JP2001318986A - Medical information processing system, terminal displaying medical images, and application server - Google Patents

Abstract

(57) [Summary] [PROBLEMS] To provide a medical information processing system, a terminal, and an application server with high security, efficiency, and ease of use. And A application server 12 medical information processing applications are mounted, in the medical information processing system constituted by a communication network 11 and a plurality of terminals 10 ₁ to 10 _N, the application server 12, a medical information storage Medical information database 2
4 and a virtual terminal control unit 23 that interfaces with the terminal 10. The terminal 10 is connected to the application server 12 via the virtual terminal control unit 23, and a plurality of terminals connected to the application server 12 The medical information stored in the information database server 24 can be simultaneously and independently processed, and further, the terminal
An input / output device locally connected to the terminal can be controlled via the application server.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

[0001] The present invention relates to a medical information processing system, a terminal for displaying medical images, and an application server.

[0002]

2. Description of the Related Art In recent years, the Internet has attracted attention as information communication means, and has been applied to medical treatment. Until now, general Internet technology has been used for medical treatment as it is.

However, medical information deals with life,
Since it is one of the basic information of humans, it is required to maintain the quality of the medical information and to ensure the security when storing, transmitting, and using the medical information.

[0004] Therefore, building an information system that ensures security limited to medical personnel is of the utmost importance for using medical information on the Internet, but there are few techniques from this viewpoint. Furthermore, there are very few medical information processing systems that improve the usability of medical staff while maintaining the quality of medical information.

For example, Japanese Patent Application Laid-Open No. 11-312201 (title of the invention: medical information management processing system) discloses personal medical information (examination, medical treatment,
It describes a medical information management processing system that comprehensively manages medical examinations, texts such as physical findings, image information such as CT photographs, and commonly used on the Internet and the like.

[0006] Thereby, each medical institution can use the medical information of the patient and the disease in common with each other, and the medical institution and the like can benefit.

[0007] Also, Japanese Patent Application Laid-Open No. 5-2613 (name of the invention: wide-area medical service system) discloses a communication terminal device distributed in a plurality of hospitals and a database of medical information shared by the plurality of hospitals. In a wide area medical service system organically connected by a communication network, I
A technique is described in which a C card is provided, access information about medical information stored in the database is stored for each IC card, and a medical service is received using the IC card.

[0008]

However, in the invention described in Japanese Patent Application Laid-Open No. H11-312201, although medical institutions can mutually use medical information such as patients and diseases, general Internet technology, Computer technology was brought directly to the medical field,
From a doctor's point of view, it was not always convenient.

[0009] The invention described in Japanese Patent Application Laid-Open No. Hei 5-2613 can use a database of medical information shared by communication terminal devices distributed in a plurality of hospitals, but the information system is a conventional one. It does not take into account the healthcare professionals, and also has a dedicated IC for each individual
There is a system burden of having to hold the card.

[0010] Therefore, an information system considering medical personnel is constructed without imposing any extra burden on the system, and a medical information processing system and a medical image that are highly secure, efficient, and easy to use are displayed. It is intended to provide a terminal and an application server.

[0011]

In order to solve the above problems, the present invention employs means for solving the problems having the following features.

According to a first aspect of the present invention, in a medical information processing system including an application server on which a medical information processing application is installed, a communication network, and a plurality of terminals, the application server includes: And a virtual terminal control unit for interfacing with a terminal, the terminal being connected to an application server via the virtual terminal control unit, and a plurality of terminals connected to the application server. The terminal enables the medical information stored in the medical information database server to be simultaneously and independently processed, and the terminal further connects an input / output device locally connected to the terminal via the application server. Control.

According to the first aspect of the invention, by controlling the input / output device locally connected to the terminal via the application server, the attending physician or the like can obtain the consent of the patient in advance, The information can be obtained for subsequent use, for example, a barcode output via an application server. Thereby, security can be enhanced.

