JP6823911B2 - Biometric information report server and its control method - Google Patents

Description

The present invention relates to a biometric information report server that provides a biometric information analysis report viewing service and a control method thereof.

Conventionally, biological information represented by blood pressure, electrocardiogram, X-ray image, etc. has been widely measured and used as useful information for diagnosing the physical function of a subject. With the progress and spread of computer and network technology, such biometric information is stored and used as digital data that can be handled by computers.

For example, biometric information measured by a medical institution is sent to an external doctor via a network to request interpretation and diagnosis, and various information such as biometric information is managed for each patient on a server, and multiple client terminals can be used. It is known to be shared (Patent Document 1).

Conventionally, when a doctor requests a test or interpretation of biometric information measured by a test for a patient he / she is in charge of, an automatic analysis item for the test result, an analysis report format, and a specialist (reading doctor) ) Is generally specified as to whether or not it is necessary to read. Then, at the request destination, inspections and automatic analysis of test results are performed, an analysis report in the specified format is generated, and the requester of the analysis (doctor in charge) and the specialist (interpreter doctor) who reads the analysis report can access it. Save to a server or storage. The doctor in charge or the interpreting doctor accesses the server, etc. through the analysis report viewing application running on the terminal, selects the analysis report that he / she wants to view from the list display screen, and displays or prints it on the terminal for analysis. Check the contents of the report.

Japanese Patent No. 5356961

However, conventionally, a server that provides a list display screen for a user to select an analysis report to be viewed provides information on the viewing status of each viewable analysis report, such as whether it is in an unread state or a read state. I didn't. Therefore, a user who wants to view an analysis report cannot easily identify, for example, an unread analysis report from the list of viewable analysis reports displayed in a list, and can obtain information such as a patient name and measurement date and time. I had to rely on it to look for unread analysis reports in the list. In particular, when there are many analysis reports that can be viewed, it takes time to search, and in some cases, it may cause the analysis reports to be overlooked.

The present invention has been made in view of such problems of the prior art. An object of the present invention is to provide a report server and a control method thereof that enable a user to easily grasp the viewing status of each viewable analysis report.

The above-mentioned purpose has a storage means for automatically analyzing biological information and storing an analysis report generated in association with browsing status information, and a control means for communicating with an external device for viewing the analysis report. The control means transmits data for displaying the list display screen of the analysis report stored in the storage means to the external device, reads the analysis report selected on the list display screen from the storage means, and sends the data to the external device. , Change the browsing status information associated with the analysis report sent to the external device to the information indicating the read status, and for each of the analysis reports displayed in the list display screen, according to the information indicating the browsing status. The information indicating the browsing status is specified for the unread state indicating that the information has not been viewed, the first read state indicating that the requester who requested the generation of the analysis report has viewed the information, and the analysis report. is achieved by the reporting server has been read who characterized the score indicates one of the second read state indicating that you visit.

With such a configuration, according to the present invention, it is possible to provide a report server and a control method thereof that enable the user to easily grasp the viewing status of each viewable analysis report.

It is a schematic diagram which shows the structural example of the electrocardiographic analysis system which has the report server which concerns on embodiment of this invention. It is a block diagram which shows the functional configuration example of the general-purpose computer which can realize the management server, the report server, the analysis apparatus, and the browsing terminal which concerns on embodiment. It is a figure which shows the example of the data output screen displayed by the analysis apparatus which concerns on embodiment. It is a flowchart which shows the overall operation of the report server which concerns on embodiment. It is a figure which shows typically the state which displayed the data of the list display screen generated by the report server which concerns on embodiment on a browsing terminal. It is a figure which shows typically the example of the analysis report generated by the analysis apparatus which concerns on embodiment. It is a flowchart for demonstrating the change process of the browsing situation executed by the report server which concerns on embodiment. It is a flowchart for demonstrating the change process of the browsing situation executed by the report server which concerns on another embodiment. It is a figure which shows typically the state which the data of the list display screen generated by the report server which concerns on another embodiment is displayed on the browsing terminal.

● (First embodiment)
Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the drawings. In the following, an embodiment in which the present invention is applied to an electrocardiographic analysis system (FIG. 1) for generating an analysis report on long-term electrocardiographic data measured by using a Holta electrocardiograph and making it available for viewing will be described. However, the present invention does not depend on the type of biological information to be analyzed, and can be applied to an analysis system for biological information targeting any other biological information.

In FIG. 1, the electrocardiographic analysis system 100 includes an analysis device 110, browsing terminals 120 and 140, a report server 130, and a management server 150. FIG. 1 shows a configuration in which the browsing terminal 140 exists in an external network and is connected through a router 145, and other devices exist on the same network. However, there are no restrictions on the network configuration as long as each device is communicably connected, and for example, individual devices may exist on separate networks.

The analysis device 110 executes an automatic analysis process on the biological information (electrocardiographic data in the present embodiment), and generates an analysis report having a predetermined format for the analysis result. In this embodiment, the analysis report has a PDF (Portable Document Format) format, and the format is specified at the time of requesting analysis. In addition, the analysis device 110 generates a text format file that records information on patients and measurements, automatic analysis items, comments, and other incidental information. The analysis device 110 associates the analysis report with the accompanying information (for example, includes them in the same folder) and transmits the analysis report to the report server 130.

