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WO2008026519A1 - Dispositif de fourniture d'informations médicales, système et programme de fourniture d'informations médicales - Google Patents

Dispositif de fourniture d'informations médicales, système et programme de fourniture d'informations médicales Download PDF

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Publication number
WO2008026519A1
WO2008026519A1 PCT/JP2007/066477 JP2007066477W WO2008026519A1 WO 2008026519 A1 WO2008026519 A1 WO 2008026519A1 JP 2007066477 W JP2007066477 W JP 2007066477W WO 2008026519 A1 WO2008026519 A1 WO 2008026519A1
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WO
WIPO (PCT)
Prior art keywords
information
medical image
recording medium
medical
image information
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2007/066477
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English (en)
Japanese (ja)
Inventor
Naoki Hayashi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Konica Minolta Medical and Graphic Inc
Original Assignee
Konica Minolta Medical and Graphic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Konica Minolta Medical and Graphic Inc filed Critical Konica Minolta Medical and Graphic Inc
Publication of WO2008026519A1 publication Critical patent/WO2008026519A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

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

Definitions

  • the present invention relates to a medical information providing device, a medical information providing system, and a program that provide medical image information.
  • Patent Document 1 For example, a medical information providing apparatus that efficiently stores information by associating and storing medical images and address information on a network of medical information files has been proposed (see Patent Document 1). .
  • PDI Portable Data for Imaging
  • IHE Integrating the Healthcare Enterprise
  • medical image information is stored in a recording medium such as a CD-R (Compact Disk Recordable) or a DVD-R (Digital Versatile Disk Recordable), and the data is transferred by transporting the recording medium.
  • CD-R Compact Disk Recordable
  • DVD-R Digital Versatile Disk Recordable
  • Patent Document 1 Japanese Unexamined Patent Application Publication No. 2004-287773
  • the present invention has been made in view of the above-described problems in the prior art, and an object thereof is to efficiently write medical image information on recording media.
  • the medical information providing apparatus receives the medical image information and the address information on the storage destination network where the medical image information is stored.
  • Writing means for electronically writing to the recording medium is provided.
  • the address information includes identification information of the medical image information and identification information of the recording medium.
  • storage means for storing identification information of the recording medium and access authority of a user who uses the recording medium in association with each other, and the medical image based on the address information written on the recording medium
  • the recording medium is identified based on the identification information of the recording medium included in the address information, and the access authority corresponding to the identification information of the recording medium is given from the storage means.
  • the medical image information is preferably medical image information conforming to the DICOM standard.
  • the medical information providing system records the medical image information and the address information on the storage destination network where the medical image information is stored.
  • a medical information providing apparatus having a writing means for electronically writing to a media; and a storage destination of the medical image information based on the address information written to the recording medium, connected to the medical information providing apparatus via a network.
  • a terminal device provided with an access means for accessing.
  • the address information includes identification information of the medical image information and identification information of the recording medium.
  • the medical information providing apparatus includes storage means for storing the identification information of the recording medium and the access authority of the user who uses the recording medium in association with each other, and address information written on the recording medium If there is an access to the storage location of the medical image information based on the recording medium, the recording medium is identified based on the recording medium identification information included in the address information, and the recording medium identification information is stored in the storage unit. It is preferable to include a control unit that obtains an access authority corresponding to the above and restricts functions when browsing the medical image information based on the obtained access authority.
  • the medical image information is preferably medical image information conforming to the DICOM standard.
  • the program electronically writes the address information on the storage destination network where the medical image information is stored together with the medical image information to the recording medium.
  • the address information includes identification information of the medical image information and identification information of the recording medium.
  • the computer further includes means for storing the identification information of the recording medium and the access authority of the user who uses the recording medium in association with each other, and storing the information in the address information written on the recording medium. Based on the identification information of the recording medium included in the address information, the recording medium is identified when the storage destination of the medical image information is accessed based on the storage information. It is preferable to function as a means for obtaining a corresponding access authority and performing a function restriction when browsing the medical image information based on the acquired access authority.
  • the medical image information is preferably medical image information conforming to the DICOM standard. Good.
  • the medical image information and the address information of the storage destination of the medical image information are written on the recording medium, so that it is not necessary to write the browsing image or the browsing function application separately from the medical image information. And most of the capacity of recording media can be used for medical image information. Therefore, the power S for efficiently writing medical image information on the recording medium is reduced.
  • the address information includes identification information of medical image information and identification information of a recording medium
  • the recording medium can be identified from the address information written on the recording medium.
  • FIG. 1 is a system configuration diagram of a medical information providing system according to a first embodiment of the present invention.
