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WO2018181637A1 - Dispositif d'affichage, système d'affichage, programme informatique, support d'enregistrement et procédé d'affichage - Google Patents

Dispositif d'affichage, système d'affichage, programme informatique, support d'enregistrement et procédé d'affichage Download PDF

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Publication number
WO2018181637A1
WO2018181637A1 PCT/JP2018/013073 JP2018013073W WO2018181637A1 WO 2018181637 A1 WO2018181637 A1 WO 2018181637A1 JP 2018013073 W JP2018013073 W JP 2018013073W WO 2018181637 A1 WO2018181637 A1 WO 2018181637A1
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WIPO (PCT)
Prior art keywords
display
identifier
section
medical information
displayed
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Application number
PCT/JP2018/013073
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English (en)
Japanese (ja)
Inventor
仁郎 太田
卓也 西本
充利 西本
貴浩 平山
岡本　隆浩
淳一郎 藤原
Original Assignee
大日本印刷株式会社
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.)
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Publication date
Application filed by 大日本印刷株式会社 filed Critical 大日本印刷株式会社
Priority to JP2019510083A priority Critical patent/JP7140109B2/ja
Publication of WO2018181637A1 publication Critical patent/WO2018181637A1/fr

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    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06F—ELECTRIC DIGITAL DATA PROCESSING
    • G06F3/00—Input arrangements for transferring data to be processed into a form capable of being handled by the computer; Output arrangements for transferring data from processing unit to output unit, e.g. interface arrangements
    • G06F3/01—Input arrangements or combined input and output arrangements for interaction between user and computer
    • G06F3/048—Interaction techniques based on graphical user interfaces [GUI]
    • G06F3/0481—Interaction techniques based on graphical user interfaces [GUI] based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance
    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data

Definitions

  • the present disclosure relates to a display device, a display system, a computer program, a recording medium, and a display method.
  • Such a medical information integrated management system is a server that centrally manages a large amount of medical information, an information processing device that transmits medical information obtained in each department to the server, and medical personnel such as doctors or nurses obtain medical information.
  • a display device for browsing or performing a required operation is provided.
  • the present disclosure has been made in view of such circumstances, and clearly discloses a display device, a display system, a computer program, a recording medium, and a display method that can sensuously grasp the temporal progress of medical information of a patient. To.
  • the display device is a display device that displays medical information of a patient on a display screen, and each section is divided into a plurality of sections. Are periodically and repeatedly arranged and displayed in the first display area of the display screen, and an identifier display processing unit for displaying a type identifier for identifying the type of medical information in the section.
  • FIG. 1 is a block diagram illustrating an example of a configuration of a display system 100 according to the present embodiment.
  • the display system 100 according to the present embodiment is, for example, a medical information integrated management system, and medical information such as diagnosis, diagnosis, and examination performed in a medical institution such as a hospital or a clinic is displayed for each patient since the oldest time. Integrated management is performed so that it can be referred to in time series over the period up to.
  • the display system 100 includes a server 20 that integrally manages medical information, a plurality of information processing devices 10 connected to the server 20 via a predetermined communication network, a display device 50, and the like.
  • a server 20 that integrally manages medical information
  • a plurality of information processing devices 10 connected to the server 20 via a predetermined communication network
  • a display device 50 and the like.
  • FIG. 1 only one display device 50 is shown for convenience, but a plurality of display devices 50 may be connected to the server 20.
  • the information processing apparatus 10 is installed in a plurality of treatment departments, medical departments, or examination departments in a medical institution, and can perform predetermined electronic data input processing, recording processing, editing processing, output processing, and the like.
  • the information processing apparatus 10 can be configured by a computer system including peripheral devices. For example, a radiation system, an electronic medical record system, an endoscope system, a physiological examination system, an electrocardiogram system, a sample laboratory system, a drug prescription system, etc. Can be configured.
  • the information processing apparatus 10 can transmit medical information such as image data, document data, and examination data to the server 20.
  • the server 20 includes a control unit 21, a storage unit 22, a communication unit 23, and the like that control the entire server 20.
  • the communication unit 23 has a communication function between the information processing apparatus 10 and the display apparatus 50, and can transmit and receive required information.
  • the storage unit 22 stores medical information transmitted by each information processing apparatus 10.
  • the storage unit 22 can store medical information in association with each patient for each piece of specific information that specifies a patient.
  • the control unit 21 can be configured by a CPU, a memory (ROM, RAM, etc.), a program stored in the memory, and the like, and extracts medical information stored in the storage unit 22 based on specific information that identifies a patient. Then, display data in a list display format is generated in which the extracted medical information is arranged in a matrix with two axes, a time axis indicating the medical period of the patient and an item axis indicating the contents of the medical information.
  • the display device 50 includes a display screen 51 such as a liquid crystal panel, a display processing unit 52, an operation input unit 53, a communication unit 54, a storage unit 55, and the like.
  • the display device 50 is used by medical personnel such as medical doctors, technicians, and nurses to operate and browse medical information, and is used for medical treatment and diagnosis.
  • the display device 50 can be configured by a computer device including a peripheral device, but may be a tablet device that can perform a touch operation on the screen.
  • the display device 50 may incorporate the function of the server 20.
  • the display device 50 can also accumulate and display necessary information via the network directly with the information processing device 10 without going through the server 20.
  • the display device 50 may incorporate the function of the information processing device 10.
  • the function of the information processing apparatus 10 can be incorporated into the display device 50 by extending the function of the electronic medical record system.
  • the display screen 51 included in the display device 50 is not limited to one, and may include a plurality of display screens (a plurality of display devices).
  • the operation input unit 53 includes a keyboard, a mouse, a track pad (touch pad), a stylus pen, and the like, and a medical worker needs icons (graphics, characters, numbers, symbols, etc.) on the display screen 51 or the display screen 51. Is operated (for example, in the case of a mouse, left click, right click, double click, etc.), the input operation is converted into a command corresponding to the operation and output to the display processing unit 52.