The report server 130 is a server that provides an analysis report viewing service. The report server 130 stores the analysis report and accompanying information received from the analysis device 110 in a non-volatile storage device (for example, HDD, SSD, etc.). At this time, the analysis report and accompanying information related to one measurement are associated and saved. There is no limitation on the method of association, but like the analysis device 110, all the files related to the measurement shall be saved in the folder for each measurement.

Although the details will be described later, the report server 130 stores information (browsing information) indicating the browsing status in association with each analysis report. However, if there are multiple analysis reports related to the same measurement, one browsing information is saved for the plurality of reports. In response to a request from the browsing terminals 120 and 140, the report server 130 generates data on a list display screen that displays a list of analysis reports stored in the storage device in a list format, and transmits the data to the browsing terminals 120 and 140. The browsing terminals 120 and 140 request the report server 130 for the analysis report selected by the user on the list display screen. The report server reads the requested analysis report from the storage device and sends it to the viewing terminals 120 and 140.

The management server 150 is, for example, a so-called electronic medical record management device that stores and manages medical history from the first medical examination and data related to examinations for each patient.

Each device except the router 145 can be realized by executing an application for realizing individual functions on a general-purpose computer device such as a personal computer.

FIG. 2 is a block diagram showing a functional configuration example of a general-purpose computer capable of realizing the analysis device 110, the browsing terminals 120, 140, the report server 130, and the management server 150 of the present embodiment. The CPU 1, which functions as a control unit, reads, for example, a program stored in the storage device 10 into the RAM 3 and executes it to realize the functions of each device described later. The storage device 10 is a hard disk drive (HDD), a solid state drive (SSD), or the like, and stores basic software (OS), device drivers, application programs, and the like. GUI data for displaying a menu screen and the like, user setting data, application initial setting data, and the like are also stored in the storage device 10.

The ROM 2 stores programs such as a bootstrap loader, firmware, and various setting information necessary for starting the device. ROM 2 may be at least partially rewritable.

The RAM 3 is used as an area for developing a program executed by the CPU 1 and a temporary storage area for variables, data, and the like. The memory card 4 may be a recording medium used for data recording in another device, here a portable measuring device such as a Holter electrocardiograph.

The display unit 6 is a dot matrix type display device, and is typically a liquid crystal display (LCD) or an organic EL display. Although FIG. 2 shows a configuration in which the display unit 6 is built in the device, it may be connected as an external device. Further, the display unit 6 may be composed of both an internal display and an external display.

The operation unit 8 is a device for a user to input an instruction to the device, and is typically one or more of input devices such as a keyboard, a pointing device (mouse or the like), and a contact sensing device (touch panel or the like). The keyboard may be a hardware keyboard or a software keyboard. The touch panel may be provided on the display unit 6 or may be in the form of a touch pad as is often seen in notebook personal computers.

The communication interface 20 is one or more communication interfaces for performing data communication with an external device 40 which is another device in the system, and is wired and / or wireless communication such as USB, Ethernet (registered trademark), and IEEE802.11x. It has a standard-compliant configuration.

Next, with reference to FIGS. 1 and 2, a series of operations related to generation and viewing of an analysis report of electrocardiographic data in the electrocardiographic analysis system 100 will be described.
Here, it is assumed that the user of the viewing terminal 120 is the doctor in charge. The doctor in charge is a doctor who examines the patient and determines the necessity of examinations such as measurement of long-term electrocardiographic data using a Holta electrocardiograph. Then, ask the inspection department to carry out the necessary inspections. Here, it is assumed that a certain patient (subject) is requested to measure electrocardiographic data for a long time and the measurement is completed. In general, when the doctor in charge requests an examination or an analysis of the measurement data obtained by the examination, it is common to specify the items to be analyzed and the report format of the analysis results. ..

(Analysis request)
In this embodiment, a case where the doctor in charge requests the examination department to analyze the electrocardiographic data will be described. In this case, the client doctor in charge needs the information of the doctor in charge, the patient identification information (name, ID, etc.), the items to be automatically analyzed, and the opinion of the specialist (reader or interpreter) regarding the analysis result. No, specify the format of the analysis result report (analysis report). Here, it is assumed that the memory card recording the measured electrocardiographic data and the paper analysis request form are handed over to the analysis department, but the electrocardiographic data and the analysis request form are sent as data files from the viewing terminal 120 of the doctor in charge. It may be sent to the inspection department over the network.

(Analysis execution)
The engineer in the inspection department who receives the request for analysis executes the requested analysis process using the analysis device 110. The operation of the analysis device 110 described below is realized by the CPU 1 executing the analysis application.
For example, when an instruction to read electrocardiographic data is input from the engineer through the operation unit 8, the CPU 1 of the analysis device 110 displays the information of the electrocardiographic data file recorded in the memory card 4, the storage device 10, or the external device 40. The list is displayed in a selectable manner in 6. Then, the CPU 1 reads the electrocardiographic data file selected from the list display through the operation unit 8 into, for example, the RAM 3, and executes a predetermined automatic analysis process.

