WO2011083607A1 - Medical-use information processing device and program - Google Patents

Medical-use information processing device and program Download PDF

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Publication number
WO2011083607A1
WO2011083607A1 PCT/JP2010/068427 JP2010068427W WO2011083607A1 WO 2011083607 A1 WO2011083607 A1 WO 2011083607A1 JP 2010068427 W JP2010068427 W JP 2010068427W WO 2011083607 A1 WO2011083607 A1 WO 2011083607A1
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Prior art keywords
information
patient
modality
examination
acquired
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PCT/JP2010/068427
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French (fr)
Japanese (ja)
Inventor
寛之 窪田
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コニカミノルタエムジー株式会社
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Priority to JP2011548910A priority Critical patent/JPWO2011083607A1/en
Priority to CN2010800607372A priority patent/CN102696033A/en
Publication of WO2011083607A1 publication Critical patent/WO2011083607A1/en

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00—ICT specially adapted for the handling or processing of medical images
    • G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS

Definitions

  • the present invention relates to a medical information processing apparatus and a program.
  • Examination request information includes patient-specific basic patient information (patient ID, name, gender, date of birth, etc.) and imaging condition information (examination date, part, direction, left and right, tube voltage, tube current, equipment, etc.) It is.
  • the medical radiographer operates the modality by referring to basic patient information and imaging condition information on a computer screen called a console connected to the modality. Part of the basic patient information and imaging condition information is transferred from the console to the modality, and imaging is performed based on these information.
  • Patent Document 1 a medical information browsing system has been proposed in which medical information is stored in folders for each browsing item, for each patient, and for each photographing date and time, and medical information can be browsed from a computer terminal connected to a network.
  • the medical radiographer when the patient to be photographed suffers from an infectious disease or has a physical disability or allergy, the medical radiographer must perform photographing according to each case. For example, if a patient suffers from an infection, it is necessary to prevent infection to others, and if the patient has allergies, it is necessary to pay attention to the drugs used. .
  • profile information such as infectious disease information, disability information, and allergy information about the patient is not included in the basic patient information and is managed only by the electronic medical record system. It was difficult to obtain this information when shooting.
  • the present invention has been made in view of the above problems in the prior art, and an object of the present invention is to make it possible to use patient profile information at the time of examination.
  • the invention according to claim 1 is an electronic medical record system in which basic patient information including patient identification information and profile information of the patient are stored in association with each other.
  • a medical information processing apparatus connected so as to be capable of data communication, including examination request information for requesting examination by modality, including the basic patient information and imaging condition information, and from the obtained examination request information Control means for extracting the patient identification information, acquiring profile information corresponding to the extracted patient identification information from the electronic medical record system, and adding the acquired profile information to the acquired examination request information; Prepare.
  • the examination request information is a modality work list conforming to a DICOM standard
  • the control means includes the modality work list in the modality work list.
  • the acquired profile information is added to any DICOM tag of patient comments, examination comments, and examination descriptions.
  • the profile information includes infectious disease information, physical disability information, or allergy information about the patient.
  • a computer that is communicably connected to an electronic medical record system in which basic patient information including patient identification information and profile information of the patient are stored in association with each other.
  • Means for obtaining examination request information for requesting examination by modality including the patient basic information and imaging condition information, means for extracting the patient identification information from the obtained examination request information,
  • This is a program for functioning as means for acquiring profile information corresponding to the patient identification information from the electronic medical record system, and means for adding the acquired profile information to the acquired examination request information.
  • the profile information is added to the examination request information, so that the patient profile information can be used during the examination.
  • profile information can be added to a DICOM tag of a patient comment, examination comment or examination description in the modality work list.
  • infectious disease information can be used at the time of examination.
  • FIG. 1 is a system configuration diagram of a medical image system. It is a figure which shows the outline
  • FIG. 1 shows a system configuration of the medical image system 100.
  • a medical image system 100 includes an electronic medical record system 10, an RIS (Radiological Information System) 20, a gateway device 30 as a medical information processing device, a console 40, a modality 50,
  • the image management server 60 and other devices are connected to each other, except for the modality 50, via a communication network N so that data communication is possible.
  • the electronic medical record system 10 is an information processing apparatus that stores and manages medical record data (information such as a patient's medical condition and diagnosis result), prescription data, and the like.
  • the electronic medical record system 10 includes a control unit including a CPU (Central Processing Unit) and a RAM (Random Access Memory), a storage unit such as a hard disk, a communication unit that performs data communication with an external device, and the like.
  • the storage unit of the electronic medical record system 10 stores at least patient basic information and patient profile information (hereinafter referred to as patient profile information) in association with each other.
  • the patient basic information is patient-specific information and includes patient ID, name, sex, date of birth, etc. as patient identification information.
  • the patient profile information is information indicating characteristics of the patient's body and illness, and includes infectious disease information, physical disability information, allergy information, and the like.
  • the infectious disease information is information relating to the infectious disease that the patient suffers from, and includes the disease name of the infectious disease (tuberculosis, measles, influenza, hepatitis B, Staphylococcus aureus, etc.) and symptoms.
  • the physical disability information is information related to the physical disability of the patient, and includes symptoms of physical disability (such as hearing impairment and consciousness impairment).
  • the allergy information is information related to the allergy of the patient, and includes substances (drugs, latex, food (buckwheat, eggs, wheat, shellfish), etc.), symptoms, etc. that induce allergies.
  • the electronic medical chart system 10 transmits patient profile information corresponding to the acquisition request to the gateway apparatus 30.
  • the RIS20 performs information management such as medical appointment reservation, diagnosis result report, results management, and material inventory management in the radiology department.
  • the RIS 20 includes a control unit including a CPU and a RAM, a storage unit such as a hard disk, a communication unit that performs data communication with an external device, and the like.
  • the RIS 20 creates inspection request information for requesting an inspection by the modality 50 based on the image inspection request received from the electronic medical chart system 10.
  • a modality work list (Modality WorkList: MWL) compliant with the DICOM (Digital Imaging and Communications Communications in Medicine) standard is created as inspection request information.
  • the modality work list includes basic patient information, imaging condition information, and the like.
  • the imaging condition information includes the date and time of examination, part, direction, left and right, tube voltage, tube current, equipment, and the like.
  • the RIS 20 transmits a modality work list corresponding to the acquisition request to the gateway device 30.
  • the gateway device 30 is a medical information processing device that relays data among the electronic medical chart system 10, the RIS 20, and the console 40.
  • FIG. 2 shows an outline of processing executed in the gateway device 30.
  • the gateway device 30 acquires a modality work list including basic patient information and imaging condition information from the RIS 20, and patient profile information (infectious disease information, disability information, allergy information, etc.) acquired from the electronic medical record system 10 in the modality work list.
  • patient profile information infectious disease information, disability information, allergy information, etc.
  • the modality work list to which the patient profile information is added is transmitted to the console 40.
  • FIG. 3 shows a functional configuration of the gateway device 30.
  • the gateway device 30 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, a ROM (Read Only Memory) 35, and a storage unit 36. It is connected.
  • the control unit 31 includes a CPU, a RAM, and the like, and comprehensively controls the processing operation of each unit of the gateway device 30. Specifically, the CPU reads various processing programs stored in the ROM 35 in response to an operation signal input from the operation unit 32 or an instruction signal received by the communication unit 34, and a work piece formed in the RAM. Expand to the area and perform various processes in cooperation with the program.
  • the operation unit 32 includes a keyboard having cursor keys, character input keys, various function keys, and the like, and a pointing device such as a mouse.
  • the control unit 32 controls operation signals input by key operations or mouse operations on the keyboard. To 31.
  • the display unit 33 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the control unit 31.
  • LCD Liquid Crystal Display
  • the communication unit 34 includes a LAN (Local Area Network) adapter, a router, a TA (Terminal Area Adapter), and the like, and is connected to external devices such as the electronic medical record system 10, the RIS 20, and the console 40 connected via the communication network N. Send and receive data.
  • LAN Local Area Network
  • TA Terminal Area Adapter
  • the ROM 35 is configured by a nonvolatile semiconductor memory or the like, and stores various processing programs, parameters and files necessary for executing the programs.
  • the storage unit 36 is a storage device composed of a semiconductor memory, a hard disk, or the like.
  • the storage unit 36 stores a modality work list acquired from the RIS 20, patient profile information acquired from the electronic medical chart system 10, and the like.
  • the control unit 31 When the control unit 31 receives a modality work list acquisition request (C-FIND request conforming to the DICOM standard) from the console 40 via the communication unit 34, the control unit 31 transmits a modality work list acquisition request to the RIS 20. Specifically, based on the AE (Application Entity) title of the modality 50, the control unit 31 transmits to the RIS 20 an acquisition request for the modality work list regarding the inspection performed in the modality 50. Then, the control unit 31 acquires a modality work list from the RIS 20 via the communication unit 34.