  • FIG. 2 is a block diagram showing a functional configuration of a data management server.
  • FIG. 3 is a block diagram showing a functional configuration of a general PC.
  • FIG. 4 is a flowchart showing media writing processing.
  • FIG. 5 is a ladder chart showing a first medical information provision process.
  • FIG. 6 is a diagram showing an example of a selection screen.
  • FIG. 7 is a system configuration diagram of a medical information providing system according to a second embodiment of the present invention.
  • FIG. 8 is a block diagram showing a functional configuration of a client terminal.
  • FIG. 9 is a ladder chart showing a second medical information provision process.
  • FIG. 10 is a system configuration diagram of a medical information providing system according to a third embodiment of the present invention. It is.
  • FIG. 1 is a system configuration diagram of the medical information providing system 100.
  • a medical information providing system 100 includes a data management server 10 and a general PC (Personal Computer) 20, and each device is a LAN (Local Area Network) or WAN (Wide Area Network). Connected via network N consisting of communication lines.
  • the data management server 10 is installed in the hospital A and includes a storage device 15. As a communication method in Hospital A, DICOM standard is used!
  • the data management server 10 is a device that stores and manages medical image information, patient information, examination information, and the like generated in the hospital A.
  • the recording media hereinafter referred to as media
  • PDI recording media
  • FIG. 2 shows a functional configuration of the data management server 10.
  • the data management server 10 includes a CPU (Central Processing Unit) 11, an operation unit 12, a display unit 13, a communication unit 14, a storage device 15, a ROM (Read Only Memory) 16, a RAM (Random Access Memory) 17, media writing unit 18, and the like, and each unit is connected by a bus 19.
  • CPU Central Processing Unit
  • operation unit 12 a display unit 13
  • communication unit 14 a storage device
  • ROM Read Only Memory
  • RAM Random Access Memory
  • the CPU 11 reads a system program and various processing programs stored in the ROM 16, develops them in a work area formed in the RAM 17, and controls each part according to the programs.
  • the operation unit 12 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and is input by a key operation or a mouse operation on the keyboard. Output the instruction signal to CPU11. From the operation unit 12 according to the instructions of the display signals input from the CPU 11. Input instructions and data are displayed.
  • the communication unit 14 includes a LAN adapter, a norator, a TA (Terminal Adapter), and the like, and exchanges data with each device connected to the network N.
  • the storage device 15 is a storage device such as a hard disk.
  • medical image information conforming to the DICOM standard generated by various modalities, patient information corresponding to each medical image information, examination information, etc. Save image related information.
  • Medical image information is categorized by folders for patients, examination dates, and modalities.
  • the storage device 15 stores media identification information (hereinafter referred to as media identification information) in association with the access authority of the user who uses the media.
  • the media identification information is information that differs for each media, such as the serial number of the media. Media can be identified by the media identification information.
  • the ROM 16 is configured by a nonvolatile semiconductor memory or the like, and stores a system program executed by the CPU 11, various processing programs including a media writing processing program, various data, and the like. These various programs are stored in the form of a readable program code, and the CPU 11 sequentially executes operations according to the program code.
  • the RAMI 7 forms a storage area for temporarily storing various programs, input or output data, parameters, and the like read from the ROM 16 in various processes controlled by the CPU 11.
  • the media writing unit 18 electronically writes the address information on the storage destination network where the medical image information is stored together with the medical image information stored in the storage device 15 to the medium.
  • Medical image information is written as a DCM file in PDI
  • address information is written as an Other file.
  • the address information includes identification information for medical image information (hereinafter referred to as image identification information) and media identification information.
  • image identification information identification information for medical image information
  • media identification information As the media, C 0— N 0 ⁇ 0— 1 ⁇ etc. is used.
  • the CPU 11 When the storage destination of the medical image information is accessed based on the address information written on the medium, the CPU 11 identifies the medium based on the medium identification information included in the address information, and from the storage device 15 Acquires the access authority corresponding to the media identification information. And restricting functions when browsing medical image information based on the acquired access authority. For example, medical image information is browsed by providing only a browsing function for general patients, and providing a function that can perform image processing such as gradation processing on medical image information for doctors. Restrict functions according to the user.
  • the general PC 20 is a normal PC used by a patient.
  • Figure 3 shows the functional configuration of the general PC20.
  • the general PC 20 includes a CPU 21, an operation unit 22, a display unit 23, a communication unit 24, a ROM 25, a RAM 26, a media reading unit 27, etc., and each unit is connected by a bus 28. .
  • the CPU 21 reads a system program and various processing programs stored in the ROM 25, develops them in a work area formed in the RAM 26, and controls each part according to the programs.
  • the operation unit 22 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and is input by a key operation or a mouse operation on the keyboard. Output the instruction signal to CPU21.
  • the display unit 23 is configured by a monitor such as an LCD or CRT, and displays an input instruction, data, or the like from the operation unit 22 in accordance with an instruction of a display signal input from the CPU 21.
  • the communication unit 24 includes a LAN adapter, a router, a TA, and the like, and transmits and receives data to and from each device connected to the network N.
  • the ROM 25 is configured by a nonvolatile semiconductor memory or the like, and stores a system program executed by the CPU 21, various processing programs, various data, and the like. These various programs are stored in the form of readable program code, and the CPU 21 sequentially executes operations according to the program code.
  • the RAM 26 forms a storage area for temporarily storing various programs read from the ROM 25, input or output data, parameters, and the like in various processes controlled by the CPU 21.