If it is not necessary to select the electrocardiographic data to be analyzed (for example, if the electrocardiographic data file for one test is recorded in the memory card 4), the electrocardiogram is not displayed in a list. The data file may be read and the automatic analysis process may be executed. Further, when the automatic analysis process is executed for the electrocardiographic data file recorded in the memory card 4, the electrocardiographic data file (measured raw data) is separately stored in the storage device 10 in parallel with the automatic analysis process. You may save it. The automatic analysis processing includes, for example, filter processing typified by waveform shaping processing such as noise removal and baseline fluctuation removal, waveform recognition using a template, detection of feature points of electrocardiographic data, classification of heartbeat waveforms, and advance processing. Includes calculation of defined parameters (electrocardiographic parameters).

There is no limit to the method of classifying the heartbeat waveform and the type and number of electrocardiographic parameters to be measured, and it can be changed according to user settings and the like. In this embodiment, the heartbeat waveforms are, for example, normal heartbeat (N), ventricular extrasystole (V), supraventricular extrasystole (S), paced heartbeat (P), fusion (F), bundle branch block (B). , Replenishment contraction (E), and others (?). Also, as electrocardiographic parameters, for example, RR interval (time interval between adjacent R wave peaks), QT interval (time from Q wave start point (QB) to T wave end point (Tend)), RT interval, heartbeat, etc. The numbers and their derived parameters (eg, QT interval (difference between maximum and minimum QT intervals), QTc (QT intervals corrected by RR intervals)) and the like can be calculated. The CPU 1 attaches a flag according to the type of abnormality to the heartbeat in which the abnormality is found in the automatic analysis.

The analysis device 110 has a waveform editing function. The waveform editing function is a function for an engineer to check the automatic analysis result and correct the automatic analysis result as necessary. The editing function provides, for example, a function for confirming whether the automatic waveform classification result is correct while observing the waveform and changing the classification as necessary.

In addition, the analysis device 110 has an analysis report creation function. The analysis report creation function can print a report in a predetermined format from a printer using, for example, electrocardiographic data after waveform editing and information on the subject, or output it in an electronic data format such as PDF. It is a function to do. Further, a preview function for displaying the analysis result or the like in the same format as the report is also provided on the display unit 6 before the actual output.

(Generation / output of analysis report)
FIG. 3 is a diagram showing an example of a data output screen 200 in the analysis device 110 of the present embodiment. The data output screen 200 is an output condition setting screen used when outputting various data, analysis reports, measurement data, and the like generated by automatic analysis to an external device, for example, a management server 150 or a report server 130. The CPU 1 automatically displays the data output screen 200 at the end of the automatic analysis process, or displays it in response to an instruction from the operation unit 8.

Since the type of data that can be output differs between the report server 130 and other output destinations in the analysis device 110 of the present embodiment, the data output screen 200 is also divided into areas corresponding to the respective output destinations. Specifically, it has a setting area 230 for a report server and setting areas 210 and 220 for other (general) output destinations.

The analysis report and incidental information (request details, comments described later, etc.) used by the report server 130 in the analysis report viewing process are transmitted to the report server 130, and the measurement data itself and the heart obtained by automatic analysis are transmitted. Electric parameters (intervals such as RR, ST, QT, fluctuations, etc.) are not transmitted. On the other hand, for the management server 150, the reading doctor's terminal 140, the storage device 10 of the analysis device 110, etc., in addition to the data output to the report server 130, the measurement data itself and the numerical data obtained by the automatic analysis are also included. It can be output.

The setting area for a general output destination includes an output destination setting area 210 and an output content setting area 220. The output destination setting area 210 has a pull-down menu 211 that selects a pre-registered output destination and specifies an output destination, and an area 212 that inputs a file path and specifies an output destination. When the reference button 213 is selected from the operation unit 8, the CPU 1 displays the browse screen of the output destination, and automatically inputs the file path of the folder or the like specified on the browse screen into the area 212.

The output content setting area 220 is an area for designating the content of the data to be output, and the CPU 1 executes the output process with the data corresponding to the check box checked here as the output target. If "PDF" is not checked, the analysis report will not be output. The "print program No." is a pull-down menu for specifying the type of analysis report to be output.

The setting area 230 for the report server has a check box 231 for specifying whether or not the analysis report is to be output, a pull-down menu 232 for specifying the type of the analysis report to be output, and a comment area 233. Although it is assumed that the report server 130 is preset as the transmission destination here, the output destination may be set by specifying a plurality of pre-registration destinations or file paths as in the output destination setting area 210.

The comment area 233 is an area for the engineer who is the user of the analysis device 110 to input special notes or the like that he / she wants to notify the reader (for example, the interpreting doctor or the doctor in charge) of the analysis report. The technician can input a desired comment using the operation unit 8 of the analysis device 110. As described above, the conventional analyzer has not provided a function for notifying the interpreter of an arbitrary comment, although it is possible to specify an attribute as to whether or not the interpretation needs to be hurried. Therefore, if you really want to convey a comment, you have to use a special method such as using the finding input function for use by the interpreter and including the engineer's comment in the finding column of the analysis report. However, the comments described in the findings column could not be confirmed without displaying the analysis report, and the presence or absence of comments could not be known on the analysis report list display screen.

On the other hand, the analysis device 110 of the present embodiment provides a function for the engineer to notify the viewer of the analysis report of an arbitrary comment through the data output screen 200. By inputting an arbitrary comment in the comment area 233 and instructing the output, the technician can specifically notify the viewer of points that are considered to be particularly noteworthy when reading or using the analysis report. .. The comment input using this function is transmitted to the report server 130 as ancillary information or a comment file separately from the analysis report. Therefore, the report server 130 can easily determine whether or not a comment exists in the analysis report and can easily acquire the content of the comment, and whether or not the comment exists in each analysis report on the analysis report list display screen. It is possible to include information and present specific comment contents in response to a request from a browsing user. These operations of the report server 130 will be described later.