  • C-FIND request conforming to the DICOM standard C-FIND request conforming to the DICOM standard
  • the control unit 31 transmits a modality work list acquisition request to the RIS 20. Specifically, based on the AE (Application Entity) title of the modality 50, the control unit 31 transmits to the RIS 20 an acquisition request for the modality work list regarding the inspection performed in the modality 50. Then, the control unit 31 acquires a
  • the modality work list consists of one or more work items.
  • FIG. 4 shows the structure of the work item.
  • Work items are composed of SCHEDULED PROCEDURE STEP (reserved procedure step), REQUESTED PROCEDURE (requested procedure), IMAGING SERVICE REQUEST (image service request), and PATIENT (patient).
  • One work item corresponds to inspection request information for one inspection.
  • FIG. 5 shows a detailed data structure of the work item.
  • SCHEDULED PROCEDURE STEP includes AE TITLE (AE title), SCHEDULED PROCEDURE STEP START DATE (scheduled inspection start date), SCHEDULED PROCEDURE STEP START TIME (scheduled inspection start time), MODALITY (shooting device type), SCHEDULED PROTOCOL CODE SEQUENCE (shooting conditions) )including.
  • REQUESTED PROCEDURE includes STUDY INSTANCE UID (inspection instance UID), STUDY DESCRIPTION (inspection description), and STUDY COMMENT (inspection comment).
  • IMAGING SERVICE REQUEST includes ACCESSION NUMBER.
  • PATIENT includes PATIENT ID (patient ID), PATIENT NAME (patient name), PATIENT BIRTH DATE (birth date), PATIENT SEX (gender), and PATIENT COMMENT (patient comment).
  • PATIENT ID, PATIENT NAME, PATIENT BIRTH DATE, and PATIENT SEX in the work item correspond to the basic patient information
  • SCHEDULED PROTOCOL CODE SEQUENCE in the work item corresponds to the imaging condition information
  • the control unit 31 extracts the patient ID from the modality work list acquired from the RIS 20. Based on the extracted patient ID, the control unit 31 transmits an acquisition request for patient profile information corresponding to the patient ID to the electronic medical chart system 10 via the communication unit 34. Then, the control unit 31 acquires patient profile information corresponding to the patient ID from the electronic medical record system 10 via the communication unit 34. Specifically, the control unit 31 transmits the patient ID to the electronic medical record system 10 using a QRY / ADR message in accordance with the HL7 (Health Level Seven) standard, and acquires patient profile information from the OBX Segment of the ADR message.
  • HL7 Health Level Seven
  • the control unit 31 adds the patient profile information acquired from the electronic medical record system 10 to the modality work list acquired from the RIS 20. At this time, the control unit 31 adds the acquired patient profile information to any DICOM tag among the patient comment, examination comment, and examination description in the modality work list.
  • DICOM tag 0010,4000
  • examination comment STUDY COMMENT
  • examination description STUDY DESCRIPTION
  • the console 40 is a photographing control device that controls the modality 50.
  • the console 40 and the modality 50 are connected via a dedicated cable so that data communication is possible.
  • FIG. 6 shows a functional configuration of the console 40.
  • the console 40 includes a control unit 41, an operation unit 42, a display unit 43, a communication unit 44, a ROM 45, a storage unit 46, and a communication I / F (InterFace) 47. 48 is connected.
  • the control unit 41 includes a CPU, a RAM, and the like, and comprehensively controls processing operations of each unit of the console 40. Specifically, the CPU reads various processing programs stored in the ROM 45 in response to an operation signal input from the operation unit 42 or an instruction signal received by the communication unit 44, and a work piece formed in the RAM. Expand to the area and perform various processes in cooperation with the program.
  • the operation unit 42 includes a keyboard having cursor keys, character input keys, various function keys, and the like, and a pointing device such as a mouse.
  • the control unit 42 controls operation signals input by keyboard operations or mouse operations. 41 is output.
  • the display unit 43 is composed of an LCD, and displays various screens based on display data input from the control unit 41.
  • the communication unit 44 includes a LAN adapter, a router, a TA, and the like, and transmits and receives data to and from external devices such as the gateway device 30 and the image management server 60 connected via the communication network N.
  • the ROM 45 is configured by a nonvolatile semiconductor memory or the like, and stores various processing programs, parameters and files necessary for executing the programs.
  • the storage unit 46 is a storage device composed of a semiconductor memory, a hard disk, or the like.
  • the storage unit 46 stores the modality work list acquired from the gateway device 30 and the image data of the medical image generated by the modality 50 (hereinafter referred to as medical image data).
  • the communication I / F 47 is an interface for performing data communication with the modality 50.
  • the control unit 41 transmits a modality worklist acquisition request (C-FIND request conforming to the DICOM standard) to the gateway device 30. Specifically, based on the AE title of the modality 50, the control unit 41 transmits to the gateway device 30 an acquisition request for a modality work list regarding the examination performed in the modality 50. And the control part 41 acquires the modality work list to which patient profile information was added from the gateway apparatus 30.
  • FIG. The control unit 41 causes the display unit 43 to display patient basic information, imaging condition information, infectious disease information, physical disability information, allergy information, and the like based on the acquired modality work list.
  • the control unit 41 controls the modality 50 via the communication I / F 47 to perform imaging of the patient, and acquires medical image data generated in the modality 50. Then, the control unit 41 attaches supplementary information to the medical image data in accordance with the DICOM standard, and transmits it to the image management server 60 via the communication unit 44.
  • Supplied information includes patient information, examination information, series information, and image information.
  • Patient information is information about a patient, such as patient ID, name, sex, date of birth, age, height, and weight.
  • the examination information is information relating to the examination such as the examination instance UID that identifies the examination, the examination date, the examination time, the reception number, and the doctor in charge.
  • the series information is information about a series of medical images (series) for each modality generated in one examination, such as a series instance UID that identifies the series, a modality name (examination type), an examination part, and a series number. It is.
  • the image information is information related to a medical image such as an SOP instance UID that identifies an image and an image number.
  • the control unit 41 may add patient profile information such as infectious disease information, physical disability information, and allergy information as additional information to the medical image data.
  • the modality 50 is an image generation device that performs imaging using a patient's diagnosis target region as a subject and generates medical image data.
  • a CR Computed Radiography
  • CT Computed Tomography
  • MRI Magnetic Resonance Imaging
  • the image management server 60 is configured by PACS (Picture Archiving and Communication System), and stores and manages medical image data transmitted from the console 40. When receiving an acquisition request for medical image data from an external device, the image management server 60 transmits medical image data corresponding to the acquisition request to the external device.
  • PACS Picture Archiving and Communication System
  • FIG. 7 is a ladder chart showing processing executed in the electronic medical chart system 10, the RIS 20, the gateway device 30, and the console 40.
  • the processing in the gateway device 30 is realized by software processing in cooperation with the control unit 31 and a program stored in the ROM 35.
  • the processing in the console 40 is realized by software processing in cooperation with the control unit 41 and a program stored in the ROM 45.
  • a patient to be examined is selected from the patient list by the operation of the doctor (step S1), imaging conditions are designated, and an image examination is requested to the RIS 20 (step S2). .
  • a modality work list including basic patient information, imaging condition information, and the like is created based on a request for an image examination from the electronic medical chart system 10 (step S3).
  • the created modality work list is stored in the storage unit of the RIS 20.
  • control unit 41 of the console 40 transmits a modality worklist acquisition request to the gateway device 30 via the communication unit 44 (step S4). Specifically, based on the AE title of the modality 50, the control unit 41 transmits a request for acquiring a modality work list for the examination performed in the modality 50 to the gateway device 30.
  • the control unit 31 transmits a modality work list acquisition request to the RIS 20 via the communication unit 34 (Ste S5).
  • the modality work list corresponding to the AE title included in the acquisition request is read from the storage unit and transmitted to the gateway device 30 (step S6).
  • the modality work list is acquired from the RIS 20 by the control unit 31 of the gateway device 30 via the communication unit 34 (step S7).
  • the acquired modality work list is stored in the storage unit 36 by the control unit 31.
  • the control unit 31 transmits a patient profile information acquisition request to the electronic medical record system 10 via the communication unit 34 (step S9).
  • patient profile information corresponding to this patient ID is read from the storage unit and transmitted to the gateway device 30 (step S10).
  • the patient profile information is acquired from the electronic medical chart system 10 by the control part 31 of the gateway apparatus 30 via the communication part 34 (step S11).
  • the acquired patient profile information is stored in the storage unit 36 by the control unit 31.
  • the patient profile information is added to the modality work list by the control unit 31 (step S12). Specifically, the control unit 31 stores the patient profile information in any predetermined DICOM tag among patient comments, examination comments, and examination descriptions in the modality work list.
  • the modality work list to which the patient profile information is added is transmitted to the console 40 via the communication unit 34 by the control unit 31 of the gateway device 30 (step S13).