According to a second aspect of the present invention, there is provided an image adjusting means for performing gamma correction in a terminal for displaying a medical image constituting a medical information processing system together with an application server in which a communication network and an application for medical information processing are installed. And a control button for controlling the image adjusting means is provided on a screen, and the image adjusting means is controlled by the control button according to the displayed medical image to perform image adjustment.

According to the second aspect of the invention, by performing image adjustment according to the displayed medical image, it is possible to display an optimum medical image for various medical images.

According to a third aspect of the present invention, there is provided an application server having a medical information processing application constituting a medical information processing system together with a communication network and a plurality of terminals. Medical information editing means for editing image data and text data stored in the medical information database, the text data includes diagnostic information by the attending physician and diagnostic information by a specialist group,
By the medical information editing means, edit the image data and text data obtained from the medical information database,
The medical image and the diagnostic information are simultaneously displayed on the terminal.

According to the third aspect of the present invention, appropriate information can be efficiently diagnosed by simultaneously displaying the diagnostic information by the attending physician, the diagnostic information by the specialist group, the medical image and the diagnostic information on the terminal.

According to a fourth aspect of the present invention, in the application server according to the third aspect, the screen on which the medical image and the diagnostic information are simultaneously displayed is an input screen on which a comment can be input. I do.

According to the fourth aspect of the invention, it is possible to input a comment while looking at the screen.

According to a fifth aspect of the present invention, there is provided an application server having a medical information processing application constituting a medical information processing system together with a communication network and a plurality of terminals, a medical information database storing medical information, Search means for searching for data stored in the medical information database using finding data as a key; storing medical images in the medical information database together with the finding data; The search result is displayed on the terminal together with the finding data using the key as a key.

According to the fifth aspect of the present invention, the result of the search using the finding data as a key is displayed on the terminal together with the finding data, so that the X-ray photograph of the mass examination can be viewed.
It is possible to input simple finding data on the spot, and then to see only the X-ray photograph corresponding to the finding data.

[0022]

Next, embodiments of the present invention will be described with reference to the drawings.

FIG. 1 shows medical information processing to which the present invention is applied.
It is an example of a system. 10₁-10 _NIs a medical institution,
It is a terminal provided in a health center. For example, doctors in hospitals use
Terminal used in the examination room
Used by doctors, laboratory technicians, etc.

Further, an application server described below
When dealing with medicine ordering of medical materials and calculation of medical fee, terminals provided in an accounting department, a medicine department, and the like may be used.

Each terminal can access the application server 12 via the communication network 11 such as the Internet and use the image database 22 and the code database 21 via the application system 20 for performing medical information processing. The image database 22 and the code database 21
Constitute the database 24.

The application server 12 is a server on the premise of distributed processing of terminals. The application system 20 has a terminal control unit 23 and is equipped with a metaframe (registered trademark). The communication using the metaframe (registered trademark) is a protocol that can perform highly secure communication, and is a protocol suitable for a medical information system requiring security. Note that the terminal control unit 23
It may be a part of Metaframe (registered trademark).

Since digital data based on Metaframe (registered trademark) transmits the difference between digital signals, even if the data is intercepted during transmission, the intercepted signal itself is
No meaningful data can be recovered.

The application server 12 has a virtual terminal control unit 23, and can connect each type of terminal via a network. The virtual terminal control unit starts up on the application server 12 and enables various terminals to perform processing simultaneously and independently.

[0029] For example, as shown in FIG. 2, the terminal 10 ₁
10 to 10 _M can use the database 24 via the virtual terminal control unit 25 as if they were monopolizing the application 20.

The code database 21 stores electronic medical records, findings of the attending physician, etc., findings of the interpreting physician regarding medical images, coded medical images, and the like, which are input by codes.

The image database 22 stores medical images, medical charts, and the like input as images.

Although each database has conventionally stored a receipt as a key, the present invention has a problem solving-oriented system structure in which patient data is stored as a key, and a user (physician, etc.) Has an easy-to-use data structure.

