WO2020105416A1

WO2020105416A1 - Medical information display device, method, and program, and graphical user interface for displaying medical information

Info

Publication number: WO2020105416A1
Application number: PCT/JP2019/043275
Authority: WO
Inventors: 佳次杉原; 純一石垣
Original assignee: 富士フイルム株式会社; フジフイルムメディカルシステムズユーエスエイインコーポレイテッド
Priority date: 2018-11-23
Filing date: 2019-11-05
Publication date: 2020-05-28
Also published as: JPWO2020105416A1

Abstract

In the present invention, a card display unit displays a plurality of cards on a medical information display screen, such cards being linked to medical information related to a patient, and including at least one piece of character information related to the linked medical information. A selection unit receives the selection of at least one piece of character information of the plurality of cards. A specifying unit specifies, from among the plurality of cards, the card that contains the selected character information, and then displays such card on the medical information display screen.

Description

Medical information display device, method and program, and graphic user interface for displaying medical information

The present disclosure relates to a medical information management device, a method and a program, and a graphic user interface for displaying medical information.

Image diagnosis is performed using medical images acquired by an image capturing device (modality) such as a CR (Computed Radiography) device, a CT (Computed Tomography) device, and an MRI (Magnetic Resonance Imaging) device. The image diagnosis is performed by displaying the medical image on the doctor's terminal. Further, in the image diagnosis, the analysis result by CAD (Computer-Aided Diagnosis) performed on the medical image is also referred to. Further, comparative diagnosis is also performed using medical images acquired in the past for the same patient. Further, when performing image diagnosis, a physiological examination obtained by analysis of blood components, a fundus image obtained by a fundus examination, and the like are also referred to.

Medical information such as medical images is stored in PACS (Picture Archiving and Communication Systems). The stored medical information is called and displayed on the doctor's terminal for diagnosis.

However, there is a large amount of medical information stored. Therefore, various methods have been proposed for obtaining necessary medical information from a large amount of medical information. For example, Japanese Unexamined Patent Publication No. 2013-242745 discloses medical record data including part or all of medical record information, PACS image data, physiological test data, sample test data, and text data based on identification information assigned to each patient. A method has been proposed in which the extracted data is generated as display data in a list display format in which predetermined items are assigned to the vertical axis and the horizontal axis, and the data is displayed in a viewable manner. In the method described in Japanese Patent Laid-Open No. 2013-242745, when a predetermined item of display data is selected by an input operation, medical care data and image data corresponding to the selected item are extracted, and the extracted medical care is extracted. Data and thumbnail images of image data are arranged in a predetermined layout classified by date and displayed in a list.

In the method described in Japanese Patent Laid-Open No. 2013-242745, when the item displayed in the list is selected, the data corresponding to the selected item is enlarged and displayed. However, in the method described in Japanese Patent Laid-Open No. 2013-242745, when it is desired to further narrow down the items displayed in the list, it is necessary to re-specify the items from the beginning. Therefore, it is difficult for the method disclosed in Japanese Patent Laid-Open No. 2013-242745 to efficiently access the medical information to be displayed.

The present disclosure has been made in view of the above circumstances, and an object thereof is to enable efficient access to medical information desired to be displayed.

A medical information display device according to the present disclosure includes a card display unit that displays a plurality of cards that are linked to medical information about a patient and that includes at least one character information related to the linked medical information on a medical information display screen,
A selection unit for accepting selection of at least one character information on a plurality of cards;
A narrowing-down unit that narrows down a card including the selected character information from a plurality of cards and displays it on the medical information display screen.

“Card” means a closed area defined by a boundary. The card may have an arbitrary shape other than a rectangle as well as a rectangle. The size of the card may be arbitrarily changed. The character information is included in the card so that it can be selected by clicking with the mouse. The card may also include images representing linked medical information, particularly thumbnail images.

"Medical information about a patient" is information acquired by an examination performed on a patient, for example, a radiation image acquired by a CR device, a three-dimensional image acquired by a CT device, an MRI device, or the like. Test results such as blood tests, test results such as sample tests, medical charts, image interpretation reports obtained by reading images, images obtained by photographing patients such as the fundus and appearance, hospital referral letters, and in-hospital Includes any medical information about the patient, such as a letter of introduction from the department. In addition, a plurality of imaging series may be included in one examination. In such a case, it is preferable to associate one shooting series with one card as medical information.

Note that, in the medical information display device according to the present disclosure, the character information may include analysis character information regarding analysis performed on the medical information linked to the card.

"Analysis character information" includes character information indicating the type of analysis performed and character information indicating the analysis result.

Further, in the medical information display device according to the present disclosure, the card display unit differs from a plurality of cards other than the card including the analysis character information and the card including the analysis character information on the medical information display screen. It may be displayed in the area.

Further, in the medical information display device according to the present disclosure, the narrowing-down unit displays, for the selected character information, either a card including the selected character information or a card other than the card including the selected character information. It is also possible to display selection information for selecting whether or not, and display a card containing the selected character information from a plurality of cards on the medical information display screen according to a selection instruction for the selection information. ..

Further, in the medical information display device according to the present disclosure, when a plurality of pieces of character information is selected, the selection unit may accept selection of AND narrowing and OR narrowing down for the selected character information. ..