  • the modality work list is acquired from the gateway device 30 by the control unit 41 via the communication unit 44 (step S14).
  • the control unit 41 displays patient basic information, imaging condition information, patient profile information, and the like on the display unit 43 (step S15). In this way, the medical radiographer who operates the console 40 can refer to the patient profile information.
  • FIG. 8 shows an example of the console screen 431 displayed on the display unit 43 of the console 40.
  • the console screen 431 includes a patient basic information display area 432, an image information display area 433, an imaging condition information display area 434, and a patient profile information display area 435.
  • the patient basic information display area 432 is an area in which a patient ID, name, sex, date of birth, and the like are displayed based on the patient basic information.
  • the image information display area 433 is an area in which a medical image captured by the modality 50 under the control of the console 40 is displayed.
  • the imaging condition information display area 434 is an area in which an imaging part, an imaging direction, and the like are displayed based on the imaging condition information.
  • the patient profile information display area 435 is an area where infectious disease information, physical disability information, allergy information, and the like are displayed based on the patient profile information.
  • infectious disease information “suspected of influenza”, allergy information “contrast allergy”, and disability information “wheelchair” and “severe language disorder” are displayed in the patient profile information display area 435. ing.
  • the modality work list (examination request information) is acquired from the RIS 20
  • the patient ID is extracted from the acquired modality work list
  • the extracted patient ID is supported.
  • Patient profile information can be obtained from the electronic medical record system 10 and the patient profile information can be added to the modality work list.
  • the gateway device 30 can add patient profile information to the DICOM tag of the patient comment, examination comment, or examination description in the modality work list.
  • the console 40 can use patient profile information such as infectious disease information, disability information, or allergy information during the examination. .
  • the console 40 can inquire the patient profile information to the electronic medical record system 10 so that the console 40 can perform the examination.
  • the latest patient profile information can be referred to.
  • the gateway apparatus 30 exists as an independent apparatus in the medical image system 100.
  • the function of the gateway apparatus 30 may be included in the console 40 or the RIS 20.
  • a ROM is used as a computer-readable medium storing a program for executing each process
  • the present invention is not limited to this example.
  • a non-volatile memory such as a flash memory and a portable recording medium such as a CD-ROM can be applied.
  • a carrier wave may be applied as a medium for providing program data via a communication line.
  • the medical information processing apparatus and program according to the present invention may be used in the medical field in which examination is performed by modality.

Abstract

Disclosed are a medical-use information processing device and a program capable of using profile information of a patient at a time of a study. A gateway device (30) acquires patient basic information and a modality worklist including scheduled protocol code sequence information from an RIS (20), and acquires patient profile information of infectious disease information, disability information, and allergy information from an electronic medical record system (10). Then, the gateway device (30) adds the acquired patient profile information to any of the DICOM tags within the patient comments, study comments, and study description within the modality worklist, and transmits the modality worklist to which the patient profile information has been added to a console (40). The console (40) displays the infectious disease information, the disability information, and the allergy information in addition to the patient basic information and the scheduled protocol code sequence information.

Description

医用情報処理装置及びプログラムMedical information processing apparatus and program
　本発明は、医用情報処理装置及びプログラムに関する。 The present invention relates to a medical information processing apparatus and a program.
　病院に設置されたモダリティ（撮影装置）では、診察医の指示による検査依頼情報に基づいて、患者の撮影が行われている。検査依頼情報には、患者固有の患者基本情報（患者ＩＤ、氏名、性別、生年月日等）や撮影条件情報（検査日時、部位、方向、左右、管電圧、管電流、機材等）が含まれる。 In a modality (imaging device) installed in a hospital, a patient is photographed based on examination request information instructed by a doctor. Examination request information includes patient-specific basic patient information (patient ID, name, gender, date of birth, etc.) and imaging condition information (examination date, part, direction, left and right, tube voltage, tube current, equipment, etc.) It is.
　診療放射線技師は、モダリティと接続されたコンソールというコンピュータの画面上で患者基本情報や撮影条件情報を参照し、モダリティを操作する。患者基本情報や撮影条件情報のうち一部の情報は、コンソールからモダリティに転送され、モダリティでは、これらの情報に基づいて撮影が行われる。 The medical radiographer operates the modality by referring to basic patient information and imaging condition information on a computer screen called a console connected to the modality. Part of the basic patient information and imaging condition information is transferred from the console to the modality, and imaging is performed based on these information.
　病院内では、患者に関する様々な医療情報が必要とされる場合が多い。そこで、閲覧項目毎、患者毎、撮影日時毎のフォルダに医療情報を保管し、ネットワークに接続されたコンピュータ端末から医療情報を閲覧することができるようにした医療情報閲覧システムが提案されている（特許文献１参照）。 In hospitals, various medical information about patients is often required. Therefore, a medical information browsing system has been proposed in which medical information is stored in folders for each browsing item, for each patient, and for each photographing date and time, and medical information can be browsed from a computer terminal connected to a network ( Patent Document 1).
特開２００１－７６０７８号公報JP 2001-76078 A
　ところで、撮影対象の患者が感染症を患っている場合や、身体障害やアレルギーを有している場合には、診療放射線技師は、それぞれの場合に応じた撮影を行わなければならない。例えば、患者が感染症を患っている場合には、他者への感染の予防を図る必要があり、患者がアレルギーを有している場合には、使用する薬品等に注意を払う必要がある。 By the way, when the patient to be photographed suffers from an infectious disease or has a physical disability or allergy, the medical radiographer must perform photographing according to each case. For example, if a patient suffers from an infection, it is necessary to prevent infection to others, and if the patient has allergies, it is necessary to pay attention to the drugs used. .
　しかし、患者についての感染症情報、身体障害情報、アレルギー情報等のプロファイル情報は、患者基本情報に含まれておらず、電子カルテシステムのみで管理されているため、診療放射線技師がコンソールを操作して撮影を行う際に、これらの情報を得ることは困難であった。 However, profile information such as infectious disease information, disability information, and allergy information about the patient is not included in the basic patient information and is managed only by the electronic medical record system. It was difficult to obtain this information when shooting.
　本発明は上記の従来技術における問題に鑑みてなされたものであって、検査時に患者のプロファイル情報を利用可能とすることを課題とする。 The present invention has been made in view of the above problems in the prior art, and an object of the present invention is to make it possible to use patient profile information at the time of examination.
　上記課題を解決するために、請求項１に記載の発明は、患者識別情報を含む患者固有の患者基本情報と、当該患者のプロファイル情報と、が対応付けられて格納されている電子カルテシステムとデータ通信可能に接続された医用情報処理装置であって、前記患者基本情報と撮影条件情報とを含む、モダリティによる検査を依頼するための検査依頼情報を取得し、当該取得された検査依頼情報から前記患者識別情報を抽出し、当該抽出された患者識別情報に対応するプロファイル情報を前記電子カルテシステムから取得し、前記取得された検査依頼情報に、前記取得されたプロファイル情報を付加する制御手段を備える。 In order to solve the above-mentioned problem, the invention according to claim 1 is an electronic medical record system in which basic patient information including patient identification information and profile information of the patient are stored in association with each other. A medical information processing apparatus connected so as to be capable of data communication, including examination request information for requesting examination by modality, including the basic patient information and imaging condition information, and from the obtained examination request information Control means for extracting the patient identification information, acquiring profile information corresponding to the extracted patient identification information from the electronic medical record system, and adding the acquired profile information to the acquired examination request information; Prepare.
　請求項２に記載の発明は、請求項１に記載の医用情報処理装置において、前記検査依頼情報は、ＤＩＣＯＭ規格に準拠したモダリティワークリストであり、前記制御手段は、前記モダリティワークリストの中の患者コメント、検査コメント、検査記述のうちいずれかのＤＩＣＯＭタグに、前記取得されたプロファイル情報を付加する。 According to a second aspect of the present invention, in the medical information processing apparatus according to the first aspect, the examination request information is a modality work list conforming to a DICOM standard, and the control means includes the modality work list in the modality work list. The acquired profile information is added to any DICOM tag of patient comments, examination comments, and examination descriptions.
　請求項３に記載の発明は、請求項１又は２に記載の医用情報処理装置において、前記プロファイル情報は、前記患者についての感染症情報、身体障害情報又はアレルギー情報を含む。 According to a third aspect of the present invention, in the medical information processing apparatus according to the first or second aspect, the profile information includes infectious disease information, physical disability information, or allergy information about the patient.
