JP6794495B2 - Shooting processing system, its control method and program - Google Patents

Description

The present invention relates to a technique for photographing a patient as a subject under a doctor's imaging instruction.

In recent years, medical institutions such as hospitals have become more informatized, and more and more institutions have introduced electronic medical records that manage patient diagnostic information. Patient diagnosis history information, medication information, surgery information, affected area image data, X-ray image data, etc. are centrally managed on the electronic medical record, and data (information) can be easily shared and reused. .. In addition, due to the recent increase in storage capacity, it has become possible to capture a large amount of image data of an affected area or the like and store it in an electronic medical record.

In such an environment, a usage method in which a patient is photographed using a digital camera and the photographed image data is stored in an electronic medical record as a medical record is frequently used. In particular, in the field of dermatology, surgery or long-term care, a patient's wound, surgical scar or pressure sore (bedsore) is regularly photographed with a digital camera to observe the time course of the affected area.

In such a scene of using a digital camera, the doctor who consulted the camera does not always take the picture. Under the direction of a doctor, the in-hospital photography staff or nurse, or an out-of-hospital visiting nurse may take pictures. In this case, it is necessary for the doctor to issue a photographing instruction including the imaged part and the number of images to be taken in addition to the basic information such as the name and ID of the target patient, and the photographer to take a picture while confirming the doctor's instruction.

For such a usage scene, Patent Document 1 describes the patient's 3D image data on the screen when the doctor issues an imaging order, and the doctor directly specifies the imaging site on the 3D image data. The technology for which the order is issued is disclosed.

Further, in Patent Document 2, image data of the affected area taken by a digital camera is transmitted via a communication network, and the corresponding disease name is given from the accumulated skin disease data according to the content of the image data of the affected area. A technique for predicting and outputting a coping method is disclosed.

Japanese Unexamined Patent Publication No. 2001-60239 Japanese Unexamined Patent Publication No. 2005-58398

However, Patent Document 1 only mentions the issuance of a doctor's photography order, and does not mention how the photographer shoots while confirming the photography order. In home-visit nursing, there is a time lag between the time when the doctor gives an instruction to take a picture and the time when the home-visit nurse who is the photographer actually takes a picture of the affected area. For this reason, there is a high possibility that a sudden change in the affected area for which a doctor has instructed to take a picture or an onset occurs in a part other than the part designated by the doctor. Therefore, the photographer must take into consideration the situation and urgency, and accurately inform the doctor of measures other than the instructions of the doctor and information on the affected area. However, in the above-mentioned Patent Document 2, only the prediction of the disease name from the affected part image data and the chief complaint of the patient is mentioned, and the feedback of the affected part information to the doctor is not mentioned.

An object of the present invention, when photographing a patient as an object to be Utsushitai is to provide a mechanism for feeding back information about the affected part of the state to a physician.

The imaging processing system of the present invention is an imaging processing system including an imaging device and an information processing apparatus, and the imaging device is included in a patient's first imaging site included in an imaging instruction by a doctor and an imaging instruction by a doctor. By accepting a selection for an imaging means for photographing the second imaging site of the patient and the affected area information which is information on the state of the first imaging site or the second imaging site displayed on the display unit. The receiving means that accepts the input of the affected part information, and the image data generated by photographing the affected part information that received the input, or the image generated by photographing the second imaged part. The information processing apparatus has a storage means for storing data in association with the data , and the information processing apparatus causes a symptom with respect to the second imaging site not included in the imaging instruction by the doctor based on the presence or absence of the imaging instruction by the doctor. A determination means for determining a browsing priority so as to preferentially encourage browsing for a location, and a display control means for displaying information indicating the patient on a display unit in a display mode according to the determined browsing priority. And, characterized by having.
Another aspect of the imaging processing system of the present invention is an imaging processing system including an imaging device and an information processing apparatus, wherein the imaging device includes a first imaging site of a patient included in an imaging instruction by a doctor and a doctor. Accepts selection for imaging means for imaging the patient's second imaging site, which is not included in the imaging instruction, and affected area information, which is information about the state of the first imaging site or the second imaging site displayed on the display unit. By taking the image data generated by photographing the first imaging site or the second imaging site by photographing the receiving means that accepts the input of the affected area information and the affected area information that has received the input. The information processing apparatus has a storage means for storing the generated image data in association with the generated image data, and the information processing apparatus can be used for a portion where the state of the first imaging portion included in the imaging instruction by the doctor has changed and a imaging instruction by the doctor. A determination means for determining a viewing priority and a display mode according to the determined viewing priority are used to preferentially encourage viewing of a portion where a symptom occurs with respect to the second imaging site that is not included. It is characterized by having a display control means for displaying information indicating a patient on a display unit.
The present invention also includes the above-mentioned control method of the photographing processing system and a program characterized in that the photographing apparatus and the information processing apparatus function as each means of the above-mentioned imaging processing system.