The interpreting doctor can access the application server 12 from his / her terminal via the communication network 11, obtain a medical image, and enter a comment in association with the medical image. For example, in a large hospital, when an X-ray is taken, it is immediately digitized,
Code database 21 of application server 12
To be stored. When transmitting the digitized medical image, the doctor can add a comment and store the image in the image database 22. However, after storing the medical image in the code database 21, the medical doctor stores the medical image stored in the code database 21. You can also look and enter comments.

Thereafter, the doctor who has requested the X-ray photograph accesses the application server 12 from his / her own terminal via the communication network 11 and acquires a medical image.
Prior to the patient, a freshly taken radiograph can be viewed, together with the comments of the reader, to make a diagnosis.

FIG. 3 is a diagram for explaining one of the functions of the application server 12 equipped with Metaframe (registered trademark).

The terminal 30 includes a barcode printer 31 and an application server 12 which are locally connected to the terminal 30.

When viewed from the terminal 30, the terminal control function of the application server 12 makes it appear that the terminal 30 is connected to a dedicated application.

In the present invention, the attending physician or the like
Without consent, it is also possible to construct a system in which subsequent medical information (for example, medical images) cannot be used.

For example, the attending physician or the like instructs the application server 12 to obtain a consent from the patient in advance, and to output a barcode for subsequently using the medical information (38). The dedicated application of the application server 12 outputs a barcode to the barcode printer 31 (39). Thereby, the barcode printer 31 outputs a barcode 32.

The barcode includes the attribute of the attending physician, patient I
D, information such as medical images are stored, and the attending physician can easily use the medical images of the patient using the output barcode. The attributes of the attending physician include the attributes of the doctor of the medical institution, the doctor who has been accessed by the external medical institution, and the like.

In order to give consent to the attending physician or the like in advance, the patient uses a password registered in the application server 12 together with the patient ID.

The patient gives this consent by inputting this password on the consent screen shown by the attending physician or the like.

Note that instead of inputting this password,
The medical care card held by the patient may be read.

When consent is given to the attending physician or the like in advance, the attending physician or the like can use information such as the sex, age, and address of the patient in addition to the medical image.

FIG. 4 shows a flowchart when a doctor or the like uses the application server 12.

A doctor or the like accesses the application server from the terminal (S10). Then, a user ID / password authentication screen is transmitted from the application server 12, and the user's ID and password are input and transmitted on the screen (S11). The application server 12 authenticates whether the ID is a registered ID and further checks whether the password corresponds to the ID. If OK, return OK to the user.

Note that the application server 12 varies the range in which medical information can be viewed from the user ID. The access right is set for the case of the attending physician (S14) and for the other cases (S15).

FIG. 5 is a diagram for explaining a screen on which the attending physician views a medical image of a patient.

The attending physician accesses the application server 12 according to the flow shown in FIG. 4 and obtains a medical image by specifying a patient ID and a necessary medical image.

At this time, a list of image data of the selected patient is displayed on the screen 40. The reduced image is displayed in a list.

The doctor selects the image d by clicking the reduced image d by operating the mouse (screen 41). As a result, as shown in the screen 42, the reduced image d is enlarged and displayed.

According to the present invention, a terminal for displaying a medical image has image adjusting means for performing gamma correction, a control button for controlling the image adjusting means is provided on a screen, and the control button is provided in accordance with the displayed medical image. Thus, the image adjustment means can be controlled by controlling the image adjustment means.

In gamma correction, since the reproducibility of the display device is not linear with respect to the display data, the signal itself is deformed and applied to the display device, and as a result, an image with good reproducibility is output from the display device. It is a correction to obtain.

Specifically, when the magnitudes of the display signals R, G, and B are Y _R , Y _G , and Y _B , Y _R ^k1 ,
And _{Y G} ^k1, Y ^{B k1,} is to adjust the value of k1.

The signal processing relating to gamma correction may be performed by the terminal or the application server 12.