  • the communication unit 54 receives display data in a list display format transmitted by the server 20. Display data received by the communication unit 54 is stored in the storage unit 55.
  • FIG. 2 is a block diagram showing an example of the configuration of the display processing unit 52 of the present embodiment.
  • the display processing unit 52 includes a first display processing unit 521, a second display processing unit 522, an identifier display processing unit 523, and the like.
  • the display processing unit 52 can be configured by a CPU, a memory (ROM, RAM, etc.), a program stored in the memory, and the like.
  • the display processing unit 52 receives medical information that is integrated and managed by the server 20 via the communication unit 54, so that medical information necessary for diagnosis and diagnosis can be changed for each patient according to the use of each medical worker. In addition, a process of displaying the past medical information to the latest medical information in time series is performed.
  • FIG. 3 is an explanatory diagram showing an example of medical information.
  • Medical information can be organized hierarchically from a superordinate concept to a subordinate concept.
  • the higher-level types of medical information can be divided into images, specimens, documents, and the like.
  • the upper classification can include examination, medication, and the like.
  • the next lower type of the upper type may include, for example, CT (Computed Tomography), MR (Magnetic Resonance: MRI), US (Ultrasonography), CR (Computed Radiation), and the like. it can.
  • CT Computer Tomography
  • MR Magnetic Resonance: MRI
  • US Ultrasonography
  • CR Computed Radiation
  • the upper type is a specimen
  • the next lower type after the upper type can include, for example, an endoscope, a fundus, an electrocardiogram, and the like.
  • the next lower type after the upper type can include, for example, an introduction document, a diagnostic document, a report, an inquiry form, a consent form,
  • CT CT image
  • CT1, CT2, CT3,... can indicate different parts such as head CT, chest CT, and abdominal CT.
  • MR, US, CR, endoscope, fundus and electrocardiogram CT1, CT2, CT3,...
  • the images also include moving images.
  • the medical information (data) shown in FIG. 3 is an example, and is not limited to the example of FIG.
  • the examination includes data such as brain waves, ultrasound, arteriosclerosis, blood pressure, and body temperature as physiological data
  • sample data includes, for example, CEA (tumor marker), blood, Data such as pathology, urine, ALT (alanine aminotransferase) are included.
  • Dosing includes dosing information.
  • FIG. 4 is a schematic diagram illustrating an example of the first display area 61 and the second display area 62 displayed on the display screen 51 by the display processing unit 52 of the present embodiment.
  • the magnitude relationship between the first display area 61 and the second display area 62 can be adjusted as appropriate. That is, the vertical broken line indicating the boundary between the first display area 61 and the second display area 62 is movable in the left-right direction. If the second display area 62 is not displayed, only the first display area 61 may be displayed on the entire display screen 51. In addition, the first display area 61 and the second display area 62 can be displayed on separate display devices. In the example of FIG. 4, the first display area 61 and the second display area 62 are divided on the left and right, but may be divided on the upper and lower sides.
  • the first display processing unit 521 periodically arranges the sections obtained by dividing the period into a plurality of sections and displays them in the first display area 61 of the display screen 51.
  • the period can be all or part of the period from the oldest to the present date and time (time information) of the patient's medical information.
  • the parcels are divided into three days (early, mid and late) per day, quarters, quarters divided into four years, or four years (spring, summer, autumn, winter). It can be one of spring, summer, autumn and winter divided by.
  • the periodical repetition can be, for example, one week from Sunday to Saturday (or from Monday to Sunday) when a section is defined as one day. In addition, when the division is season, quarter, etc., the periodical repetition can be one year.
  • the identifier display processing unit 523 displays a type identifier for identifying the type of medical information in the section. Further, the identifier display processing unit 523 displays an information amount identifier for identifying the information amount of medical information in the section. As the information amount of the medical information to be identified, the number of medical data specified in the section may be identified. Further, the identifier display processing unit 523 displays a patient state identifier for identifying the patient state in the section.
  • the types of medical information include, for example, images, examinations, documents, and the like.
  • the medical information (type of medical information) can be hierarchically structured from a higher concept to a lower concept.
  • the type includes an inspection image obtained by various inspection apparatuses included in the image and an inspection.
  • Information on lower layers such as specimens or test sites or individual documents included in the document can be included.
  • the patient's condition includes, for example, whether there is an event related to the patient, such as whether the patient is hospitalized, whether surgery has been performed, whether there is a serious sudden change in condition, whether there is a change in the living environment of the patient, etc. .
  • FIG. 5 is a schematic diagram illustrating a first display example displayed on the display screen 51 by the display processing unit 52 of the present embodiment
  • FIG. 6 illustrates types displayed on the display screen 51 by the display processing unit 52 of the present embodiment
  • It is a schematic diagram which shows the 1st example of an identifier.
  • the display example shown in FIG. 5 is displayed in the first display area 61.
  • the sections are in units of one day (day of the week), and the sections are repeatedly arranged in a cycle of one week, and a period of more than one month is displayed.
  • the type identifiers arranged in the sections are CT identifiers 71 indicated by downward triangles whose vertices face downward, MR identifiers 72 indicated by rightward triangles whose vertices face right, and document identifiers 73 indicated by upward triangles whose vertices point upward. , And four specimen identifiers 74 indicated by left triangles whose vertices face left.
  • a rectangular identifier 81 arranged at the center of the section is a patient state identifier. The identifier 81 identifies the presence or absence of an event related to the patient, such as whether or not the patient is hospitalized, whether or not surgery has been performed, whether or not there is a serious sudden change in condition, and whether or not the patient's living environment has changed.
  • the identifier 81 can be displayed by changing the display mode according to the contents to be identified. The details of the contents can also be displayed by selecting the identifier 81 (for example, mouse over). In the example of FIG. 5, for example, the patient is hospitalized. In the figure, each identifier is given a different pattern for easy identification, but the type identifier is not limited to that shown in the figure.
