remotely supplied to a system or apparatus. The present invention also includes a case where the information processing apparatus of the system or the apparatus is achieved by reading and executing the supplied program code.

Therefore, the program code itself installed in the information processing device to implement the functional processing of the present invention in the information processing device also implements the present invention. That is, the present invention also includes the computer program itself for realizing the functional processing of the present invention.

In that case, the program may take any form such as an object code, a program executed by an interpreter, or script data supplied to an OS as long as it has the function of the program.

Examples of the recording medium for supplying the program include a flexible disk, a hard disk, an optical disk, a magneto-optical disk, MO, a CD-ROM, a CD-R, a CD-RW, and the like. There are also magnetic tapes, non-volatile memory cards, ROMs, DVDs (DVD-ROMs, DVD-Rs), and the like.

In addition, as a method of supplying the program, a browser of a client computer is used to connect to a home page on the Internet. The computer program itself of the present invention or a compressed file containing an automatic installation function can be downloaded from the homepage to a recording medium such as a hard disk.

It can also be realized by dividing the program code constituting the program of the present invention into a plurality of files and downloading each file from different homepages. In other words, a WWW server that allows a plurality of users to download the program file for implementing the functional processing of the present invention on the information processing apparatus is also included in the present invention.

In addition, the program of the present invention is encrypted and stored in a storage medium such as a CD-ROM and distributed to users, and the key information for decrypting the encryption is downloaded from the homepage via the Internet to users who have satisfied predetermined conditions. Let Then, it is also possible to execute the encrypted program by using the downloaded key information and install the program in the information processing device to realize the program.

Further, the functions of the above-described embodiments are realized by the information processing device executing the read program. In addition, the OS or the like running on the information processing device may perform some or all of the actual processing based on the instructions of the program, and the functions of the above-described embodiments may be realized by the processing.

Further, the program read from the recording medium is written in the memory provided in the function expansion board inserted in the information processing device or the function expansion unit connected to the information processing device. After that, based on the instructions of the program, a CPU or the like included in the function expansion board or the function expansion unit performs a part or all of the actual processing, and the processing also realizes the functions of the above-described embodiments.

It should be noted that the above-described embodiments are merely examples of specific embodiments for carrying out the present invention, and the technical scope of the present invention should not be limitedly interpreted by these. That is, the present invention can be implemented in various forms without departing from its technical idea or its main features.

101... Remote interpretation server,
108... database,
109... requesting terminal,
112... Business terminal,
113, 114... Interpretation terminal 1501... Timeline screen

Claims (16)

