JP2017182244A - Medical information provision system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To simply provide a patient with useful medical information.SOLUTION: Ultrasonic diagnostic equipment transmits a medical image obtained from image diagnosis and preset information including site information to an image management apparatus (step S5). The image management apparatus acquires the site information from the preset information, to search for medical information associated with the site information (step S6). A doctor selects one piece of medical information from a search-result list displayed on a display unit (steps S7 and S8). The image management apparatus converts URL information for accessing the selected medical information to a two-dimensional bar-code (step S9), and transmits the two-dimensional bar-code URL information to the ultrasonic diagnostic equipment (step S10). The ultrasonic diagnostic equipment prints a medical image with the two-dimensional bar-code image on thermal paper by means of a printing unit (step S11).SELECTED DRAWING: Figure 7

Description

  The present invention relates to a medical information providing system.

  Conventionally, in the medical field, various image inspections have been performed on patients. In an ultrasonic diagnostic apparatus that receives an ultrasonic wave reflected from a subject and generates an ultrasonic image, an operator such as a doctor or an engineer determines a diagnostic site according to the patient's chief complaint when performing image diagnosis. After the diagnosis, the image is printed and given to the patient to explain the medical condition.

  Also, in the ultrasonic diagnostic apparatus, a barcode image of URL (Uniform Resource Locator) information indicating the storage location of the diagnostic image in the data storage server is generated, and the diagnostic image and the content of the barcode image are associated with each other in the data storage server. There has also been proposed one that stores and prints out a diagnostic image and a barcode image (see Patent Document 1).

JP2013-000312A

However, in general, outpatient consultation hours are limited, and it has been difficult for doctors to explain in detail medical information related to image examinations and diagnostic contents to patients.
In recent years, medical information published by a medical information service Minds (registered trademark) has been widely used. In Minds, various medical treatment guidelines are provided to support both patients and medical professionals aiming for high-quality medical care. Patients can obtain medical information such as medical guidelines by examining them on the WEB or picking up a pamphlet placed in the waiting room of the hospital. However, patients themselves select information relevant to themselves. Was difficult and burdensome.

  This invention is made | formed in view of the problem in said prior art, and makes it a subject to provide useful medical information easily with respect to a patient.

  In order to solve the above-mentioned problem, the invention according to claim 1 relates to the patient medical information based on the acquiring means for acquiring the patient medical information related to the medical care of the patient and the acquired patient medical information. A medical information providing system comprising: search means for searching for medical information; and output means for outputting URL information for accessing the searched medical information.

  According to a second aspect of the present invention, in the medical information providing system according to the first aspect, the search means searches for the medical information from information existing on an external network.

  According to a third aspect of the present invention, in the medical information providing system according to the first aspect, storage means for storing patient medical information and URL information for accessing medical information related to the patient medical information in association with each other The retrieval unit retrieves medical information related to the patient medical information by acquiring URL information associated with the acquired patient medical information from the storage unit.

  According to a fourth aspect of the present invention, in the medical information providing system according to any one of the first to third aspects, the acquisition unit is photographed by the image generating apparatus from the image generating apparatus as the patient medical information. The site information indicating the imaging site of the patient is acquired.

  According to a fifth aspect of the present invention, in the medical information providing system according to any one of the first to third aspects, the acquisition means is input from the electronic medical chart apparatus to the electronic medical chart apparatus as the patient medical information. Injury / sickness name information indicating the name of the patient's injury or illness, or site information indicating a site related to the injury or illness is acquired.

  According to a sixth aspect of the present invention, in the medical information providing system according to any one of the first to fifth aspects, the output unit transmits the URL information to an external device.

  According to a seventh aspect of the present invention, in the medical information providing system according to any one of the first to fifth aspects, the output unit prints the URL information on a recording medium.

  The invention according to claim 8 is the medical information providing system according to claim 7, further comprising encoding means for encoding the URL information, and the output means prints the encoded URL information.

  A ninth aspect of the present invention provides the medical information providing system according to any one of the first to eighth aspects, wherein the selecting means for selecting medical information to be output from the searched medical information. The output means outputs URL information for accessing the selected medical information.

  According to the present invention, useful medical information can be easily provided to a patient.