According to the present invention, when photographing a patient as an object to be Utsushitai, it is possible to provide a mechanism for feeding back information about the affected part of the state to a physician.

It is a figure which shows the structure of the photographing processing system which concerns on embodiment of this invention. It is a flowchart which shows the shooting process in the shooting processing system which concerns on embodiment of this invention. It is a figure which shows an example of the imaging instruction input by a doctor. It is a flowchart which shows the detail of the photographing process in step S102 of FIG. It is a figure which shows an example of the photographing information (metadata) given in step S1026 of FIG. It is a figure which shows an example of the user interface for inputting the affected part information. It is a figure which shows an example of the reference figure selected in step S1022 of FIG. It is a figure which shows the table used for the reference figure selection process in step S1022 of FIG. It is a figure which shows the example of the imaging screen of the imaging part. It is a flowchart which shows the detail of the reference figure selection process in step S1022 of FIG. It is a figure which shows an example of the user interface which displays all the imaging parts included in the imaging instruction in step S1023 of FIG. It is a figure which shows another example of the user interface which displays the live view image data in step S1024 of FIG. It is a figure which shows the example of the browsing priority management table. It is a figure which shows the display example of the patient name list and the detailed information of a patient. It is a figure which shows the display example of the patient name list.

Hereinafter, preferred embodiments to which the present invention is applied will be described in detail with reference to the accompanying drawings.

First, the first embodiment of the present invention will be described. In the first embodiment, it is assumed that a photographer such as a visiting nurse or a caregiver photographs a patient to be imaged as a subject by using a digital camera which is an imaging device based on an imaging instruction by a doctor. There is.

FIG. 1 is a diagram showing a configuration of a photographing processing system according to the first embodiment of the present invention. As shown in FIG. 1, the photographing processing system 100 according to the first embodiment includes a client device 110, an image management server device 120, a photographing device 130, a wired network 140, and a wireless network 150. Here, the client device 110 and the image management server device 120 are connected via a wired network 140. Further, the image management server device 120 and the photographing device 130 are connected via the wireless network 150. The client device 110 has a configuration that serves as an example of an information processing device.

The client device 110 is a device used by a doctor. As shown in FIG. 1, the client device 110 includes a shooting instruction input unit 111, a display unit 112, and a display control unit 113. The shooting instruction input unit 111 receives a shooting instruction by a doctor. The display unit 112 displays captured image data and affected area information, and allows a doctor to view them. The display control unit 113 controls the list display of patient names and the image data display order of individual patients.

The image management server device 120 is a device that manages captured image data. As shown in FIG. 1, the image management server device 120 includes a photographing instruction storage unit 121, an image storage unit 122, and an affected area information storage unit 123. The imaging instruction storage unit 121 stores the imaging instruction received by the doctor in the client device 110.

The image storage unit 122 stores the photographed image data photographed by the photographing device 130. The affected area information storage unit 123 stores the affected area information input by the imaging device 130. The imaging device 130 is a general-purpose digital camera that photographs a patient to be imaged as a subject.

As shown in FIG. 1, the photographing apparatus 130 includes a storage unit 131, an input unit 132, an imaging instruction rearranging unit 133, an imaging unit 134, a display unit 135, and an information storage control unit 136. The storage unit 131 stores various information, various data, various tables, and the like. In the input unit 132, the photographer inputs information such as affected area information and various instructions. The imaging instruction rearranging unit 133 is received by the client device 110 and rearranges the imaging instructions by the doctor stored in the imaging instruction storage unit 121. The photographing unit 134 includes an imaging sensor that converts an optical image of a subject imaged via an optical system such as a lens into electronic captured image data. The display unit 135 includes a liquid crystal display screen that displays live view image data and captured image data obtained by the image sensor of the photographing unit 134. The information storage control unit 136 stores the captured image data captured by the imaging unit 134 in the image storage unit 122 of the image management server device 120, and stores the affected area information input by the input unit 132 in the affected area of the image management server device 120. It is stored in the information storage unit 123.