  • the media reading unit 27 reads the medical image information written on the medium and the address information on the storage destination network where the medical image information is stored.
  • the CPU 21 accesses the storage location of the medical image information via the network N based on the address information read by the media reading unit 27.
  • FIG. 4 is a flowchart showing media writing processing executed in the data management server 10.
  • the media writing process is realized by software processing in cooperation with the CPU 11 and the media writing process program stored in the ROM 16.
  • medical image information to be written is selected from medical image information stored in the storage device 15 according to an operation instruction from the operation unit 12 (step Sl).
  • an address generation pattern is selected according to an operation instruction from the operation unit 12 (step S3).
  • the address generation pattern indicates a combination of whether or not to generate address information for selecting an inspection date, address information for selecting a modality, and address information for selecting a single image, and is selected according to a user's usage method.
  • step S5 when designating by examination date (step S4; YES), address information for examination date selection is generated (step S5).
  • the address information for selecting the examination date is for remotely accessing the folder in the storage device 15 where the medical image information of the target examination for the day is stored. If the inspection date is not specified (step S4; NO), the process proceeds to step S6.
  • step S7 when designating by modality (step S6; YES), address information for modality selection is generated (step S7).
  • the address information for selecting the modality is stored in the storage device 15 in a folder in which medical image information generated by the modality is stored.
  • step S8 if no modality designation is made in step S6 (step S6; NO), or if only one medical image information is selected in step S2 (step S2; NO) ), Address information for single image selection is generated (step S8).
  • the address information for selecting a single image is for remote access to the medical image information in the storage device 15.
  • This address information includes image identification information such as a SOP instance UID for specifying a medical image, and Media identification information.
  • SOP Instagram The instance UID is a value generated from the modality manufacturer, model, value for each device, shooting date, etc., and a different value is assigned to each image.
  • step S9 when other medical image information is selected (step S9; YES), the process returns to step S I and the processes of steps S1 to S9 are repeated. If no other medical image information is selected in step S9 (step S9; NO), the media writing unit 18 writes the selected medical image information and the generated address information to the media (step S9). Ten).
  • the media identification information and the access authority of the user who uses the media are associated and registered in the storage device 15 (step S11).
  • the media created in this way is delivered from the doctor in hospital A to the patient.
  • the patient can view medical images from a general PC 20 installed at home.
  • the first medical information provision process in the medical information provision system 100 will be described with reference to FIG. This process is performed when the patient accesses the data management server 10 from the general PC 20 and browses the medical image stored in the storage device 15.
  • the media reading unit 27 stores medical image information and medical image information from the medium.
  • the address information on the destination network is read and the selection screen is displayed on the display unit 23 (step S22).
  • FIG. 6 shows an example of the selection screen 230 displayed on the display unit 23.
  • the selection screen 230 displays the patient ID, name, gender, examination date, modality, etc., and the image number of the medical image to be displayed is selected in the selection areas 231 and 232. Displayed as possible.
  • images from 1 to 10 can be selected, and in the selection area 232, only 1 can be selected.
  • Each image number is associated with the address information of the storage location of each medical image.
  • By operating the mouse of the operation unit 22 and clicking the image number on the selection screen 230 each image number is stored. Can be accessed.
  • the power to select a single image The characters “CT” and “CR” displayed as modalities on the screen may be selectable and specified by the modality, or specified by the examination date. You can do it! /
  • Step S 23 in response to an operation instruction from the operation unit 22, an image number of a medical image to be displayed is selected, and address information of a medical image storage destination associated with the image number is selected.
  • the general PC 20 notifies the data management server 10 of the address information selected in step S23 (step S24).
  • the access source medium that is, the access user is identified based on the medium identification information included in the address information (step S25).
  • the image identification information included in the address information medical image information to be displayed is acquired from the storage device 15 (step S26).
  • the access authority of the user corresponding to the media identification information is confirmed from the storage device 15 (step S27).
  • step S28 medical image information and a browsing function corresponding to the access authority are provided to the general PC 20 (step S28).
  • a medical image is displayed on the display unit 23 based on the medical image information provided from the data management server 10 (step S29).
  • the medical image information and the address information of the storage destination of the medical image information are written on the medium. There is no need to write functional applications and most of the media capacity can be used for medical image information. Therefore, medical image information can be efficiently written on the medium.
  • the medium can be identified based on the medium identification information included in the address information written on the medium.
  • functions are restricted when browsing medical image information based on the access authority corresponding to the media identification information. For example, for a general user, inadvertent operations can be performed by omitting complicated functions. Can be prevented.
  • FIG. 7 is a system configuration diagram of the medical information providing system 200 according to the second embodiment.
  • the medical information providing system 200 includes a data management server 10 in Hospital A.
  • a network N consisting of communication lines such as LAN and WAN.
  • the configuration of the data management server 10 in the hospital A is the same as that in the first embodiment, and thus the description thereof is omitted.
  • the data management server 30 in the hospital B has the same configuration as the data management server 10, and includes a storage device 35 similar to the storage device 15, and stores medical image information and the like generated in the hospital B. Save and manage.