1 is a system configuration diagram of a medical information providing system according to a first embodiment of the present invention. It is a figure which shows the structure of an electronic medical chart apparatus. It is a figure which shows the structure of an image management apparatus. It is a figure which shows the structure of an ultrasonic diagnosing device. It is an example of a preset list. It is an example of the corresponding | compatible table with which the diagnostic site | part and URL information were matched. It is a ladder chart which shows the 1st medical information provision process performed with an image management apparatus and an ultrasound diagnosing device. It is a display example of a list screen showing a search result of medical information. It is an example of the medical image printed with the two-dimensional barcode image. It is an example of the imaging | photography condition key list in 2nd Embodiment. It is a ladder chart which shows the 2nd medical information provision process performed with an image management apparatus and an X-ray imaging apparatus. It is a ladder chart which shows the 3rd medical information provision process performed with the electronic medical chart apparatus, image management apparatus, and ultrasonic diagnostic apparatus in 3rd Embodiment. It is an example of a display of an electronic medical chart screen.

[First Embodiment]
First, a first embodiment of a medical information providing system according to the present invention will be described. However, the scope of the invention is not limited to the illustrated examples.

FIG. 1 shows a system configuration of a medical information providing system 100 provided in a hospital.
As shown in FIG. 1, a medical information providing system 100 includes an electronic medical chart device 10, an image management device 20, a printer 30, an ultrasonic diagnostic device 40, and an X-ray imaging device 60. Are connected via a hospital network N formed of communication lines such as a LAN (Local Area Network) and a WAN (Wide Area Network) so that data can be transmitted and received. Each device constituting the medical information providing system 100 conforms to the DICOM (Digital Image and Communications in Medicine) standard, and communication between the devices is performed according to DICOM. The number of each device is not particularly limited.

  The electronic medical chart apparatus 10 is a computer apparatus having an electronic medical chart creation function and an image viewer function. The electronic medical record device 10 generates electronic medical record information in which medical treatments for patients and diagnostic results are recorded.

  As shown in FIG. 2, the electronic medical chart apparatus 10 includes a control unit 11, an operation unit 12, a display unit 13, a communication unit 14, a storage unit 15, and the like, and each unit is connected by a bus 16. .

  The control unit 11 includes a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and the like, and comprehensively controls the processing operation of each unit of the electronic medical chart apparatus 10. Specifically, the CPU reads various processing programs stored in the ROM in response to an operation signal input from the operation unit 12 or an instruction signal received by the communication unit 14 and expands the program in the RAM. Various processes are performed in cooperation with

  The operation unit 12 includes a keyboard having cursor keys, character / numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and controls operation signals input by keyboard operations and mouse operations. To the unit 11.

  The display unit 13 includes a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of a display signal input from the control unit 11.

  The communication unit 14 is configured by a network interface or the like, and transmits and receives data to and from an external device connected via the hospital network N.

  The storage unit 15 is configured by an HDD (Hard Disk Drive), a nonvolatile memory, or the like, and stores various data. The storage unit 15 stores electronic medical record information for each patient. The electronic medical record information includes, for example, patient ID, patient name, sex, age, height, weight, entry date, body temperature, medical examination result, medical practice, diagnostic result, and the like.

  The image management apparatus 20 stores image data of medical images generated by an image generation apparatus (modality) such as the ultrasonic diagnostic apparatus 40 or the X-ray imaging apparatus 60 and manages it for each patient. Examples of the image management apparatus 20 include PACS (Picture Archiving and Communication System).

  As shown in FIG. 3, the image management apparatus 20 includes a control unit 21, an operation unit 22, a display unit 23, a communication unit 24, a storage unit 25, and the like, and each unit is connected by a bus 26. .

  The control unit 21 includes a CPU, a ROM, a RAM, and the like, and comprehensively controls processing operations of each unit of the image management apparatus 20. Specifically, the CPU reads various processing programs stored in the ROM in response to an operation signal input from the operation unit 22 or an instruction signal received by the communication unit 24, and expands the program in the RAM. Various processes are performed in cooperation with

  The operation unit 22 includes a keyboard having cursor keys, character / numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and controls operation signals input by keyboard operations and mouse operations. To the unit 21.

  The display unit 23 includes a monitor such as an LCD, and displays various screens according to instructions of display signals input from the control unit 21.

  The communication unit 24 is configured by a network interface or the like, and transmits and receives data to and from an external device connected via an in-hospital network N or an external network such as the Internet. For example, the communication unit 24 receives image data of a medical image obtained by imaging a patient with an image generation apparatus such as the ultrasonic diagnostic apparatus 40 or the X-ray imaging apparatus 60. Further, the communication unit 24 transmits the requested image data to the external device in response to an image data acquisition request from the external device.

  The storage unit 25 is configured by an HDD, a nonvolatile memory, or the like, and stores various data. The storage unit 25 stores image data of medical images.

  The printer 30 is a general-purpose image forming apparatus that performs printing on a recording medium such as paper based on image data in response to a print instruction transmitted from the electronic medical chart apparatus 10 or the image management apparatus 20.