FIG. 2 is a flowchart showing a shooting process in the shooting processing system 100 according to the first embodiment of the present invention. The process shown in FIG. 2 is a process started when a doctor gives an imaging instruction to the client device 110. Further, the process shown in FIG. 2 is a process realized by the CPU reading necessary data and a program from a recording medium such as an HDD and executing the process in the corresponding device in the photographing processing system 100.

In step S101, the imaging instruction input unit 111 of the client device 110 receives an imaging instruction by a doctor. Then, the client device 110 transmits the shooting instruction to the image management server device 120 via the wired network 140. The image management server device 120 stores the shooting instruction received from the image management server device 120 in the shooting instruction storage unit 121.

In step S102, the photographing device 130 reads (loads) the photographing instruction from the photographing instruction storage unit 121 of the image management server device 120 via the wireless network 150. Then, the photographing device 130 rearranges the photographing instructions, and then displays the rearranged photographing instructions on the display unit 135. After that, when the photographer performs a shooting operation according to the shooting instruction displayed on the display unit 135, the shooting device 130 performs the shooting process of the shooting target patient to generate the shooting image data of the shooting target patient. In addition, the photographer inputs the affected part information of the patient to be imaged from the input unit 132. The photographing device 130 transmits the photographed image data and the affected part information of the patient to be imaged to the image management server device 120 via the wireless network 150. When the image management server device 120 receives the photographed image data and the affected part information of the patient to be imaged from the photographing device 130, the image management server device 120 stores the photographed image data in the image storage unit 122 and stores the affected part information in the affected part information storage unit 123.

In step S103, the client device 110 acquires the captured image data stored in the image storage unit 122 of the image management server device 120, and the affected area information stored in the affected area information storage unit 123 of the image management server device 120. To get. Then, the client device 110 displays the captured image data and the affected area information on the display unit 112 so that the doctor can view them.

FIG. 3 is a diagram showing an example of an imaging instruction input by a doctor. In the example shown in FIG. 3, the imaging instruction 300 includes basic patient information of the patient to be imaged such as patient name, patient ID, age, and gender, as well as the name of the instructing doctor, imaging method, imaging position, imaging site (imaging affected area), and imaging area. Includes shooting information such as precautions. In the example shown in FIG. 3, a plurality of photographing parts are simply listed, but the number of shots, the shooting angle, the reason for shooting, precautions, and the like may be set in detail for each shooting part.

FIG. 4 is a flowchart showing details of the shooting process in step S102 of FIG. The process shown in FIG. 4 is a process realized by the CPU executing necessary data and a program from a recording medium such as a ROM in the photographing apparatus 130.

In step S1021, the photographing device 130 loads the photographing instruction stored in the photographing instruction storage unit 121 of the image management server device 120 into, for example, the storage unit 131 via the wireless network 150. Here, the image management server device 120 and the photographing device 130 are connected by a wireless network 150 such as short-range wireless communication or infrared communication represented by Bluetooth (registered trademark).

In step S1022, the imaging device 130 selects a schema as a reference diagram from the schema (human body partial view) stored in the storage unit 131 based on the imaging portion included in the imaging instruction loaded in step S1021. In the present embodiment, the reference figure selection process is performed by the photographing device 130, but the image management server device 120 selects the schema as the reference figure based on the photographing portion included in the photographing instruction, and the photographing device The 130 may load the selected reference diagram from the image management server device 120 as part of the imaging instruction.

In step S1023, the photographing device 130 displays the photographing portion included in the photographing instruction on the display unit 135. Here, for example, the imaging portion included in the imaging instruction is superimposed and displayed on the schema as the reference diagram selected in step S1022.

Subsequently, when the photographer selects one imaging region from the imaging regions displayed in step S1022, in step S1024, the imaging apparatus 130 displays the imaging instruction loaded in step S1021 on the display unit 135. Here, for example, a shooting instruction is displayed superimposed on the live view image data. In addition, when a case is seen in a part other than the imaging part included in the imaging instruction by the doctor, the photographer targets the imaging target on the schema when photographing the part other than the imaging part included in the imaging instruction by the doctor. Click on the part. As a result, the photographing device 130 acquires the name of the part to be photographed.

Subsequently, the photographer presses the shooting button. As a result, in step S1025, the photographing unit 134 of the photographing apparatus 130 performs an imaging process of converting the optical image of the subject (patient to be photographed) captured from the lens into electronic captured image data. In step S1026, the photographing device 130 (for example, the photographing unit 134) adds the photographing information as metadata to the photographed image data obtained in the photographing process of step S1025. The imaging information given in this step includes, in addition to information obtained at the time of imaging such as the imaging date and time and the imaging location, basic patient information of the patient to be imaged, imaging instructions such as the imaging site, and input from the input unit 132. Information on the condition of the affected area (affected area information) and the like can be mentioned. By adding the photographed information to the photographed image data in this way, it becomes possible to search the photographed image data at a later date by designating the photographed portion with a keyword such as "right elbow head".

