JP6986989B2 - Medical report creation support device, medical report creation support method and recording medium - Google Patents

Description

The present invention relates to a medical report creation support device, a medical report creation support method, and a recording medium used for, for example, a medical terminal.

When a doctor makes a test or diagnosis, the doctor compiles the record as a medical report. This medical report includes numerical values and images of test results, findings, diagnoses, and treatments.

In recent years, in the medical field, digitization of medical images and medical records has been promoted in order to improve work efficiency. For example, Patent Document 1 and the like disclose a technique for creating a medical report by a medical terminal connected to a medical network system.

Generally, a medical network system is configured by connecting an electronic medical record system and a system of each department such as a physiological examination department, a sample examination department, and a cell examination department by a network. On the medical terminal connected to this medical network system, a medical report was created and created by combining the data acquired by each department system with the findings, diagnoses, treatments, etc. entered by the doctor. Medical reports are stored in electronic medical record systems and the like.

Japanese Unexamined Patent Publication No. 2009-69777

As described above, in a medical network system, a doctor creates a medical report using a medical terminal. At this time, a schema image, which is a schematic diagram of the human body, may be used. The doctor expresses the problematic part found by the examination by filling a specific part on the schema image.

When performing this fill operation, the doctor specifies a fill area along the line of the schema image with a mouse, a touch pen, or the like to fill the area along the line of the schema image. However, specifying such a filled area is extremely troublesome.

It is also possible to directly edit the same layer as the schema image to fill along the lines of the schema image, but in this case, it becomes difficult to refill. That is, when erasing the filled area, it is troublesome because a detailed operation is required so as not to erase the line of the original schema image.

For doctors who have to consider important items such as findings, diagnoses, and treatments, it is very troublesome to spend time and effort to fill such images.

The present invention has been made in consideration of the above points, and provides a medical report creation support device, a medical report creation support method, and a recording medium capable of easily performing a fill editing operation on a schema image.

One aspect of the medical report creation support device of the present invention is
An operation input unit that accepts user operations and
Display and
An object generation unit that generates a filled object surrounded by the schema image and the writing line based on the schema image and the information of the writing line input from the operation input unit.
A layer setting unit that sets the writing line and the filled object on the same layer, and sets the schema image on a layer different from the same layer.
A display control unit that displays the schema image, the writing line, and the filled object on the display unit with a layer set by the layer setting unit.
Equipped with.

One aspect of the medical report creation support method of the present invention is
Operation input steps that accept user operations and
An object generation step that generates a filled object surrounded by the schema image and the writing line based on the schema image and the information of the writing line input in the operation input step.
A layer setting step in which the writing line and the filled object are set on the same layer, and the schema image is set on a layer different from the same layer.
A display step of displaying the schema image, the writing line, and the filled object on the display unit with the layer set by the layer setting step.
including.

One aspect of the recording medium of the present invention is
A recording medium that stores a medical report creation support program used in a medical report creation support device and can be read by a computer.
The medical report creation support program is
Operation input steps that accept user operations and
An object generation step that generates a filled object surrounded by the schema image and the writing line based on the schema image and the information of the writing line input in the operation input step.
A layer setting step in which the writing line and the filled object are set on the same layer, and the schema image is set on a layer different from the same layer.
A display step of displaying the schema image, the writing line, and the filled object on the display unit with the layer set by the layer setting step.
including.

According to the present invention, it becomes possible to easily perform a fill editing operation on a schema image.

Connection diagram showing the outline of the medical network system of the embodiment Block diagram showing the main configuration of the client terminal The figure used to explain the generation of the filled object by the object generator. The figure used to explain the generation of the filled object by the object generator. The figure used to explain the operation of creating a medical report according to the embodiment. The figure used to explain the operation of creating a medical report according to the embodiment. The figure used to explain the operation of creating a medical report according to the embodiment. The figure used to explain the operation of creating a medical report according to the embodiment. The figure used to explain the operation of creating a medical report according to the embodiment. The figure provided for the explanation of the writing line formation processing by another embodiment.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

<System configuration>
FIG. 1 is a connection diagram showing an outline of a medical network system 100 to which the medical report creation support device and the medical report creation support method of the present embodiment are applied.

In the medical network system 100, the electronic medical record system 110 and the physiological examination department system 120 are network-connected via the server 130.

