JPH07296089A - Method and device for controlling, processing and displaying inspection data in medical system - Google Patents

Abstract

PURPOSE:To control, to process and to display inspection data in accordance with normal and abnormal ranges being different at every medical examination section concerning the method and device for controlling, processing and displaying inspection data in a medical system. CONSTITUTION:When inspection item data of an inspected person who is inspected in plural medical institutions is controlled, processed and displayed in time series, it is controlled, processed and displayed by calculating a deviation values(3) and (3)a at every inspected person based on a reference value information table(2) in the plural medical institutions or a reference value information table (2)a at every inspected person. When inspection data of plural items is graphically displayed, display is executed by shifting a display reference axis for the portion of required quantity at every inspection item.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a test data management, processing and display method and apparatus in a medical system.

[0002]

2. Description of the Related Art FIGS. 7 to 9 are views for explaining a conventional inspection data management, processing and display method in a medical system. FIG. 7 is a concept of conventional inspection data management, processing and display device. Fig. 8 shows the conventional inspection data management,
9A and 9B show examples of display of inspection data.

[0003] For example, in a company or the like, a medical examinee receives an examination in a plurality of medical examination areas (for example, domestic and foreign countries) by a predetermined medical examination (for example, medical checkup) at a predetermined medical institution. Floppy disk,
As shown in FIGS. 7 and 8, the medical examination data collected via the line is recorded in the medical examination result information file 30 together with the medical institution code of each medical examination area. At the same time, the attributes (ie, name, date of birth, address, etc.) of each examinee are recorded in the examinee attribute file 31.

Then, the inspection data management shown in FIG.
Expanded in the main memory (MM) 2 of the processing and display device,
The inspection item data management program, inspection item data processing program, and inspection item data display program perform the following inspection data management, processing (processing), and display. That is, the inspection results at each medical institution in the above-mentioned multiple medical examination areas are aggregated at a specific medical institution within the company and managed, processed,
When displaying, when the standard and the range of normal value at each medical institution are different, 1) Do not handle the test results with different standards together with the conventional method, or report the test result from each medical institution. Is simply treated as image data and managed individually.

2) The data of each medical institution is set to the same standard,
Manage by entrusting medical institutions that use the range of normal values,
To process. 3) The data of each medical institution is managed according to a predetermined standard in a specific medical institution, and the result of the predetermined processing is displayed in a graph, for example.

In the above-mentioned predetermined processing, as shown in the conceptual diagram of FIG. 7, a) Refer to the medical examination result: As the medical examination result,
Display and refer to the inspection data corresponding to each inspection item according to the standards of the medical institution. b) Automatic judgment: With respect to each inspection item data for each medical institution for each individual, the normal / abnormal judgment is automatically performed according to the standard of the medical institution. c) Report creation: Based on the above automatic judgment result, the report (form) is
Create in the specified format. d) Statistical processing: Based on instructions from the doctor, for example, in each medical district,
Collected data for each finding (normal, abnormal, etc.) will be used for rigging. e) Follow-up medical checkup: A public health nurse makes a disease management plan for a sick person and provides medical treatment while carrying out regular medical checkups. Etc.

[0007]

Therefore, at a medical institution, for example, "GOT" indicating the function of the liver is "20",
At the medical institutions in the A district, the values are close to the upper limit values, within the normal values at the medical institutions in the B district, and at the medical institutions in the C district,
When the value exceeds the range of the normal value, conventionally, for example, the test result at the medical institution in the other medical examination area in the past is managed on the basis of the standard at the medical institution in the most recently tested area C. Therefore, as shown in Fig. 9 (a), in order to display the test results of medical institutions in other medical examination areas in the past based on the criteria of medical institutions in the above-mentioned area C, each medical examination is actually performed. Even if the range of normal values in each health checkup area is different due to the difference in living environment in the area and it is not originally abnormal, it will be evaluated according to the criteria of the medical institution in Area C, so an incorrect diagnosis, In this example, there is a problem that a diagnosis is made that the above "GOT" value is too high.

Further, when a plurality of similar inspection items are displayed in a graph at the same time, the display reference axes are the same.
As shown in the display example in (b), there is a problem that the time series changes of each inspection data are displayed in an overlapping manner. Especially when trying to display the inspection data as a deviation value,
Even if each inspection item is different, there is no big difference in the deviation value of each inspection item data of a specific individual, so there is a problem that they are displayed in an overlapping manner as described above.