On the screen 42, in addition to the image control button A,
It has an enlargement / reduction adjustment button B for enlarging / reducing an image, a brightness adjustment button C, and a contrast adjustment button D. The image is automatically subjected to gamma correction, enlargement / reduction, brightness adjustment, and contrast adjustment. Adjust by hand if necessary.

The application server has medical information editing means for editing image data and text data.

Next, an outline of the information editing means will be described with reference to FIG.

The screen 50 is a screen on which a medical image is displayed.

On this screen 50, a comment button E
Is pressed, the screen 51 is displayed. On the screen 50, when the image + comment button F is pressed, the screen 53 can be obtained.

The screen 51 is a comment image. Medical record unit 51 ₁ and the group of specialists medical record written by the attending physician is displayed and a forum section 51 ₂ Metropolitan described. The chart unit 51 _1, medical record written by the attending physician, patient information, such as inspection information is displayed.

[0062] Further, in the forum section 51 _2, and displays the diagnostic information by specialists group. Note that the screen 51 may display one of the chart portion 51 ₁ and the Forum section 51 ₂ only.

On this screen 51, a screen 53 can be obtained by pressing an image + comment button G.

[0064] screen 53 is a screen for displaying the medical image and the medical record unit or forum section, the medical image 53 ₁ and chart Matabu are displayed together and the forum section 53 _2.

Screen 52 shows a screen for displaying a forum section and inputting a forum.

The forum section displays a diagnosis of a group of doctors led by a certified physician for each medical data analysis specializing in the interpretation of radiographs and the like, and displays diagnosis information referred to by the attending physician.

The forum section is written by a certified physician, but the certified group leader may check and confirm the diagnostic findings.

As a result, the reliability of the diagnostic findings of the forum section is further improved.

[0069] on the screen 52 _1, the name of the doctor who comments, default and are displayed in, in 52 _2, comment is described on the X-ray photographs. After the entry, when the registration button is pressed, it is registered in the code database 21. The registered information is displayed on the screen 51 or 53.

The application server 12 has a search means for searching using finding data as a key.

A medical image is stored in the medical information database together with the finding data, and a search result using the finding data as a key can be displayed on the terminal using this search means.

For example, in the case of a group examination, a series of X-rays can be viewed, a simple finding can be entered and data can be input on the spot, and then only the X-rays corresponding to the finding can be viewed. .

However, regarding disclosure of the findings to the patient, it is possible to supply information for specifying an individual only when the responsible medical institution accesses with an appropriate patient ID.

Next, FIG. 7 shows an example of a processing flow for creating a database in the present system.

An example in which X-ray photography is performed will be described.

The doctor makes a diagnosis, instructs X-ray photography, and fills in a medical record (S20). Upon receiving instructions,
The X-ray engineer performs X-ray photography (S21).
The radiographer develops the film (S22). The doctor inputs the handwritten medical record from the terminal. In addition, the doctor
At the stage of S20, a chart may be input from the terminal.

After that, the center digitizes the handwritten medical chart and the X-ray film and stores them in the medical chart database and the code database of the application server 12.

On the other hand, the doctor registers the digitized electronic medical record in the application server 12 (S25).
An X-ray photograph is checked (S26). The inspection technician also checks the radiograph (S27).

Thus, the database of the application server 12 is created. In the system shown in FIG. 1, medical information (examination, medical treatment, medical examination, characters such as physical findings, image information such as CT photographs, ordering of medicines for medical materials,
All medical information can be managed by one application server 12 and processed by an application on the server.

The medical worker can access the application server from each terminal and make a diagnosis. At this time, since the diagnostic application is on the server side, a comfortable working environment can be provided regardless of the capacity and performance of the terminal. In addition, regarding the ordering of medicines for medical materials, the calculation of medical fees, and the like, a comprehensive medical system can be provided by using an application mounted on a server or a terminal.

As described above, according to the present invention, it is possible to provide a medical information processing system, a terminal, and an application server with high security, efficiency, and ease of use.