An information processing system for managing request information including a medical image from a requesting facility and image interpretation result information showing a single result for the request information requested from the requesting facility,
Storage means for storing information including the request information and the image interpretation result information in association with patient information,
Receiving means for receiving the designation of the patient information stored in the storage means and the designation of the image interpretation result information corresponding to the designated patient information ,
Display control means for displaying a screen for displaying the information associated with the patient information whose specification has been accepted by the accepting means in chronological order,
Equipped with
Wherein the display control unit, information and controls to be displayed in the predetermined position is viewed by the user inspection information corresponding to the interpretation result information received by the common time axis in the reception unit Processing system. The image interpretation result information includes image interpretation side event information indicating that the event is on the image interpretation side, which corresponds to image interpretation result information obtained by the image interpretation using the medical image .
The request information includes request-side event information indicating that the request-side event corresponds to the image interpretation request information from the request facility ,
Wherein the display control unit, an information processing system according to claim 1, characterized in that said requester event information, and the said interpretation side event information for controlling so that the screen displayed in chronological order generated .. The preset position is a substantially central position, and the display control unit divides the request-side event information and the image-interpretation side event information, and in a time series order along a common time axis. The information processing system according to claim 2, wherein the request-side event information corresponding to the inspection information is displayed and controlled to be displayed at a position substantially in the center of the common time axis. The storage means stores message information exchanged between the request facility and the image interpretation facility in association with the patient information,
The display control means displays the event information corresponding to the message issued by the requesting facility on the side displaying the requesting side event information, and the event information corresponding to the message issued by the image interpretation facility is the image interpretation side event information. The information processing system according to claim 2 or 3, characterized in that the information processing system is controlled to display on the side displaying. 5. The information according to claim 2, wherein the display control unit controls to display the interpretation side event information corresponding to the interpretation result information of the request information in a more emphasized manner than other event information. Processing system. The display control means displays an icon indicating the request information and the result information on the time axis, and further displays a screen in which the association between the icon and the event information corresponding to the icon can be identified. The information processing system according to any one of claims 2 to 5, wherein the information processing system is controlled to operate. The time axis is a first time axis of a period in which information about the patient is stored in the storage unit, and a year/month label indicating a first year/month of a period in which information about the patient is not stored in the storage unit. And a second time axis connecting the year and month label in which the information regarding the image interpretation first occurs in the storage means after the year and month,
The display control means controls the first time axis, the year/month label, and the second time axis so that screens displayed in chronological order are generated in a distinguishable manner. The information processing system according to any one of claims 1 to 6, wherein: The information processing system according to claim 7, wherein the display control unit displays the first time axis by a solid line and displays the second time axis by a broken line. The display control means displays a screen for displaying the information associated with the patient information in chronological order after accepting the specification of the patient information without accepting the specification of the image interpretation result information ,
When the display control unit receives the designation of the patient information without receiving the designation of the image interpretation result information, the information displayed in chronological order from the oldest information or the newest information among the information associated with the patient information. When the designation of the patient information and the image interpretation result information is received, the examination information corresponding to the image interpretation result information is controlled to be displayed at a preset position. 9. The information processing system according to any one of items 8 to 8. A storage unit is provided for storing information including request information including a medical image from the requesting facility and image interpretation result information indicating a single result for the request information requested by the requesting facility in association with the patient information. A method of controlling an information processing system, comprising:
The information processing system,
A receiving step of receiving the designation of the patient information stored in the storage means and the designation of the image interpretation result information corresponding to the designated patient information ;
A display control step of displaying a screen for displaying the information associated with the patient information of which the specification is received in the reception step in chronological order,
Including
The display control step, the information and controls to be displayed in the predetermined position is viewed by the user inspection information corresponding to the interpretation result information accepted by the accepting step at a common time axis Processing system control method. A storage means is provided for storing information including request information including a medical image from the requesting facility and image interpretation result information showing a single result for the request information requested from the requesting facility in association with the patient information. An information processing device capable of communicating with a server device,
Receiving means for receiving the designation of the patient information stored in the storage means and the designation of the image interpretation result information corresponding to the designated patient information ,
Display control means for displaying a screen for displaying the information associated with the patient information whose specification has been accepted by the accepting means in chronological order,
Equipped with
Wherein the display control unit, information and controls to be displayed in the predetermined position is viewed by the user inspection information corresponding to the interpretation result information received by the common time axis in the reception unit Processing equipment. A storage means is provided for storing information including request information including a medical image from the requesting facility and image interpretation result information showing a single result for the request information requested from the requesting facility in association with the patient information. A method of controlling an information processing device capable of communicating with a server device, comprising:
The information processing device is
A receiving step of receiving the designation of the patient information stored in the storage means and the designation of the image interpretation result information corresponding to the designated patient information ;
A display control step of displaying a screen for displaying the information associated with the patient information of which the specification is received in the reception step in chronological order,
Including
The display control step, the information and controls to be displayed in the predetermined position is viewed by the user inspection information corresponding to the interpretation result information accepted by the accepting step at a common time axis A method for controlling a processing device. A program that causes a computer to function as the information processing apparatus according to claim 11. A server device for managing request information including a medical image from a requesting facility, and image interpretation result information indicating a single result for the request information requested by the requesting facility,
Storage means for storing information including the request information and the image interpretation result information in association with patient information,
Receiving means for receiving the designation of the patient information stored in the storage means and the designation of the image interpretation result information corresponding to the designated patient information ,
Display control means for displaying a screen for displaying the information associated with the patient information whose specification has been accepted by the accepting means in chronological order,
Equipped with
Wherein the display control unit, a server and controlling so as to be displayed at a predetermined position to visually recognize the user inspection information corresponding to the interpretation result information received by the common time axis in the reception unit apparatus. A storage unit is provided for storing information including request information including a medical image from the requesting facility and image interpretation result information indicating a single result for the request information requested by the requesting facility in association with the patient information. A method of controlling a server device,
The server device,
A step of receiving designation of the patient information stored in the storage means and designation of the image interpretation result information corresponding to the designated patient information ;
A display control step of displaying a screen for displaying the information associated with the patient information of which the specification is received in the reception step in chronological order,
Including
Wherein the display control step, the server and controlling so as to be displayed at a predetermined position to visually recognize the user inspection information corresponding to the interpretation result information accepted by the accepting step at a common time axis Device control method. A program for causing a computer to function as the server device according to claim 14.

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