When the output button 240 of the data output screen 200 is selected from the operation unit 8, the CPU 1 executes an output process according to the contents set in the data output screen 200. If the CPU 1 is set for both the general output destination and the report server, the CPU 1 executes output processing for both of them.

In this embodiment, the CPU 1 generates a specified type of analysis report as a PDF format file. Even if there are multiple types and / or multiple pages of analysis reports, the entire analysis report shall be generated as one file. Further, the CPU 1 is used by the report server 130 for incidental information (patient information, request date / time, examination date / time, analysis date / time, output date / time, order number, engineer name, doctor in charge, and interpreter name (specified). (If there is), automatic analysis items, comments entered on the data output screen 200, etc.) are described in a file separate from the analysis report. For example, a file in a format in which the contents of the file can be easily extracted, such as a text format file in which the item name and the corresponding contents are separated by a delimiter, is generated. In addition, comments may be generated as an independent text format file.

Further, the CPU 1 transmits the analysis report and the accompanying information to the report server 130 in a format associated with each other, such as including the analysis report and the accompanying information in the same folder. Other methods may be used to associate the analysis report with the accompanying information, such as by compressing them together. The CPU 1 also generates a file corresponding to each of the designated data for the general output destination and transmits the file to the designated output destination. Since the output process to the general output destination in the analyzer 110 is known, further description of the details will be omitted.

(Report server operation)
Next, the operation of the report server 130 will be described with reference to FIGS. 1 to 4. FIG. 4 is a flowchart showing the overall operation of the report server 130. In the present embodiment, the report server 130 is a Web server, and the operation of the report server 130 described below is realized by the CPU 1 executing a browsing service application that uses the Web server function. Further, in the browsing terminals 120 and 140, the operation of the browsing terminal described below is realized by the CPU 1 executing the Web browser application.

In S101, the report server 130 determines whether or not the analysis report has been received from the analysis device 110, and proceeds to S105 if it has not been received, and to S103 if it has been received.
In S103, the report server 130 stores the received analysis report in a predetermined directory of the storage device 10. As described above, since the analysis report and the accompanying information (and the comment if the comment is a separate file) are transmitted from the analysis device 110 in association with each other, these associations are maintained also in the report server 130. Save as it is.

In S105, the report server 130 determines whether or not an access request for a predetermined URL (here, the URL of the list display screen of the analysis report that can be viewed) has been received, and if not, returns the process to S101 and receives the request. If so, the process proceeds to S107.

In S107, the report server 130 executes a user authentication process for the browsing terminal that has requested access. In user authentication, for example, the report server 130 transmits the data of the authentication screen having the user identification information and the password input area to the browsing terminal, and the combination of the identification information and the password sent from the browsing terminal through the authentication screen is the registered user information. It can be performed by determining whether or not it matches with. Note that this is an example of authentication processing, and other methods such as fingerprint authentication may be used.

In the present embodiment, it is assumed that the information of the registered user is stored in the storage device 10. The registered user information includes information related to user attributes or types in addition to information required for authentication (here, user identification information and password). The information on whether or not the registered user has the authority to read the analysis report, which will be described later, is also included in the registered user information. If the user authentication is not successful, the report server 130 can execute general error processing such as repeatedly transmitting the data of the authentication screen to the viewing terminal together with the error message.

When the user authentication is completed in S107, the report server 130 generates data for displaying the list display screen of the viewable analysis report on the viewing terminal in S109, and transmits the data to the requesting viewing terminal in S111. FIG. 5A shows an example of a state in which the data of the list display screen transmitted by the report server 130 in S111 is received by the viewing terminal 120 or 140 and displayed by the Web browser application. The report server 130 generates data in S109 so that such a display is performed.

Here, the data of the list display screen generated by the report server 130 in S109 will be described with reference to FIG.
In S113, the report server 130 determines whether or not the analysis report transmission request has been received from the viewing terminal, and proceeds to S119 if it has not been received, and to S115 if it has been received.
In S115, the report server 130 reads the requested analysis report file from the storage device 10 and sends it to the viewing terminal, and proceeds with the process to S117.
In S117, the report server 130 changes the information (browsing information) indicating the browsing status of the transmitted analysis report, and proceeds to the processing in S119. Details of the processing performed in S117 will be described later.

In S119, the report server 130 determines whether or not the comment transmission request has been received from the viewing terminal, returns the process to S113 if it has not been received, and proceeds to S121 if it has received it.
In S121, the report server 130 reads the content of the requested comment (or comment file) from the storage device 10 and transmits it to the viewing terminal, and proceeds with the process to S123. If the comment is generated as a single file, the comment file is sent to the viewing terminal. On the other hand, when a comment is described in the accompanying information file, the comment portion is read from the accompanying information file and transmitted to the viewing terminal.

In S123, the report server 130 determines whether or not the search, update, or delete request has been received from the browsing terminal, and proceeds to S127 if it has not been received, and to S125 if it has been received.
In S125, the report server executes the requested process, returns the process to S109, generates data on the list display screen corresponding to the latest state, and transmits it to the viewing terminal in S111.