According to the first aspect of the present invention, by controlling the input / output device locally connected to the terminal via the application server, the attending physician or the like obtains the consent of the patient in advance, The information can be obtained for subsequent use, for example, a barcode output via an application server. Thereby, security can be enhanced.

According to the second aspect of the invention, by performing image adjustment according to the displayed medical image, it is possible to display an optimal medical image for various medical images.

According to the third aspect of the present invention, the diagnosis information by the attending physician, the diagnosis information by the specialist group, the medical image and the diagnosis information are simultaneously displayed on the terminal, so that appropriate diagnosis can be efficiently performed.

According to the invention described in claim 4, a comment can be input while looking at the screen.

According to the fifth aspect of the present invention, the result of the search using the finding data as a key is displayed on the terminal together with the finding data, so that the X-ray photograph of the mass examination can be viewed.
It is possible to input simple finding data on the spot, and then to see only the X-ray photograph corresponding to the finding data.

[Brief description of the drawings]

FIG. 1 is an example of a medical information processing system to which the present invention is applied.

FIG. 2 is a diagram (part 1) for explaining one of the functions of an application server;

FIG. 3 is a diagram (part 2) for explaining one of the functions of the application server;

FIG. 4 is a flowchart illustrating a case where a doctor or the like uses an application server.

FIG. 5 is a diagram for explaining a screen on which an attending physician views a medical image of a patient.

FIG. 6 is a diagram for explaining an outline of an information editing unit.

FIG. 7 is an example of a processing flow of creating a database in the present system.

[Explanation of symbols]

10, 30 terminal 11 communication network 12 application server 20 application system 21 code database 22 image database 23 virtual terminal control unit 24 database 31 barcode printer 32 barcode output 40, 41, 42, 50, 51, 52, 53 output screen

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Yasuo Takahashi 2-3-8-405 Mukohara, Itabashi-ku, Tokyo (72) Inventor Toshito Nagata 52-2-205, Otaniguchikamimachi, Itabashi-ku, Tokyo (72) Invention Party Masato Kito 3-10-2 Yukicho, Kawaguchi-shi, Saitama F-term (reference) in NCS Ltd. 5E501 AA25 AC33 AC34 BA05 DA02 EA10 FA03 FA13 FA14

Claims (5)

[Claims] 1. A medical information processing system comprising an application server on which a medical information processing application is installed, a communication network and a plurality of terminals, wherein the application server comprises: a medical information database for storing medical information; A virtual terminal control unit that interfaces with a terminal, wherein the terminal is connected to an application server via the virtual terminal control unit, and the plurality of terminals connected to the application server are:
The medical information stored in the medical information database server can be processed simultaneously and independently, and further,
The medical information processing system, wherein the terminal controls an input / output device locally connected to the terminal via the application server. 2. A terminal for displaying a medical image constituting a medical information processing system together with an application server on which a communication network and an application for medical information processing are mounted, comprising: an image adjusting means for performing gamma correction; A terminal for displaying a medical image, wherein a control button for controlling the image processing is provided on a screen, and the image adjustment is performed by controlling the image adjusting means by the control button in accordance with the displayed medical image. 3. An application server having a medical information processing application constituting a medical information processing system together with a communication network and a plurality of terminals, wherein: a medical information database storing medical information; and a medical information database stored in the medical information database. Medical information editing means for editing image data and text data, wherein the text data includes diagnostic information by the attending physician and diagnostic information by a specialist group, and is obtained from the medical information database by the medical information editing means. Edit image data and text data,
An application server, wherein a medical image and diagnostic information are simultaneously displayed on said terminal. 4. The application server according to claim 3, wherein the screen displaying the medical image and the diagnostic information simultaneously is an input screen on which a comment can be input. 5. An application server having a medical information processing application constituting a medical information processing system together with a communication network and a plurality of terminals, wherein: a medical information database storing medical information; and a medical information database stored in the medical information database. Search means for searching data using finding data as a key, storing medical images in the medical information database together with the finding data, and using the searching means to search results using the finding data as a key. And an application server for displaying on the terminal together with the finding data.