The ultrasonic diagnostic apparatus 40 generates image data of a captured image of a patient's internal tissue using ultrasonic waves.
As shown in FIG. 4, the ultrasonic diagnostic apparatus 40 includes an apparatus main body 41, an ultrasonic probe (probe) 42, a cable 43, and the like. The apparatus main body 41 is connected to the ultrasonic probe 42 via a cable 43. The ultrasonic probe 42 transmits an ultrasonic wave (transmission ultrasonic wave) to a subject such as a living body and receives a reflected wave (reflected ultrasonic wave: echo) of the ultrasonic wave reflected by the subject.

  The apparatus main body 41 includes a control unit 51, an operation input unit 52, a transmission unit 53, a reception unit 54, an image generation unit 55, a storage unit 56, a display unit 57, a print unit 58, a communication unit 59, and the like.

  The control unit 51 includes a CPU, a ROM, and a RAM, and comprehensively controls processing operations of the respective units of the ultrasonic diagnostic apparatus 40. Specifically, the CPU reads various processing programs stored in the ROM, develops them in the RAM, and performs various processes in cooperation with the programs.

  The operation input unit 52 includes a push button switch, a keyboard, a mouse, and the like, converts an operator's input operation into an operation signal, and outputs the operation signal to the control unit 51.

The transmission unit 53 outputs a drive signal to be supplied to the ultrasonic probe 42 according to the control of the control unit 51 and causes the ultrasonic probe 42 to generate transmission ultrasonic waves.
The receiving unit 54 is a circuit that acquires a reception signal input from the ultrasound probe 42 according to the control of the control unit 51.

  The image generation unit 55 generates image data of an ultrasonic image based on the ultrasonic reception data. This ultrasound image includes a B-mode image showing the structure of the subject by luminance distribution, a D-mode image showing the blood flow state measured using the Doppler effect, and an elastic image showing the strain distribution inside the subject. Etc. are included. In addition, the ultrasonic image includes image data displayed on the display unit 57 in substantially real time, a series of moving image data thereof, snapshot still image data, and the like.

The storage unit 56 is a storage device configured by an HDD, a nonvolatile memory, or the like. The storage unit 56 stores image data of the ultrasonic image processed by the image generation unit 55. The image data stored in the storage unit 56 is read according to the control of the control unit 51 and is output to the display unit 57 and the print unit 58, or is output to the outside of the ultrasound diagnostic apparatus 40 via the communication unit 59. To do.
The storage unit 56 stores a setting data set (preset information). FIG. 5 shows a preset list. Each preset information is classified for each group of diagnostic regions, and for each preset name (detailed region), setting information and parameters related to transmission / reception of ultrasonic waves (for example, the center frequency of transmitted ultrasonic waves and the subject are examined) Depth, gain, transmission ultrasonic frame frequency, etc.) are predetermined.

  The display unit 57 includes a display screen using any one of various display methods such as an LCD, an organic EL (Electro-Luminescent) display, an inorganic EL display, and a plasma display, and a driving unit thereof. The display unit 57 generates a drive signal for the display screen (each display pixel) in accordance with the control signal output from the control unit 51 and the image data of the ultrasonic image generated by the image generation unit 55, and the display unit 57 outputs the drive signal on the display screen. Displays sound image, menu, etc.

  The print unit 58 is a thermal printer, and prints an ultrasonic image (medical image), a two-dimensional barcode image, or the like on thermal paper as a recording medium.

  The communication unit 59 includes a network interface or the like, and transmits and receives data to and from an external device connected via the hospital network N.

  The X-ray imaging apparatus 60 performs X-ray imaging of a patient (subject) and generates image data of an X-ray image. As the X-ray imaging apparatus 60, for example, a CR (Computed Radiography) apparatus, a DR (Digital Radiography) apparatus, and a CT (Computed Tomography) apparatus are used.

Next, an outline of a medical information providing method according to the first embodiment will be described.
The control unit 21 of the image management apparatus 20 acquires patient medical information related to patient medical care. That is, the control unit 21 functions as an acquisition unit. Specifically, the control unit 21 acquires part information indicating the imaging part of the patient imaged by the ultrasonic diagnostic apparatus 40 from the ultrasonic diagnostic apparatus 40 as patient medical care information.

  Based on the acquired patient medical information, the control unit 21 searches for medical information related to the patient medical information. That is, the control unit 21 functions as a search unit. Specifically, the control unit 21 searches for medical information related to patient medical information from information existing on the external network using a search engine. Alternatively, a correspondence table in which the patient medical information is associated with URL information for accessing medical information related to the patient medical information is stored in the storage unit 25, and the control unit 21 corresponds to the patient medical information. By acquiring the attached URL information from the correspondence table of the storage unit 25, medical information related to the patient medical information is searched.

  FIG. 6 shows an example of the correspondence table stored in the storage unit 25. A medical information name and URL information for accessing the medical information are associated with the diagnosis site (patient medical information).

  The control unit 21 receives selection of medical information to be output among the searched medical information by an operation from the operation unit 22. That is, the operation unit 22 functions as a selection unit.

The control unit 21 encodes URL information for accessing the selected medical information. That is, the control unit 21 functions as an encoding unit. Specifically, the control unit 21 converts the URL information into a two-dimensional barcode and generates image data of a two-dimensional barcode image.
The control unit 21 transmits the encoded URL information, that is, the image data of the two-dimensional barcode image, to the ultrasonic diagnostic apparatus 40 via the communication unit 24.

The communication unit 59 of the ultrasound diagnostic apparatus 40 receives URL information (image data of a two-dimensional barcode image) encoded from the image management apparatus 20.
The control unit 51 controls the printing unit 58 to print the encoded URL information on the thermal paper. That is, the print unit 58 functions as an output unit. Specifically, the control unit 51 adds the two-dimensional barcode image to the medical image based on the image data of the two-dimensional barcode image, and causes the printing unit 58 to print the medical image with the two-dimensional barcode image. .

Next, the operation in the first embodiment will be described.
FIG. 7 is a ladder chart showing a first medical information provision process executed by the image management apparatus 20 and the ultrasonic diagnostic apparatus 40.

  First, in the image management apparatus 20, the control unit 21 issues an inspection order to the ultrasonic diagnostic apparatus 40 (step S1). The examination order includes patient ID, patient name, sex, height, weight, and the like.

  In the ultrasonic diagnostic apparatus 40, when the examination order is received by the communication unit 59, the control unit 51 reads out a preset list (see FIG. 5) stored in the storage unit 56 and displays it on the display unit 57 for doctors and technicians. The operator selects a preset from the operation input unit 52 (step S2). Specifically, first, the control unit 51 displays a diagnostic site list on the display unit 57. When the operator selects any “diagnosis part” from the diagnosis part list by an operation from the operation input part 52, the control part 51 selects “presets” belonging to the selected “diagnosis part” from the preset list. Is displayed on the display unit 57. The operator selects any “preset” from the preset list by an operation from the operation input unit 52. For example, the preset “liver” of the diagnosis site “abdomen” is selected. The preset information indicating the preset selected here includes site information such as “abdomen” and “liver”.

Next, the operator makes an image diagnosis by placing the ultrasonic probe 42 on the diagnosis part of the patient (step S3).
When the operator instructs to save an image from the operation input unit 52, the control unit 51 saves the medical image generated by the image generation unit 55 in the storage unit 56 (step S4).
Next, the control unit 51 transmits the medical image and the preset information to the image management apparatus 20 via the communication unit 59 (Step S5).

  In the image management apparatus 20, the control unit 21 stores the medical image and preset information received from the ultrasound diagnostic apparatus 40 in the storage unit 25. That is, the control unit 21 acquires preset information including part information from the ultrasonic diagnostic apparatus 40.

  Next, the control part 21 acquires part information from preset information, and searches the medical information relevant to this part information (step S6). When searching for medical information from information existing on an external network, for example, by using “medical”, “guideline”, “PDF”, and “abdomen” as search keywords for a search engine. , Guidelines related to “abdomen” are hit. Here, search keywords other than the part information are automatically set. In addition, by changing “abdomen” to “elbow”, “knee”, etc., it is possible to search for other parts. Alternatively, it is possible to search only for information provided by the medical information service Minds using dedicated software.

Next, the control unit 21 displays a list of search results on the display unit 23 (step S7).
FIG. 8 is a display example of a list screen 231 showing a search result of medical information related to “spine”. The list screen 231 includes a plurality of combinations of wound names, medical information names, and URLs related to “spine”. The list screen 231 is provided with check boxes C1 to C3 for each piece of medical information (each line of the list).

  Next, the doctor selects any medical information from the list of search results by an operation from the operation unit 22 (step S8). For example, in the list screen 231 shown in FIG. 8, the medical information to be output is selected by checking any of the check boxes C1 to C3. A plurality of pieces of medical information may be selected.

Next, the control unit 21 converts the URL information for accessing the selected medical information into a two-dimensional barcode (step S9). The control unit 21 converts the URL information into a two-dimensional barcode and generates image data of a two-dimensional barcode image.
Next, the control unit 21 transmits the two-dimensional barcoded URL information to the ultrasonic diagnostic apparatus 40 via the communication unit 24 (step S10).

In the ultrasonic diagnostic apparatus 40, when the communication unit 59 receives URL information converted into a two-dimensional barcode from the image management apparatus 20, the control unit 51 controls the printing unit 58 to attach a two-dimensional barcode image. The medical image is printed on the thermal paper (step S11). At this time, the control unit 51 arranges the two-dimensional barcode image so that it does not overlap the main part (diagnosis location) of the medical image.
FIG. 9 is an example of an output image 70 printed on thermal paper. In the output image 70, a two-dimensional barcode image 72 is arranged in a medical image 71.
This completes the first medical information provision process.

  A patient can view medical information by reading a two-dimensional barcode image 72 printed on thermal paper with a mobile terminal such as a mobile phone or a smartphone.

  As described above, according to the first embodiment, the URL information for accessing medical information related to the patient medical information related to the medical care of the patient is output. Information can be provided. Thereby, the patient can browse medical information without being limited to the hospital. In addition, since medical information related to patient medical information is searched, there is no need for a doctor to input a search keyword.

In addition, when searching for medical information related to patient medical care information from information existing on an external network, the latest information can always be provided to the patient.
On the other hand, when searching for medical information using a correspondence table prepared in advance in the image management apparatus 20, even if some kind of failure occurs, such as interruption with an external network, a certain amount of information is provided. Can do.

  Further, in the image management apparatus 20, the part information indicating the imaging part of the patient imaged by the ultrasound diagnostic apparatus 40 is acquired from the ultrasound diagnostic apparatus 40, so that the part to be imaged by the ultrasound diagnostic apparatus 40 is acquired. , Confirmed information can be acquired.

  Also, since a two-dimensional barcode image encoded with URL information for accessing medical information is printed, the medical information site indicated by the URL information can be easily accessed by reading the two-dimensional barcode image. be able to.

  Further, the doctor can select medical information to be output as information to be provided to the patient from the searched medical information.

In the first embodiment, the case where the ultrasonic diagnostic apparatus 40 prints an image in which URL information corresponding to predetermined medical information is converted into a two-dimensional barcode has been described, but where is the printing apparatus? May be. In the first embodiment, the two-dimensional barcode image is printed together with the medical image. However, only the two-dimensional barcode image may be printed.
Further, the image generation apparatus that generates the medical image is not limited to the ultrasonic diagnostic apparatus 40.

[Second Embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the medical information provision system in 2nd Embodiment is the structure similar to the medical information provision system 100 shown in 1st Embodiment, it uses FIG. Description is omitted. Hereinafter, a configuration and processing characteristic of the second embodiment will be described.

  In the second embodiment, a case where a DR apparatus is used as the X-ray imaging apparatus 60 is taken as an example. In the storage unit of the X-ray imaging apparatus 60, parameters at the time of imaging by the X-ray imaging apparatus 60 are stored in advance for each imaging condition key. FIG. 10 shows a list of photographing condition keys. The imaging condition keys are classified for each imaging region (large classification) and for each group (small classification).

First, the outline | summary of the provision method of the medical information in 2nd Embodiment is demonstrated.
The control unit 21 of the image management apparatus 20 acquires patient medical information related to patient medical care. Specifically, the control unit 21 acquires part information indicating the imaging part of the patient imaged by the X-ray imaging apparatus 60 from the X-ray imaging apparatus 60 as patient medical care information.

  Based on the acquired patient medical information, the control unit 21 searches for medical information related to the patient medical information. Similarly to the first embodiment, medical information related to patient medical information may be searched from information existing on the external network, or from a correspondence table prepared in advance in the image management apparatus 20, URL information associated with patient medical information (part information) may be acquired.

  The control unit 21 receives selection of medical information to be output among the searched medical information by an operation from the operation unit 22.

  The control unit 21 encodes URL information for accessing the selected medical information. Specifically, the control unit 21 converts the URL information into a two-dimensional barcode and generates image data of a two-dimensional barcode image.

  The control unit 21 causes the printer 30 to print the encoded URL information on a recording medium. That is, the printer 30 functions as an output unit. Specifically, the control unit 21 generates image data in which URL information converted into a two-dimensional barcode is added to the report, and causes the printer 30 to print the report with the two-dimensional barcode image. Here, the report may be any document handed over to the patient, and the content is not limited, such as an interpretation report for a medical image, a diagnostic report describing the diagnostic content for the patient, and the like.

Next, the operation in the second embodiment will be described.
FIG. 11 is a ladder chart showing a second medical information provision process executed by the image management apparatus 20 and the X-ray imaging apparatus 60.

  First, in the image management apparatus 20, the control unit 21 issues an inspection order to the X-ray imaging apparatus 60 (step S21).