FIG. 5 is a diagram showing an example of shooting information (metadata) given in step S1026 of FIG. In FIG. 5, 501 is shooting information (meta data). As shown in FIG. 5, the imaging information 501 includes "site" 502, "imaging instruction" 503, "previous medical history" 504, "previous degree" 505, and information on the condition of the affected area ("S (main complaint)). It is composed of "506", "O (difference in affected area from the previous examination) 507", "A1 (suspicious disease name) 508", "A2 (degree) 509", "P (treatment policy) 510").

The “site” 502 is information indicating an imaging region extracted from an imaging instruction by a doctor. The "previous medical history" 504 and the "previous degree" 505 are information diverted from the previously captured and acquired imaging information. Each element of {presence / absence} and information 506 to 510 regarding the state of the affected portion, which is an element of the “shooting instruction” 503, is information appropriately selected from the input unit 132. Information 506 to 510 regarding the condition of the affected area shall be input classification based on the SOAP format, which is a general medical record description method. However, the item name is not limited as long as it is information about the affected area such as the chief complaint obtained from the patient, the information obtained objectively by the photographer (photographer's findings), the expected disease name, and the treatment policy.

FIG. 6 is a diagram showing an example of a user interface for inputting affected area information. The interface has a configuration corresponding to the input unit 132 of FIG. As shown in FIG. 6, the photographing apparatus 130 is provided with a liquid crystal display screen 601 and a selection button 602. The liquid crystal display screen 601 makes it possible to select the affected area information to be input by operating the touch panel. In addition, by rotating the selection button 602, the element name of the affected part information on the liquid crystal display screen 601 is also rotated, and by pressing the selection button 602, the element name in the display area 1203 is selected. It is possible to do.

In addition to the fixed order, the elements selected for each item in these user interfaces may be preferentially displayed at the top. Further, the arrangement of the elements of other items may be changed as appropriate based on the elements of the item set earlier. For example, when "itch" is selected in item 506 of the chief complaint, there is a method of preferentially displaying "insect bite" and "heat rash" at the top of the display order of item 508 when selecting a suspicious disease name. Conceivable.

In step S1027, the imaging device 130 determines whether or not the imaging process has been completed for all the imaging regions. If the imaging process has not been completed for all the imaging regions, the process returns to step S1023. Then, the photographing apparatus 130 performs the processing of step S1023 and subsequent steps again for the photographing portion which has not yet completed the photographing process. On the other hand, when the imaging process is completed for all the imaging sites, the process proceeds to step S1028.

In step S1028, the information storage control unit 136 of the photographing device 130 indicates the photographed image data obtained in the photographing process of step S1025 to be the imaged portion included in the photographing instruction shown in FIG. The images are stored in the image storage unit 122 of the image management server device 120 in this order.

FIG. 7 is a diagram showing an example of a reference diagram selected in step S1022 of FIG. The photographing device 130 holds a plurality of partial human figures called schemas. As shown in FIG. 7, the schema is given a classification name indicating a display range on the human body such as "whole body" 701 and "head" 702, and each classification name is a front view of the human body. It holds the schema name and the schema name seen from the back. Here, only "whole body" 701 and "head" 702 are shown as classification names, but in addition, necessary schemas such as "right forearm" and "right palm" are required according to the assumed shooting scene. It is prepared in advance.

FIG. 8 is a diagram showing a table used for the reference diagram selection process in step S1022 of FIG. The table shown in FIG. 8 is stored in, for example, the storage unit 131 of the photographing apparatus 130.

The classification name 801 indicates a display range on the human body as shown in FIG. 7 such as "whole body" 701 and "head" 702. Further, as shown in the schema name 803 of FIG. 8, for each of the classification names 801 the schema name viewed from the front surface of the human body and the schema name viewed from the back surface of the human body are stored.

Element 805 stores the part name on the human body displayed on the schema corresponding to the schema name 803. The portion stored in the element 805 does not necessarily have to be accurately displayed due to the human body structure. For example, the element "right elbow head" included in the "front of the whole body" of the schema name 803 should be included in the "back of the whole body" to be exact, but at the time of shooting, as shown in FIG. 9, from the front of the human body. The picture will be taken with the elbow bent. Therefore, the element "right elbow head" is arranged on the "front of the whole body" in order to give priority to the visibility of the display to the photographer. The number of elements 804 is the number of elements 805 included in the schema name 803, and the number of elements 802 is the number of elements 805 included in the classification name 801.