  • some medical information can be represented according to the size of the identifier. That is, the information amount identifier for identifying the information amount of the medical information is displayed with the size of the type identifier.
  • the CT identifier 71 any one can be used in the order of the CT identifiers 71a, 71b, 71c, 71d as the amount of medical information (for example, CT images) related to CT increases.
  • the CT identifiers 71a, 71b, 71c, 71d may indicate that the number of CT images is one, two, three, four, or CT identifiers 71a, 71b, 71c.
  • the number of CT images may be expressed as 5, 10, 15, or 20.
  • the amount of information allocated according to the shape of the identifier can be set as appropriate. For other MR, document, and specimen type identifiers, it can be expressed that the amount of medical information increases as the triangle shape increases. Note that some medical information may be displayed corresponding to the number of type identifiers. In addition to the type identifier, an information amount identifier such as a symbol or a numerical value corresponding to the amount of medical information may be displayed in association with the type identifier by overlapping or displaying the type identifier near the type identifier. By doing so, it is possible to grasp a minute difference in medical information.
  • the sections are arranged periodically and the period is displayed on the display screen 51, and the type identifier for identifying the type of medical information is displayed in the section. Can be grasped sensuously. In addition, it becomes clear at which point in time or when there is medical information, and the presence of medical information can be grasped sensuously.
  • the information amount identifier (the size of the type identifier) that identifies the information amount of medical information is displayed in the section, it is possible to sensibly grasp how much medical information exists over time. Can do. In addition, the temporal change in the patient's condition can be grasped sensuously.
  • FIG. 7 is a schematic diagram showing a second display example displayed on the display screen 51 by the display processing unit 52 of the present embodiment.
  • the sections are in season (early, middle, and late), and the sections are repeatedly arranged in a cycle of one month, and a period of three months (quarter) is displayed.
  • the type identifier is the same as in the example of FIG.
  • the identifier 81 is a patient state identifier.
  • the length of the state such as the hospitalization period of the patient can be indicated according to the length.
  • the start point and end point of the state can also be represented by the positions of both end points in the time-series direction of the shape in which the identifier 81 is arranged.
  • FIG. 8 is a schematic diagram showing a third display example displayed on the display screen 51 by the display processing unit 52 of the present embodiment.
  • the parcels are quarters (1Q: 1st quarter, 2Q: 2nd quarter, 3Q: 3rd quarter, 4Q: 4th quarter), and the parcels are repeatedly arranged in a cycle of 1 year.
  • the period of is displayed.
  • the type identifier is the same as in the example of FIG.
  • the identifier 81 indicates the hospitalization period of the patient as in the example of FIG.
  • the sections can be repeatedly arranged in a cycle of one week or one year, and the period can be displayed in the first display area 61 of the display screen 51.
  • a section is set to be a day of the week (1 day) and is repeatedly arranged in a cycle of one week, one week from Sunday to Saturday (or from Monday to Sunday) is repeatedly arranged like a calendar, so the day of the calendar
  • the type identifier are displayed at the same time, and the day of the week and the type identifier can be grasped at the same time, making it easy to grasp the passage of time sensuously.
  • the second display processing unit 522 displays medical data indicating the content of medical information of a required section among the plurality of sections in the second display area 62 of the display screen 51 for each required section.
  • the second display processing unit 522 when the second display processing unit 522 receives a first section selection operation for selecting the section displayed in the first display area 61, the second display processing unit 522 indicates the medical information indicating the content of the medical information in the selected section. Data is displayed in the second display area 62. Note that the selection of a section by the first section selection operation may be one section or a plurality of sections.
  • FIG. 9 is a schematic diagram illustrating a first example of a selection operation for displaying medical data in the second display area 62 by the display processing unit 52 of the present embodiment.
  • FIG. 9 shows an example in which the first display area 61 displays a section of the day of the week (one day) for a period of about three months in a cycle of one week.
  • a medical worker moves a mouse cursor (pointer) M to a section on February 13 (also referred to as a mouse-over operation).
  • a mouse cursor pointer
  • the section of February 13 is selected (selection by the first section selection operation).
  • each type identifier has four pieces of medical data. Let's show that.
  • FIG. 10 is a schematic diagram showing a first display example of medical data by the display processing unit 52 of the present embodiment.
  • FIG. 10 shows the result of selection of the February 13 section shown in FIG. 9 (reference S).
  • the second display area 62 includes four CT image data 711 (four medical data) for CT, four MR image data 721 (four medical data) for MR, and four for the specimen.
  • the sample data 741 (four medical data) and four document data 731 (four medical data) for the document are displayed.
  • medical data such as image data is information representative of the contents of medical information, and is, for example, thumbnails (reduced images) of images selected from a plurality of images acquired in one examination.
  • a predetermined operation for example, clicking
  • the contents of the medical information can be displayed.
  • the medical information is a single medical image
  • the original medical image before being reduced can be displayed.
  • Medical data is not limited to thumbnails.
  • the medical data may be a keyword or a symbol as long as it can be displayed on behalf of the contents of the examination.
  • one or more images acquired in one examination are managed as one piece of medical information.
  • a representative image is selected from the plurality of images, and a thumbnail (image) of the selected representative image is created as medical data.
  • the number of medical data can be made into two or more corresponding to each medical information.
  • the four pieces of CT image data 711 in the above-mentioned section on February 13 can all be referred to as representative images.
  • FIG. 11 is a schematic diagram showing a second example of a selection operation for displaying medical data in the second display area 62 by the display processing unit 52 of the present embodiment.
  • FIG. 11 shows an example in which the first display area 61 displays a section of about three months in a weekly cycle in the first display area 61 as in the case of FIG.
  • the second display processing unit 522 receives a second section selection operation for selecting a section and one operation, the second display processing unit 522 displays medical data indicating the content of medical information in a section having a different range including the section in the second display area. 62.