In S127, the report server 130 determines whether or not the logout request has been received from the viewing terminal, returns the process to S101 if it has not been received, and proceeds to S129 if it has received it.
In S129, the report server 130 executes the logout process and returns the process to S101. The above is the overall operation flow of the report server 130. If a new analysis report is received from the analysis device 110 during the processing of S109 to S125, the report server 130 executes the same processing as S101 and S103 in parallel.

(List display screen and browsing terminal operation)
Next, the list display screen displayed on the browsing terminal based on the data of the list display screen generated by the report server 130 in S109, and the operation of the browsing terminal with respect to the operation of the list display screen will be described with reference to FIG.

The list display screen 500 has a search condition setting area 510, a list display area 520, a comment display area 530, and various buttons 541 to 543. In the initial state, the search condition setting area 510 is set to browse all items, so that the report server 130 displays a list of predetermined conditions, for example, the latest 100 analysis reports. Generate data. FIG. 5A shows a state in which a part (latest 12 items) is displayed because the list display area 520 does not fit in the application window. The rest of the list display area 520 can be displayed by scrolling the window.

When some search condition is specified in the search condition setting area 510 and the search button is selected by a click or touch operation, a search request based on the specified search condition is transmitted from the browsing terminal to the report server 130. The report server 130 searches for an analysis report that matches the search request, generates data on a list display screen that displays a list of matching analysis reports in the list display area 520, and transmits the data to the viewing terminal. As a result, the screen display of the browsing terminal is updated, and the search result is reflected in the list display area 520.

In the list display area 520, information on the analysis report that can be viewed is displayed in a list. The list display area 520 includes a check box 521 for instructing deletion for each analysis report, a serial number, a browsing status 522, a report display link 523 for sending a browsing request for the analysis report, and analysis report information 524. The comment display link 525 is displayed. The heading portion of the list display area 520 is a clickable link, and the browsing terminal executes sorting using the clicked item as a key to update the display of the list display area 520. Also, each time the same item is clicked, the sort order is switched between ascending and descending order.

The browsing terminal transmits a deletion request for the analysis report checked in the check box 521 when the delete button 543 is operated to the report server 130. The report server 130 deletes the requested analysis report and the associated and stored data from the storage device 10, generates the updated list display screen data, and transmits the updated list display screen data to the viewing terminal.

The browsing status 522 indicates whether each analysis report is in an unread state (a state in which it has never been browsed) or a read state (a state in which it has been browsed) by a mark or the like. In the example of FIG. 5 (a), the unread state is indicated by ● and the read state is indicated by a blank. The latest 6 analysis reports are in the unread state, and the 7th to 12th reports are in the read state. I understand. The analysis report information 524 is information extracted from the items of incidental information associated with the analysis report, and the items to be displayed are predetermined. Here, the patient name (only the surname is shown in FIG. 5, but the name may be used), the patient ID, the measurement date and time, and the name of the doctor in charge (requester) are selected as display items.

The comment display link 525 is displayed only in the analysis report to which the comment is associated, and when selected, the comment data request (request for transmitting the data described in the link) is transmitted from the viewing terminal to the report server 130. When the report server 130 receives the comment data request, it reads the full text of the comment and sends it to the viewing terminal. On the browsing terminal, the received comment is displayed in the comment display area 530. The comment display link 525 may be in a format in which a symbol indicating the presence or absence of a comment is displayed as a link, but in the present embodiment, a part of the comment (here, the beginning) is linked and displayed. As a result, the user of the browsing terminal can infer the content and importance of the comment.

In FIG. 5B, the full text of the comment 531 is acquired from the report server 130 by selecting and operating the comment link 5251 displayed for the first analysis report in FIG. 5A, and the comment display area 530 is obtained. Indicates the state displayed in.

When the report display link 523 is operated, the viewing terminal transmits a transmission request for the analysis report file described in the link to the report server 130. The report server 130 reads the requested analysis report file (here, a PDF format file) from the storage device 10 and transmits it to the viewing terminal. On the browsing terminal, the analysis report is displayed in a window different from the list display screen 500 by using a PDF reader application or a PDF display plug-in of a browser application. FIG. 6 shows an example of an analysis report. Although FIG. 6 shows a case where the analysis report has one type and one page, it may have a plurality of types and / or a plurality of pages. Further, when the report display link 523 is operated, the browsing terminal sends a display update request to the report server 130 so that the browsing status of the displayed analysis report is reflected in the list display area.

When the log-out button 541 is operated, the browsing terminal sends a log-out processing request regarding the user of the browsing terminal to the report server 130. The report server 130 executes a logout process in response to the request, and transmits data for displaying, for example, an initial screen (login screen) to the viewing terminal.

Further, when the update button 542 is operated, the browsing terminal requests the report server 130 for the latest list display screen data. In response to the request, the report server 130 transmits data for displaying the list display screen 500 reflecting the latest browsing status to the browsing terminal. By operating the update button 542 to update the display in this way, the latest status of the report server 130 can be confirmed.

The comment display according to the operation of the comment display link 525 is not limited to the comment display area 530, and may be performed by using another window such as a pop-up window or by another method.