FIG. 10 is a flowchart showing details of the reference diagram selection process in step S1022 of FIG. The process shown in FIG. 10 is a process realized by the CPU executing necessary data and a program from a ROM or the like in the photographing apparatus 130.

In step S10221, the photographing apparatus 130 searches the table shown in FIG. 8 for the schema name 803 including all the photographing parts. In addition, all the imaging parts referred to here mean all the imaging parts included in the imaging instruction loaded in step S1021. In step S10222, the photographing apparatus 130 determines whether or not the schema name 803 including all the photographing parts exists. If there is a schema name 803 that includes all the imaging parts in the element 805, the process proceeds to step S10226. On the other hand, if there is no schema name 803 that includes all the imaging parts in the element 805, the process proceeds to step S10223.

In step S10223, the photographing apparatus 130 acquires the classification name 801 including all the imaging parts in the element 805. In step S10222, it is determined that the schema name 803 including all the imaging parts in the element 805 does not exist, which means that all the imaging parts cannot be displayed by the schema only on the front surface or the back surface of the human body. means. For example, when the element 805 of the table shown in FIG. 8 is searched for the imaging part {right elbow head, left elbow head, right gluteal region, left patella} shown in FIG. 3, the right gluteal region is the back surface of the human body. It exists only in the schema showing, and the right and left olecranons exist only in the schema showing the front of the human body. That is, there is no schema that includes all the imaging parts. Therefore, the search range is expanded for the classification name 801 having a pair of schemas on the front surface of the whole body and the back surface of the whole body.

In step S10224, when a plurality of classification names 801 acquired in step S10223 exist, the photographing apparatus 130 acquires the classification name 801 having the smallest number of elements by referring to the number of elements 802 shown in FIG. This means getting the smallest schema that can display all shooting instructions. In the example of FIG. 8, since the classification name 801 including all the imaging parts {right elbow head, left elbow head, right gluteal region, left patella} included in the imaging instruction shown in FIG. 3 exists only as “whole body”, it is “whole body”. The classification name 801 of "is acquired.

In step S10225, the photographing apparatus 130 acquires the schema included in the classification name 801 acquired in step S10224 as a reference diagram. In the example of FIG. 8, a schema whose schema name 803 corresponds to “whole body front surface” and “whole body back surface” is acquired as a reference diagram.

In step S10226, the photographing apparatus 130 acquires the schema name 803 including all the imaging parts in the element 805. For example, when the imaging region included in the imaging instruction is {frontal region, right cheek}, the imaging apparatus 130 searches for the element 805 shown in FIG. 8 and includes all the imaging regions in the element 805. Get "front" and schema name "front of head".

In step S10227, the photographing apparatus 130 acquires the schema name 803 having the smallest number of elements 804 shown in FIG. 8 among the schema names 803 acquired in step S10226. In the above example, the number of elements 804 of the schema name "front of the whole body" is compared with the number of elements 804 of the schema name "front of the head", and the schema name "front of the head" with a small number of elements 804 is acquired.

In step S10228, the photographing apparatus 130 acquires the schema corresponding to the schema name 803 acquired in step S10227. As a result, a schema that includes all the imaging parts and can display the most details is acquired as a reference diagram.

FIG. 11 is a diagram showing an example of a user interface in which all the imaging parts included in the imaging instruction in step S1023 of FIG. 4 are displayed. In the example of FIG. 11, the photographing device 130 is provided with a liquid crystal display screen 1101 and a photographing button 1102. Touch panel operation is possible on the liquid crystal display screen 1101. Further, the liquid crystal display screen 1101 is provided with the following display areas 1103 to 1105.

The 1103 is a display area for displaying that the current screen is a screen showing a photographing portion. The 1104 is an area for displaying the reference diagram (schema) acquired by the process shown in FIG. For example, in response to the shooting instruction shown in FIG. 3, when a schema corresponding to the schema name “whole body front” and a schema corresponding to the schema name “whole body back” are acquired by the process shown in FIG. 10, these are used as reference views. It is displayed in the display area 1104. Reference numeral 1105 is a display area for displaying a photographing portion on the schema displayed in the display area 1104. For example, the photographing device 130 stores a plurality of schema sets in the storage unit 131, and stores a combination of coordinates and parts on each schema included in each schema set in the storage unit 131 as an index. Then, the photographing device 130 marks the photographing portion on the schema by referring to the index of the corresponding schema from the storage unit 131. As a result, the display area 1105 is displayed. When the photographer touches the display area 1105 (text or marking portion of the imaging region name), the imaging apparatus 130 displays the imaging screen of the selected imaging region as shown in FIG.