　請求項４に記載の発明は、患者識別情報を含む患者固有の患者基本情報と、当該患者のプロファイル情報と、が対応付けられて格納されている電子カルテシステムとデータ通信可能に接続されたコンピュータを、前記患者基本情報と撮影条件情報とを含む、モダリティによる検査を依頼するための検査依頼情報を取得する手段、当該取得された検査依頼情報から前記患者識別情報を抽出する手段、当該抽出された患者識別情報に対応するプロファイル情報を前記電子カルテシステムから取得する手段、前記取得された検査依頼情報に、前記取得されたプロファイル情報を付加する手段、として機能させるためのプログラムである。 According to a fourth aspect of the present invention, there is provided a computer that is communicably connected to an electronic medical record system in which basic patient information including patient identification information and profile information of the patient are stored in association with each other. Means for obtaining examination request information for requesting examination by modality, including the patient basic information and imaging condition information, means for extracting the patient identification information from the obtained examination request information, This is a program for functioning as means for acquiring profile information corresponding to the patient identification information from the electronic medical record system, and means for adding the acquired profile information to the acquired examination request information.
　請求項１、４に記載の発明によれば、検査依頼情報にプロファイル情報が付加されるので、検査時に患者のプロファイル情報を利用することができる。 According to the first and fourth aspects of the invention, the profile information is added to the examination request information, so that the patient profile information can be used during the examination.
　請求項２に記載の発明によれば、モダリティワークリストの中の患者コメント、検査コメント又は検査記述のＤＩＣＯＭタグにプロファイル情報を付加することができる。 According to the invention described in claim 2, profile information can be added to a DICOM tag of a patient comment, examination comment or examination description in the modality work list.
　請求項３に記載の発明によれば、検査時に患者についての感染症情報、身体障害情報又はアレルギー情報を利用することができる。 According to the invention described in claim 3, infectious disease information, physical disability information or allergy information about a patient can be used at the time of examination.
医用画像システムのシステム構成図である。1 is a system configuration diagram of a medical image system. ゲートウェイ装置において実行される処理の概要を示す図である。It is a figure which shows the outline | summary of the process performed in a gateway apparatus. ゲートウェイ装置の機能的構成を示すブロック図である。It is a block diagram which shows the functional structure of a gateway apparatus. ワークアイテムの構成を示す図である。It is a figure which shows the structure of a work item. ワークアイテムの詳細なデータ構成を示す図である。It is a figure which shows the detailed data structure of a work item. コンソールの機能的構成を示すブロック図である。It is a block diagram which shows the functional structure of a console. 医用画像システムにおいて実行される処理を示すラダーチャートである。It is a ladder chart which shows the process performed in a medical image system. コンソールに表示されるコンソール画面の例である。It is an example of the console screen displayed on a console.
［医用画像システムのシステム構成］
　以下、図面を参照して、本発明の実施の形態について説明する。
　図１に、医用画像システム１００のシステム構成を示す。図１に示すように、医用画像システム１００は、電子カルテシステム１０と、ＲＩＳ（Radiological Information System：放射線情報システム）２０と、医用情報処理装置としてのゲートウェイ装置３０と、コンソール４０と、モダリティ５０と、画像管理サーバ６０と、図示しないその他の装置とから構成されており、モダリティ５０を除く各装置は通信ネットワークＮを介してデータ通信可能に接続されている。 [System configuration of medical imaging system]
Embodiments of the present invention will be described below with reference to the drawings.
FIG. 1 shows a system configuration of the medical image system 100. As shown in FIG. 1, a medical image system 100 includes an electronic medical record system 10, an RIS (Radiological Information System) 20, a gateway device 30 as a medical information processing device, a console 40, a modality 50, The image management server 60 and other devices (not shown) are connected to each other, except for the modality 50, via a communication network N so that data communication is possible.
　電子カルテシステム１０は、診療録データ（患者の病状や診断結果等の情報）や処方データ等を記憶し、管理する情報処理装置である。電子カルテシステム１０は、ＣＰＵ（Central Processing Unit）及びＲＡＭ（Random Access Memory）等により構成される制御部、ハードディスク等の記憶部、外部機器とのデータ通信を行う通信部等を備える。電子カルテシステム１０の記憶部には、少なくとも患者基本情報と、患者のプロファイル情報（以下、患者プロファイル情報という。）と、が対応付けられて格納されている。患者基本情報は、患者固有の情報であって、患者識別情報としての患者ＩＤ、氏名、性別、生年月日等を含む。患者プロファイル情報は、患者の身体、病気に関する特徴を示す情報であって、患者についての感染症情報、身体障害情報、アレルギー情報等を含む。 The electronic medical record system 10 is an information processing apparatus that stores and manages medical record data (information such as a patient's medical condition and diagnosis result), prescription data, and the like. The electronic medical record system 10 includes a control unit including a CPU (Central Processing Unit) and a RAM (Random Access Memory), a storage unit such as a hard disk, a communication unit that performs data communication with an external device, and the like. The storage unit of the electronic medical record system 10 stores at least patient basic information and patient profile information (hereinafter referred to as patient profile information) in association with each other. The patient basic information is patient-specific information and includes patient ID, name, sex, date of birth, etc. as patient identification information. The patient profile information is information indicating characteristics of the patient's body and illness, and includes infectious disease information, physical disability information, allergy information, and the like.
　感染症情報は、患者が罹患している感染症に関する情報であって、感染症の病名（結核、麻疹、インフルエンザ、Ｂ型肝炎、黄色ブドウ球菌等）、症状等を含む。身体障害情報は、患者の身体障害に関する情報であって、身体障害の症状（聴覚障害、意識障害等）等を含む。アレルギー情報は、患者のアレルギーに関する情報であって、アレルギーを誘発する物質（薬物、ラテックス、食物（ソバ、卵、小麦、甲殻類）等）、症状等を含む。電子カルテシステム１０は、ゲートウェイ装置３０から患者プロファイル情報の取得要求を受信した場合、この取得要求に応じた患者プロファイル情報をゲートウェイ装置３０に送信する。 The infectious disease information is information relating to the infectious disease that the patient suffers from, and includes the disease name of the infectious disease (tuberculosis, measles, influenza, hepatitis B, Staphylococcus aureus, etc.) and symptoms. The physical disability information is information related to the physical disability of the patient, and includes symptoms of physical disability (such as hearing impairment and consciousness impairment). The allergy information is information related to the allergy of the patient, and includes substances (drugs, latex, food (buckwheat, eggs, wheat, shellfish), etc.), symptoms, etc. that induce allergies. When receiving an acquisition request for patient profile information from the gateway apparatus 30, the electronic medical chart system 10 transmits patient profile information corresponding to the acquisition request to the gateway apparatus 30.
　ＲＩＳ２０は、放射線科部門内における診療予約、診断結果のレポート、実績管理、材料在庫管理等の情報管理を行う。ＲＩＳ２０は、ＣＰＵ及びＲＡＭ等により構成される制御部、ハードディスク等の記憶部、外部機器とのデータ通信を行う通信部等を備える。ＲＩＳ２０は、電子カルテシステム１０から受信した画像検査依頼に基づいて、モダリティ５０による検査を依頼するための検査依頼情報を作成する。本実施の形態では、検査依頼情報として、ＤＩＣＯＭ（Digital Imaging and Communications in Medicine）規格に準拠したモダリティワークリスト（Modality WorkList：ＭＷＬ）を作成する場合について説明する。モダリティワークリストには、患者基本情報、撮影条件情報等が含まれる。撮影条件情報には、検査日時、部位、方向、左右、管電圧、管電流、機材等が含まれる。ＲＩＳ２０は、ゲートウェイ装置３０からモダリティワークリストの取得要求を受信した場合、当該取得要求に応じたモダリティワークリストをゲートウェイ装置３０に送信する。 RIS20 performs information management such as medical appointment reservation, diagnosis result report, results management, and material inventory management in the radiology department. The RIS 20 includes a control unit including a CPU and a RAM, a storage unit such as a hard disk, a communication unit that performs data communication with an external device, and the like. The RIS 20 creates inspection request information for requesting an inspection by the modality 50 based on the image inspection request received from the electronic medical chart system 10. In the present embodiment, a case will be described in which a modality work list (Modality WorkList: MWL) compliant with the DICOM (Digital Imaging and Communications Communications in Medicine) standard is created as inspection request information. The modality work list includes basic patient information, imaging condition information, and the like. The imaging condition information includes the date and time of examination, part, direction, left and right, tube voltage, tube current, equipment, and the like. When receiving a modality work list acquisition request from the gateway device 30, the RIS 20 transmits a modality work list corresponding to the acquisition request to the gateway device 30.
　ゲートウェイ装置３０は、電子カルテシステム１０、ＲＩＳ２０、コンソール４０の間でデータを中継する医用情報処理装置である。 The gateway device 30 is a medical information processing device that relays data among the electronic medical chart system 10, the RIS 20, and the console 40.
　図２に、ゲートウェイ装置３０において実行される処理の概要を示す。ゲートウェイ装置３０は、ＲＩＳ２０から患者基本情報、撮影条件情報を含むモダリティワークリストを取得し、モダリティワークリストに電子カルテシステム１０から取得した患者プロファイル情報（感染症情報、身体障害情報、アレルギー情報等）を付加し、患者プロファイル情報が付加されたモダリティワークリストをコンソール４０に送信する。 FIG. 2 shows an outline of processing executed in the gateway device 30. The gateway device 30 acquires a modality work list including basic patient information and imaging condition information from the RIS 20, and patient profile information (infectious disease information, disability information, allergy information, etc.) acquired from the electronic medical record system 10 in the modality work list. The modality work list to which the patient profile information is added is transmitted to the console 40.