  • the client terminal 40 is a terminal used when a doctor at hospital B interprets a medical image, and has higher performance than a general PC.
  • FIG. 8 shows a functional configuration of the client terminal 40.
  • the client terminal 40 includes a CPU 41, an operation unit 42, a display unit 43, and a communication unit.
  • the CPU 41 reads a system program and various processing programs stored in the ROM 45, develops them in a work area formed in the RAM 46, and controls each part according to the programs.
  • the operation unit 42 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and is input by a key operation or a mouse operation on the keyboard. Output the instruction signal to CPU41.
  • the display unit 43 is configured by a monitor such as an LCD or a CRT, and displays an input instruction, data, or the like from the operation unit 42 in accordance with an instruction of a display signal input from the CPU 41.
  • the communication unit 44 includes a LAN adapter, a router, a TA, and the like, and transmits and receives data to and from each device connected to the network N.
  • the ROM 45 is configured by a nonvolatile semiconductor memory or the like, and stores a system program executed by the CPU 41, various processing programs, various data, and the like. These various programs are stored in the form of readable program code. The operations according to the gram code are executed sequentially.
  • the RAM 46 forms a storage area for temporarily storing various programs, input or output data, parameters, and the like read from the ROM 45 in various processes controlled by the CPU 41.
  • the media reading unit 47 reads the medical image information written on the medium and the address information on the storage destination network where the medical image information is stored.
  • the CPU 41 accesses the storage location of the medical image information via the network N based on the address information read by the media reading unit 47.
  • the media writing process executed in the data management server 10 is the same as the media writing process described in the first embodiment, the description thereof is omitted. However, in the second embodiment, it is assumed that interpretation is performed by a doctor.
  • the access authority corresponding to the media identification information stored in the storage device 15 is set for the doctor.
  • the media is sent to the doctor in hospital B via the patient, or sent directly from hospital A to hospital B.
  • the media reading unit 47 causes the medical image information and medical image information to be read from the media.
  • the address information on the save destination network where is stored is read and the selection screen is displayed on the display unit 43 (step S32).
  • Step S 33 in response to an operation instruction from the operation unit 42, an image number of a medical image to be displayed is selected, and address information of a medical image storage destination associated with the image number is selected.
  • step S34 the address information selected in step S33 is notified from the client terminal 40 to the data management server 10 (step S34).
  • address information The access source medium that is, the access user, is identified based on the medium identification information included in (step S35).
  • step S36 medical image information to be displayed is acquired from the storage device 15 (step S36).
  • step S37 the access authority of the user corresponding to the media identification information is confirmed from the storage device 15 (step S37).
  • step S38 medical image information and a browsing function corresponding to the access authority are provided to the client terminal 40 (step S38).
  • a medical image is displayed on the display unit 43 based on the medical image information provided from the data management server 10 (step S39).
  • image processing such as gradation processing and display size change is performed as necessary (step S40).
  • the medical image information and the address information of the storage destination of the medical image information are written on the medium. There is no need to write functional applications and most of the media capacity can be used for medical image information. Therefore, medical image information can be efficiently written on the medium.
  • FIG. 10 is a system configuration diagram of the medical information providing system 300 according to the third embodiment.
  • the medical information providing system 300 includes a data management server 10 in hospital A and client terminals 50, 60, and 70.
  • Each device is a network composed of communication lines such as a LAN and a WAN. Connected by N.
  • the configuration of the data management server 10 is the same as in the first embodiment. I will omit the description. Further, the configuration of the client terminals 50, 60, 70 is the same as that of the client terminal 40 described in the second embodiment, and thus the description thereof is omitted.
  • the medical information providing system 300 described for the case where a doctor at hospital B interprets a medical image managed by hospital A is used by doctors in other departments within hospital A. This is a system that can interpret medical images managed by A.
  • the media writing process executed in the data management server 10 is the same as the media writing process described in the first embodiment. However, as in the second embodiment, it is assumed that interpretation is performed by a doctor.
  • the third medical information provision processing in the third embodiment has been described in the second embodiment, except that the locations where the client terminals 50, 60, and 70 are installed are different. Since this is the same as the second medical information provision process, description thereof is omitted.
  • the medical image information and the address information of the storage destination of the medical image information are written on the medium, so it is necessary to write the browsing image and the browsing function application separately from the medical image information. And most of the media capacity can be used for medical image information. Therefore, medical image information can be efficiently written on the medium.
  • the DICOM image file in the case of media output corresponding to PDI, the power described in the case of writing an image file with a shell IJ to the DICOM standard, such as a general patient, the DICOM image file is not required directly, and the user's In this case, it is possible to write only the address information without writing the DICOM image file itself! Further, in each of the above-described embodiments, the case where a medical image is browsed via the network N has been described. Further, image-related information such as patient information and examination information corresponding to the medical image information is used. However, remote access is possible.
  • the medical information providing apparatus, the medical information providing system, and the program according to the present invention may be used in the medical field in which diagnosis and medical care are performed using a medical image obtained by imaging a patient.

