JP2000287941A - Image reference support method in medical information system and recording medium thereof - Google Patents

Abstract

(57) [Summary] [PROBLEMS] To realize an image reference support method of a medical information system so that a medical worker can efficiently refer to an image examination result of a patient. An order search file (120) for recording the order ID of an executed image examination has recorded therein a problem code for specifying a symptom or disease name of a patient of each examination. When the problem is selected by the setting unit 104, the corresponding order ID is extracted from the order search file 120, and the corresponding image inspection result is stored in the file 120, 1
21 and 122 and displayed on the image result reference means 106. The image data acquired from the image file 122 is compressed by the image processing means and displayed as a summary image. [Effect] Since a doctor can make a more accurate diagnosis, the quality and efficiency of medical care work are improved.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

[0001] 1. Field of the Invention [0002] The present invention relates to a medical information system in which a consulting physician, an interpreting physician, and the like refer to a result of an image examination of a patient.

[0002]

2. Description of the Related Art An information system for handling medical images in a hospital is known as:
Radiation Information System (RIS), Radiation Imaging System (PAC)
S), there is a reporting system for interpretation reports, which has been used mainly in the radiology department. On the other hand, an electronic medical record system that centrally manages patient medical information
Based on the concept of (Problem Oriented Medical Record), it accumulates problems, such as patient symptoms and disease names, and manages medical data using the problem as a key to support the medical treatment of doctors. A known example of the former is “HIS-RIS-
Modality-PACS coupling: Technology evaluation and future plans ”(18th
The Journal of Japan Society for Medical Informatics, 216-217, 1998, Tokushima University School of Medicine, Osaka University School of Medicine, NEC). In the above system, a hospital information system (HIS) centered on an order entry system that transmits instructions from the medical care site to departments
And a series of image operations from the image inspection order to the display of the image result and the interpretation report by cooperation with RIS and PACS. On the other hand, a known example of the latter is “SOAP input method in electronic medical record system” (Medical Informatics, 301-304, 1997).
(5), Kanazawa Medical University, Fujitsu, Fujitsu Hokuriku Systems).
In the above system, the patient's finding data is SOAP
Input and refer to in the format (S: subjective findings, O: objective findings, A: evaluation, P: plan). When referring to the image inspection result, the user selects “image reference icon” or “interpretation report reference icon” included in the finding data, and displays the corresponding image result or image interpretation report on another screen.

[0003]

However, in the above system, when the doctor refers to the image examination result, the image result and the interpretation report are individually displayed, and therefore, both systems lack a listability. Further, when a plurality of examinations are displayed at the same time, the screen operation becomes troublesome. Furthermore, image results and image interpretation reports can only be searched by order date, and cannot be referenced by linking to finding data such as patient symptoms or disease names.

[0004] It is an object of the present invention to solve the above-mentioned problems of the prior art and to realize an image reference support system of a medical information system that enables a medical worker to efficiently refer to a patient's image examination result. .

[0005]

SUMMARY OF THE INVENTION The object of the present invention is to provide a medical information system in which a doctor refers to a result of an image examination of a patient.
This is achieved by simultaneously displaying a problem indicating a patient's symptom, disease name, and the like, a test content performed on the problem, an image result for the test content, and a radiology report created by interpreting the image result. You. Also,
Selecting a problem that indicates a patient's symptom, disease name, and the like; displaying an image test result including at least one of the test content, an image result, and an interpretation report performed on the problem; and On the other hand, this is achieved by a procedure of changing a search condition such as an inspection date and a step of redisplaying an image inspection result corresponding to the search condition. It is also achieved by storing a patient identification number for identifying a patient, a problem identification number for identifying a problem of the patient, and an order identification number for identifying examination information performed on the patient. It is also achieved by displaying a compressed summary image.

[0006]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A first embodiment will be described.

FIG. 1 shows the configuration of the system. The system includes input / output means 10 such as a display, a mouse, and a keyboard; control processing means 11 for performing system processing;
It comprises a recording unit 12 for storing medical information such as image data. The input / output unit 10 includes an order input unit 101 for inputting examination information, an image input unit 102 for inputting an image result, and a report input unit 1 for inputting an interpretation report.
03, a problem setting unit 104 and a search condition setting unit 105 for searching for an image inspection result, and an image inspection result reference unit 106 for displaying the searched image inspection result are included. Each of the input / output processing units 1
10 and image inspection result processing means 11 for performing search processing
1. An image processing unit 112 for inputting and outputting image data is included. The recording means 12 has an order search file 12
0, inspection information file 121, image data file 12
2. The image interpretation report file 123 is included. The order search file 120 and the examination information file 121 are used by the physician to request examinations from other departments.
1 to register the patient's problem and test order contents. The image data file 122 and the image interpretation report file 123 are stored in the
2 and the report input unit 103 register the image result and the interpretation report. FIG. 2 shows an example of a screen of the image inspection result reference means 106 when the image reading doctor refers to the image inspection result of the patient. The image test result reference means 106 is a problem display unit 20 that displays a problem such as a patient's symptom or disease name.
An inspection information display unit 21 for displaying inspection contents such as an inspection date and an imaging method, an image data display unit 22 for displaying an image result, and a report display unit 23 for displaying an image interpretation report on the image result. .

By displaying the problem and the image inspection result on the same screen as described above, the doctor can diagnose the image result while simultaneously putting the patient's problem in the head.
In addition, examination information, images, and reports can be listed without switching screens, thereby improving the efficiency of medical treatment.

Next, a second embodiment will be described.