  When the X-ray imaging apparatus 60 receives the examination order from the image management apparatus 20, the X-ray imaging apparatus 60 displays a list of imaging condition keys (see FIG. 10) stored in advance in the storage unit on the display unit, so that an operator such as a doctor or an engineer A shooting condition key is selected (step S22). Specifically, when the operator selects any “imaging part” from the imaging part list, “imaging condition keys” belonging to the selected “imaging part” are classified and displayed for each “group”. (Shooting condition key list). Then, the operator selects any “shooting condition key” from the shooting condition key list. The imaging condition key information indicating the imaging condition key selected here includes part information (“imaging part” and “group” shown in FIG. 10).

Next, in the X-ray imaging apparatus 60, X-ray imaging is performed on the patient's part (step S23).
Next, when the operator instructs to save an image from the operation unit, the X-ray imaging apparatus 60 saves the medical image in the storage unit (step S24).
Next, the X-ray imaging apparatus 60 transmits a medical image and imaging condition key information to the image management apparatus 20 (step S25).

  In the image management apparatus 20, the control unit 21 stores the medical image and the imaging condition key information received from the X-ray imaging apparatus 60 in the storage unit 25. That is, the control unit 21 acquires imaging condition key information including part information from the X-ray imaging apparatus 60.

  Next, the control unit 21 acquires part information from the imaging condition key information, and searches for medical information related to this part information (step S26). When searching for medical information from information existing on an external network, for example, by using “medical”, “guideline”, “PDF”, and “thorax” as search keywords for a search engine. , Guidelines related to “Thorax” are hit. By changing “chest” to “spine”, “upper limb”, etc., it is possible to search for other parts.

Next, the control unit 21 displays a list of search results on the display unit 23 (step S27).
The doctor selects any medical information from the search result list by the operation from the operation unit 22 (step S28).

  Next, the control unit 21 converts the URL information for accessing the selected medical information into a two-dimensional barcode (step S29). The control unit 21 converts the URL information into a two-dimensional barcode and generates image data of a two-dimensional barcode image.

Next, the control unit 21 adds the two-dimensional barcode image to the report, and causes the printer 30 to print the report with the two-dimensional barcode image added on the recording medium (step S30).
This completes the second medical information provision process.

  A patient can view medical information by reading a two-dimensional barcode image printed on a recording medium with a mobile terminal such as a mobile phone or a smartphone.

  As described above, according to the second embodiment, since URL information for accessing medical information related to patient medical care information related to patient medical care is output, medical care that is useful for patients easily. Information can be provided. Thereby, the patient can browse medical information without being limited to the hospital. In addition, since medical information related to patient medical information is searched, there is no need for a doctor to input a search keyword.

In addition, when searching for medical information related to patient medical care information from information existing on an external network, the latest information can always be provided to the patient.
On the other hand, when searching for medical information using a correspondence table prepared in advance in the image management apparatus 20, even if some kind of failure occurs, such as interruption with an external network, a certain amount of information is provided. Can do.

  Further, in the image management apparatus 20, the part information indicating the imaging part of the patient imaged by the X-ray imaging apparatus 60 is acquired from the X-ray imaging apparatus 60. , Confirmed information can be acquired.

  Also, since a two-dimensional barcode image encoded with URL information for accessing medical information is printed, the medical information site indicated by the URL information can be easily accessed by reading the two-dimensional barcode image. be able to.

  Further, the doctor can select medical information to be output as information to be provided to the patient from the searched medical information.

In the second embodiment, a case has been described in which the printer 30 prints an image in which URL information corresponding to predetermined medical information is converted into a two-dimensional barcode in response to a print instruction from the image management apparatus 20. The apparatus that performs printing may be located anywhere. In the second embodiment, the two-dimensional barcode image is printed together with the report. However, only the two-dimensional barcode image may be printed.
Further, the image generation apparatus that generates the medical image is not limited to the X-ray imaging apparatus 60.

[Third Embodiment]
Next, a third embodiment to which the present invention is applied will be described.
Since the medical information provision system in 3rd Embodiment is the structure similar to the medical information provision system 100 shown in 1st Embodiment, it uses FIG. Description is omitted. Hereinafter, a configuration and processing characteristic of the third embodiment will be described.

  The communication unit 24 of the image management apparatus 20 further communicates with an external device via an antenna for transmission / reception such as Bluetooth (registered trademark), NFC (Near Field Communication), Wi-Fi, and the like. Data communication is performed by Note that the communication method is not limited to the exemplified one.

  The patient has a wireless communication unit (corresponding to wireless communication by the communication unit 24 of the image management apparatus 20) that performs data communication by a wireless communication method such as Bluetooth, NFC, Wi-Fi, a communication unit that can be connected to the Internet, and the like. I have a mobile terminal that I have.