FIG. 9 is a diagram showing an example of a user interface in which live view image data is displayed in step S1024 of FIG. In FIG. 9, the photographing device 130 is provided with a liquid crystal display screen 901 and a photographing button 902. The liquid crystal display screen 901 displays the image seen through the lens as live view image data, and can be input by touch panel operation. When the photographer presses the shooting button 902, the shooting device 130 performs a shooting process of converting the optical image of the subject (patient to be shot) captured from the lens into electronically shot image data.

The liquid crystal display screen 901 is provided with the following display areas 903 to 905. Reference numeral 903 is a display area for displaying the imaging region to be imaged next by the photographer, and the imaging region selected from the display area 1105 in FIG. 11 is displayed. Reference numeral 904 is a display area for displaying the imaging instruction corresponding to the imaging region shown in the display area 903 on the schema displayed in the display area 1104 of FIG. In addition, either one of the display areas 903 and 904 may be displayed. The 905 is a display area for displaying the number of the imaging region currently being subjected to the imaging process among all the imaging regions. Each time the shooting button 902 is pressed and the designated shooting portion is shot, the number of shots displayed in the display area 905 is counted up.

FIG. 12 is a diagram showing another example of the user interface in which the live view image data is displayed in step S1024 of FIG. In FIG. 12, the display area 1201, the shooting button 1202, the display area 1203, and the display area 1205 are the same as the display area 901, the shooting button 902, the display area 903, and the display area 905 of FIG. 9, respectively.

1204 is a display area for displaying captured image data having a imaging region similar to the imaging region displayed in the display area 1203. The captured image data displayed in the display area 1204 is searched by the image storage unit 122 of the image management server device 120 using the captured portion displayed in the display area 1203 as a keyword in the reference diagram acquisition process in step S1022 of FIG. , You may choose from the search results. For example, when the same person is photographed regularly as in home-visit nursing, the photographed image data of the same imaged portion in the previous imaging process of the same patient may be displayed.

Hereinafter, the captured image data display process in step S103 of FIG. 2 will be described in detail. The display control unit 113 controls the display unit 112 during the captured image data display processing. The display unit 112 gives priority to the doctor by displaying the photographed image data by emphasizing the patient name and the affected area based on the affected area information acquired from the affected area information storage unit 123 of the image management server device 120. Encourage people to browse. Further, the display control unit 113 controls for displaying the patient list based on the affected area information acquired from the affected area information storage unit 123 of the image management server device 120, and displays the captured image data stored in the image storage unit 122. Control the order.

Further, the display control unit 113 includes a table for managing the viewing priority of the affected area information associated with the captured image data. When the patient name list is displayed or the detailed information of the individual patient is displayed, the captured image data is weighted for each patient based on the viewing priority table. For the weighting of the viewing priority for each patient, the average value or the total value of the viewing priority of the affected area image data updated within the past few days is used.

FIG. 13A shows an example of a table for managing the above-mentioned browsing priority (hereinafter, referred to as a browsing priority management table). This table is designed based on the intention of prompting doctors to preferentially browse the areas where some symptoms occur in areas other than the doctor's imaging instructions, or where the condition of the affected area suddenly changes despite the doctor's imaging instructions. Has been done.

FIG. 14A shows an example in which a patient name list is displayed on the display unit 112 based on the viewing priority management table shown in FIG. 13A. The patient names are displayed in ascending order of the patient IDs, and among these displayed patients, the patient ID "003" judged to have the highest viewing priority and the patient name "Taro Kimura" are displayed in a pop-up display 1401. Is done and the doctor is urged to browse in preference to other patients.

Similarly, FIG. 14B also shows another example in which the patient name list is displayed on the display unit 112 based on the browsing priority management table shown in FIG. 13A. Here, a list of patient names is displayed in ascending order of viewing priority for each patient. In this example, the patient ID "003" and the patient name "Taro Kimura", which are judged to have the highest viewing priority, are displayed in 1402, which is the highest patient name, so that the doctor can browse the patient with priority over other patients. Prompted by. Further, in the vicinity of each patient's name, the affected part image data having the highest viewing priority among the affected part image data taken on the latest shooting date of the patient may be displayed as thumbnail image data 1403. In addition, patients who exceed the prescribed viewing priority may be changed to a display that attracts the attention of a doctor, such as displaying in a different color from other patients or enlarging the displayed characters.