Further, in the inspection data management, processing, and display method shown in FIG. 7, the inspection item data collected from each medical institution is set in accordance with a reference value (range of normal values) at a specific medical institution. For example, there is a problem that the original inspection data collected from each medical institution does not remain because the processing results such as adding the under and over flags are used as the inspection history database.

In view of the above conventional drawbacks, the present invention manages and processes the inspection item data of the examinees who have been inspected at a plurality of medical institutions in time series, and displays the processing results,
When the standard value (normal range) for each medical institution is different,
While maintaining the relationship with the standard value (normal range) at each medical institution, the management, data processing, and processing results can be displayed in chronological order. It is an object of the present invention to provide inspection data management, processing, display methods, and devices that can be displayed without being displayed.

[0011]

FIG. 1 shows a principle configuration diagram of the present invention, FIGS. 2 and 3 are explanatory diagrams of the principle of the present invention, and FIGS. 2 (a) to 2 (c) show each region. 3 shows an example of the distribution of the inspection data and the deviation value of the inspection data of a specific individual. FIG. 3 shows a display example according to the present invention, and FIG. 3 (a) shows the inspection data of an individual. An example in which the deviation values are displayed in time series is shown, and FIG. 3B shows an example in which the deviation values of each inspection item data are displayed by sliding on the display reference axis. The above problems can be solved by the management, processing, display method, and device configured as follows.

(1) A method of managing and processing inspection data in a medical system, wherein the management item of the inspection item of the examinee who has been inspected by a plurality of medical institutions is managed by the plurality of medical institutions. Based on the information of the reference value information table of, the difference value from the normal value range of each medical institution of the inspection item data of the above-mentioned examinee is calculated, and the inspection data is managed and processed by the calculated difference value. To configure.

(2) A method of managing and processing test data in a medical system, wherein the predetermined medical institution manages and processes the test item data of the examinee who has been tested at a predetermined medical institution. Of the reference value information table a peculiar to the examinee, the difference value a from the normal value range peculiar to the examinee of the examination item data of the examinee is calculated, and the calculated difference It is configured to manage and process with the value a.

(3) A method for displaying inspection data in a medical system, wherein the inspection item data of the examinees who have been inspected at a plurality of medical institutions are displayed in chronological order as a reference at the plurality of medical institutions. Based on the value information table, for example, a deviation value of the examination item data of the examinee for each medical institution is calculated and displayed in time series.

(4) A method of displaying examination data in a medical system, wherein the examination item data of the examinee who has been examined at a prescribed medical institution is displayed by the above-mentioned examinee at the prescribed medical institution. Based on the information in the reference value information table a unique to the patient, the difference value a from the normal value range unique to the recipient of the examination item data of the recipient is calculated, and the calculated difference value a is displayed. To configure.

(5) A method of managing, processing, and displaying inspection data in a medical system, which is based on the reference value information table or the information of a as the difference value from the normal value range or a. It is configured to be a deviation value.

(6) A method of displaying test data in a medical system, wherein, for displaying test item data of examinees who have been tested at a plurality of medical institutions, for example, each test item is selected with a cursor, and Cursor It is configured to slide and display the display reference axis for each selected inspection item.

(7) A medical examination result information file for managing, processing, and displaying examination data in a medical system, which records examination item data of examinees who have undergone examinations at a plurality of medical institutions in time series. And a reference value information table for each inspection item at the plurality of medical institutions, or a reference value information table a unique to the examinee, and a reference value information table at the plurality of medical institutions, or the consultation Based on the reference value information table a unique to each person, the deviation value of each examination item data of the examinee for each medical institution, or the deviation value a of the examination item data unique to the examinee
And a means 20 for managing the above-mentioned inspection item data by the calculated deviation value for each medical institution for each inspection item or the deviation value a of the inspection item data peculiar to the examinee. 25, or and the deviation value for each medical institution calculated for each inspection item, or the deviation value a of the inspection item data peculiar to the examinee.
Then, the means 26 for processing the inspection item data and the deviation value for each medical institution calculated for each inspection item, or the deviation value a of the inspection item data peculiar to the examinee, Means for displaying item data 21
And the deviation value for each medical institution calculated for each inspection item, or the deviation value a of the inspection item data unique to the examinee, when displaying the inspection item data, And a means (22) for sliding the display reference axis for each item.