(Browsing status change process)
Next, the browsing status change process executed by the report server 130 in S117 of FIG. 4 will be described with reference to the flowchart of FIG.
In S1171, the report server 130 determines whether or not the browsing status information associated with the analysis report transmitted to the browsing terminal in S115 is in an unread state (a value representing). If it is not in the unread state (if it is in the read state), the process ends without changing the browsing status. On the other hand, if it is in the unread state, the report server 130 changes the browsing status to the read state (value representing) in S1712, and ends the process. It should be noted that the determination of S1171 may not be performed, and S1712 may be executed regardless of the browsing status associated with the analysis report transmitted to the browsing terminal in S115.
By the above processing, when the list display screen is updated, it is displayed as an analysis report in the read state.

As described above, according to the present embodiment, it is possible to input a comment when generating an analysis report in the biological information analysis device. Therefore, it has become possible for the technician to inform the viewer (doctor) of the analysis report of useful information such as points of concern or urgency in the analysis result. Further, by displaying the presence or absence of a comment on the analysis report list display screen, it is possible to easily identify the analysis report to be confirmed with priority from a plurality of analysis reports that can be viewed by the viewer.

Further, according to the present embodiment, the list display screen for displaying the list of viewable analysis reports on the viewing terminal includes information on the viewing status of each analysis report. Therefore, it becomes possible to easily identify the analysis report to be confirmed with priority from the plurality of analysis reports that can be viewed by the viewer, and it is possible to suppress forgetting to see it.

● (Second embodiment)
Next, a second embodiment of the present invention will be described. In this embodiment, the details of the browsing status change process (FIG. 4, S117) are different from those in the first embodiment. Therefore, description of other configurations and operations will be omitted. Also in this embodiment, the operation of the report server 130 described below is realized by the CPU 1 executing the browsing service application using the Web server function.

In the present embodiment, the browsing status is managed not in two ways, an unread state and a read state, but in three ways: an unread state, a read (reading doctor) state, and a read (in charge doctor) state. In addition, the browsing status is changed in consideration of the type of browsing user (reading doctor, doctor in charge).
The read (reading doctor) state is a state viewed by a reading doctor (different from the doctor in charge). The read (doctor in charge) state corresponds to the read state in the first embodiment, but in the present embodiment, the state viewed by the doctor in charge after being viewed by the interpreting doctor, and viewed by the doctor in charge who also serves as the interpreting doctor. Corresponds to the state in which the doctor in charge has viewed the analysis report without the designation of the interpreting doctor.

FIG. 8 is a flowchart showing another embodiment of the browsing status change process executed by the report server 130 in S117 of FIG.
In S1171, the report server 130 determines whether or not the browsing status information associated with the analysis report transmitted to the browsing terminal in S115 is in an unread state (a value representing). Then, if it is not in the unread state (if it is in the read state), the process proceeds to S1173, and if it is in the unread state, the process proceeds to S1781.

In S1173, the report server 130 determines whether or not the browsing status information associated with the analysis report transmitted to the browsing terminal in S115 is in the read (reading doctor) state (value representing). Then, if it is in the read (reading doctor) state, the process proceeds to S1175, and if it is not in the read (reading doctor) state (that is, if it is in the read (in charge doctor) state), the process proceeds to S1179.

In S1175, the report server 130 determines whether or not the user (browsing user) logged in with the browsing terminal is the doctor in charge of the analysis report transmitted to the browsing terminal in S115. The type of browsing user is included in the registered user information as described above, and can be determined in the user authentication process (FIG. 4, S107). The report server 130 proceeds to S1177 if the browsing user is the doctor in charge, and to S1179 if the user is not the doctor in charge.

In S1179, the report server 130 finishes the process without changing the viewing status of the analysis report transmitted to the viewing terminal in S115. S1179 is executed because the viewing status of the analysis report sent to the viewing terminal in S115 is in the read (in charge doctor) state, or the interpreting doctor specified in the analysis report has been read (read). However, this is the case when the browsing user is not the doctor in charge. In the former case, it is not necessary to change the read (reading doctor) status, and in the latter case, the reading (reading doctor) status is not changed because it is a state that the doctor in charge needs to view.

In S1177, the report server 130 changes the viewing status of the analysis report transmitted to the viewing terminal in S115 to read (doctor in charge) and finishes the process. S1177 is executed when the browsing status of the analysis report sent to the browsing terminal in S115 is in the read (reading doctor) state, and when the browsing user is the doctor in charge and the browsing status is in the unread state, but browsing. This is the case when the user is a doctor in charge who has read authority. In this case, since the doctor in charge has read (or is in an equivalent state) after the doctor has read (read), the state is changed to the read (doctor in charge) state and the state has been read.

In S1181, the report server 130 determines whether or not the analysis report transmitted to the viewing terminal in S115 is designated by an interpreter. The interpretation doctor is designated by the doctor in charge when requesting analysis or by the engineer when generating the analysis report. Whether or not an interpreter is designated can be determined from the accompanying information. The report server 130 proceeds to S1183 if the interpreter is specified, and proceeds to S1191 if the interpreter is not specified.

In S1183, the report server 130 determines whether or not the viewing user has the authority to read the analysis report. Whether or not the viewing user has reading authority (whether or not the doctor is different from the doctor in charge or is a doctor in charge who also serves as a doctor in charge) is included in the information of the registered user as described above, and the user authentication process (Fig. 4. It can be determined in S107). The report server 130 proceeds to S1185 when the viewing user has the reading authority, and proceeds to S1189 when the viewing user does not have the reading authority.