First, the outline | summary of the provision method of the medical information in 3rd Embodiment is demonstrated.
The control unit 21 of the image management apparatus 20 acquires patient medical information related to patient medical care. Specifically, the control unit 21 acquires, as patient medical care information, wound name information indicating a patient's wound name input from the electronic medical record apparatus 10 in the electronic medical record apparatus 10 and site information indicating a site related to the wound. To do.

  Based on the acquired patient medical information, the control unit 21 searches for medical information related to the patient medical information. Similarly to the first embodiment, medical information related to patient medical information may be searched from information existing on the external network, or from a correspondence table prepared in advance in the image management apparatus 20, You may acquire URL information matched with patient medical treatment information (wound name information, site | part information).

  The control unit 21 receives selection of medical information to be output among the searched medical information by an operation from the operation unit 22.

  The control unit 21 transmits URL information for accessing the selected medical information to the external device via the communication unit 24 by a wireless communication method. That is, the control unit 21 and the communication unit 24 function as output means.

Next, the operation in the third embodiment will be described.
FIG. 12 is a ladder chart showing a third medical information provision process executed by the electronic medical chart apparatus 10, the image management apparatus 20, and the ultrasonic diagnostic apparatus 40.

  First, when a patient is received in the electronic medical chart apparatus 10 (step S31), the control unit 11 transmits the received patient information to the image management apparatus 20 via the communication unit 14.

  Next, in the image management apparatus 20, the control unit 21 issues an inspection order to the ultrasonic diagnostic apparatus 40 (step S32).

  Since the process of step S33-step S36 in the ultrasonic diagnostic apparatus 40 is the same as the process of step S2-step S5 of a 1st medical information provision process (refer FIG. 7), description is abbreviate | omitted.

  Next, in the image management apparatus 20, the control unit 21 saves the medical image and preset information received from the ultrasound diagnostic apparatus 40 in the storage unit 25 (step S37).

  Next, the doctor examines the patient in the examination room where the electronic medical chart apparatus 10 is installed (step S38). At this time, the control unit 11 acquires a medical image of the target patient stored in the image management apparatus 20 and causes the display unit 13 to display the medical image.

  In addition, the control unit 11 causes the display unit 13 to display an electronic medical record screen for creating an electronic medical record. The doctor inputs a medical practice and a diagnosis result from the operation unit 12, and creates an electronic medical record (step S39).

  FIG. 13 shows a display example of the electronic medical chart screen 131 displayed on the display unit 13 of the electronic medical chart apparatus 10. The electronic medical record screen 131 includes a SOAP field 81, a prescription / treatment field 82, a stamp field 83, and the like.

The SOAP column 81 includes S (Subjective: subjective information such as a patient's complaint), O (Objective: objective information such as test results and test images), A (Assessment: diagnosis / evaluation by a doctor), P (Plan: (Treatment policy / plan)), and is an area for inputting patient symptoms and diagnosis contents.
The prescription / treatment column 82 is an area for inputting prescriptions, treatments, and the like for the patient.

In the stamp field 83, items frequently used for inputting electronic medical records are registered as stamps. For example, a tab classified for each predetermined item is provided, and when a tab for each item is selected, a stamp included in the item is displayed. When the operator drags and drops one of the stamps into the SOAP column 81 or the prescription / treatment column 82, the contents corresponding to the stamp are added to the movement destination area.
Note that the name of the disease displayed on the “injury name” tab of the stamp field 83 can be freely set in advance.

  The control unit 11 causes the storage unit 15 to store electronic medical record information including the content input from the operation unit 12. In addition, the control unit 11 transmits the input content to the image management apparatus 20 via the communication unit 14. The contents input in the electronic medical chart device 10 include information on the name of the disease indicating the name of the patient, information on the site indicating the site related to the disease, and the like. In the electronic medical record screen 131 shown in FIG. 13, the evaluation column 81 </ b> A of the SOAP column 81 includes a wound name “influenza” and a site “chest”.

  In the image management apparatus 20, the control unit 21 acquires the contents (injury name information, part information, etc.) input in the electronic medical chart apparatus 10 from the electronic medical chart apparatus 10.

  Next, the control unit 21 searches for medical information related to wound name information and site information included in the input content based on the content input in the electronic medical chart device 10 (step S40). When searching from information existing on an external network, for example, by using “medical”, “guideline”, “PDF”, and “cirrhosis” as search keywords for a search engine, "Related guidelines hit. By changing “cirrhosis” to “hypercholesterolemia”, “pneumonia”, etc., it is possible to search for other wound names.