[0019]

First, the inspection data management and processing according to the present invention,
In the display device, as shown in the principle configuration diagram of FIG. 1, inspection item data (medical examination data) for each medical institution
Is collected at a specific medical institution via a floppy, communication line, etc., and recorded as an inspection history database (DB).

Regarding the collected medical examination data at each medical institution, each medical examination is performed based on the population distribution data of the medical examination results carried out at each medical institution, for example, according to the standard (that is, the normal range) at each medical institution. For example, a deviation value is calculated for the medical examination data value, a reference value file including the deviation value for each medical institution is generated, and the deviation value for each medical institution of the generated reference value file is used as a basis. In addition, various processing of the medical examination data, for example, time-series display of the medical examination result data, automatic determination of normality / abnormality, creation of a certificate (form), or follow-up medical examination is performed. The same applies to the deviation value a of the inspection item data unique to the examinee.

As described above, the management, processing, and display of the medical examination data according to the present invention are performed, for example, by converting the medical examination data of each individual into a deviation value for each medical institution. It is possible to make an evaluation in consideration of the difference in the reference value at the medical institution due to the difference in the living environment for each, and to avoid an erroneous diagnosis.

For example, for convenience of explanation, the value of the inspection data of a certain individual α is constant, for example, "20".
And the standard value at each medical institution in each district
(Normal range) (For example, the deviation value is in the range of "45" to "55")
However, they are different as shown in FIGS. 2 (a) to (c).

That is, in the medical institution in the area A, the range of the normal value of the inspection item data is "15-18", in the medical institution in the area B is "16-20", and in the medical institution in the area C. Then, assuming that it is "17 to 19", the deviation value of this individual α at the medical institution in each medical examination area is about "60" (close to an abnormal value), "55", as shown in the figure. (Close to normal value), "58"
(It exceeds the normal value a little). in this way,
The reason that the range of normal values differs depending on each district is that the inspection item data varies due to differences in living environment.

The difference in the deviation value due to the difference in the range of the normal value of the medical examination data of a certain individual α in each medical examination area is shown in, for example, the range of the normal value in the medical institution of area C. When evaluated with (reference value), it exceeds the normal value range (reference value) in the area C shown by the thin line in FIG. 9 (a), and it is evaluated that the inspection item data is abnormal. However, as shown by the solid line in Fig. 3 (a), if the deviation values at the medical institutions in each area are displayed in chronological order, for example, at the medical institution in area B, the deviation values are within the normal range. It can be recognized that the difference is due to the living environment in each of the above medical examination areas, and recently, it can be recognized that it is approaching the normal value, and especially, the inspection item data is abnormal. You can avoid making a false assessment that there is.

Further, in FIG. 3 (b), in particular, when the inspection item data of a certain individual α, such as the deviation value, which are not so different, are graphically displayed on the same display reference axis, they are difficult to see. There is a problem (see FIG. 9 (b)). Therefore, in the present invention, by sliding the display axis of the normal range {that is, the range of the deviation value of "45" to "55"} for each inspection item, a plurality of items of inspection item data are displayed. In the time series display of the deviation value, it is possible to prevent the deviation value of each inspection item data from being displayed in an overlapping manner.

Further, since the inspection history database collected from the medical institutions in each medical examination area can be left as it is and various medical examination data processing a to e (see FIG. 7 described above) can be performed, the collected data is With each increase, the effect of improving the processing accuracy of the medical examination data processing is obtained.

[0027]

Embodiments of the present invention will be described in detail below with reference to the drawings. The above-mentioned FIG. 1 is a block diagram of the principle of the present invention.
FIG. 3 is a diagram illustrating the principle of the present invention, FIG. 4 is a diagram showing a flow chart of an embodiment of the present invention, and FIG. 5 is a diagram showing the management, processing, and display device of medical examination data of the present invention. 6 is a diagram showing a configuration example, FIG. 6 is a diagram showing an example of a data file of the present invention, FIG. 6 (a) shows an example of a medical examination result information file, and FIG. 6 (b) shows Fig. 6 shows an example of the examinee attribute file.
(c) shows an example of the reference value information file (table) for each district.