　図３に、ゲートウェイ装置３０の機能的構成を示す。図３に示すように、ゲートウェイ装置３０は、制御部３１、操作部３２、表示部３３、通信部３４、ＲＯＭ（Read Only Memory）３５、記憶部３６を備えて構成され、各部はバス３７により接続されている。 FIG. 3 shows a functional configuration of the gateway device 30. As shown in FIG. 3, the gateway device 30 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, a ROM (Read Only Memory) 35, and a storage unit 36. It is connected.
　制御部３１は、ＣＰＵ、ＲＡＭ等から構成され、ゲートウェイ装置３０の各部の処理動作を統括的に制御する。具体的には、ＣＰＵは、操作部３２から入力される操作信号又は通信部３４により受信される指示信号に応じて、ＲＯＭ３５に記憶されている各種処理プログラムを読み出し、ＲＡＭ内に形成されたワークエリアに展開し、当該プログラムとの協働により各種処理を行う。 The control unit 31 includes a CPU, a RAM, and the like, and comprehensively controls the processing operation of each unit of the gateway device 30. Specifically, the CPU reads various processing programs stored in the ROM 35 in response to an operation signal input from the operation unit 32 or an instruction signal received by the communication unit 34, and a work piece formed in the RAM. Expand to the area and perform various processes in cooperation with the program.
　操作部３２は、カーソルキー、文字入力キー、及び各種機能キー等を備えたキーボードと、マウス等のポインティングデバイスを備えて構成され、キーボードに対するキー操作やマウス操作により入力された操作信号を制御部３１に出力する。 The operation unit 32 includes a keyboard having cursor keys, character input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 32 controls operation signals input by key operations or mouse operations on the keyboard. To 31.
　表示部３３は、ＬＣＤ（Liquid Crystal Display）により構成され、制御部３１から入力される表示データに基づいて各種画面を表示する。 The display unit 33 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the control unit 31.
　通信部３４は、ＬＡＮ（Local Area Network）アダプタ、ルータ、ＴＡ（Terminal Adapter）等を備え、通信ネットワークＮを介して接続された電子カルテシステム１０、ＲＩＳ２０、コンソール４０等の外部機器との間でデータの送受信を行う。 The communication unit 34 includes a LAN (Local Area Network) adapter, a router, a TA (Terminal Area Adapter), and the like, and is connected to external devices such as the electronic medical record system 10, the RIS 20, and the console 40 connected via the communication network N. Send and receive data.
　ＲＯＭ３５は、不揮発性の半導体メモリ等により構成され、各種処理プログラム、当該プログラムの実行に必要なパラメータやファイル等を記憶している。 The ROM 35 is configured by a nonvolatile semiconductor memory or the like, and stores various processing programs, parameters and files necessary for executing the programs.
　記憶部３６は、半導体メモリやハードディスク等から構成される記憶装置である。記憶部３６には、ＲＩＳ２０から取得したモダリティワークリスト、電子カルテシステム１０から取得した患者プロファイル情報等が記憶される。 The storage unit 36 is a storage device composed of a semiconductor memory, a hard disk, or the like. The storage unit 36 stores a modality work list acquired from the RIS 20, patient profile information acquired from the electronic medical chart system 10, and the like.
　制御部３１は、通信部３４を介してコンソール４０からモダリティワークリストの取得要求（ＤＩＣＯＭ規格に則ったＣ－ＦＩＮＤ要求）を受信すると、ＲＩＳ２０に対してモダリティワークリストの取得要求を送信する。具体的には、制御部３１は、モダリティ５０のＡＥ（Application Entity）タイトルに基づいて、モダリティ５０において行われる検査についてのモダリティワークリストの取得要求をＲＩＳ２０に送信する。そして、制御部３１は、通信部３４を介してＲＩＳ２０からモダリティワークリストを取得する。 When the control unit 31 receives a modality work list acquisition request (C-FIND request conforming to the DICOM standard) from the console 40 via the communication unit 34, the control unit 31 transmits a modality work list acquisition request to the RIS 20. Specifically, based on the AE (Application Entity) title of the modality 50, the control unit 31 transmits to the RIS 20 an acquisition request for the modality work list regarding the inspection performed in the modality 50. Then, the control unit 31 acquires a modality work list from the RIS 20 via the communication unit 34.
　モダリティワークリストは、一又は複数のワークアイテムから構成される。図４に、ワークアイテムの構成を示す。ワークアイテムは、SCHEDULED PROCEDURE STEP（予約済手続きステップ）、REQUESTED PROCEDURE（依頼済手続き）、IMAGING SERVICE REQUEST（画像サービス依頼）、PATIENT（患者）から構成される。一つのワークアイテムは、一検査分の検査依頼情報に相当する。 The modality work list consists of one or more work items. FIG. 4 shows the structure of the work item. Work items are composed of SCHEDULED PROCEDURE STEP (reserved procedure step), REQUESTED PROCEDURE (requested procedure), IMAGING SERVICE REQUEST (image service request), and PATIENT (patient). One work item corresponds to inspection request information for one inspection.
　図５に、ワークアイテムの詳細なデータ構成を示す。
　SCHEDULED PROCEDURE STEPは、AE TITLE（ＡＥタイトル）、SCHEDULED PROCEDURE STEP START DATE（予約検査開始日付）、SCHEDULED PROCEDURE STEP START TIME（予約検査開始時刻）、MODALITY（撮影装置種）、SCHEDULED PROTOCOL CODE SEQUENCE（撮影条件）を含む。
　REQUESTED PROCEDUREは、STUDY INSTANCE UID（検査インスタンスＵＩＤ）、STUDY DESCRIPTION（検査記述）、STUDY COMMENT（検査コメント）を含む。
　IMAGING SERVICE REQUESTは、ACCESSION NUMBER（受付番号）を含む。
　PATIENTは、PATIENT ID（患者ＩＤ）、PATIENT NAME（患者名）、PATIENT BIRTH DATE（生年月日）、PATIENT SEX（性別）、PATIENT COMMENT（患者コメント）を含む。 FIG. 5 shows a detailed data structure of the work item.
SCHEDULED PROCEDURE STEP includes AE TITLE (AE title), SCHEDULED PROCEDURE STEP START DATE (scheduled inspection start date), SCHEDULED PROCEDURE STEP START TIME (scheduled inspection start time), MODALITY (shooting device type), SCHEDULED PROTOCOL CODE SEQUENCE (shooting conditions) )including.
REQUESTED PROCEDURE includes STUDY INSTANCE UID (inspection instance UID), STUDY DESCRIPTION (inspection description), and STUDY COMMENT (inspection comment).
IMAGING SERVICE REQUEST includes ACCESSION NUMBER.
PATIENT includes PATIENT ID (patient ID), PATIENT NAME (patient name), PATIENT BIRTH DATE (birth date), PATIENT SEX (gender), and PATIENT COMMENT (patient comment).
　図５に示す例では、ワークアイテム中のPATIENT ID、PATIENT NAME、PATIENT BIRTH DATE、PATIENT SEXが患者基本情報に相当し、ワークアイテム中のSCHEDULED PROTOCOL CODE SEQUENCEが撮影条件情報に相当する。 In the example shown in FIG. 5, PATIENT ID, PATIENT NAME, PATIENT BIRTH DATE, and PATIENT SEX in the work item correspond to the basic patient information, and SCHEDULED PROTOCOL CODE SEQUENCE in the work item corresponds to the imaging condition information.
　制御部３１は、ＲＩＳ２０から取得されたモダリティワークリストから患者ＩＤを抽出する。制御部３１は、抽出された患者ＩＤに基づいて、この患者ＩＤに対応する患者プロファイル情報の取得要求を通信部３４を介して電子カルテシステム１０に送信する。そして、制御部３１は、通信部３４を介して電子カルテシステム１０から患者ＩＤに対応する患者プロファイル情報を取得する。具体的には、制御部３１は、ＨＬ７（Health Level Seven）規格に則ったＱＲＹ／ＡＤＲメッセージで患者ＩＤを電子カルテシステム１０に送信し、ＡＤＲメッセージのOBX Segmentから患者プロファイル情報を取得する。 The control unit 31 extracts the patient ID from the modality work list acquired from the RIS 20. Based on the extracted patient ID, the control unit 31 transmits an acquisition request for patient profile information corresponding to the patient ID to the electronic medical chart system 10 via the communication unit 34. Then, the control unit 31 acquires patient profile information corresponding to the patient ID from the electronic medical record system 10 via the communication unit 34. Specifically, the control unit 31 transmits the patient ID to the electronic medical record system 10 using a QRY / ADR message in accordance with the HL7 (Health Level Seven) standard, and acquires patient profile information from the OBX Segment of the ADR message.