In S1185, the report server 130 determines whether or not the browsing user is the doctor in charge of the analysis report transmitted to the browsing terminal in S115 in the same manner as in S1175. The report server 130 proceeds to S1177 if the browsing user is the doctor in charge, and proceeds to S1187 if the browsing user is not the doctor in charge.

In S1187, the report server 130 changes the viewing status of the analysis report transmitted to the viewing terminal in S115 to read (reading doctor) and finishes the process. S1187 is executed when the browsing status of the analysis report transmitted to the browsing terminal in S115 is in an unread state and the browsing user is a reading doctor different from the doctor in charge. Therefore, the report server 130 changes the browsing status to the read (reading doctor) state.

In S1191, the report server 130 determines whether or not the browsing user is the doctor in charge of the analysis report transmitted to the browsing terminal in S115 in the same manner as in S1175 and S1183. The report server 130 proceeds to S1193 if the browsing user is the doctor in charge, and proceeds to S1189 if the browsing user is not the doctor in charge.

In S1189, the report server 130 finishes the process without changing the viewing status of the analysis report transmitted to the viewing terminal in S115. S1189 is executed when the viewing status of the analysis report sent to the viewing terminal in S115 is unread and the viewing doctor is specified but the viewing user does not have the reading authority, or the reading doctor is not specified. Is the case where the browsing user is not the doctor in charge. In either case, the unread state is not changed because it is a state that needs to be viewed by the doctor who has the reading authority and the doctor in charge.

In S1193, the report server 130 changes the viewing status of the analysis report transmitted to the viewing terminal in S115 to read (doctor in charge) and finishes the process. S1193 is executed because the browsing status of the analysis report transmitted to the browsing terminal in S115 is in an unread state, a reading doctor is not specified, and the browsing user is the doctor in charge. In this case, since it is not necessary for the interpreting doctor to browse (read) and the doctor in charge is browsing, the state is changed to the read (doctor in charge) state and the read state is set.

In the present embodiment, when the data of the list display screen 500 is generated, it is possible to distinguish between the unread state, the read state (reading doctor), and the read state (the doctor in charge) from the display of the browsing status 522. .. For example, for the read state (reading doctor) peculiar to this embodiment, data of a list display screen displayed with a mark different from the unread state is generated.

In the present embodiment, the browsing status is managed not in two ways, an unread state and a read state, but in three ways: an unread state, a read (reading doctor) state, and a read (in charge doctor) state, and the browsing user Change the browsing status in consideration of the type (reading doctor, doctor in charge). Specifically, even if a third party browses before the doctor in charge browses, or even if the doctor in charge browses before the interpreting doctor browses, the browsing status is in a state where the doctor in charge browses. Do not change. Therefore, the possibility that the doctor in charge overlooks the analysis report to be viewed can be reduced as compared with the first embodiment.

● (Third embodiment)
Next, a third embodiment of the present invention will be described. The present embodiment is characterized in that when the browsing user is a reading doctor, reading findings and / or comments can be input. Also in this embodiment, the operation of the report server 130 described below is realized by the CPU 1 executing the browsing service application using the Web server function. Further, in the browsing terminals 120 and 140, the CPU 1 executes the Web browser application to realize the operation of the browsing terminal described below.

When the viewing user has reading authority, the report server 130 in the present embodiment generates data on a list display screen into which comments can be input in S109. FIG. 9 shows a state in which the data of the list display screen generated by the report server 130 of the present embodiment for the browsing terminal of the browsing user having reading authority is displayed on the browsing terminal.

The list display screen 500'of FIG. 9 is different from the list display screen 500 of the first embodiment in that the content of the comment display area 530 can be edited, and an edit completion button 533 and a finding input link 536 are added. That is the point.

The browsing user can edit the comment through the operation unit 8 in a state where the full text 531 of the comment is displayed in the comment display area 530 by operating the comment display link. Here, a state is shown in which a browsing user who is a reading doctor adds a comment 532 to the full text 531 of the comment input by the engineer.

When the edit completion button 533 is operated, the viewing terminal transmits the content input in the comment display area 530 at that time to the report server 130 as a new comment. The report server 130 overwrites the comment with the received content. In addition, the report server 130 can add information on the viewing user (that is, the comment editor) and information on the date and time when the comment was received at the end of the comment. As a result, when the comment is displayed next time, the latest editor and the editing date and time will be displayed as shown in FIG. 9B. Similarly, when a comment is input by the analysis device 110, the information of the comment input person (user of the analysis device) and the input date and time may be automatically added to the end of the comment.

Further, when the finding input link 536 is operated, the browsing terminal displays a finding input screen including a finding input area 537 and an output button 538, for example, in a pop-up window format. The output button 538 is associated with information that allows the report server 130 to identify the analysis report corresponding to the manipulated finding input link 536. The browsing user (reading doctor) can input the findings of the result of browsing the analysis report into the finding input area 537 through the operation unit 8. When the output button 538 is operated, the viewing terminal sends the content input to the finding input area 537 at that time to the report server 130 as finding data together with the data identifying the analysis report associated with the output button 538. To do. The report server 130 saves the received content as a finding file in association with the analysis report corresponding to the finding link, or adds it as one of the accompanying information.