FIG. 14C shows an example in which the display unit 112 displays the detailed information of the patient. Detailed patient information is displayed in transition when a patient name is selected from the patient name list display screen. In 1404, the photographed image data having the highest viewing priority of the patient is displayed. Further, the patient information and the affected part information associated with the captured image data having the highest viewing priority are displayed on the 1405.

As described above, according to the present embodiment, when the imaging target patient is photographed by the imaging device 130, information such as the presence or absence of a doctor's imaging instruction and the state of the affected area is also added to the captured image data. Then, based on the above-mentioned viewing priority management table, regarding the imaging part not included in the imaging instruction by the doctor, the part where some symptom occurred or the imaging part included in the imaging instruction by the doctor but the condition of the affected part suddenly changed. , Doctors can be given priority in browsing. This makes it possible for the photographer to reliably feed back the condition of the affected area to the doctor.

Next, a second embodiment of the present invention will be described. In the following, the same contents as those of the first embodiment will be omitted, and the parts different from the contents of the first embodiment will be described.

In the first embodiment, the browsing priority management table provided in the display control unit 113 is a place where some symptom occurs in a part other than the doctor's imaging instruction, or a doctor's imaging instruction is given, but the condition of the affected part suddenly changes. The location is designed with the intention of prompting doctors to read it preferentially. In addition, the viewing priority of the captured image data may be determined according to the disease name of the affected area and the specialty of the doctor. For example, in elderly care, bedsores occur once, and once they become severe, it is difficult to completely cure them. Therefore, treatment at the initial stage of onset and subsequent preventive measures are important. Therefore, in the browsing priority management table shown in FIG. 13B, when the suspected disease name is a pressure sore, the browsing priority is increased even if the condition of the affected area is mild, unless the doctor instructs the patient to take a picture. Designed with intent.

In addition, depending on the specialty of the doctor, the conditions for prompting the doctor to browse will change. For example, a doctor who specializes in rehabilitation needs to instruct changes in the rehabilitation program as the affected area improves. For this reason, it is assumed that the photographer wants to give priority to the case where the condition of the affected area has improved and encourage the doctor to view the image of the affected area. Therefore, a browsing priority management table may be prepared for each doctor and the displayed contents may be changed.

FIG. 15A uses a browsing priority management table designed with the intention of preferentially displaying improvement, and shows that the condition of the affected part of the displayed patient has deteriorated in the patient name display state of doctor A. An example of displaying the intended pop-up is shown. FIG. 15B shows that the condition of the affected part of the displayed patient has improved in the patient name list display state of doctor B using the browsing priority management table designed with the intention of preferentially displaying the deterioration. Shows an example of displaying a pop-up intended for.

In FIG. 15 (c), a browsing priority management table designed with the intention of preferentially displaying the improvement and a browsing priority management table designed with the intention of preferentially displaying the deterioration are used at the same time, respectively. An example is shown in which a pop-up is displayed next to the patient name judged to have a high browsing priority in the table. As a result, the condition of the affected area can be reliably fed back from the photographer to the doctor according to the disease name of the affected area and the specialty of the doctor.

The present invention is also realized by executing the following processing. That is, software (program) that realizes the functions of the above-described embodiment is supplied to the system or device via a network or various storage media, and the computer (or CPU, MPU, etc.) of the system or device reads the program. This is the process to be executed.

100: Shooting processing system, 110: Client device, 111: Shooting instruction input unit, 112: Display unit, 113: Display control unit, 120: Image management server device, 121: Shooting instruction storage unit, 122: Image storage unit, 123 : Affected part information storage unit, 130: Imaging device, 131: Storage unit, 132: Input unit, 133: Imaging instruction sorting unit, 134: Imaging unit, 135: Display unit, 136: Information storage control unit, 140: Wired network , 150: Wireless network

Claims (11)