　制御部３１は、ＲＩＳ２０から取得されたモダリティワークリストに、電子カルテシステム１０から取得された患者プロファイル情報を付加する。このとき、制御部３１は、モダリティワークリストの中の患者コメント、検査コメント、検査記述のうちいずれかのＤＩＣＯＭタグに、取得された患者プロファイル情報を付加する。 The control unit 31 adds the patient profile information acquired from the electronic medical record system 10 to the modality work list acquired from the RIS 20. At this time, the control unit 31 adds the acquired patient profile information to any DICOM tag among the patient comment, examination comment, and examination description in the modality work list.
　例えば、ＤＩＣＯＭタグ（００１０，４０００）の患者コメント（PATIENT COMMENT）、ＤＩＣＯＭタグ（００３２，４０００）の検査コメント（STUDY COMMENT）、ＤＩＣＯＭタグ（０００８，１０３０）の検査記述（STUDY DESCRIPTION）には、それぞれ、１０２４０文字のテキストを格納することができる。各ＤＩＣＯＭタグを施設で既に使用済みの場合は、患者プロファイル情報の記述先のタグを、使用されていないものに変更すればよい。 For example, patient comment (PATIENT COMMENT) of DICOM tag (0010,4000), examination comment (STUDY COMMENT) of DICOM tag (0032,4000), and examination description (STUDY DESCRIPTION) of DICOM tag (0008,1030) 10240 characters of text can be stored. If each DICOM tag has already been used in the facility, the description destination tag of the patient profile information may be changed to one that is not used.
　コンソール４０は、モダリティ５０を制御する撮影制御装置である。コンソール４０とモダリティ５０とは、専用のケーブルを介してデータ通信可能に接続されている。 The console 40 is a photographing control device that controls the modality 50. The console 40 and the modality 50 are connected via a dedicated cable so that data communication is possible.
　図６に、コンソール４０の機能的構成を示す。図６に示すように、コンソール４０は、制御部４１、操作部４２、表示部４３、通信部４４、ＲＯＭ４５、記憶部４６、通信Ｉ／Ｆ（InterFace）４７を備えて構成され、各部はバス４８により接続されている。 FIG. 6 shows a functional configuration of the console 40. As shown in FIG. 6, the console 40 includes a control unit 41, an operation unit 42, a display unit 43, a communication unit 44, a ROM 45, a storage unit 46, and a communication I / F (InterFace) 47. 48 is connected.
　制御部４１は、ＣＰＵ、ＲＡＭ等から構成され、コンソール４０の各部の処理動作を統括的に制御する。具体的には、ＣＰＵは、操作部４２から入力される操作信号又は通信部４４により受信される指示信号に応じて、ＲＯＭ４５に記憶されている各種処理プログラムを読み出し、ＲＡＭ内に形成されたワークエリアに展開し、当該プログラムとの協働により各種処理を行う。 The control unit 41 includes a CPU, a RAM, and the like, and comprehensively controls processing operations of each unit of the console 40. Specifically, the CPU reads various processing programs stored in the ROM 45 in response to an operation signal input from the operation unit 42 or an instruction signal received by the communication unit 44, and a work piece formed in the RAM. Expand to the area and perform various processes in cooperation with the program.
　操作部４２は、カーソルキー、文字入力キー、及び各種機能キー等を備えたキーボードと、マウス等のポインティングデバイスを備えて構成され、キーボードに対するキー操作やマウス操作により入力された操作信号を制御部４１に出力する。 The operation unit 42 includes a keyboard having cursor keys, character input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 42 controls operation signals input by keyboard operations or mouse operations. 41 is output.
　表示部４３は、ＬＣＤにより構成され、制御部４１から入力される表示データに基づいて各種画面を表示する。 The display unit 43 is composed of an LCD, and displays various screens based on display data input from the control unit 41.
　通信部４４は、ＬＡＮアダプタ、ルータ、ＴＡ等を備え、通信ネットワークＮを介して接続されたゲートウェイ装置３０、画像管理サーバ６０等の外部機器との間でデータの送受信を行う。 The communication unit 44 includes a LAN adapter, a router, a TA, and the like, and transmits and receives data to and from external devices such as the gateway device 30 and the image management server 60 connected via the communication network N.
　ＲＯＭ４５は、不揮発性の半導体メモリ等により構成され、各種処理プログラム、当該プログラムの実行に必要なパラメータやファイル等を記憶している。 The ROM 45 is configured by a nonvolatile semiconductor memory or the like, and stores various processing programs, parameters and files necessary for executing the programs.
　記憶部４６は、半導体メモリやハードディスク等から構成される記憶装置である。記憶部４６には、ゲートウェイ装置３０から取得したモダリティワークリスト、モダリティ５０において生成された医用画像の画像データ（以下、医用画像データという。）が記憶される。 The storage unit 46 is a storage device composed of a semiconductor memory, a hard disk, or the like. The storage unit 46 stores the modality work list acquired from the gateway device 30 and the image data of the medical image generated by the modality 50 (hereinafter referred to as medical image data).
　通信Ｉ／Ｆ４７は、モダリティ５０との間でデータ通信を行うためのインターフェースである。 The communication I / F 47 is an interface for performing data communication with the modality 50.
　制御部４１は、ゲートウェイ装置３０に対してモダリティワークリストの取得要求（ＤＩＣＯＭ規格に則ったＣ－ＦＩＮＤ要求）を送信する。具体的には、制御部４１は、モダリティ５０のＡＥタイトルに基づいて、モダリティ５０において行われる検査についてのモダリティワークリストの取得要求をゲートウェイ装置３０に送信する。そして、制御部４１は、ゲートウェイ装置３０から患者プロファイル情報が付加されたモダリティワークリストを取得する。制御部４１は、取得されたモダリティワークリストに基づいて、患者基本情報、撮影条件情報、感染症情報、身体障害情報、アレルギー情報等を表示部４３に表示させる。 The control unit 41 transmits a modality worklist acquisition request (C-FIND request conforming to the DICOM standard) to the gateway device 30. Specifically, based on the AE title of the modality 50, the control unit 41 transmits to the gateway device 30 an acquisition request for a modality work list regarding the examination performed in the modality 50. And the control part 41 acquires the modality work list to which patient profile information was added from the gateway apparatus 30. FIG. The control unit 41 causes the display unit 43 to display patient basic information, imaging condition information, infectious disease information, physical disability information, allergy information, and the like based on the acquired modality work list.
　制御部４１は、通信Ｉ／Ｆ４７を介してモダリティ５０を制御して患者の撮影を行わせ、モダリティ５０において生成された医用画像データを取得する。そして、制御部４１は、医用画像データにＤＩＣＯＭ規格に則って付帯情報を付帯させ、通信部４４を介して画像管理サーバ６０に送信する。 The control unit 41 controls the modality 50 via the communication I / F 47 to perform imaging of the patient, and acquires medical image data generated in the modality 50. Then, the control unit 41 attaches supplementary information to the medical image data in accordance with the DICOM standard, and transmits it to the image management server 60 via the communication unit 44.
　付帯情報は、患者情報、検査情報、シリーズ情報及び画像情報を含む。患者情報は、患者ＩＤ、氏名、性別、生年月日、年齢、身長、体重等の患者に関する情報である。検査情報は、検査を識別する検査インスタンスＵＩＤ、検査日、検査時刻、受付番号、担当医師等の検査に関する情報である。シリーズ情報は、シリーズを識別するシリーズインスタンスＵＩＤ、モダリティ名（検査種）、検査部位、シリーズ番号等の、一つの検査の中で生成されるモダリティ毎の一連の医用画像の単位（シリーズ）に関する情報である。画像情報は、画像を識別するＳＯＰインスタンスＵＩＤ、画像番号等の医用画像に関する情報である。なお、制御部４１は、医用画像データに付帯情報として、さらに、感染症情報、身体障害情報、アレルギー情報等の患者プロファイル情報を付帯させることとしてもよい。 Supplied information includes patient information, examination information, series information, and image information. Patient information is information about a patient, such as patient ID, name, sex, date of birth, age, height, and weight. The examination information is information relating to the examination such as the examination instance UID that identifies the examination, the examination date, the examination time, the reception number, and the doctor in charge. The series information is information about a series of medical images (series) for each modality generated in one examination, such as a series instance UID that identifies the series, a modality name (examination type), an examination part, and a series number. It is. The image information is information related to a medical image such as an SOP instance UID that identifies an image and an image number. The control unit 41 may add patient profile information such as infectious disease information, physical disability information, and allergy information as additional information to the medical image data.
　モダリティ５０は、患者の診断対象部位を被写体として撮影を行い、医用画像データを生成する画像生成装置である。モダリティ５０としては、ＣＲ（Computed Radiography）装置、ＣＴ（Computed Tomography）装置、ＭＲＩ（Magnetic Resonance Imaging）装置等が用いられる。 The modality 50 is an image generation device that performs imaging using a patient's diagnosis target region as a subject and generates medical image data. As the modality 50, a CR (Computed Radiography) apparatus, a CT (Computed Tomography) apparatus, an MRI (Magnetic Resonance Imaging) apparatus, or the like is used.
　画像管理サーバ６０は、ＰＡＣＳ（Picture Archiving and Communication System）により構成され、コンソール４０から送信される医用画像データ等を記憶し、管理する。画像管理サーバ６０は、外部機器から医用画像データの取得要求を受信した場合、当該取得要求に応じた医用画像データを当該外部機器に送信する。 The image management server 60 is configured by PACS (Picture Archiving and Communication System), and stores and manages medical image data transmitted from the console 40. When receiving an acquisition request for medical image data from an external device, the image management server 60 transmits medical image data corresponding to the acquisition request to the external device.
［医用画像システムの動作］
　次に、医用画像システム１００の各装置における動作について説明する。
　図７は、電子カルテシステム１０、ＲＩＳ２０、ゲートウェイ装置３０及びコンソール４０において実行される処理を示すラダーチャートである。なお、ゲートウェイ装置３０における処理は、制御部３１と、ＲＯＭ３５に記憶されているプログラムとの協働によるソフトウェア処理によって実現される。また、コンソール４０における処理は、制御部４１と、ＲＯＭ４５に記憶されているプログラムとの協働によるソフトウェア処理によって実現される。 [Operation of medical imaging system]
Next, the operation of each device of the medical image system 100 will be described.
FIG. 7 is a ladder chart showing processing executed in the electronic medical chart system 10, the RIS 20, the gateway device 30, and the console 40. Note that the processing in the gateway device 30 is realized by software processing in cooperation with the control unit 31 and a program stored in the ROM 35. Further, the processing in the console 40 is realized by software processing in cooperation with the control unit 41 and a program stored in the ROM 45.
　まず、電子カルテシステム１０では、診察医の操作により、患者リストの中から検査対象患者が選択され（ステップＳ１）、撮影条件が指定され、ＲＩＳ２０に対して画像検査が依頼される（ステップＳ２）。そして、ＲＩＳ２０では、電子カルテシステム１０からの画像検査の依頼に基づいて、患者基本情報、撮影条件情報等を含むモダリティワークリストが作成される（ステップＳ３）。作成されたモダリティワークリストは、ＲＩＳ２０の記憶部に記憶される。 First, in the electronic medical chart system 10, a patient to be examined is selected from the patient list by the operation of the doctor (step S1), imaging conditions are designated, and an image examination is requested to the RIS 20 (step S2). . In the RIS 20, a modality work list including basic patient information, imaging condition information, and the like is created based on a request for an image examination from the electronic medical chart system 10 (step S3). The created modality work list is stored in the storage unit of the RIS 20.
　その後、コンソール４０の制御部４１により、通信部４４を介してゲートウェイ装置３０にモダリティワークリストの取得要求が送信される（ステップＳ４）。具体的には、制御部４１により、モダリティ５０のＡＥタイトルに基づいて、モダリティ５０において行われる検査についてのモダリティワークリストの取得要求がゲートウェイ装置３０に送信される。 Thereafter, the control unit 41 of the console 40 transmits a modality worklist acquisition request to the gateway device 30 via the communication unit 44 (step S4). Specifically, based on the AE title of the modality 50, the control unit 41 transmits a request for acquiring a modality work list for the examination performed in the modality 50 to the gateway device 30.
　ゲートウェイ装置３０では、通信部３４を介してコンソール４０からモダリティワークリストの取得要求が受信されると、制御部３１により、通信部３４を介してＲＩＳ２０にモダリティワークリストの取得要求が送信される（ステップＳ５）。ＲＩＳ２０では、この取得要求に含まれるＡＥタイトルに対応するモダリティワークリストが記憶部から読み出され、ゲートウェイ装置３０に送信される（ステップＳ６）。そして、ゲートウェイ装置３０の制御部３１により、通信部３４を介してＲＩＳ２０からモダリティワークリストが取得される（ステップＳ７）。取得されたモダリティワークリストは、制御部３１により、記憶部３６に記憶される。 In the gateway device 30, when a modality work list acquisition request is received from the console 40 via the communication unit 34, the control unit 31 transmits a modality work list acquisition request to the RIS 20 via the communication unit 34 ( Step S5). In the RIS 20, the modality work list corresponding to the AE title included in the acquisition request is read from the storage unit and transmitted to the gateway device 30 (step S6). Then, the modality work list is acquired from the RIS 20 by the control unit 31 of the gateway device 30 via the communication unit 34 (step S7). The acquired modality work list is stored in the storage unit 36 by the control unit 31.
　次に、制御部３１により、モダリティワークリストから患者ＩＤが抽出される（ステップＳ８）。次に、制御部３１により、抽出された患者ＩＤに基づいて、電子カルテシステム１０に対して患者プロファイル情報の取得要求が通信部３４を介して送信される（ステップＳ９）。電子カルテシステム１０では、この患者ＩＤに対応する患者プロファイル情報が記憶部から読み出され、ゲートウェイ装置３０に送信される（ステップＳ１０）。そして、ゲートウェイ装置３０の制御部３１により、通信部３４を介して電子カルテシステム１０から患者プロファイル情報が取得される（ステップＳ１１）。取得された患者プロファイル情報は、制御部３１により、記憶部３６に記憶される。 Next, the patient ID is extracted from the modality work list by the control unit 31 (step S8). Next, based on the extracted patient ID, the control unit 31 transmits a patient profile information acquisition request to the electronic medical record system 10 via the communication unit 34 (step S9). In the electronic medical chart system 10, patient profile information corresponding to this patient ID is read from the storage unit and transmitted to the gateway device 30 (step S10). And the patient profile information is acquired from the electronic medical chart system 10 by the control part 31 of the gateway apparatus 30 via the communication part 34 (step S11). The acquired patient profile information is stored in the storage unit 36 by the control unit 31.
　次に、制御部３１により、この患者プロファイル情報がモダリティワークリストに付加される（ステップＳ１２）。具体的には、制御部３１により、モダリティワークリストの中の患者コメント、検査コメント、検査記述のうち予め定められたいずれかのＤＩＣＯＭタグに、患者プロファイル情報が格納される。 Next, the patient profile information is added to the modality work list by the control unit 31 (step S12). Specifically, the control unit 31 stores the patient profile information in any predetermined DICOM tag among patient comments, examination comments, and examination descriptions in the modality work list.
　次に、ゲートウェイ装置３０の制御部３１により、通信部３４を介して患者プロファイル情報が付加されたモダリティワークリストがコンソール４０に送信される（ステップＳ１３）。コンソール４０では、制御部４１により、通信部４４を介してゲートウェイ装置３０からモダリティワークリストが取得される（ステップＳ１４）。そして、制御部４１により、モダリティワークリストに基づいて、患者基本情報、撮影条件情報、患者プロファイル情報等が表示部４３に表示される（ステップＳ１５）。このように、コンソール４０を操作する診療放射線技師は、患者プロファイル情報を参照することができる。 Next, the modality work list to which the patient profile information is added is transmitted to the console 40 via the communication unit 34 by the control unit 31 of the gateway device 30 (step S13). In the console 40, the modality work list is acquired from the gateway device 30 by the control unit 41 via the communication unit 44 (step S14). Then, based on the modality work list, the control unit 41 displays patient basic information, imaging condition information, patient profile information, and the like on the display unit 43 (step S15). In this way, the medical radiographer who operates the console 40 can refer to the patient profile information.
　図８に、コンソール４０の表示部４３に表示されるコンソール画面４３１の例を示す。図８に示すように、コンソール画面４３１には、患者基本情報表示領域４３２、画像情報表示領域４３３、撮影条件情報表示領域４３４、患者プロファイル情報表示領域４３５が含まれる。患者基本情報表示領域４３２は、患者基本情報に基づいて、患者ＩＤ、氏名、性別、生年月日等が表示される領域である。画像情報表示領域４３３は、コンソール４０の制御によりモダリティ５０において撮影された医用画像が表示される領域である。撮影条件情報表示領域４３４は、撮影条件情報に基づいて、撮影部位、撮影方向等が表示される領域である。患者プロファイル情報表示領域４３５は、患者プロファイル情報に基づいて、感染症情報、身体障害情報、アレルギー情報等が表示される領域である。図８の例では、患者プロファイル情報表示領域４３５に、「インフルエンザの疑いあり」という感染症情報、「造影剤アレルギーあり」というアレルギー情報、「車いす」「言語障害重度」という身体障害情報が表示されている。 FIG. 8 shows an example of the console screen 431 displayed on the display unit 43 of the console 40. As shown in FIG. 8, the console screen 431 includes a patient basic information display area 432, an image information display area 433, an imaging condition information display area 434, and a patient profile information display area 435. The patient basic information display area 432 is an area in which a patient ID, name, sex, date of birth, and the like are displayed based on the patient basic information. The image information display area 433 is an area in which a medical image captured by the modality 50 under the control of the console 40 is displayed. The imaging condition information display area 434 is an area in which an imaging part, an imaging direction, and the like are displayed based on the imaging condition information. The patient profile information display area 435 is an area where infectious disease information, physical disability information, allergy information, and the like are displayed based on the patient profile information. In the example of FIG. 8, infectious disease information “suspected of influenza”, allergy information “contrast allergy”, and disability information “wheelchair” and “severe language disorder” are displayed in the patient profile information display area 435. ing.