According to the present invention, there is provided a method, apparatus and method for managing, processing and displaying test data in a medical system, which manages, processes and displays test item data of examinees who have been tested by a plurality of medical institutions. However, based on the reference value information table in the plurality of medical institutions, for example, the deviation value of each medical institution of the examination item data of the examinee is calculated, and, for example, it is managed and processed in time series. , Display means, or reference value information specific to the above-mentioned medical examinees at the above-mentioned plural medical institutions in order to manage, process and display the examination item data of the examinees who have been examined at plural medical institutions. Based on the table a, the deviation value a of the examinee of the examination item data of the examinee is calculated, and, for example, means for managing, processing, and displaying in time series, and examinations at a plurality of medical institutions were performed. Test item data of the examinee , To display in time series, select each inspection item, for example, select the cursor,
A means for sliding the display reference axis for each examination item selected by the cursor and displaying in time series is a means necessary for implementing the present invention. The same reference numerals indicate the same objects throughout the drawings.

Hereinafter, referring to FIGS. 1 to 3, FIGS.
With reference to FIG. 6, the management and processing of medical examination data, the display method, and the configuration and operation of the apparatus in the medical system of the present invention will be described.

First, the inspection data management, processing and display device in the medical system of the present invention has the configuration shown in FIG.
The medical examination result information file 30 shown in FIG. 6, the examinee attribute file 31, and the reference value information table for each medical examination area
(File) is stored in the file storage device 3 as the inspection history database (DB).

Here, in the medical examination result information file 30,
A plurality of inspection item data for each medical institution regarding a specific examinee α are stored in the layout shown in FIG. 6A, for example. Further, in the examinee attribute file 31, attributes such as name, date of birth, and address for each examinee number of the above-mentioned examinees α, β, ... are displayed, for example, in the layout shown in FIG. 6 (b). It is stored in. In addition, the reference value information table (file) stores the reference values for each inspection item, such as the upper limit value and the lower limit value, based on each inspection item data for each medical institution.
23 and stored in the layout shown in FIG. 6 (c).

Further, on the main memory (MM) 2 of FIG. 5, a reference value information table (file) for each medical institution,
Deviation value calculation program 20 and the deviation value calculation program 2 above that calculates the deviation value for each examinee at each medical institution based on the inspection item data for each medical institution for each examinee
The time series display program 21 that displays the deviation value obtained in 0 in time series, and the display axis calculation program 22 that displays the deviation value of each inspection item in time series by shifting the display reference axis, and The standard value calculation program 23 and the management and processing of various medical examination data
Processing program 25, 26 {In this, the data for each test item is displayed in a prescribed format, a medical examination result reference program 25a, an automatic medical examination result abnormality determination program 25b, a transcript (Form) Creation program 25c, Statistical processing program 25 that performs various statistical processing
d, there is a follow-up checkup program 25e etc. that outputs the checkup result data, etc. of the sick person in a predetermined format, which is necessary for performing follow-up checkups}, etc. are stored, and the central processing unit is stored. By executing these program modules by the (CPU) 1, the management, processing (processing of medical examination data) and display shown in FIGS. 4 (a) and 4 (b) are executed.

FIG. 4 (a) is a flow chart showing a method of obtaining, managing, processing (processing) and displaying a deviation value for each inspection area based on inspection item data for each medical institution of a certain examinee α. It is shown in.

First, each inspection item data group for each medical institution (not shown) is set to the above-mentioned reference value calculation program 23.
With reference to each medical institution, the standard (that is, the range of normal values: upper limit value, lower limit value) is calculated and stored in the file storage device 3 as the reference value information table. {Fig. 4
Refer to processing step 100 in (a)} Next, when the deviation value calculation program 20 is started,
After calculating the deviation value of each inspection item data from the above reference value information table and each inspection item data, the inspection item data for each examinee is read from the medical examination result information file 30 and The deviation value for each medical institution corresponding to each inspection item data is read as shown in FIG. 2 (a). {Processing steps 101 and 10 in FIG. 3
2, 103} The deviation value calculated for each medical institution in this way is displayed in time series for each examinee by the time series display program 21, for example. {Refer to processing step 104 in FIG. 3 (a) and FIG. 4 (a)} In the above example, a certain examinee, for example, at a predetermined medical institution in each medical examination area in Japan and abroad In order to display the inspection item data obtained by receiving the data in time series, the difference in the reference value (that is, the range of normal values) due to the difference in living environment in each inspection area is used as the deviation value for each reference value. By converting and displaying the information, the relationship with the normal value at each medical institution is displayed to avoid a diagnostic error.