"AND narrowing down" means narrowing down the cards that include character information that satisfies all of the plurality of character information.

"OR narrowing down" means narrowing down the cards that include character information that satisfies any of a plurality of character information.

Further, in the medical information display device according to the present disclosure, the medical information display screen may include a character information display area that displays selected character information.

Further, in the medical information display device according to the present disclosure, when a plurality of pieces of character information are selected, the narrowing-down unit displays a plurality of pieces of character information in the character information display area when performing AND narrowing by a plurality of pieces of character information. In the case of arranging in the first direction and performing OR narrowing down by a plurality of character information, a plurality of character information may be arranged in a second direction different from the first direction in the character information display area.

Further, in the medical information display device according to the present disclosure, the first direction may be the horizontal direction on the medical information display screen and the second direction may be the vertical direction on the medical information display screen.

Further, in the medical information display device according to the present disclosure, the narrowing down unit may display a card narrowed down from a plurality of cards on the medical information display screen.

Further, in the medical information display device according to the present disclosure, the narrowing-down unit displays presence information indicating that the hidden card exists for hidden cards other than the cards narrowed down from the plurality of cards on the medical information display screen. May be displayed on the screen.

In this case, the presence information may have a bar shape having a size smaller than that of the card.

Also, in this case, the presence information may include at least a part of the character information included in the hidden card.

Also, in this case, when the presence information is selected, the narrowing down unit may display at least a part of the character information included in the hidden card.

The medical information display method according to the present disclosure displays a plurality of cards that are linked to medical information about a patient and that includes at least one character information regarding the linked medical information on a medical information display screen,
Accept selection of at least one textual information on multiple cards,
A card including the selected character information is narrowed down from a plurality of cards and displayed on the medical information display screen.

Note that the medical information display method according to the present disclosure may be provided as a program for causing a computer to execute the method.

A graphic user interface for displaying medical information according to the present disclosure is linked to medical information about a patient, and wherein a plurality of cards including at least one textual information about the linked medical information are selectably displayed. 1 display area,
A second display area for displaying medical information linked to the selected card by selecting one of the plurality of cards.

Further, the graphic user interface for displaying medical information according to the present disclosure may further include a character information display area for displaying selected character information.

Another medical information display device according to the present disclosure is a memory that stores instructions to be executed by a computer,
A processor configured to execute the stored instructions, the processor
Displaying a plurality of cards linked to the medical information on the patient and including at least one textual information on the linked medical information on the medical information display screen,
Accept selection of at least one textual information on multiple cards,
A process of narrowing down the card including the selected character information from a plurality of cards and displaying it on the medical information display screen is executed.

According to the present disclosure, medical information desired to be displayed can be efficiently accessed.

The figure which shows the schematic structure of the medical information system to which the medical information display device by embodiment of this indication is applied. The figure which shows the schematic structure of the medical information display apparatus by embodiment of this indication. Flowchart showing processing performed in the present embodiment Diagram showing patient list Figure showing the medical information display screen An enlarged view of the card displayed in the object view Enlarged view of the card displayed in the record view Figure showing the medical information display screen with medical information displayed Figure for explaining the selection of text information Figure for explaining the narrowing down of cards displayed on the medical information display screen Figure for explaining the narrowing down of cards displayed on the medical information display screen Figure for explaining the narrowing down of cards displayed on the medical information display screen Figure for explaining the narrowing down of cards displayed on the medical information display screen Figure for explaining the narrowing down of cards displayed on the medical information display screen

Hereinafter, embodiments of the present disclosure will be described with reference to the drawings. FIG. 1 is a diagram showing a schematic configuration of a medical information system to which a medical information display device according to an embodiment of the present disclosure is applied. The medical information system 1 shown in FIG. 1 is acquired by a physiological examination of a patient, which is a subject, photographing of the examination target region of the patient, and photographing, based on an examination order from a doctor in a medical department using a known ordering system. System for storing medical information such as medical images, interpretation of medical images by an interpreting doctor and creation of an interpretation report, and viewing of the interpretation report by a doctor of the requesting medical department and diagnosis with reference to the medical information. Is. As shown in FIG. 1, the medical information system 1 includes a plurality of modalities 2, a plurality of image reading workstations (WS) 3 which are image reading terminals, a clinical department workstation (WS) 4, a medical information management server 5, and a medical information database. 6, an image interpretation report server 7, an image interpretation report database 8, and an analysis device 9 are connected via a network 10 in a communicable state. The medical information management server 5 and the medical information database 6 form PACS.

Each device is a computer in which an application program for functioning as a component of the medical information system 1 is installed. The application program is recorded and distributed in a recording medium such as a DVD (Digital Versatile Disc) or a CD-ROM (Compact Disc Read Only Memory), and is installed in the computer from the recording medium. Alternatively, it is stored in a storage device of a server computer connected to a network or a network storage so as to be accessible from the outside, and is downloaded and installed in the computer in response to a request.

The modality 2 is a device that acquires a medical image representing a diagnosis target part as medical information by photographing a part of the subject to be diagnosed. Specifically, it is a CT device, an MRI device, a PET (Positron Emission Tomography) device, a CR device, or the like. Further, in the present embodiment, the modality 2 includes various medical images including a still image and a moving image related to the patient, such as a fundus imaging device and an endoscope device that image the fundus of the patient to generate a fundus image as a medical image. Can be any device. In addition, in the present embodiment, the modality 2 also includes an apparatus that generates a result of a physiological test such as a blood test performed on a patient. The medical image generated by the modality 2 is transmitted to and stored in the medical information management server 5.

The image interpretation WS3 is a computer used by a medical image interpretation doctor for image interpretation of medical images and creation of an image interpretation report, and includes a processing unit, a display unit such as a high-definition display, and an input unit such as a keyboard and a mouse. .. In the image interpretation WS 3, the medical information management server 5 is requested to browse medical images, various image processing is performed on the medical images received from the medical information management server 5, medical image display, support for creating an image interpretation report, and an image interpretation report for the image interpretation report server 7. Each processing such as the registration request and the browsing request of (1) and the display of the image interpretation report received from the image interpretation report server 7 is performed by executing the software program for each process. The various image processes may not be performed in the image interpretation WS3, but an image processing device may be separately connected to the network 10 and may be performed by the image processing device in response to a process request from the image interpretation WS3.

The clinical department WS4 includes the medical information display device according to the present embodiment. The medical department WS4 is a computer used by doctors of the medical department for detailed observation of images, viewing of interpretation reports, creation of electronic medical records, and the like, and includes a processing unit, a display unit such as a high-definition display, a keyboard and a mouse, and the like. It is composed of an input unit. In the clinical department WS4, the medical information management server 5 is requested to browse medical information, the medical information received from the medical information management server 5 is displayed, the interpretation report is requested to the interpretation report server 7, and the interpretation report is received from the interpretation report server 7. Each process such as displaying a report is performed by executing a software program for each process. The function of the medical department WS4 as the medical information display device will be described later.

The medical information management server 5 is a computer in which a software program that provides the function of a database management system (DataBase Management System: DBMS) is installed. The medical information management server 5 also includes a large-capacity storage in which the medical information database 6 is configured. This storage may be a large-capacity hard disk device connected to the medical information management server 5 via a data bus, or connected to a NAS (Network Attached Storage) and SAN (Storage Area Network) connected to the network 10. It may be a disc device that has been created. When the medical information management server 5 receives a registration request for medical information such as a medical image from the modality 2, the medical information management server 5 prepares the medical information in a database format and registers it in the medical information database 6. It should be noted that the medical information managed by the medical information management server 5 is not limited to the medical image acquired by the modality 2 as described above, but also any information regarding medical care regarding the patient, such as an electronic medical record, a referral letter, and medication information. be able to.

The medical information data acquired in the modality 2 is registered in the medical information database 6. It should be noted that supplementary information is added to the medical information. The incidental information includes, for example, medical information ID (Identification) for identifying individual medical information, a patient ID for identifying a patient, an examination ID for identifying an examination, and an examination date when the medical information is generated. , Examination time, type of modality used in the examination to obtain the medical information, patient information such as patient name, age, sex, examination site (imaging site), imaging information (imaging protocol, imaging sequence, imaging method) , Imaging conditions, use of contrast agent, etc.) Information such as a series number or collection number when a plurality of medical images are acquired in one examination is included.

When the medical information management server 5 receives a browsing request from the image interpretation WS 3 and the clinical department WS 4 via the network 10, the medical information management server 5 searches the medical information registered in the medical information database 6 and requests the searched medical information. It is transmitted to the image interpretation WS3 and the clinical department WS4.

The image interpretation report server 7 has a software program installed in a computer that provides the functions of a database management system (DBMS). When the image interpretation report server 7 receives the image interpretation report registration request from the image interpretation WS 3, the image interpretation report server 7 prepares the image interpretation report in the database format and registers it in the image interpretation report database 8.

The image interpretation report database 8 includes, for example, an image ID for identifying a medical image as an image interpretation target, an image interpretation doctor ID for identifying an image interpretation doctor who has performed image interpretation, a lesion name, positional information of a lesion, findings, certainty of findings, etc. An image interpretation report in which the information of is recorded is registered.

The analysis device 9 analyzes the medical image, automatically detects an abnormal part included in the medical image, measures a structure included in the medical image, analyzes using the measurement result, and the like, and outputs the analysis result to the medical information. Generate as. The analysis result includes a medical image in which an abnormal portion is identified by a mark such as an arrow, and characters or the like representing the measurement result acquired by measurement. The analysis result by the analysis device 9 is associated with the analyzed medical image, stored in the medical information database 6 as medical information via the medical information management server 5, and browsed by instructions from the image interpretation WS3 and the clinical department WS4. Be offered to.

The network 10 is a wired or wireless local area network that connects various devices in the hospital. When the image interpretation WS3 and the clinical department WS4 are installed in another hospital or clinic, the network 10 may have a configuration in which local area networks of each hospital are connected to each other via the Internet or a dedicated line.

The medical information display device according to this embodiment will be described in detail below. The medical department WS4 functions as the medical information display device according to the present embodiment. Therefore, the medical information display program of this embodiment is installed in the medical department WS4. The medical information display program is recorded and distributed in a recording medium such as a DVD or a CD-ROM, and is installed in the clinical department WS4, that is, a computer from the recording medium. Alternatively, it is stored in a storage device of a server computer connected to a network or a network storage so as to be accessible from the outside, and is downloaded and installed in the computer in response to a request.

FIG. 2 is a diagram showing a schematic configuration of the medical information display device according to the present embodiment realized by installing a medical information display program in a computer. As shown in FIG. 2, the medical information display device 20 includes a CPU (Central Processing Unit) 21, a memory 22 and a storage 23 as a standard workstation configuration. A display unit 24 such as a high-definition display and an input unit 25 such as a keyboard and a mouse are connected to the medical information display device 20.

The storage 23 comprises a storage device such as a hard disk or SSD (Solid State Drive). The storage 23 stores various information including medical information and information necessary for processing, which is acquired from the medical information management server 5 via the network 10.

Also, the memory 22 stores a medical information display program. The medical information display program is, as processing to be executed by the CPU 21, an information acquisition processing for acquiring necessary information from the medical information management server 5, a plurality of pieces of information linked to the medical information and including at least one character information related to the linked medical information. Card display processing for displaying a card on a medical information display screen, selection processing for accepting selection of at least one character information in a plurality of cards, and a card including the selected character information is narrowed down from a plurality of cards, and a medical information display screen is displayed. Specifies the narrowing processing to be displayed in.

Then, the CPU 21 executes these processes according to the program, so that the computer functions as the information acquisition unit 31, the card display unit 32, the selection unit 33, and the narrowing unit 34.

The information acquisition unit 31 includes a communication interface that communicates with the medical information management server 5 and the like via the network 10. The information acquisition unit 31 provides medical information and various information necessary for displaying medical information according to an instruction from the medical information display program. It is acquired from the medical information database 6 via the management server 5.

Hereinafter, the processes performed by the card display unit 32, the selection unit 33, and the narrowing unit 34 will be described in detail. FIG. 3 is a flowchart showing the processing performed in this embodiment. When the instruction to display the medical information is given from the input unit 25, the card display unit 32 first displays the patient list on the display unit 24 (step ST1). FIG. 4 is a diagram showing a patient list. As shown in FIG. 4, the patient list L0 includes information such as patient name, patient ID, sex, date of birth, and doctor in charge. The user (doctor) uses the input unit 25 to select a desired patient to browse in the patient list L0. When the user selects a desired patient (step ST2), the card display unit 32 displays a medical information display screen on the display unit 24 (step ST3).

FIG. 5 is a diagram showing a medical information display screen. The medical information display screen corresponds to a graphic user interface for displaying medical information according to the present disclosure. As shown in FIG. 5, the medical information display screen 40 includes an object view 41, a record view 42, a content view 43, and a filter panel 44.

In the object view 41, a plurality of cards linked to medical information about the patient selected from the patient list L0 are displayed in chronological order. Note that here, a state is shown in which nine cards 51-1 to 51-9 are displayed. The cards 51-1 to 51-9 are closed areas defined by boundaries, and in the present embodiment, the cards 51-1 to 51-9 have rectangular areas of a predetermined size. However, the shapes of the cards 51-1 to 51-9 are not limited to the rectangular shape, and may have any shape other than the rectangular shape. Also, the cards 51-1 to 51-9 may be those whose size can be arbitrarily changed. Further, the display order of the cards 51-1 to 51-9 is not limited to the time series order, and may be an arbitrary order such as a file name order of linked medical information. The cards 51 that cannot be displayed in the object view 41 can be displayed by scrolling the object view 41. In the following description, the cards 51-1 to 51-9 may be simply referred to as the card 51. Each card 51 is linked to medical information and includes at least one textual information regarding the linked medical information.

FIG. 6 is an enlarged view of the card displayed in the object view 41. As shown in FIG. 6, the card 51 includes character information of the date 51A when the medical information was acquired, the type of medical information 51B, the department 51D and the part 51E that ordered the acquisition of the medical information. The card 51 also includes a thumbnail image 51C of medical information. Note that one inspection order may include multiple types of inspections and multiple imaging series. In such a case, the card 51 is displayed corresponding to each of a plurality of types of examinations and a plurality of imaging series.

Examples of the character information of the medical information type 51B include "CR" indicating a CR image, "Blood Test" indicating a blood test result, and "Fundus copy" indicating a fundus image. .. As the thumbnail image 51C, when the medical information is an image, a reduced image thereof is used, and when the medical information is a physiological test such as a blood test, a reduced image such as a table showing a test result is used. Note that when one piece of medical information includes a plurality of images, such as when the medical information is a CT image, a representative image (for example, the first image) of the plurality of images is used as the thumbnail image 51C. The character information of the clinical department 51D includes “Chest Surgery” indicating that it is a thoracic surgery and “Diabetic internal Medicine” indicating that it is an internal medicine. Examples of the character information of the part 51E include “Chest” indicating that it is a chest and “Eye” indicating that it is an eye. In addition, in the drawings showing the entire medical information display screen 40 such as FIG. 5, a part of the character information included in the card 51 is omitted in order to simplify the illustration.

In the present embodiment, as described above, the character information selection unit 33 included in the card 51 includes the date 51A when the medical information was acquired, the type 51B of the medical information, the medical department 51D that ordered the acquisition of the medical information, and the character information of the part 51E. By the selection, the cards 51 displayed in the object view 41 are narrowed down as described later.

The record view 42 displays a plurality of cards 52-1 to 52-4 including analysis character information regarding analysis performed on medical information about a patient selected from the patient list L0. An analysis result is linked as medical information to each of the plurality of cards 52-1 to 52-4. In the following description, the cards 52-1 to 52-4 may be simply referred to as the card 52.

FIG. 7 is an enlarged view of the card displayed in the record view 42. As shown in FIG. 7, the card 52 includes a date 52A of analysis of medical information, a type 52B of analysis performed, an analyst name 52D, and an analysis result 52E as analysis character information. The card 52 also includes a thumbnail image 52C of medical information.

The analysis character information of the type 52B of analysis performed includes "CTR" (Cardio-Thoracic Ratio) and "CAD". Similar to the thumbnail image 51C, the thumbnail image 52C is a reduced image when the medical information is an image, and a reduced image such as a table showing the inspection result when the medical information is a physiological test such as a blood test. Used. When the medical information linked to one card includes a plurality of images such as a CT image, the image used in the analysis or the image in which an abnormality is found as a result of the analysis is used as the thumbnail image 52C. .. The analysis character information of the analysis result 52E includes a character indicating the result of the analysis performed. For example, if the analysis is CTR, the CTR value, the width of the cardiac shadow in the image, and the thorax width are included. If the analysis is CAD, the diameter, volume, and degree of abnormality of the abnormal shadow are included. In FIG. 7, the width of the heart shadow and the thorax width are indicated by “Heart” and “Chest”, respectively. In addition, in the drawings showing the entire medical information display screen 40 such as FIG. 5, a part of the character information included in the card 52 is omitted for simplicity of illustration.

In the present embodiment, by the selection unit 33 of the analysis character information of the date 52A when the medical information was acquired, the type 52B of analysis performed, the analyst name 52D, and the analysis result 52E included in the card 52 in this way. Also, as will be described later, the cards 52 displayed in the record view 42 are narrowed down.

In the content view 43, when the user selects any one of the plurality of

cards

51 and 52 displayed in the object view 41 or the record view 42 on the medical information display screen 40 shown in FIG. The linked medical information is displayed. FIG. 8 is a diagram showing a medical information display screen 40 on which medical information is displayed. As shown in FIG. 8, when the third card 51-3 from the top in the object view 41 is selected, the selected card 51-3 is highlighted and the content view 43 shows the selected card 51-3. The medical information 43A linked to is displayed. It should be noted that in FIG. 8, the card is displayed in reverse by hatching the card.

On the filter panel 44, narrowing-down conditions regarding the character information selected on the

cards

51 and 52 are displayed. Immediately after selecting a patient from the patient list L0, the

filters

51 and 52 relating to all medical information relating to the selected patient are displayed in the object view 41 and the record view 42, and the filtering condition is displayed in the filter panel 44. .. In FIG. 5, “Bood Test and Diabetes”, “Fundus copy and Diabetes” and “CR and and Chest” are displayed as narrowing conditions in each of the three lines. In each line, the letter "T" added before "BoodTest", "Funduscopy", and "CR" indicates the type of medical information (Type). In addition, the letter “O” added before “Diabetes” represents a medical department (Order Department) that ordered the acquisition of medical information. Further, the character “B” added before “Chest” represents a body part.

In the present embodiment, the horizontal arrangement of the plurality of pieces of character information displayed on the filter panel 44 represents AND narrowing. That is, since the first line in the filter panel 44 shown in FIG. 5 is shown as “Bood Test and Diabetes”, it is linked to the medical information in which the type of medical information is blood test and the medical department is internal medicine. It shows the narrowing condition to display the cards. The second line in the filter panel 44 shown in FIG. 5 indicates "Funduscopy and Diabetes", so the card linked to the medical information in which the type of medical information is fundus image and the medical department is internal medicine It represents the narrowing condition to be displayed. Since the third line in the filter panel 44 shown in FIG. 5 is shown as “CR and Chest”, a card linked with medical information in which the type of medical information is a CR image and the imaging site is the chest It represents the narrowing condition to be displayed.

On the other hand, the vertical arrangement of the plurality of pieces of character information displayed on the filter panel 44 represents OR narrowing down. In the filter panel 44 shown in FIG. 5, “Bood Test and Diabetes”, “Fundus copy and Diabetes” and “CR and and Chest” are displayed as narrowing conditions in each of the three rows. Therefore, in the filter panel 44 shown in FIG. 5, medical information in which the type of medical information is blood test and the medical department is internal medicine, the type of medical information is fundus image, and the medical department is internal medicine The information or the type of the medical information is a CR image, and the narrowing-down condition for displaying the card linked to the medical information in which the imaging site is the chest is shown.

A check box 44A is attached to each row of the filter panel 44. In the present embodiment, it is possible to narrow down the

cards

51 and 52 displayed in the object view 41 and the record view 42 depending on whether or not the check box 44A is checked. In FIG. 5, all the check boxes 44A are checked, but by unchecking the second and third lines, “Bood Test and Diabetes”, that is, the type of medical information is a blood test, and A card linked to medical information in which the medical department is internal medicine is displayed.

In the present embodiment, it is possible to narrow down the displayed

cards

51 and 52 using the character information included in the

cards

51 and 52 displayed in the object view 41 and the record view 42. For this reason, the selection unit 33 receives the selection of the character information in the

cards

51 and 52 being displayed according to the instruction from the input unit 25 by the user (step ST4).

FIG. 9 is a diagram for explaining selection of character information. Note that FIG. 9 shows a state in which the character information “Funduscopy”, which is the medical information type 51B (see FIG. 6) included in the card 51-4 displayed in the object view 41, is selected. As shown in FIG. 9, when the character information “Funduscopy” is selected, the selected character information is highlighted and the pop-up 60 is displayed. In FIG. 9, the reverse display is shown by the addition of diagonal lines. The selected character information may not be displayed in reverse video. The pop-up 60 includes the character strings “Hide Fundus copy” and “See only Fundus copy”. The pop-up 60 corresponds to the selection information of the present disclosure.

When the user selects the character string “Hide Fundus copy” in the popup 60, the cards 51-4 and 51-7 including “Fundus copy” as character information are hidden in the object view 41 and the record view 42 as shown in FIG. , Cards 51-1 to 51-3, 51-5, 51-6, 51-8, 51-9, 52-1 to 52-4 which do not include the character information of "Funduscopy" are narrowed down and displayed ( Step ST5). In this state, in the filter panel 44, “Fundus copy and Diabetes” in the second line shown in FIG. 5 is deleted and the third line is moved to the second line. In addition, “-Funduscopy” indicating that “Funduscopy” is hidden is added to the character information of the types of medical information in the remaining two lines. After step ST5, the process returns to step ST3 until an instruction to end the display of the medical information display screen 40 is given.

On the other hand, when the user selects “See only Funduscopy” in the pop-up 60, as shown in FIG. 11, the cards 51-4 and 51-7 including “Funduscopy” as text information in the object view 41 and the record view 42 are narrowed down. Is displayed. Note that the narrowed down cards 51-4 and 51-7 do not have corresponding cards in the record view 42. Therefore, when the cards 51-4 and 51-7 are narrowed down and displayed, the record view 42 is displayed. Does not show the card. In this state, in the filter panel 44, “Boold Test and Diabetes” on the first line and “CR and Chest” on the third line shown in FIG. 5 are deleted, and the second line moves to the first line. In addition, "-Blood Test" and "-CR", which indicate that "Blood Test" and "CR" are hidden, are added to the text information of the type of medical information in the remaining line.

In addition, in FIG. 10 and FIG. 11, cards other than the narrowed down cards are hidden, but the present invention is not limited to this. As shown in FIG. 12, in the object view 41, the hidden card 51-4 is among the narrowed-down cards 51-1 to 51-3, 51-5, 51-6, 51-8, 51-9. Presence information indicating that and 51-7 exist may be displayed. FIG. 12 is a diagram showing a state in which presence information indicating that a card is present between the narrowed down cards is displayed as a bar. As shown in FIG. 12, a bar 61-1 indicating that there is a hidden card 51-4 between the card 51-3 and the card 51-5 is displayed between the card 51-6 and the card 51-8. Bars 61-2 indicating that there is a hidden card 51-7 are displayed. The height of the bars 61-1 and 61-2 is smaller than the height of the

cards

51 and 52.

Also, the bars 61-1 and 61-2 include character information of “Fundus copy”, which is a part of the character information included in the hidden cards 51-4 and 51-7. Note that all the bars 61-1 and 61-2 of the character information included in the hidden cards 51-4 and 51-7 may be included. In this way, by displaying the bars 61-1 and 61-2 on the hidden card, it is possible to prevent the presence of the card from being overlooked. Further, by displaying at least a part of the character information included in the hidden card on the bars 61-1 and 61-2, it is possible to narrow down by selecting the character information using the bars 61-1 and 61-2. It can be performed. Note that the character information is not displayed on the bars 61-1 and 61-2, and the character information is displayed on the bars 61-1 and 61-2 only when the bars 61-1 and 61-2 are selected. You can

Further, in the state shown in FIG. 10, for example, when the character information “Blood Test” included in the cards 51-2, 51-5, 51-8 is selected, “Hide Blood Test” and “See only Blood Test” are selected. A pop-up that contains the characters is displayed. Then, when “Hide Blood Test” is selected, as shown in FIG. 13, cards 51-1, 51-3, 51-6, 51-9 that do not include the character information of “Blood Test” are narrowed down. Is displayed. Also in this case, as shown in FIG. 12, a bar indicating that a hidden card exists may be displayed. In this state, in the filter panel 44, the first line shown in FIG. 10 is deleted and the second line is moved to the first line. In addition, "-Blood Test", which means that "Blood Test" is hidden, is added to the text information of the type of medical information in the remaining line.

The card for which the character information is selected may be the card 52 displayed in the record view 42. For example, in the state shown in FIG. 10, when the character information of “CTR” on the card 52-2 is selected from the cards 51-1 to 52-4 displayed in the record view 42, “Hide CTR” and “CTR” are displayed. A pop-up containing the characters "See only CTR" is displayed. Then, when “See only CTR” is selected, the cards 52-2 to 52-4 including the character information of “CTR” are displayed in the record view 42 as shown in FIG. Further, in the object view 41, the cards 51-3, 51-6, 51-9 corresponding to the narrowed-down cards 52-2 to 52-4 are narrowed down and displayed. In this state, in the filter panel 44, “CTR” in the record view 42 is added to the end of the two lines shown in FIG. The letter "M" added before "CTR" indicates that the measurement was made by analysis (Mesurement). Note that in FIG. 14, the characters on the filter panel 44 are smaller than those in FIG. 10 and the like for the sake of explanation.

As described above, the user narrows down the

cards

51 and 52 displayed in the object view 41 and the record view 42 by using the character information included in the

cards

51 and 52, and selects the

cards

51 and 52 to be used for diagnosis. You can When the user selects a desired card from the narrowed down

cards

51, 52, the medical information linked to the selected card is displayed in the content view 43 and is used for diagnosis by the user.

As described above, according to the present embodiment, a plurality of

cards

51, 52 linked to the medical information regarding the patient and including at least one character information regarding the linked medical information are displayed on the medical information display screen 40, and a plurality of

cards

51, 52 are displayed. The selection of at least one character information on either of the

cards

51 and 52 is accepted. Then, the card including the selected character information is narrowed down from the plurality of

cards

51 and 52 and displayed on the medical information display screen 40. Therefore, the user can narrow down and display the cards to which the desired medical information is linked only by selecting the character information included in the displayed card. Therefore, according to this embodiment, the user can efficiently access the medical information desired to be displayed.

Further, since the plurality of cards 52 including the analysis character information regarding the analysis are displayed in the record view 42, the card 52 including the analysis character information and the card 51 not including the analysis character information are not mixedly displayed. Therefore, it is possible to efficiently select the card including the analysis character information and further display the medical information about the analysis result.

Further, when the character information is selected, for example, the popup 60 including the character strings “Hide Funduscopy” and “See Fundus copy” is displayed to narrow down the

cards

51 and 52 to be displayed. It is possible to easily select whether to display a desired card or other cards.

Further, by displaying the selected character information on the filter panel 44, the user can easily recognize by which character information the

cards

51 and 52 are narrowed down and displayed.

In particular, when performing AND narrowing down by a plurality of character information, a plurality of character information are arranged in the first direction on the filter panel 44, and when performing OR narrowing down by a plurality of character information, a plurality of filter panel 44 are formed. By arranging the character information in the second direction different from the first direction, the user can easily recognize which character information is used for AND narrowing or which character replay is used for OR narrowing. can do.

For hidden cards other than the narrowed-down cards narrowed down from a plurality of cards, by displaying the bars 61-1 and 61-2 in place of the hidden cards, the hidden cards exist. This can be recognized by the bars 61-1 and 61-2. In this case, by displaying at least a part of the character information included in the hidden card on the bars 61-1 and 61-2, the character information can be selected using the bars 61-1 and 61-2, and further, You can narrow down the cards. Alternatively, the character information may not be displayed on the bars 61-1 and 61-2, but the character information may be displayed by selecting the bars 61-1 and 61-2.

Note that, in the above embodiment, both the object view 41 and the record view 42 are displayed on the medical information display screen 40, but it is also possible to display only the object view 41 or only the record view 42.

In addition, in the above-described embodiment, in the filter panel 44, the character information is arranged in the horizontal direction in the case of AND narrowing down, and the character information is arranged in the vertical direction in the case of OR narrowing down, but it is not limited to this. In the case of AND narrowing down, the character information may be arranged vertically, and in the case of OR narrowing down, the character information may be arranged horizontally.

Further, in the above-described embodiment, when the character information is selected, the pop-up 60 is displayed, and the cards displayed are narrowed down by selecting the character displayed in the pop-up 60. However, the present invention is not limited to this. Not a thing. For example, when selecting a plurality of character information items included in the

cards

51 and 52, the AND narrowing and the OR narrowing may be switched depending on the difference in the operation of the input unit 25. For example, AND clicking may be performed by clicking once or tapping with the mouse, and OR filtering may be performed by clicking twice or tapping twice. Further, with respect to the narrowing down, the NOT narrowing down for narrowing down the cards not including the selected character information may be performed. In this case, the AND narrowing, the OR narrowing, and the NOT narrowing may be switched by selecting the character information while selecting the key for instructing the AND narrowing, the OR narrowing, and the NOT narrowing.

Also, in the above embodiment,

thumbnail images

51C and 52C of medical information linked to the

cards

51 and 52 are included, but the present invention is not limited to this. The

cards

51 and 52 may not include the

thumbnail images

51C and 52C but may include only the character information.