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Abstract

Des informations d'image médicale sont écrites dans un support d'enregistrement avec une haute efficacité. Un serveur de gestion de données (10) écrit électroniquement, dans un support, des informations d'image médicale stockées dans une unité de stockage (15) et les informations d'adresse sur l'adresse dans l'emplacement de stockage dans le réseau où sont stockées les informations d'image médicale. Les informations d'adresse comprennent des informations d'identification d'image et des informations d'identification de support. Un PC général (20) connecté au serveur de gestion de données (10) par le biais d'un réseau (N) accède à l'emplacement de stockage où sont stockées les informations d'image médicale en utilisant les informations d'adresse écrites dans le support. Le serveur de gestion de données (10) identifie le support en utilisant les informations d'identification de support incluses dans les informations d'adresse et effectue la limitation de fonction relative au moment où un utilisateur lit des informations d'image médicale sur la base du droit d'accès stocké et associé aux informations d'identification de support.
PCT/JP2007/066477 2006-08-29 2007-08-24 Dispositif de fourniture d'informations médicales, système et programme de fourniture d'informations médicales Ceased WO2008026519A1 (fr)

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JP2010238093A (ja) * 2009-03-31 2010-10-21 Toshiba Corp 医用画像管理システム、アプリケーションサーバ、およびクライアント端末
CN106027664A (zh) * 2016-06-29 2016-10-12 上海吉功信息技术有限公司 医疗设备运行管理系统及方法
JP2023035826A (ja) * 2021-08-30 2023-03-13 コニカミノルタ株式会社 医療情報管理装置及び医療情報管理プログラム

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JP2010238093A (ja) * 2009-03-31 2010-10-21 Toshiba Corp 医用画像管理システム、アプリケーションサーバ、およびクライアント端末
CN106027664A (zh) * 2016-06-29 2016-10-12 上海吉功信息技术有限公司 医疗设备运行管理系统及方法
CN106027664B (zh) * 2016-06-29 2019-05-10 上海信麟信息科技有限公司 医疗设备运行管理系统及方法
JP2023035826A (ja) * 2021-08-30 2023-03-13 コニカミノルタ株式会社 医療情報管理装置及び医療情報管理プログラム

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