In the electronic medical record system 110, a plurality of in-hospital electronic medical record terminals 112-1, 112-2, ..., 112-n are connected to the electronic medical record server 111. The information stored in the electronic medical record server 111 can be viewed from the in-hospital electronic medical record terminals 112-1, 112-2, ..., 112-n. Further, the information of the electronic medical record server 111 can be rewritten by the authorized in-hospital electronic medical record terminals 112-1, 112-2, ..., 112-n.

In the physiological examination department system 120, an electrocardiograph 121, a Holta electrocardiogram analysis device 122, an ultrasonic diagnostic device 123, a lung function test device 124, a blood pressure pulse wave test device 125, a printer 126, a scanner 127, and a client terminal 128 are connected to the Internet. It is composed of. These devices are installed in the physiological laboratory. In addition, the physiological examination department system 120 may be connected to an examination device for performing other physiological examinations such as an exercise load device and an electroencephalogram examination device.

The test result data obtained by each test device 121 to 125 of the physiological test department system 120 is stored in the server 130. That is, the server 130 has a function as a department data storage unit that collects and stores the physiological test result data of the physiological examination department. Further, the server 130 stores the inspection result report formed by each inspection device 121 to 125. Each inspection device 121 to 125 obtains a representative value of an inspection result, the worst value, and the like based on a predetermined calculation formula, and forms an inspection result report by using these values in a predetermined format, and this report. Is output to the server 130 together with other detailed inspection result data.

The test result data and the test result report stored in the server 130 can be viewed by a user such as a doctor using the client terminal 128.

In addition, the doctor can create a medical report by using the client terminal 128 while viewing the test result data and the test result report and using the test result data and the test result report. This medical report is sent to the server 130 and the electronic medical record server 111.

The medical report creation support device and the medical report creation support method of the present embodiment are applied to the client terminal 128. Although the client terminal 128 is shown as a stationary terminal in FIG. 1, the client terminal 128 may be, for example, a tablet type terminal.

<Client terminal configuration and medical report creation process>
Next, the configuration of the client terminal 128 and the medical report creation support process will be described with reference to FIGS. 2- and 9.

FIG. 2 is a block diagram showing a main configuration of the client terminal 128. Actually, the client terminal 128 also has a function of communicating with the server 130 in addition to the configuration of FIG. 2, but in FIG. 2, only the configuration related to the medical report creation support process is used to simplify the diagram. Is shown.

The client terminal 128 has an operation input unit 201, a display unit 202, and a display control unit 203. Specifically, the operation input unit 201 is a keyboard or a mouse, and the display unit 202 is a display. When the client terminal 128 is a tablet type terminal, the operation input unit 201 and the display unit 202 are embodied in a liquid crystal display with a touch panel or the like.

In addition to this configuration, the client terminal 128 has a schema image storage unit 204, an object generation unit 205, and a layer setting unit 206.

The schema image storage unit 204 is embodied by, for example, a memory, and stores a plurality of schema images. A selection signal for designating a schema image to be used is input to the schema image storage unit 204 from the operation input unit 201, and the schema image storage unit 204 generates a schema image corresponding to the selection signal from a plurality of schema images in an object generation unit. Output to 205 and layer setting unit 206.

The object generation unit 205 inputs the information of the writing line from the operation input unit 201 and the schema image from the schema image storage unit 204, and generates the area surrounded by the writing line and the schema image as a filled object. Specifically, the user specifies the line type and coordinates using the operation input unit 201 to generate the writing line information, and the writing line information is input to the object generation unit 205 and the layer setting unit 206. ..

As shown in FIG. 3, for example, the object generation unit 205 detects the intersection of the writing line and the schema image (the schema image of the lung), passes through the intersection, and is surrounded by the writing line and the outline of the object image. Create an area as a fill object.

Further, the object generation unit 205 generates, for example, as shown in FIG. 4, a region surrounded by a writing line in the schema image as a filled object.

In either of FIGS. 3 and 4, the object generation unit 205 inputs the information of the writing line from the operation input unit 201 and the schema image from the schema image storage unit 204, and the writing line and the schema image are used. The process of creating the enclosed area as a filled object is being performed.