FIG. 4 (b) shows that the difference in the standard value (that is, the range of normal values) of each predetermined medical institution due to the difference in the living environment in each medical examination area is converted into the deviation value with respect to each standard value. Instead of displaying it, the standard value (range of normal values) for each test item of each examinee is calculated based on the age, sex, family history of each examinee, and the calculated reference value. , A method for predicting the deviation value a of the inspection item data for each inspection date and time, determining for normality, managing, processing (processing), and displaying.

Therefore, the reference value information table a for each examination item for each examinee is used to determine the age, sex, and family medical history of each examinee (for example, since there are hypertensives in the grandparents, the tendency of hypertension). Therefore, it is better to evaluate a person's blood pressure data with a higher standard value, etc.), or calculated based on the preferred foods, lifestyle attitudes, etc., based on the results of the portal examination, and the calculated standard value information. The deviation value a for each inspection item data at each inspection date and time is obtained based on the table a and displayed in time series. {Refer to processing steps 200 to 204 in FIG. 4 (b)} As described above, when the deviation value a for each test item data of each examinee α, β, is obtained and displayed in time series, In general, the deviation value a of the examinee with respect to each inspection item data often shows a similar value. Therefore, if you display it in chronological order,
The deviation value a for each inspection item data will be displayed in an overlapping manner.

Therefore, in the present invention, the inspection item {see FIG. 3 (b)} displayed on the right end of the display screen of the display device (not shown) is cursor-selected,
When performing time-series display of the deviation value of predetermined inspection item data, the deviation value of the inspection item data selected by the cursor is displayed, for example, with high brightness. At this time, the reference value of the selected inspection item is displayed. As shown in FIG. 3B, the display position of the value (range of normal values) is displayed by sliding it by a predetermined value on the display screen.

By displaying in this way, the deviation values corresponding to each inspection item are displayed without overlapping with each other, and the operator (doctor) can easily recognize the deviation value of each inspection item data, and the correct value can be obtained. Be able to diagnose.

As described above, the inspection data management, processing and display method and apparatus in the medical system of the present invention manage, process and display the inspection item data of the examinees who have been inspected by a plurality of medical institutions. In addition, based on the reference value information table at the plurality of medical institutions or the reference value information table a unique to each medical examinee, the deviation value of the examination item data of the medical examinee for each medical institution, the medical examination The deviation value a peculiar to each person is calculated, managed and processed, and the inspection item data or the processing result is displayed. Further, when displaying the deviation value a of a plurality of items of inspection item data in a graph, it is characterized in that the display reference axis is shifted by a predetermined amount for each inspection item.

[0040]

As described above in detail, according to the present invention, in the case of managing, processing, and displaying the inspection item data of the examinees who have been inspected at a plurality of medical institutions, the above-mentioned plurality of medical examination areas are required. In consideration of the standard value (range of normal values) at medical institutions in, for example, by managing, processing, and displaying based on the deviation value, a, it is possible to identify differences in the living environment of multiple health checkup areas. It is possible to make a correct diagnosis in consideration. Further, it is possible to support a doctor's diagnosis in consideration of past inspection item data. Also, by sliding the display axis of the normal range for each inspection item, it is possible to prevent the deviation values of the inspection item data from being overlapped and displayed in the time series display of a plurality of inspection item data. be able to. The inspection history database collected from medical institutions in each health checkup area is
Since various kinds of medical checkup data processing a to e can be left as they are, the effect that the processing accuracy of the medical checkup data processing can be improved each time the collected data increases.

[Brief description of drawings]

FIG. 1 is a block diagram of the principle of the present invention.

FIG. 2 is an explanatory diagram of the principle of the present invention (No. 1)

FIG. 3 is an explanatory diagram of the principle of the present invention (No. 2)

FIG. 4 is a flowchart showing an embodiment of the present invention.