  • a medical worker moves the mouse cursor (pointer) M to a zone on February 14 and selects the zone (second zone selection operation), Further, assume that one left click operation (one operation) is performed. Note that the order of the section selection operation (second section selection operation) and the first operation is not limited to the order described above.
  • one operation (predetermined operation) of a plurality of different predetermined operations has a selection width with the display cycle as the minimum unit.
  • one operation for example, left one-click operation
  • the selection range of the target one month is set with the selection range of the target one month as the minimum unit of the display cycle.
  • FIG. 12 is a schematic diagram showing a second display example of medical data by the display processing unit 52 of the present embodiment.
  • FIG. 12 shows the result of the left-click operation performed when the February 13 section shown in FIG. 10 is selected.
  • the left one-click operation the section from the Sunday of February 12 to the Saturday of February 18 in the first display area 61 is selected (reference S).
  • the second display area 62 covers the week of February 14 including the section of February 14 (that is, from Sunday of February 12 to Saturday of February 18). Medical data about the existing CT, MR, specimen and document is displayed.
  • the type identifier is not arranged in the February 12 section of the first display area 61, the content of medical information is shown in the February 12 section of the second display area 62. Medical data is not displayed.
  • the February 13th section of the first display area 61 is provided with four type identifiers (the amount of information is equivalent to four) of CT identifier 71, MR identifier 72, document identifier 73, and specimen identifier 74.
  • the section of February 13 of the second display area 62 includes four pieces of CT image data 711 for CT, four pieces of MR image data 721 for MR, and four pieces of specimen data for specimens. 741 and four document data 731 are displayed for the document.
  • the February 14 section of the first display area 61 is provided with two type identifiers (the amount of information corresponds to one sheet) of the document identifier 73 and the specimen identifier 74, 2 in the second display area 62
  • One sample data 741 for the sample and one document data 731 for the document are displayed in the section of the month 14.
  • one type identifier (the amount of information corresponds to one sheet) of the specimen identifier 74 is arranged.
  • One piece of sample data 741 is displayed for the sample in the section.
  • the second display In the section of February 16 in the area 62, one piece of CT image data 711 for CT, one piece of MR image data 721 for MR, and one piece of specimen data 741 for specimen are displayed.
  • the display of the February 17 section of the second display area 62 is the same as the February 15 section. It is. Moreover, since the section of February 18 in the first display area 61 is the same as the section of February 12, the display of the section of February 18 in the second display area 62 is the section of February 12. It is the same.
  • a medical worker selects a section of interest from among the sections displayed in the first display area 61, and pays attention by performing one operation (for example, one left click operation). It is possible to easily grasp the contents of the medical information of the section including the section and covering a required range (for example, one week) before and after the section.
  • the section selection operation displayed in the first display area 61 is not limited to the above example. Hereinafter, an example of the selection operation will be described.
  • FIG. 13 is an explanatory diagram showing a second example of a selection operation for displaying medical data in the second display area 62 by the display processing unit 52 of the present embodiment.
  • the left column shows an example of an operation performed by selecting a section displayed in the first display area 61
  • the right column shows a section range displayed together with the medical data in the second display area 62.
  • a section to be noticed is selected and a left three-click operation (triple click) is performed, a section covering three months (one month before and after the month of the noticed section) including the noticed section is displayed. Existing medical data is displayed.
  • a section of interest is selected and a right two-click operation (double-click) is performed, a period in which medical information is continuously recorded before and after the section of interest including a discontinuous period within one week ( Medical data existing in a continuous section including a space for one week) is displayed.
  • a section of interest is selected and a right three-click operation (triple click) is performed, a period in which medical information is continuously recorded before and after the section of interest including a discontinuous period within one month Medical data existing in (a continuous section including a vacancy of one month unit) is displayed.
  • the second display processing unit 522 when the second display processing unit 522 receives one operation among a plurality of predetermined different operations, the second display processing unit 522 indicates the content of the medical information in the section having a different range according to the one operation.
  • the medical data is displayed in the second display area 62. Thereby, the content of the medical information of the division over a required range can be grasped
  • the second display processing unit 522 displays medical data indicating the content of medical information in a section having a different range including the selected section. Displayed in the second display area 62. For example, by selecting a target section and performing one operation, it is possible to easily grasp the contents of the medical information of the section including the target section and covering a required range before and after the section.
  • medical data existing in a section for one week from the selected section may be displayed by selecting the section (day, day of week) of interest and performing a left click (one left click operation).
  • Medical data existing in the sections from Sunday to Saturday including the selected section may be displayed by selecting the section (day, day of week) to be performed and performing a left double-click (left-click operation).
  • a certain section is selected and left-clicked to be the start date, and dragged to the display end date as it is, the medical data existing in the section from the start date to the end date may be displayed.
  • the operation for selecting the section displayed in the first display area 61 is performed.
  • the present invention is not limited to this.
  • an operation of selecting a type identifier in the section displayed in the first display area 61 can be performed.
  • FIG. 14 is an explanatory diagram illustrating a third example of a selection operation for displaying medical data in the second display area 62 by the display processing unit 52 according to the present embodiment.
  • the left column shows an example of an operation performed by selecting the type identifier in the section displayed in the first display area 61
  • the right column is displayed in the second display area 62 together with the medical data of the selected type identifier. Indicates the range of the displayed partition.
  • the selected type identification medical information (medical data) for one week including the section is selected. ) Is displayed. For example, when “specimen” is selected as the type identifier, the sample data of a section over one week is displayed. If there is a section for which no sample data exists (not recorded) among the sections for one week, nothing is displayed for the section.
  • the selected type identification medical information (medical data) is displayed for one month including the section. ) Is displayed.
  • the selected type identifier may be medical information or a type identifier that is not selected
  • the medical information (medical data) of the selected type identification is displayed over a period (continuous section) in which the medical information (which may be included) is continuously recorded.
  • medical information is continuously recorded before and after the section including a discontinuous period within one week.
  • the selected type-identified medical information (medical data) is displayed over a specified period (a continuous section including a vacancy of one week).
  • medical information continuously includes a period of discontinuity within one month before and after the section.
  • the medical information (medical data) of the selected type identification is displayed over the recorded period (a continuous section including a vacancy in units of one month).
  • the second display processing unit 522 when the second display processing unit 522 receives an operation for selecting a type identifier, the second display processing unit 522 displays medical data indicating the content of the medical information of the selected type identifier in the second display area 62. For example, when a medical worker performs an operation of selecting a type identifier in an arbitrary section, medical data of the selected type identifier is displayed, so that the content of required medical information can be grasped.
  • the range of the section displayed in the second display area 62 is changed according to a predetermined operation.
  • the present invention is not limited to this.
  • a selection screen for selecting a range of sections to be displayed in the second display area 62 can be displayed.
  • FIG. 15 is an explanatory diagram showing a fourth example of a selection operation for displaying medical data in the second display area 62 by the display processing unit 52 of the present embodiment.
  • FIG. 15 is the same as FIG. 11, and is an example in which, in the first display area 61, a section of the day of the week (one day) is displayed with a period of about three months in a cycle of one week.
  • a medical worker moves a mouse cursor (pointer) to a section on February 18, selects the section, and performs a right-click operation ( Third section selection operation).
  • the selection screen 63 is displayed at a predetermined location.
  • icons such as one week, two weeks, one month, and three months are displayed on the selection screen 63.
  • the second display area 62 displays medical data recorded in a section for one week including the section for February 18th.
  • the example of the selection screen 63 is an example, and is not limited to the example of FIG.
  • it may be a section in which medical information including the selected section (day, day of the week) is continuously recorded.
  • the display position of the selection screen 63 can be a position near the cursor of the mouse that has selected the section (for example, a distance equal to or smaller than the width or height of one section). That is, the 1st display process part 521 changes the position which displays the selection screen 63 according to the position of the division to select. Thereby, when a medical worker selects an icon in the selection screen 63, the moving distance of the cursor can be shortened, so that a quick operation can be performed and workability is improved.
  • the second display processing unit 522 displays the selection screen 63 for selecting the range of the section displayed in the second display area 62 when the third section selection operation for selecting the section is received. Since the selection screen 63 is displayed, the range of the section can be easily selected.
  • FIG. 16 is a schematic diagram showing a third display example of medical data by the display processing unit 52 of the present embodiment.
  • the parcels are seasonal (early, mid, late), and the parcels are repeatedly arranged in a cycle of one month, from the third quarter (3Q) in 2016 to the second quarter (2Q) in 2017. The period for one year is displayed.
  • the type identifier is the same as in the example of FIG.
  • the early, middle and late February of 2017 are selected (reference S).
  • medical information (medical data) covering the beginning, middle and end of February is displayed.
  • an MR identifier 72 (the amount of information corresponds to one sheet) is arranged in the section of the first display area 61 in the beginning of February. Then, one MR image data 721 for MR is displayed in the section of the second display area 62 at the beginning of February.
  • the mid-February section of the first display area 61 includes a CT identifier 71 (the amount of information is equivalent to four), an MR identifier 72 (the amount of information is equivalent to four), and a document identifier 73 (the amount of information is 3).
  • 4 type identifiers which are specimen identifiers 74 (the amount of information is equivalent to 4 sheets), are arranged.
  • In the mid-February section of the second display area 62 four pieces of CT image data 711 for CT, four pieces of MR image data 721 for MR, four pieces of specimen data 741 for specimens, and three pieces of documents for documents. Document data 731 is displayed.
  • a CT identifier 71 (the amount of information is equivalent to one piece)
  • an MR identifier 72 (the amount of information is equivalent to one piece)
  • a document identifier 73 (the amount of information is 4 pieces).
  • 4 types of identifiers are arranged, that is, a specimen identifier 74 (equivalent to one sheet).
  • a specimen identifier 74 (equivalent to one sheet).
  • FIG. 17 is a schematic diagram showing a second example of the type identifier displayed on the display screen 51 by the display processing unit 52 of the present embodiment.
  • the type identifier type is not limited to the above example.
  • the type identifier is composed of five triangles with overlapping vertices, and has five identifiers: CT identifier 71, MR identifier 72, document identifier 73, specimen identifier 74, and examination image identifier 75.
  • the information amount identifier for identifying the information amount can be identified by the size of the type identifier as in the example of FIG. As shown in FIG. 17, the type identifier is appropriately arranged and displayed in the section.
  • the sections are in units of one day (day of the week), the sections are repeatedly arranged in a cycle of one week, and a period of more than one month is displayed. Yes.
  • medical data for example, a CT image of each part
  • CT identifier 71 is displayed (preview display) ).
  • the operation is not limited to the mouse-over operation.
  • there are a plurality of medical data they may be displayed in order at predetermined time intervals. If the medical data is a moving image, the moving image may be reproduced.
  • the first display processing unit 521 displays the medical data indicating the content of the medical information of the selected type identifier in the vicinity of the selected type identifier or the first type identifier. 2 in the display area 62.
  • the neighborhood can be, for example, a distance about the width or height of one section.
  • the 1st display process part 521 shows the content of the medical information of the selected identifier, when the 1st identifier selection operation which selects the patient state identifier (identifier 81 of FIG. 17) which identifies a patient state is received.
  • the medical data is displayed in the vicinity of the selected type identifier or in the second display area 62.
  • the medical data can be information that makes it possible to recognize events related to the patient, such as hospitalization, implementation of surgery, severe sudden change in condition, and change in living environment.
  • information on the selected patient state identifier is displayed, so that the patient state can be quickly grasped.
  • the first identifier selection operation can be made different depending on whether the medical data is displayed in the vicinity of the type identifier or in the second display area 62. Further, the operation for selecting the patient state identifier and the operation for selecting the type identifier may be the same operation or different operations.
  • FIG. 18 is a schematic diagram illustrating a third example of the type identifier displayed on the display screen 51 by the display processing unit 52 of the present embodiment.
  • the type identifier can be displayed like a bar graph, and has four identifiers: a CT identifier 71, an MR identifier 72, a document identifier 73, and a specimen identifier 74.
  • the information amount identifier for identifying the information amount can be identified by the height of each identifier.
  • each identifier is displayed in the form of a vertical bar graph.
  • the identifier is not limited to this, and may be in the form of a horizontal bar graph.
  • the type identifier can also be represented by four adjacent circles, and each circle can represent four identifiers, a CT identifier 71, an MR identifier 72, a document identifier 73, and a specimen identifier 74.
  • the amount of information can be expressed by the size (diameter) of the circle.
  • the amount of information can be expressed by the brightness of the color and the numerical notation.
  • FIG. 19 is a schematic diagram showing a first example of a method for displaying hierarchical information of medical information by the display processing unit 52 of the present embodiment.
  • the type identifier is assumed to be composed of four identifiers: a CT identifier 71, an MR identifier 72, a document identifier 73, and a specimen identifier 74. As shown in the left figure, it is assumed that, for example, the CT identifier 71 of the type identifier displayed in an arbitrary section of the first display area 61 is selected.
  • the selection operation may be a mouse-over operation for moving the mouse cursor M to the identifier, or may be another operation.
  • CT1, CT2, CT3, CT4, and CT5 which are lower types of CT (CT image) are displayed as shown in the right figure.
  • CT1, CT2, CT3, CT4, and CT5 are CT images such as head CT, chest CT, and abdominal CT, and are identifiers representing medical data for each region. In this way, it is possible to display the presence or absence of the CT image of each part, which is hierarchical information for the CT image. Note that the size of the CT identifier 71, CT1, CT2, CT3, CT4, and CT5 can be changed according to the number of CT images of each part.
  • FIG. 20 is a schematic diagram showing a second example of the display method of the hierarchical information of the medical information by the display processing unit 52 of the present embodiment.
  • the type identifier is assumed to be composed of four identifiers: an image identifier 70, a document identifier 73, a specimen identifier 74, and a pathological identifier 76.
  • an image identifier 70 of the type identifier displayed in an arbitrary section of the first display area 61 is selected (second identifier selection operation).
  • the second identifier selection operation may be a mouse over operation for moving the mouse cursor M to the identifier, or may be another operation.
  • identifiers representing MR, US, CR, and CT which are sub-types of images, are displayed as shown in the right figure.
  • MR, US, CR, and CT are subordinate types for the image.
  • identifiers representing MR, US, CR, and CT which are hierarchical information for image identifiers, can be displayed. Note that the size of a figure (region) indicated by MR, US, CR, and CT indicates some of lower-level medical data included in each of MR, US, CR, and CT.
  • FIG. 21 is a schematic diagram showing a third example of the display method of the hierarchical information of the medical information by the display processing unit 52 of the present embodiment.
  • the type identifier includes four identifiers: an image identifier 70, a document identifier 73, a specimen identifier 74, and a pathological identifier 76.
  • identifiers of CT, US, and MR which are subordinate types, are displayed for the image identifier 70.
  • CT, US, and MR can be referred to as a CT identifier, a US identifier, and an MR identifier, respectively.
  • the selection operation may be a mouse-over operation for moving the mouse cursor M to the identifier, or may be another operation.
  • MR1, MR2, MR3, and MR4 are identifiers representing medical data for each region, for example.
  • the MR image identifier of each part which is hierarchical information for the MR image identifier, can be displayed. If the number of MR images is large, the images may be displayed in order at predetermined time intervals.
  • the events during hospitalization are “surgery performed”, “severe sudden change in condition”, “patient living environment Substructure identifiers such as “change” can be displayed in the vicinity of the patient status identifier.
  • the hierarchical information indicating the hierarchy of the medical information of the selected type identifier or patient state identifier Is displayed in the first display area 61.
  • Medical information can be organized hierarchically from a superordinate concept to a subordinate concept. For example, if the upper type is an image, the image includes CT images, MR images, CR images, US images, and the like as lower concepts. Further, the CT image includes data for each region as a subordinate concept such as the head, chest, and abdomen.
  • an identifier such as a CT image, MR image, CR image, or US image of the patient is displayed as hierarchical information for the image.
  • an identifier representing medical data for each part such as the head, chest, abdomen, etc. can be displayed as hierarchical information for the CT image by performing an operation for selecting the type identifier. .
  • the hierarchical structure of medical information can be easily grasped.
  • subordinate structure of the identifier is not limited to the configuration displayed by the second identifier selection operation, and may be displayed from the beginning.
  • FIG. 22 is a block diagram showing another example of the configuration of the display processing unit 52 of the present embodiment.
  • the display processing unit 52 can be composed of a CPU 526, a ROM 527, a RAM 528, a recording medium reading unit 529, and the like.
  • the computer program recorded on the recording medium 1 can be read by the recording medium reading unit 529 and stored in the RAM 528.
  • the CPU 526 By causing the CPU 526 to execute the computer program stored in the RAM 528, processing performed by the first display processing unit 521, the second display processing unit 522, and the identifier display processing unit 523 can be executed.
  • the CPU 526 is a generic term for a processor, a processor device, a processing unit, and the like, and can be configured by one or more.
  • the computer program can also be downloaded via a network such as the Internet, instead of being read by the recording medium reading unit 529.
  • the display processing unit 52 acquires patient specific information (S11).
  • the acquisition of the specific information can be performed, for example, by the medical worker inputting the specific information of the patient from the operation input unit 53 or selecting the required patient from the list of patients displayed on the display screen 51.
  • the display processing unit 52 acquires medical information of the identified patient from the server 20 (S12).
  • the acquired medical information can be stored in the storage unit 55.
  • the display processing unit 52 periodically and repeatedly arranges the sections obtained by dividing the period into a plurality of sections, and displays the period in the first display area 61 (S13).
  • the display processing unit 52 identifies the type of medical information (recorded in each zone) and the amount of medical information in each zone based on the specified patient medical information (type identifier and information amount identifier). ) Is displayed in each section (S14). Note that the processes of steps S13 and S14 can be performed simultaneously.
  • the display processing unit 52 determines whether or not there has been an operation for selecting a range of sections to be displayed in the second display area 62 (S15). If there is an operation to select (YES in S15), the display processing unit 52 responds to the selection operation. The section of the range is displayed in the second display area 62 (S16). The display processing unit 52 displays medical data indicating the contents of all or some types of medical information identified by the identifier in each section of the second display area 62 (S17), and in step S22 described later. Process. Note that the processing in steps S16 and S17 can be performed simultaneously.
  • the display processing unit 52 determines whether or not there is an operation for selecting an identifier in the section (S18), and when there is an operation for selecting ( If YES in S18), it is determined whether or not there is medical data having a hierarchical structure in the type identified by the selected identifier (S19).
  • the display processing unit 52 displays the type of hierarchical information in the first display area 61 (S20), and performs the process of step S22 described later.
  • the display processing unit 52 displays the medical data of the type identified by the selected identifier in the first display area 61 (S21), and in step S22 described later. Process.
  • the display processing unit 52 performs a process in step S22 described later.
  • the display processing unit 52 determines whether or not to end the process (S22). If the process is not ended (NO in S22), the process after step S15 is continued and the process is ended (YES in S22). End the process.
  • the sections are arranged like a calendar, and the identifier (symbol) indicating the medical information of the patient is displayed in the section. And can be easily grasped.
  • the symbol indicates the medical information of the patient, it is possible to grasp at a glance the change status of the medical treatment or the like of the patient over time.
  • symbols are displayed in a list showing the passage of time, access to the next necessary information and items (for example, treatment or treatment, diagnosis, etc.) will be improved, reducing labor in the medical field, Expected to prevent medical errors.
  • the display device 50 includes the display processing unit 52.
  • the server 20 can have the same configuration as the display processing unit 52.
  • the display device 50 outputs the operation performed by the operation input unit 53 to the server 20, the server 20 performs a required display process according to the operation, and transmits the processing result to the display device 50. You can do it.
  • the display device is a display device that displays medical information of a patient on a display screen, and periodically arranges each section obtained by dividing a period into a plurality of sections, and displays the first display screen.
  • a first display processing unit for displaying in a display area; and an identifier display processing unit for displaying a type identifier for identifying a type of medical information in the section.
  • the display device is a display device that displays medical information of a patient on a display screen, and includes one or more processors and a memory that stores a computer program executed by the processor, By executing the computer program, the processor periodically and repeatedly arranges each section divided into a plurality of sections and displays the section in the first display area of the display screen, and the type of medical information in the section Displays the type identifier for identifying.
  • the computer program according to the present embodiment is a computer program for causing a computer to display medical information of a patient on a display screen, and periodically and repeatedly arranging each section divided into a plurality of sections on the computer. Then, a process of displaying in the first display area of the display screen and a process of displaying a type identifier for identifying the type of medical information in the section are executed.
  • the recording medium according to the present embodiment is a non-transitory recording medium that can be read by a computer that records a computer program for causing a computer to display medical information of a patient on a display screen.
  • a type identifier for identifying a type of medical information in the section, and a process of periodically arranging each section divided into a plurality of sections on the computer and displaying the section in the first display area of the display screen. The process of displaying is executed.
  • the display method according to the present embodiment is a display method for displaying medical information of a patient on a display screen, wherein each section obtained by dividing a period into a plurality of sections is periodically and repeatedly arranged on the first display screen.
  • a type identifier is displayed in the display area and identifies the type of medical information in the section.
  • the display device, the computer program, the recording medium, and the display method according to the present embodiment periodically and repeatedly arrange the sections obtained by dividing the period into a plurality of sections and display them in the first display area of the display screen.
  • the parcels are divided into three days (early, mid and late), one day, one quarter, one year into four quarters, and one year into four (spring, summer, autumn, winter). It can be one of spring, summer, autumn or winter.
  • the periodical repetition may be one week from Sunday to Saturday if the section is one day, and one year if the section is seasonal, quarter or the like.
  • the first display area may be the entire area of the display screen when only the first display area is displayed on the display screen. Further, when a display area other than the first display area is simultaneously displayed on the display screen, the first display area is a partial area of the display screen.
  • the display device, computer program, recording medium, and display method of the present embodiment display a type identifier that identifies the type of medical information in the section.
  • Types of medical information include, for example, images, examinations, documents, and the like.
  • the classification can be hierarchically configured from a superordinate concept to a subordinate concept.
  • the classification includes an examination image obtained by various examination apparatuses included in the image, a specimen or examination part included in the examination, Alternatively, information on lower layers such as individual documents included in the document can be included.
  • the sections are arranged periodically and the period is displayed on the display screen, and the type identifier for identifying the type of the medical information is displayed in the section. Can be grasped. In addition, it becomes clear at which point in time or when there is medical information, and the presence of medical information can be grasped sensuously.
  • the identifier display processing unit displays an information amount identifier for identifying the information amount of medical information in the section.
  • the display device displays an information amount identifier for identifying the information amount of medical information in the section. As a result, it is possible to grasp sensuously how much medical information is present over time.
  • the type identifier identifies the amount of medical information.
  • a mode for identifying the amount of information can be added to the type identifier itself.
  • the amount of information can be represented by the type or number of type identifiers. Thereby, the information amount can also be identified by the type identifier.