When the analysis report data is transmitted in S115, if the finding file is associated and saved, the report server 130 may also send the finding file and the text of the finding to the viewing terminal. Alternatively, when the data of the list display screen is generated in S109, the finding display link may be included in the analysis report in which the finding file is associated and saved as in the comment display link.

According to this embodiment, it is possible for the interpreter to edit the comment and add the findings when viewing the analysis report. Therefore, information can be easily and reliably communicated between the technician, the interpreter, and the doctor in charge, and finally useful information can be obtained when the doctor in charge makes a diagnosis or explains the analysis report to the patient. Can be done. The third embodiment can be implemented in combination with the first and second embodiments.

(Other embodiments)
The report server 130 may record the information (for example, name and type) of the user who requested browsing and the browsing date and time each time the analysis report data is transmitted, and generate a browsing history for each analysis report. Also, when a comment is added or modified (also called editing), it can be recorded in the browsing history. In this case, the edited user information (for example, name and type) and the editing date and time are recorded. You may also record the edited comment. The browsing history is saved in association with the analysis report, and for example, when the analysis report data is transmitted, the browsing history at that time may be transmitted together. By displaying the browsing history information in a separate window from the analysis report on the browsing terminal, it is possible to inform the browsing user of information such as the viewer of the analysis report and the browsing date and time, and information on editing comments.

In the second embodiment, when the browsing user is a doctor in charge who has reading authority, the reading status is managed and the browsing status is changed in two ways, an unread state and a read state, as in the first embodiment. May be good. However, even if a person other than the doctor in charge views the analysis report in the unread state, the unread state should not be changed.

In the above-described embodiment, the configuration in which the analysis device 110 and the report server 130 are realized by separate hardware has been described. However, it is not necessary to separately configure the analysis device 110 and the report server 130, and the functions of the analysis device 110 and the report server 130 may be realized by the same computer as long as the viewing terminal does not have access to the analysis device 110. ..

100 ... ECG analysis system, 110 ... Analysis device, 120 ... Terminal, 130 ... Report server, 140 ... Terminal, 145 ... Router, 150 ... Management server

Claims (10)

A storage means that automatically analyzes biological information and saves the analysis report generated in association with browsing status information.
The control means has a control means for communicating with an external device for viewing the analysis report.
Data for displaying the list display screen of the analysis report stored in the storage means is transmitted to the external device, and the data is transmitted to the external device.
The analysis report selected on the list display screen is read from the storage means and transmitted to the external device.
The browsing status information associated with the analysis report sent to the external device is changed to information indicating the read status.
The list display screen includes a display corresponding to the information indicating the browsing status for each of the analysis reports displayed in the list.
The unread state indicating that the information indicating the browsing status has not been browsed, the first read state indicating that the requester who requested the generation of the analysis report has browsed, and the format specified for the analysis report. report server, wherein the score indicates one of the second read state indicating that the reader has viewed. When the reader is not specified in the analysis report and the user of the external device is not the requester, the control means reads the browsing status information associated with the analysis report transmitted to the external device. The report server according to claim 1, wherein the information indicating the state is not changed. When the reader is designated for the analysis report and the user of the external device is the reader designated for the analysis report, the control means is the browsing associated with the analysis report transmitted to the external device. The report server according to claim 1 or 2, wherein the status information is changed to the information indicating the second read state. The control means is a requester for which the user of the external device requests the generation of the analysis report, and the information on the browsing status associated with the analysis report transmitted to the external device determines the second read state. In the case of the information shown, any one of claims 1 to 3, wherein the browsing status information associated with the analysis report transmitted to the external device is changed to the information indicating the first read state. The report server described in item 1. The control means is a case where a reader is designated for the analysis report, the user of the external device is a requester who requested the generation of the analysis report, and the requester has the authority to read the analysis report. The invention according to any one of claims 1 to 4, wherein the information on the browsing status associated with the analysis report transmitted to the external device is changed to the information indicating the first read state. Report server. Whether or not the control means corresponds to at least one of the person who has the authority to read the analysis report, the reader, and the requester of the user of the external device is the information contained in the analysis report or the said. The first to fifth aspects of claim 1 to 5, wherein the information is determined based on the information associated with the analysis report and stored in the storage means and the pre-stored information indicating the type of the external device for each user. The report server described in any one item. The report server according to claim 6, wherein the information included in the analysis report or the information associated with the analysis report and stored in the storage means is received together with the analysis report. Further, it has a recording means for recording the browsing history of the analysis report.
The report server according to any one of claims 1 to 7, wherein the control means transmits the analysis report and the corresponding browsing history to the external device. A storage means that automatically analyzes biological information and saves the analysis report generated in association with browsing status information.
A control method for a report server having a control means for communicating with an external device for viewing the analysis report.
The control means
A step of transmitting data for displaying the list display screen of the analysis report stored in the storage means to the external device, and
A step of reading the analysis report selected on the list display screen from the storage means and transmitting it to the external device.
It has a step of converting the browsing status information associated with the analysis report transmitted to the external device into information indicating the read status.
The list display screen includes a display corresponding to the information indicating the browsing status for each of the analysis reports displayed in the list.
The unread state indicating that the information indicating the browsing status has not been browsed, the first read state indicating that the requester who requested the generation of the analysis report has browsed, and the format specified for the analysis report. shows the one of the second read state indicating that the reader has browsed
Control how the report server, wherein a call. A program for operating a computer as a report server according to any one of claims 1 to 8.