FIG. 3 shows the image examination result referring means 106 by the doctor.
Shows a procedure for referring to the image inspection result according to the patient's problem. First, in step 300, the problem display section 20 is selected. In step 301,
Problem setting means 1 for displaying a list of patient problems
04 is displayed, and a problem to be referred to, for example, “diabetes” is selected. In step 302, the latest test content performed for “diabetes” is displayed on the test information display unit 21.
The image result is displayed on the image data display unit 22, and the image interpretation report is displayed on the report display unit 23. When referring to the previous result for “diabetes”, in step 303, the search condition setting unit 105 selects the previous examination date (upward arrow in the figure). In step 304,
Inspection contents for the previous inspection date are displayed on the inspection information display unit 21,
The image result is displayed on the image data display unit 22, and the image interpretation report is displayed on the report display unit 23. As described above, it is possible to narrow down the image inspection result for each problem and to compare the result with the data of the same problem in the past, thereby supporting the diagnosis and follow-up of a doctor.

A third embodiment will be described.

FIG. 4 shows an image inspection result search processing step in the image inspection result processing means 111 using the problem as a key. First, in step 400, the doctor inputs a problem using the problem setting means 104. Step 4
In 01, the image inspection result processing means 111 searches the order search file 120 by the problem and acquires the corresponding order ID. In step 402, the corresponding examination content is searched from the examination information file 121 based on the patient ID and the acquired order ID, and displayed on the examination information display unit 21. In step 403, the image data file 122
The corresponding image result is retrieved from the image data, subjected to display processing by the image processing means 112, and displayed on the image data display unit 22. In step 404, the image interpretation report file 123
And retrieves the corresponding interpretation report, and displays it on the report information display unit 23. In step 405, it is checked whether all the order IDs in the order search file 120 have been searched. If there is unsearched data, the process proceeds to step 402; otherwise, the process ends. FIG. 5 shows each data structure of the recording means 12 for realizing the above search processing. Order search file 1
20 stores a patient ID, a problem code for specifying a problem, and an order ID. The order ID is a number for specifying information on the test performed on the patient, and the details of the request for the detailed test and the test result for the request are managed with the same order ID. The inspection information file 121, the image data file 122, and the image interpretation report file 123 show an example in which order contents, image results, and reports for the image inspection order are stored. With the above data structure, the order ID stored in the order search file 120 using the problem as a key
Can be extracted, and order contents, inspection results and reports corresponding to the problem can be integratedly searched. The search can be applied not only to the image inspection order of the present embodiment but also to other order information managed by the order ID.

A fourth embodiment will be described.

FIG. 6 shows an example of a screen of the image examination result reference means 106 when the consulting doctor refers to the image examination result of the patient in the electronic medical record system. The image inspection result reference unit 106 includes the problem display unit 20 and the inspection information display unit 2.
1, a report display unit 23 and an image data display unit 22 are included. The examination information display unit 21 includes a problem setting unit 20.
A list of past examination contents corresponding to the problem selected in the above, for example, “chronic hepatitis” is displayed. The report display unit 23 displays an image interpretation report corresponding to the latest examination in the examination information display unit 21, and the image data display unit 22 displays a list of image results corresponding to the latest examination as a summary image. When displaying a summary image on the image data display unit 22, the process in step 404 in FIG.
Are performed in the steps shown in FIG. In step 700, the patient
The corresponding image data is searched from the image data file 123 using the ID and the order ID acquired in step 401 as a key. At step 701, it is determined whether or not a summary image needs to be created.
In step, the image processing means 112 compresses the image data to create a summary image, and displays the summary image on the image data display unit 22 in step 703. Since the summary image has a small image capacity and can be displayed at high speed, it can be used for an outpatient electronic medical record system or the like that performs medical treatment in a short time.

[0015]

According to the present invention, when a doctor or the like refers to an image examination result of a patient, the doctor can perform a more accurate diagnosis by displaying an image result or a report in accordance with the problem of the patient, so that a medical examination operation can be performed. Improve quality and efficiency.

[Brief description of the drawings]

FIG. 1 is a system configuration diagram

FIG. 2 is an example of a screen of an image inspection result reference unit.

FIG. 3 is an operation flow for referencing an image inspection result.

FIG. 4 is a processing flow for referencing an image inspection result.

FIG. 5 is a data structure used for image inspection result reference;

FIG. 6 is a screen example of an electronic medical record system.

FIG. 7 is a processing flow of displaying a summary image.

[Explanation of symbols]

 10. Input / output means 11 Control processing means 12 Recording means 101 Order input means 102 Image input means 103 Report input means 104 Bloblem setting means 105 Search condition setting means 106 Image inspection result reference means 110, input / output processing means 111, image inspection result processing means 112, image processing means 120, order search file 121, inspection information file 122, image data file 123, image interpretation report file 20, problem display unit 21, inspection information display Section 22 image data display section 23 report display section

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Hideyuki Ban 1-280 Higashi Koigakubo, Kokubunji-shi, Tokyo F-term in Central Research Laboratory, Hitachi, Ltd. 5B057 AA07 CE20

Claims (4)

[Claims] In a medical information system in which a doctor refers to an image inspection result of a patient, a problem indicating a symptom, a disease name, or the like of the patient, an inspection performed on the problem, an image result on the inspection, An image reference support method, wherein an image interpretation report created by interpreting the image result is displayed simultaneously. 2. A medical information system in which a doctor refers to an image examination result of a patient, wherein the step of selecting a problem indicating a symptom, a disease name, or the like of the patient, an examination performed on the problem, an image result, and an interpretation report Displaying an image inspection result including at least one of the following, changing search conditions such as an inspection date for the image inspection result, and redisplaying an image inspection result corresponding to the search condition. An image reference support method characterized by comprising: 3. The image reference support method according to claim 1, wherein a summary image created by compression is displayed. 4. A recording medium for storing a patient identification number for identifying a patient, a problem identification number for identifying a problem of the patient, and an order identification number for identifying examination information performed on the patient. .