By the way, in the actual user operation, the writing line is cut before the intersection without forming the intersection as shown in FIG. 3, or is on the way without forming a circular curve as shown in FIG. There is a possibility that it has been cut off. In such a case, the object generation unit 205 forcibly creates an area surrounded by the writing line and the schema image by correcting the writing line to be extended as an option, and generates the area as a filled object. You may. In the present embodiment, the area surrounded by the writing line and the schema image also includes the area created by such an option.

The layer setting unit 206 inputs the writing line information, the fill object information, and the schema image information, sets the writing line and the fill object to the same layer, and sets the schema image to a layer different from that layer. do. The layer setting unit 206 outputs the set layer information to the display control unit 203 in addition to the input writing line information, the filled object information, and the schema image information.

The display control unit 203 causes the display unit 202 to display the schema image, the writing line, and the filled object in the layer set by the layer setting unit 206.

Next, an example of creating a medical report using the client terminal 128 will be described. In the following, an example of creating a carotid artery ultrasonography report as a medical report will be described.

When the doctor who is the user sets the mode of the client terminal 128 to the report new creation mode, the report creation screen (carotid artery ultrasonic examination report template) shown in FIG. 5 is displayed on the display unit 202. Specifically, items such as the name of the subject are displayed in the upper row, the measured values acquired by the ultrasonic diagnostic apparatus 123 are displayed in the next row, and a plurality of schema images are displayed in the next row. Although not shown in the figure, items such as doctor's findings, diagnosis contents, and treatment contents are displayed in the lower part of the schema image.

When the doctor selects a desired schema image from the plurality of schema images using the mouse of the operation input unit 201 or the like, the selected schema image is enlarged and displayed in a pop-up as shown in FIG. In the example of FIG. 6, a schema image of the right carotid artery is selected and displayed in a pop-up.

Next, the doctor writes a writing line L1 on the schema image using the operation input unit 201 as shown in FIG. 7 to show the detected plaque in the carotid artery.

Then, the object generation unit 205 of the client terminal 128 generates the area surrounded by the writing line L1 and the schema image as the filled object X1. Further, the layer setting unit 206 sets the writing line L1 and the fill object X1 on the same layer, and sets the schema image on a layer different from that layer.

Next, as shown in FIG. 8, when the doctor specifies the fill object X1 to be filled (for example, by clicking the mouse) with the fill button B1 activated by using the operation input unit 201, the fill object Is filled with the specified color. For example, if red is specified using the operation input unit 201, the fill object X1 indicating the plaque is highlighted and filled with red. When the fill object X1 is specified (for example, when the mouse is clicked), the layer of the fill object X1 may be set to the same layer as the writing line L1 by the layer setting unit 206.

Next, when the doctor presses the save button B2 using the operation input unit 201, the edited schema image, the writing line L1, the fill object X1, and their layers are saved, and as shown in FIG. It will be reflected in the report.

Here, the doctor may want to delete the filled object X1 once created on the edit screen of the filled object X1 as shown in FIG. In this case, the doctor specifies the filled object X1 to be deleted by using the operation input unit 201 (for example, clicking the mouse) with the delete button B3 activated.

When such an operation is performed, the display control unit 203 of the client terminal 128 collectively deletes (hides) the designated fill object X1 and the write line L1 which is the same layer as the fill object X1. ). However, schema images that are different layers from those layers are not deleted.

That is, when the fill release operation is performed on the already displayed specific fill object X1 via the operation input unit 201, the display control unit 203 is on the same layer as the specific fill object X1 and is a specific layer. The writing line L1 surrounding the fill object X1 is hidden together with the specific fill object X1.

As a result, the fill object X1 to be deleted and the writing line L1 that is the source of the filled object X1 can be deleted by a simple operation.

As described above, according to the present embodiment, the object generation unit 205 that generates the filled object X1 surrounded by the schema image and the writing line L1 based on the schema image and the writing line L1 and the writing line. L1 and the fill object X1 are set on the same layer, and the layer setting unit 206 for setting the schema image on a layer different from the same layer, and the schema image, the writing line L1 and the fill object X1 are set by the layer setting unit 206. By providing the display control unit 203 to be displayed on the display unit 202 on the layer, the fill editing work on the schema image can be easily performed.