　以上説明したように、ゲートウェイ装置３０によれば、ＲＩＳ２０からモダリティワークリスト（検査依頼情報）を取得し、当該取得されたモダリティワークリストから患者ＩＤを抽出し、当該抽出された患者ＩＤに対応する患者プロファイル情報を電子カルテシステム１０から取得し、モダリティワークリストに患者プロファイル情報を付加することができる。具体的には、ゲートウェイ装置３０は、モダリティワークリストの中の患者コメント、検査コメント又は検査記述のＤＩＣＯＭタグに患者プロファイル情報を付加することができる。 As described above, according to the gateway device 30, the modality work list (examination request information) is acquired from the RIS 20, the patient ID is extracted from the acquired modality work list, and the extracted patient ID is supported. Patient profile information can be obtained from the electronic medical record system 10 and the patient profile information can be added to the modality work list. Specifically, the gateway device 30 can add patient profile information to the DICOM tag of the patient comment, examination comment, or examination description in the modality work list.
　ゲートウェイ装置３０において、モダリティワークリスト（検査依頼情報）に患者プロファイル情報が付加されるので、コンソール４０では、検査時に感染症情報、身体障害情報又はアレルギー情報等の患者プロファイル情報を利用することができる。 Since the gateway device 30 adds patient profile information to the modality work list (examination request information), the console 40 can use patient profile information such as infectious disease information, disability information, or allergy information during the examination. .
　また、画像撮影の検査依頼時には患者の感染症検査の結果等が判明していなかった場合であっても、ゲートウェイ装置３０から電子カルテシステム１０に患者プロファイル情報を問い合わせることで、コンソール４０において検査時に最新の患者プロファイル情報を参照することができる。 Further, even if the result of the infectious disease examination of the patient is not known at the time of the imaging examination request, the console 40 can inquire the patient profile information to the electronic medical record system 10 so that the console 40 can perform the examination. The latest patient profile information can be referred to.
　なお、上記実施の形態における記述は、本発明に係る医用情報処理装置の例であり、これに限定されるものではない。装置を構成する各部の細部構成及び細部動作に関しても本発明の趣旨を逸脱することのない範囲で適宜変更可能である。 Note that the description in the above embodiment is an example of the medical information processing apparatus according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of each part constituting the apparatus can be changed as appropriate without departing from the spirit of the present invention.
　例えば、上記実施の形態では、医用画像システム１００においてゲートウェイ装置３０が独立した装置として存在する構成としたが、ゲートウェイ装置３０の機能が、コンソール４０又はＲＩＳ２０に含まれることとしてもよい。 For example, in the above-described embodiment, the gateway apparatus 30 exists as an independent apparatus in the medical image system 100. However, the function of the gateway apparatus 30 may be included in the console 40 or the RIS 20.
　以上の説明では、各処理を実行するためのプログラムを格納したコンピュータ読み取り可能な媒体としてＲＯＭを使用した例を開示したが、この例に限定されない。その他のコンピュータ読み取り可能な媒体として、フラッシュメモリ等の不揮発性メモリ、ＣＤ－ＲＯＭ等の可搬型記録媒体を適用することも可能である。また、プログラムのデータを通信回線を介して提供する媒体として、キャリアウェーブ（搬送波）を適用することとしてもよい。 In the above description, an example in which a ROM is used as a computer-readable medium storing a program for executing each process is disclosed, but the present invention is not limited to this example. As other computer-readable media, a non-volatile memory such as a flash memory and a portable recording medium such as a CD-ROM can be applied. A carrier wave may be applied as a medium for providing program data via a communication line.
　本発明に係る医用情報処理装置及びプログラムは、モダリティによる検査を行う医療分野において利用可能性がある。 The medical information processing apparatus and program according to the present invention may be used in the medical field in which examination is performed by modality.
１０　電子カルテシステム
２０　ＲＩＳ
３０　ゲートウェイ装置
３１　制御部
３２　操作部
３３　表示部
３４　通信部
３５　ＲＯＭ
３６　記憶部
３７　バス
４０　コンソール
４１　制御部
４２　操作部
４３　表示部
４４　通信部
４５　ＲＯＭ
４６　記憶部
４７　通信Ｉ／Ｆ
４８　バス
５０　モダリティ
６０　画像管理サーバ
１００　医用画像システム
４３１　コンソール画面
４３２　患者基本情報表示領域
４３３　画像情報表示領域
４３４　撮影条件情報表示領域
４３５　患者プロファイル情報表示領域
Ｎ　通信ネットワーク 10 Electronic medical record system 20 RIS
30 Gateway device 31 Control unit 32 Operation unit 33 Display unit 34 Communication unit 35 ROM
36 storage unit 37 bus 40 console 41 control unit 42 operation unit 43 display unit 44 communication unit 45 ROM
46 Storage 47 Communication I / F
48 Bus 50 Modality 60 Image management server 100 Medical image system 431 Console screen 432 Patient basic information display area 433 Image information display area 434 Imaging condition information display area 435 Patient profile information display area N Communication network

Claims (4)

  1. 　患者識別情報を含む患者固有の患者基本情報と、当該患者のプロファイル情報と、が対応付けられて格納されている電子カルテシステムとデータ通信可能に接続された医用情報処理装置であって、
    　前記患者基本情報と撮影条件情報とを含む、モダリティによる検査を依頼するための検査依頼情報を取得し、
    　当該取得された検査依頼情報から前記患者識別情報を抽出し、
    　当該抽出された患者識別情報に対応するプロファイル情報を前記電子カルテシステムから取得し、
    　前記取得された検査依頼情報に、前記取得されたプロファイル情報を付加する制御手段を備える医用情報処理装置。     A medical information processing apparatus connected to an electronic medical record system in which data is communicated with an electronic medical record system in which patient basic information including patient identification information and profile information of the patient are stored in association with each other,
    Including examination request information for requesting examination by modality, including the patient basic information and imaging condition information;
    Extracting the patient identification information from the acquired examination request information,
    Obtaining profile information corresponding to the extracted patient identification information from the electronic medical record system;
    A medical information processing apparatus comprising control means for adding the acquired profile information to the acquired examination request information.
  2. 　前記検査依頼情報は、ＤＩＣＯＭ規格に準拠したモダリティワークリストであり、
    　前記制御手段は、前記モダリティワークリストの中の患者コメント、検査コメント、検査記述のうちいずれかのＤＩＣＯＭタグに、前記取得されたプロファイル情報を付加する、
    　請求項１に記載の医用情報処理装置。     The inspection request information is a modality work list conforming to the DICOM standard,
    The control means adds the acquired profile information to a DICOM tag among patient comments, examination comments, and examination descriptions in the modality work list.
    The medical information processing apparatus according to claim 1.
  3. 　前記プロファイル情報は、前記患者についての感染症情報、身体障害情報又はアレルギー情報を含む、
    　請求項１又は２に記載の医用情報処理装置。     The profile information includes infectious disease information, disability information or allergy information about the patient.
    The medical information processing apparatus according to claim 1 or 2.
  4. 　患者識別情報を含む患者固有の患者基本情報と、当該患者のプロファイル情報と、が対応付けられて格納されている電子カルテシステムとデータ通信可能に接続されたコンピュータを、
    　前記患者基本情報と撮影条件情報とを含む、モダリティによる検査を依頼するための検査依頼情報を取得する手段、
    　当該取得された検査依頼情報から前記患者識別情報を抽出する手段、
    　当該抽出された患者識別情報に対応するプロファイル情報を前記電子カルテシステムから取得する手段、
    　前記取得された検査依頼情報に、前記取得されたプロファイル情報を付加する手段、
    　として機能させるためのプログラム。     A computer connected to the electronic medical record system in which data is communicated with an electronic medical record system in which patient-specific patient-specific information including patient identification information and profile information of the patient are stored in association with each other,
    Means for acquiring examination request information for requesting examination by modality, including the patient basic information and imaging condition information;
    Means for extracting the patient identification information from the acquired examination request information;
    Means for obtaining profile information corresponding to the extracted patient identification information from the electronic medical record system;
    Means for adding the acquired profile information to the acquired inspection request information;
    Program to function as.
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