Further, in the above embodiment, for example, as a hardware structure of a processing unit (Processing Unit) that executes various processes such as the information acquisition unit 31, the card display unit 32, the selection unit 33, and the narrowing down unit 34, Various processors shown can be used. As described above, in addition to the CPU, which is a general-purpose processor that executes software (programs) and functions as various processing units, the above-mentioned various processors include circuits after manufacturing of FPGA (Field Programmable Gate Array) etc. Programmable Logic Device (PLD), which is a processor whose configuration can be changed, and dedicated electrical equipment, which is a processor that has a circuit configuration specifically designed to execute specific processing such as ASIC (Application Specific Integrated Circuit) Circuits etc. are included.

One processing unit may be configured by one of these various processors, or a combination of two or more processors of the same type or different types (for example, a combination of a plurality of FPGAs or a combination of a CPU and an FPGA). ). Further, the plurality of processing units may be configured by one processor.

As an example of configuring a plurality of processing units by one processor, firstly, one processor is configured by a combination of one or more CPUs and software, as represented by computers such as clients and servers. There is a form in which this processor functions as a plurality of processing units. Second, as represented by system-on-chip (SoC), etc., there is a form of using a processor that realizes the functions of the entire system including a plurality of processing units with one IC (Integrated Circuit) chip. is there. As described above, the various processing units are configured by using one or more of the various processors as a hardware structure.

Furthermore, as the hardware structure of these various processors, more specifically, an electric circuit (Circuitry) in which circuit elements such as semiconductor elements are combined can be used.

1 Medical Information System 2 Modality 3 Interpretation Workstation 4 Medical Department Workstation 5 Medical Information Management Server 6 Medical Information Database 7 Interpretation Report Server 8 Interpretation Report Database 9 Analysis Device 10 Network 20 Medical Information Display Device 21 CPU
22 memory 23 storage 24 display section 25 input section 31 information acquisition section 32 card display section 33 selection section 34 narrowing down section 41 object view 42 record view 43 content view 43A medical information 44

filter panel

51, 52

card

51A, 52A date 51B

medical information Type

51C, 52C Thumbnail image

51D Medical department 51E Site

52B Analysis type

52D Analyst name

52E Analysis result 60 Popup

Claims

A card display unit for displaying a plurality of cards linked to medical information on a patient and including at least one character information related to the linked medical information on a medical information display screen;
A selection unit that receives a selection of the at least one character information in the plurality of cards;
A medical information display device comprising: a narrowing-down unit that narrows down a card including the selected character information from the plurality of cards and displays the narrowed card on the medical information display screen.
The medical information display device according to claim 1, wherein the character information includes analysis character information regarding analysis performed on the medical information linked to the card.
The card display unit displays, in the plurality of cards, a card other than a card including the analysis character information and a card including the analysis character information in different areas on the medical information display screen. The medical information display device described in.
Selection information for selecting whether to display a card including the selected character information or a card other than the card including the selected character information for the selected character information. 4. A card including the selected character information is narrowed down from the plurality of cards and displayed on the medical information display screen according to a selection instruction for the selection information. The medical information display device described in.
The medical information according to any one of claims 1 to 3, wherein the selection unit accepts selection of AND narrowing and OR narrowing for the selected character information when a plurality of the character information is selected. Display device.
The medical information display device according to any one of claims 1 to 5, wherein the medical information display screen includes a character information display area for displaying the selected character information.
When a plurality of the character information items are selected, the narrowing unit arranges the plurality of character information items in the first direction in the character information display area when performing AND narrowing by the plurality of character information items. The medical information display device according to claim 6, wherein when performing OR narrowing down by the plurality of character information, the plurality of character information are arranged in a second direction different from the first direction in the character information display area. ..
The medical information display device according to claim 7, wherein the first direction is a horizontal direction on the medical information display screen, and the second direction is a vertical direction on the medical information display screen.
The medical information display device according to any one of claims 1 to 8, wherein the narrowing-down unit displays the cards narrowed down from the plurality of cards on the medical information display screen.
10. The hidden information other than the cards narrowed down from the plurality of cards is displayed by the narrowing unit on the medical information display screen with presence information indicating that the hidden card is present. The medical information display device according to any one of 1.
The medical information display device according to claim 10, wherein the presence information has a bar shape having a size smaller than that of the card.
The medical information display device according to claim 10 or 11, wherein the presence information includes at least a part of the character information included in the hidden card.
The medical information display device according to claim 10 or 11, wherein the narrowing-down unit displays at least a part of the character information included in the hidden card when the presence information is selected.
Displaying on the medical information display screen a plurality of cards linked to the medical information about the patient and including at least one textual information related to the linked medical information;
Accepting a selection of the at least one textual information on the plurality of cards,
A medical information display method for narrowing down a card including the selected character information from the plurality of cards and displaying the narrowed card on the medical information display screen.
A step of displaying on the medical information display screen a plurality of cards linked to the medical information about the patient and including at least one textual information related to the linked medical information;
A procedure for accepting a selection of the at least one character information in the plurality of cards;
A medical information display program that causes a computer to execute a procedure of narrowing down a card including the selected character information from the plurality of cards and displaying the card on the medical information display screen.
A first display area for displaying a plurality of cards linked to medical information about a patient and including at least one character information related to the linked medical information, the character information being selectable;
A graphic user interface for displaying medical information including selection of one of the plurality of cards and a second display area for displaying the medical information linked to the selected card.
The graphic user interface according to claim 16, further comprising a character information display area for displaying the selected character information.