Further, according to the present embodiment, since the writing line L1 and the fill object X1 are set on the same layer and the schema image is set on a layer different from the same layer, the writing line L1 and the fill object X1 are set. It is possible to easily perform processing such as changing the display of the object X1 from display to non-display and changing the color of the writing line L1 and the filled object X1 at the same time. For example, in the embodiment, if a specific fill object X1 is specified and an operation of hiding it is performed, the write line L1 corresponding to the fill object X1 is also hidden. Further, if a specific fill object X1 is specified and the operation of making the color red is performed, the writing line L1 corresponding to the fill object X1 is also made red. As a result, the display of the filled object X1 and the writing line L1 can be changed at once, so that the editing work becomes easier. Of course, the display of the writing line L1 and the fill object X1 may be changed from the display to the non-display, and the color may be changed separately instead of simultaneously.

The above-described embodiment is merely an example of the embodiment of the present invention, and the technical scope of the present invention should not be construed in a limited manner by these. That is, the present invention can be implemented in various forms without departing from its gist or its main features.

For example, in addition to the process of the above-described embodiment, as shown in FIG. 10, a process of forcibly forming the writing line so as to penetrate from the schema image may be performed. That is, when a writing line as shown in FIG. 3 is drawn by a user such as a doctor using the operation input unit 201, the display control unit 203 extends the writing line and draws a writing line as shown in FIG. Form and display. By doing this, the person who sees the medical report can clearly distinguish and recognize the line of the schema image and the writing line, and which part (which line) is drawn by the doctor. Will be clearly identifiable.

Further, for example, in the above-described embodiment, the case where the medical report creation support device and the medical report creation support method according to the present invention are embodied and executed by the client terminal 128 has been described. The medical report creation support method can also be embodied and executed by other devices having the functions shown in FIG.

Further, each process of the medical report creation support device and the medical report creation support method according to the present invention can also be realized by executing a program by a device having a calculation unit, an operation input unit, and a display unit. For example, a program for realizing each process of the medical report creation support device and the medical report creation support method according to the present invention is recorded on a computer-readable recording medium such as a memory, a disk, a tape, a CD, or a DVD. , The computer of the device having the arithmetic unit, the operation input unit, and the display unit may read this program to execute each process of the above-described embodiment.

The present invention is applicable, for example, to a client terminal connected to a medical network system and used to create a medical report.

100 Medical network system 128 Client terminal 201 Operation input unit 202 Display unit 203 Display control unit 204 Schema image storage unit 205 Object generation unit 206 Layer setting unit L1 Write line X1 Fill object

Claims (5)

An operation input unit that accepts user operations and
Display and
An object generation unit that generates a filled object surrounded by the schema image and the writing line based on the schema image and the information of the writing line input from the operation input unit.
A layer setting unit that sets the writing line and the filled object on the same layer, and sets the schema image on a layer different from the same layer.
A display control unit that displays the schema image, the writing line, and the filled object on the display unit with a layer set by the layer setting unit.
Medical report creation support device equipped with. When a fill-hide operation is performed via the operation input unit for a specific fill object that has already been displayed.
The display control unit is on the same layer as the specific fill object, and hides the writing line surrounding the specific fill object together with the specific fill object.
The medical report creation support device according to claim 1. The color change of the writing line and the filled object is performed simultaneously in the writing line and the filled object.
The medical report creation support device according to claim 1 or 2. Operation input steps that accept user operations and
An object generation step that generates a filled object surrounded by the schema image and the writing line based on the schema image and the information of the writing line input in the operation input step.
A layer setting step in which the writing line and the filled object are set on the same layer, and the schema image is set on a layer different from the same layer.
A display step of displaying the schema image, the writing line, and the filled object on the display unit with the layer set by the layer setting step.
Medical report creation support methods including. A recording medium that stores a medical report creation support program used in a medical report creation support device and can be read by a computer.
The medical report creation support program is
Operation input steps that accept user operations and
An object generation step that generates a filled object surrounded by the schema image and the writing line based on the schema image and the information of the writing line input in the operation input step.
A layer setting step in which the writing line and the filled object are set on the same layer, and the schema image is set on a layer different from the same layer.
A display step of displaying the schema image, the writing line, and the filled object on the display unit with the layer set by the layer setting step.
Recording medium, including.

Images