A shooting processing system that includes a shooting device and an information processing device.
The photographing device is
An imaging means for photographing the first imaging site of the patient included in the imaging instruction by the doctor and the second imaging site of the patient not included in the imaging instruction by the doctor .
A receiving means for accepting input of the affected area information by accepting a selection for the affected area information which is information on the state of the first imaging site or the second imaging site displayed on the display unit.
A storage means for storing the affected area information that has received the input in association with the image data generated by photographing the first imaging site or the image data generated by photographing the second imaging site .
Have,
The information processing device
A determination means for determining a viewing priority so as to preferentially encourage viewing of a portion where a symptom occurs with respect to the second imaging site not included in the imaging instruction by the doctor based on the presence or absence of the imaging instruction by the doctor. When,
A display control means for displaying information indicating the patient on the display unit in a display mode according to the determined viewing priority.
A photography processing system characterized by having. A shooting processing system that includes a shooting device and an information processing device.
The photographing device is
An imaging means for photographing the first imaging site of the patient included in the imaging instruction by the doctor and the second imaging site of the patient not included in the imaging instruction by the doctor .
A receiving means for accepting input of the affected area information by accepting a selection for the affected area information which is information on the state of the first imaging site or the second imaging site displayed on the display unit.
A storage means for storing the affected area information that has received the input in association with the image data generated by photographing the first imaging site or the image data generated by photographing the second imaging site .
Have,
The information processing device
Priority is given to the location where the state of the first imaging site changed, which is included in the imaging instruction by the doctor, and the location where the symptom occurs in the second imaging site, which is not included in the imaging instruction by the doctor. , Determining means to determine browsing priority,
A display control means for displaying information indicating the patient on the display unit in a display mode according to the determined viewing priority.
A photography processing system characterized by having. The information processing device
The intention is to give priority to viewing the part where the state of the first imaging part included in the imaging instruction by the doctor has changed and the part where the symptom has occurred in the second imaging part not included in the imaging instruction by the doctor. The photographing processing system according to claim 1 or 2, further comprising a viewing priority management table designed based on the present invention. The display control means according to any one of claims 1 to 3, wherein the display control means changes the display mode of the information indicating the determined patient having the highest viewing priority among the plurality of patients. Shooting processing system. The photographing processing system according to any one of claims 1 to 3, wherein the display control means changes the display mode when the determined viewing priority is equal to or higher than a threshold value. The display control means displays a list of information indicating a plurality of patients on the display unit, and further rearranges the information indicating the plurality of patients so as to be in an order according to the determined viewing priority. The photographing processing system according to any one of claims 1 to 3, which is characterized. The determination means is characterized in that, when the disease name of the affected part included in the affected part information is a predetermined disease name, the determination is made to give the viewing priority higher than the case where the disease name is not the predetermined disease name. The photographing processing system according to any one of 6 . The imaging processing system according to any one of claims 1 to 7 , wherein the determination means changes the method of determining the viewing priority according to the doctor who browses the information indicating the patient. It is a control method of a shooting processing system including a shooting device and an information processing device.
Performed by the imaging device,
An imaging step of photographing the patient's first imaging site included in the doctor's imaging instruction and the patient's second imaging site not included in the doctor's imaging instruction .
A reception step that accepts input of the affected area information by accepting a selection for the affected area information that is information on the state of the first imaging site or the second imaging site displayed on the display unit.
A saving step of storing the affected part information that has received the input in association with the image data generated by photographing the first imaging site or the image data generated by photographing the second imaging site .
Have,
The information processing device executes
A determination step of determining a viewing priority so as to preferentially encourage viewing of a portion where a symptom occurs with respect to the second imaging site not included in the imaging instruction by the doctor based on the presence or absence of the imaging instruction by the doctor. When,
A display control step for displaying information indicating the patient on the display unit in a display mode according to the determined viewing priority, and
A method of controlling a photographing processing system, which comprises. It is a control method of a shooting processing system including a shooting device and an information processing device.
Performed by the imaging device,
An imaging step of photographing the patient's first imaging site included in the doctor's imaging instruction and the patient's second imaging site not included in the doctor's imaging instruction
A reception step that accepts input of the affected area information by accepting a selection for the affected area information that is information on the state of the first imaging site or the second imaging site displayed on the display unit.
A saving step of storing the affected part information that has received the input in association with the image data generated by photographing the first imaging site or the image data generated by photographing the second imaging site .
Have,
The information processing device executes
Priority is given to the location where the state of the first imaging site changed, which is included in the imaging instruction by the doctor, and the location where the symptom occurs with respect to the second imaging site, which is not included in the imaging instruction by the doctor. , The decision step to determine the browsing priority, and
A display control step for displaying information indicating the patient on the display unit in a display mode according to the determined viewing priority, and
A method of controlling a photographing processing system, which comprises. A program characterized in that the photographing apparatus and the information processing apparatus function as each means of the photographing processing system according to any one of claims 1 to 8 .

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