Next, the control unit 21 displays a list of search results on the display unit 23 (step S41).
The doctor selects any medical information from the search result list by the operation from the operation unit 22 (step S42).

  Next, the control unit 21 transmits URL information for accessing the selected medical information to the outside via the communication unit 24 by a wireless communication method (step S43).

  The patient's mobile terminal receives the URL information transmitted from the image management apparatus 20 by the wireless communication unit. When the patient operates the mobile terminal, the mobile terminal accesses the medical information indicated by the URL information and displays the medical information.

In the electronic medical chart apparatus 10, the prescription / treatment for the patient is recorded by the operation from the operation unit 12 (step S44).
This completes the third medical information provision process.

  As described above, according to the third embodiment, since URL information for accessing medical information related to patient medical care information related to patient medical care is output, medical care that is useful for patients easily. Information can be provided. Thereby, the patient can browse medical information without being limited to the hospital. In addition, since medical information related to patient medical information is searched, there is no need for a doctor to input a search keyword.

In addition, when searching for medical information related to patient medical care information from information existing on an external network, the latest information can always be provided to the patient.
On the other hand, when searching for medical information using a correspondence table prepared in advance in the image management apparatus 20, even if some kind of failure occurs, such as interruption with an external network, a certain amount of information is provided. Can do.

  In addition, since the image management apparatus 20 obtains wound name information indicating the patient's injury / illness name input from the electronic medical record apparatus 10 from the electronic medical record apparatus 10 and part information indicating a portion related to the injury / illness, Medical information can be searched using the obtained information.

  Also, since URL information for accessing medical information is transmitted to an external device, the device that has received this URL information can easily access the medical information site indicated by the URL information.

  Further, the doctor can select medical information to be output as information to be provided to the patient from the searched medical information.

  In addition, the description in each said embodiment is an example of the medical information provision system which concerns on this invention, and is not limited to this. The detailed configuration and detailed operation of each device constituting the system can be changed as appropriate without departing from the spirit of the present invention.

  For example, in each of the above-described embodiments, the case where the image management apparatus 20 selects medical information to be output from the searched medical information has been described. However, the search is performed without selecting the medical information. URL information corresponding to all medical information may be output. In particular, when the number of medical information presented as search results is limited, such as when searching for medical information using a correspondence table prepared in advance in the image management apparatus 20, select medical information. You don't have to.

  Further, in each of the above embodiments, URL information for accessing medical information and a case where URL information obtained by converting the URL information into a two-dimensional bar code has been described. However, URL information for accessing data related to an exposure dose. Etc. may be presented.

DESCRIPTION OF SYMBOLS 10 Electronic medical record apparatus 11 Control part 12 Operation part 13 Display part 14 Communication part 15 Storage part 20 Image management apparatus 21 Control part 22 Operation part 23 Display part 24 Communication part 25 Storage part 30 Printer 40 Ultrasonic diagnostic apparatus 42 Ultrasonic probe Child 51 Control unit 52 Operation input unit 56 Storage unit 57 Display unit 58 Print unit 59 Communication unit 60 X-ray imaging apparatus 100 Medical information providing system 231 List screen N Hospital network

Claims (9)

An acquisition means for acquiring patient medical information relating to the medical treatment of the patient;
Search means for searching medical information related to the patient medical information based on the acquired patient medical information;
Output means for outputting URL information for accessing the searched medical information;
A medical information provision system comprising:   The medical information providing system according to claim 1, wherein the search means searches for the medical information from information existing on an external network. Storage means for storing patient medical information in association with URL information for accessing medical information related to the patient medical information;
The medical information provision according to claim 1, wherein the retrieval unit retrieves medical information related to the patient medical information by acquiring URL information associated with the acquired patient medical information from the storage unit. system.   The medical information provision according to any one of claims 1 to 3, wherein the acquisition unit acquires, as the patient medical information, site information indicating an imaging region of a patient imaged by the image generation device from an image generation device. system.   The acquisition unit acquires, as the patient medical information, wound name information indicating a patient's wound name input from the electronic medical chart device or part information indicating a site related to the wound disease from the electronic medical record device. 4. The medical information provision system according to any one of 3.   The medical information providing system according to any one of claims 1 to 5, wherein the output unit transmits the URL information to an external device.   The medical information providing system according to any one of claims 1 to 5, wherein the output unit prints the URL information on a recording medium. Encoding means for encoding the URL information;
The medical information providing system according to claim 7, wherein the output unit prints the encoded URL information. A selection means for selecting medical information to be output from the searched medical information;
The medical information providing system according to any one of claims 1 to 8, wherein the output unit outputs URL information for accessing the selected medical information.

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