  • the identifier display processing unit displays a patient state identifier for identifying the patient state in the section.
  • the patient status identifier identifies the presence or absence of events related to the patient, such as whether the patient is hospitalized, whether or not surgery has been performed, whether there is a serious sudden change in condition, whether there is a change in the living environment of the patient, etc. can do. Thereby, the temporal change of a patient's state can be grasped sensuously.
  • the display device provides a second display that displays medical data indicating the content of medical information of a required section among the plurality of sections in the second display area of the display screen for each required section.
  • a processing unit is provided.
  • the display device displays medical data indicating the contents of medical information of a required section among a plurality of sections in the second display area of the display screen for each required section. Thereby, it is possible to grasp not only whether medical information exists but also the contents of medical information.
  • the first display processing unit when the first display processing unit receives a first identifier selection operation for selecting the type identifier or the patient state identifier, the first display processing unit indicates the medical information content of the selected identifier. Data is displayed in the vicinity of the second display area or the identifier.
  • the display device of the present embodiment When the display device of the present embodiment receives a first identifier selection operation for selecting a type identifier or a patient state identifier, the display device displays medical data indicating the content of medical information of the selected identifier (type identifier or patient state identifier). It is displayed in the vicinity of the second display area or identifier. For example, when a medical worker performs a first identifier selection operation for selecting a type identifier or patient state identifier in an arbitrary section, the medical data of the selected identifier is displayed. Can be grasped.
  • the second display processing unit when the second display processing unit receives a first section selection operation for selecting the section, the second display processing unit displays medical data indicating the content of medical information in the selected section. 2 Display in the display area.
  • the display device displays medical data indicating the content of medical information in the selected section in the second display area when the first section selection operation for selecting the section is received.
  • the selection of the section may be one section or a plurality of sections. For example, when a medical worker performs a first section selection operation for selecting an arbitrary section, when there are a plurality of types of medical information in the selected section, the medical data of each of the plurality of types are simultaneously displayed. Since it is displayed, it is possible to easily grasp the contents of the medical information for each section.
  • the second display processing unit when the second display processing unit receives one operation among a plurality of different predetermined operations, the second display processing unit performs medical treatment in a section having a different range according to the one operation. Medical data indicating the content of the information is displayed in the second display area.
  • the display device When the display device according to the present embodiment receives one operation from a plurality of different predetermined operations, the display device displays medical data indicating the content of medical information in a section having a different range according to the one operation. 2 Display in the display area. Thereby, the content of the medical information of the division over a required range can be grasped
  • the second display processing unit when the second display processing unit receives the second section selection operation for selecting the section and the one operation, the medical treatment in the section having a different range including the section is received. Medical data indicating the content of the information is displayed in the second display area.
  • the display device When the display device according to the present embodiment selects a section and receives one operation, the display device displays medical data indicating the content of medical information in a section having a different range including the section in the second display area. For example, by selecting a target section and performing one operation, it is possible to easily grasp the contents of the medical information of the section including the target section and covering a required range before and after the section.
  • a selection screen for selecting a section range displayed in the second display area Is displayed.
  • the display device displays a selection screen for selecting the range of the section displayed in the second display area when the third section selection operation for selecting the section is accepted. Since the selection screen is displayed, the section range can be easily selected.
  • the first display processing unit when the first display processing unit receives a second identifier selection operation for selecting the type identifier or the patient state identifier, the first display processing unit indicates a hierarchy of medical information of the selected identifier. The hierarchical information is displayed in the first display area.
  • Medical information can be organized hierarchically from a superordinate concept to a subordinate concept. For example, if the upper type is an image, the image includes CT images, MR images, CR images, US images, and the like as lower concepts. Further, the CT image includes data for each region as a subordinate concept such as the head, chest, and abdomen.
  • the type identifier when the type identifier is an image, by performing an operation for selecting the type identifier, an identifier representing the CT image, MR image, CR image, US image, etc. of the patient is displayed as hierarchical information for the image. be able to.
  • the type identifier is a CT image
  • an identifier representing medical data for each part such as the head, chest, abdomen, etc. can be displayed as hierarchical information for the CT image by performing an operation for selecting the type identifier. . Thereby, the hierarchical structure of medical information can be easily grasped.
  • the first display processing unit repeatedly arranges the sections at a cycle of one week or one year and displays them on the first display area of the display screen.
  • the display device of the present embodiment repeatedly displays the sections in a cycle of one week or one year and displays them in the first display area of the display screen. For example, if a section is set to be a day of the week (1 day) and is repeatedly arranged in a cycle of one week, one week from Sunday to Saturday (or from Monday to Sunday) is repeatedly arranged like a calendar, so the day of the calendar And the type identifier are displayed at the same time, and the day of the week and the type identifier can be grasped at the same time, making it easy to grasp the passage of time sensuously.
  • the display system according to the present embodiment includes a display device according to the present embodiment, and a server that is connected to the display device and has a storage unit that stores medical information of the patient.
  • the display system according to this embodiment can centrally manage medical information of patients.

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  • General Engineering & Computer Science (AREA)
  • Theoretical Computer Science (AREA)
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  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Health & Medical Sciences (AREA)
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  • Physics & Mathematics (AREA)
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Abstract

La présente invention concerne un dispositif d'affichage comprenant : une première unité de traitement d'affichage qui affiche, sur une première région d'affichage d'un écran d'affichage, chacune de la pluralité de sections dans lesquelles une période est divisée, en positionnant de manière cyclique et de manière répétée les sections ; et une unité de traitement d'affichage d'identifiant qui affiche un identifiant de catégorie qui identifie la catégorie d'informations médicales à l'intérieur d'une section.
PCT/JP2018/013073 2017-03-31 2018-03-29 Dispositif d'affichage, système d'affichage, programme informatique, support d'enregistrement et procédé d'affichage WO2018181637A1 (fr)

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