FIG. 5 is a diagram showing a configuration example of management, processing, and display device of medical examination data of the present invention.

FIG. 6 is a diagram showing an example of a data file of the present invention.

FIG. 7 is a diagram (part 1) explaining the conventional management, processing, and display method of inspection data in a medical system.

FIG. 8 is a diagram (part 2) for explaining conventional management, processing, and display method of inspection data in a medical system.

FIG. 9 is a diagram (part 3) for explaining conventional management, processing, and display method of inspection data in a medical system.

[Explanation of symbols]

1 Central processing unit (CPU) 2 Main memory
(MM) 20 Deviation value calculation program 21 Time series display program 22 Display axis calculation program 23 Reference value calculation program 25,26 Medical examination data management and processing program 3 File storage device 30 Medical examination result information file 31 Patient attribute file 100 〜104,200 〜204 Processing step Inspection item data, a Reference value information table, a Deviation display Reference axis

Claims (7)

[Claims] 1. Management of examination data in a medical system,
The processing method is based on the information of the reference value information table () at the plurality of medical institutions in order to manage and process the inspection item data () of the examinees who have been examined at the plurality of medical institutions. A medical system characterized by calculating a difference value () of the examination item data () of the examinee from the normal value range for each medical institution, and managing and processing with the calculated difference value (). Management and processing method of inspection data. 2. Management of inspection data in a medical system,
A reference value information table specific to the examinee at the prescribed medical institution for managing and processing the inspection item data () of the examinee who has been examined at the prescribed medical institution. Based on the information of (a), the difference value (a) of the examination item data () of the examinee from the normal value range unique to the examinee is calculated, and the calculated difference value (
A method for managing and processing test data in a medical system, characterized by managing and processing in a). 3. A method of displaying test data in a medical system, wherein reference value information at the plurality of medical institutions is used to display test item data () of a person who has been tested at a plurality of medical institutions. Based on the information in the table (), the difference value () of the examination item data () of the examinee from the normal value range for each medical institution is calculated, and the calculated difference value () is displayed. A method for displaying test data in a medical system, characterized by the above. 4. A method of displaying examination data in a medical system, wherein the examination item data () of a examinee who has been examined at a prescribed medical institution is displayed at the prescribed medical institution. Standard value information table (
Based on the information of a), the difference value (a) of the examination item data () of the examinee from the normal value range peculiar to the examinee is calculated, and the calculated difference value (a) is displayed. A method for displaying test data in a medical system, comprising: 5. A method of managing, processing, and displaying test data in the medical system according to claim 1, or 2, or 3, or 4, which is a difference value (or a) from the normal value range. As a method for displaying test data in a medical system, the deviation value is based on the information in the reference information table (or a). 6. A method of displaying inspection data in a medical system, wherein display reference axis () for each inspection item is used to display inspection item data () of a medical examinee who has been inspected at a plurality of medical institutions. A method for displaying test data in a medical system, characterized by sliding and displaying. 7. Management of inspection data in a medical system,
It is a processing and display device, and a medical examination result information file (30) that records the examination item data () of the examinees who have been examined at a plurality of medical institutions, and each examination item at the plurality of medical institutions. Reference value information table (), or reference value information table (a) unique to the examinee, reference value information table () at the plurality of medical institutions, or reference value information table (specific to the examinee Based on a), the deviation value () of each examination item data () of the examinee for each medical institution or the deviation value (a) of the examination item data () unique to the examinee is calculated. The means (20) and the calculated deviation value () of each medical institution for each inspection item, or the deviation value (a) of the inspection item data () unique to the examinee, data()
Means (25) for managing the above, and / or the deviation value () for each medical institution calculated above for each inspection item, or the deviation value () for the inspection item data () specific to the examinee. In a), a means (26) for processing the inspection item data (), a deviation value () for each medical institution calculated for each inspection item, or inspection item data unique to the examinee. With the deviation value (a) of (), the above inspection item data ()
With a means (21) for displaying, and the deviation value () for each medical institution for each of the calculated inspection items, or the deviation value (a) of the inspection item data () unique to the examinee, Inspection item data ()
When displaying, display reference axis for each of the above inspection items ()
A means (22) for sliding an inspection data, a management, processing, and display device for inspection data in a medical system characterized by the following: