JP2011136054A - Medical support device and medical support system - Google Patents

Abstract

【Task】
Provided are a medical support apparatus and a medical support system capable of appropriately managing and outputting medical information carried by a doctor at home medical care.
[Solution]
In a medical support apparatus for managing medical information, medical information acquisition means for acquiring medical information, storage means for storing medical information acquired by the medical information acquisition means, and at least text data stored by the storage means The image processing apparatus includes conversion means for converting the included medical information into image data, and medical information output means for outputting the medical information converted by the conversion means.
[Selection] Figure 3

Description

  The present invention relates to a medical support apparatus and a medical support system capable of appropriately managing and outputting medical information carried at home medical care.

  With the recent aging of the population, the number of so-called home patients who require regular medical care while staying at home is increasing. Regular hospital visits impose a physical burden on home patients. In rural areas where the number of medical facilities is small and the distance between the homes of home patients and medical facilities is far, the physical burden associated with going to hospital is particularly serious.

  In order to allow such home patients to receive treatment without going to the hospital, so-called home medical care, in which doctors go to individual home patient homes and perform medical care, is widely performed. In order to perform medical treatment using medical information such as medical charts managed in medical facilities, an invention has been disclosed in which a doctor carries a mobile phone during treatment and transfers the medical information to the mobile phone (for example, a patent) Reference 1).

JP 2008-15820 A

  In the above-described home medical care, the doctor makes the patient and nursing helpers refer to the medical information about the patient, and explains the treatment to the patient while referring to the medical information. However, since medical information includes specialized medical terms and image data, it is difficult to provide a sufficient explanation only by a verbal explanation of a doctor. Furthermore, medical information is output in various data formats from various devices such as medical imaging devices and analysis devices. In order to display medical information in various data formats, doctors carry multiple electronic devices that support data output in each data format, or complex and large electronic devices that can output data in multiple data formats It is necessary to carry equipment. For this reason, medical information is displayed on a large screen using a small electronic device, or printed and passed to patients and nursing helpers, so that patients and nursing helpers can easily access medical information regardless of the data format of the medical information. There is a request to be able to browse.

  While there is a demand for easy browsing of medical information in this way, medical information managed in medical facilities contains a lot of personal information such as the patient's name and address, medical history, and body images. . For this reason, doctors must be careful not to inadvertently pass medical information to the hands of third parties. In order to prevent accidental delivery of medical information to the hands of a third party, medical information that can be transferred to a medical support device for carrying, medical information that may be displayed to patients and nursing helpers during treatment, There is a demand to classify and manage good medical information that is passed to nursing helpers.

  Therefore, an object of the present invention is to provide a medical support apparatus and a medical support system that can appropriately manage and output medical information carried at home medical care.

  In order to solve the above problems, a medical support apparatus according to the present invention stores medical information acquisition means for acquiring medical information and medical information acquired by the medical information acquisition means in the medical support apparatus for managing medical information. Storage means, conversion means for converting medical information including at least text data stored in the storage means into image data, and medical information output means for outputting the medical information converted by the conversion means, To do.

  In order to solve the above-described problem, the medical support apparatus according to the present invention includes a medical information acquisition unit that acquires medical information in the medical support apparatus for managing medical information, and the medical information acquired by the medical information acquisition unit. Storage means for storing the medical information, conversion means for converting the medical information stored in the storage means into a data format that can be output by a digital camera, and medical information output means for outputting the medical information converted by the conversion means. It is characterized by that.

  In order to solve the above problems, a medical support system according to the present invention includes a medical information acquisition unit that acquires medical information and a medical information acquired by the medical information acquisition unit in the medical support system for managing medical information. A medical support apparatus comprising: storage means for storing the medical information stored in the storage means; and conversion means for converting the medical information stored in the storage means into image data; storage means for storing the medical information converted by the conversion means; A portable projection device comprising: projection means for projecting and displaying medical information stored in the means;

  ADVANTAGE OF THE INVENTION According to this invention, the medical assistance apparatus and medical assistance system which can perform appropriate management and output of the medical information carried in at the time of a home medical examination or treatment can be provided.

The block diagram which shows the network structure of the medical assistance system which concerns on embodiment of this invention. The figure which shows the structure of the terminal database for diagnosis which concerns on embodiment of this invention. The figure which shows the example of a screen display at the time of providing the transfer information which concerns on embodiment of this invention. The figure which shows the mode at the time of projecting the medical information which concerns on embodiment of this invention. The figure which shows the example of a screen display at the time of providing the printing permission information which concerns on embodiment of this invention. The figure which shows the mode at the time of printing the medical information which concerns on embodiment of this invention. The figure which shows the example of a screen display at the time of selecting the patient name which transfers the medical information which concerns on embodiment of this invention. The figure which shows the structure of the memory | storage part which concerns on embodiment of this invention. The flowchart which shows the flow of the medical information transfer process which concerns on embodiment of this invention. The figure which shows the mode at the time of imaging | photography of the medical image which concerns on embodiment of this invention. The figure which shows the structure of the memory | storage part at the time of imaging | photographing medical information which concerns on embodiment of this invention.

  Embodiments of the present invention will be described below with reference to the drawings.

(Network configuration of medical support system)
FIG. 1 is a block diagram showing a network configuration of a medical support system according to the present invention. The medical support system according to the present invention is a network configured by connecting medical support apparatuses, which will be described later, so as to be communicable through a wired communication line or a wireless communication line. The medical support system includes an information display device 1, a PACS (Picture Archiving and Communication System) server 2, an RIS (Radiology Information System) / HIS (HIS) shown as a medical support device in FIG. Hospital Information System (Hospital Information System) server 3, imaging device 41, inspection device 42, medical information / patient information input terminal 43, printing unit 5, and diagnostic terminal management server 6. Note that the internal configuration of each medical support device and the configuration of the medical support system in the present invention are not limited to this, and a plurality of each device may exist in the system, or the role of each device may be other than You may take the structure which an apparatus bears.

  The information display device 1 is a portable electronic device that is used, for example, to take medical information to a patient's home when a doctor performs home medical care. The information display device 1 acquires medical information from a diagnostic terminal management server server 6 described later, and stores the acquired medical information in the storage unit 13. The medical information stored in the storage unit 13 is output from the display unit 14, the image projection unit 15, or the printing unit 5 connected to the information display device 1 when performing home medical care.

  The information display device 1 includes a system control unit 11, an operation unit 12, a storage unit 13, a display unit 14, an image projection unit 15, and a photographing unit 16.

  The system control unit 11 includes a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and the like. The system control unit 11 executes processing according to various application programs loaded in the ROM and RAM in accordance with an instruction signal input from the operation unit 12 described later. The system control unit 11 processes the signals supplied from the respective units, generates various control signals, and supplies them to the respective units, thereby comprehensively controlling the information display device 1.

  The operation unit 12 includes, for example, a touch panel display and mechanical buttons, and receives an input made by the user of the information display device 1 on the operation unit 12. The operation unit 12 outputs an instruction signal to the system control unit 11 according to an input made by the user, or outputs medical care information and patient information to a storage unit 13 described later according to the input made by the user. To do.

  The storage unit 13 is configured by a storage medium such as an electrically rewritable or erasable HDD (Hard Disk Drive) or a flash memory that is a nonvolatile memory, and a medical image output from the diagnostic terminal management server 6 described later. Or, medical information and patient information are stored. In addition, the medical image captured by the imaging unit 16 is stored. Hereinafter, medical images, medical information, and patient information are collectively referred to as medical information. In FIG. 1, the storage unit 13 is described so as to be incorporated in the information display device 1, but the storage unit 13 may be configured by a portable recording medium such as a memory card. When the storage unit 13 is configured by a recording medium, the storage unit 13 is temporarily detached from the information display device 1 in order to perform processing for transferring data to be stored in the diagnostic terminal database 62 to be described later to the storage unit 13. The terminal management server 6 may be connected.

  The display unit 14 is a display that displays characters and images. The display unit 14 is configured using, for example, a liquid crystal or an organic EL (Electro Luminescence). The display unit 14 displays a data selection screen and a warning screen, which will be described later, according to the display instruction signal output from the system control unit 11.

  The image projection unit 15 is a projector that enlarges and projects characters and images using an optical system. The image projection unit 15 is, for example, a liquid crystal projector for projecting characters and images by transmitting light emitted from a light source through a liquid crystal panel, and a CRT method for enlarging and projecting characters and images emitted by a CRT using an optical system. The projector can be configured using various methods. The image projection unit 15 projects and displays medical information according to the display instruction signal output from the system control unit 11.

  The photographing unit 16 is a camera that outputs an image photographed using an image sensor. In the present invention, the photographing unit 16 is used to photograph a medical image obtained by photographing a diseased part of a patient in home medical care. The photographing unit 16 can be configured using, for example, a CCD (Charge Coupled Device) image sensor that detects light and outputs an electrical signal. The imaging unit 16 captures a medical image according to the imaging instruction signal output by the system control unit 11 and outputs the captured medical image to the storage unit 13.

  The printing unit 5 is a printer that prints characters and images on paper. The printing unit 5 can be configured by a printer using various methods such as an inkjet method and a thermal method. The printing unit 5 prints the medical information read from the storage unit 13 in accordance with the print instruction signal output from the system control unit 11.

  The PACS server 2 is a database server that stores and manages medical images taken by the imaging device 41 described later. The PACS server 2 includes a system control unit 21 and a medical image database 22.

  The system control unit 21 includes a CPU, a ROM, a RAM, and the like, similar to the system control unit 11, and executes processing according to various application programs loaded in the ROM and RAM. The system control unit 21 stores a medical image output from the imaging apparatus 41 described later in the medical image database 22 or reads out a medical image in the medical image database 22 and outputs the medical image to the diagnostic terminal management server 6.

  The medical image database 22 is configured from a storage medium such as an HDD or a flash memory, similar to the storage unit 13, and stores medical images output from the imaging device 41. An in-vivo image of a patient imaged using an X-ray diagnostic imaging apparatus or an ultrasonic diagnostic imaging apparatus as the imaging apparatus 41 is stored in the medical image database 22 as a medical image.

  The RIS / HIS server 3 is a database server that stores and manages medical information and patient information output from an inspection device 42 and a medical information / patient information input terminal 43 described later. The RIS / HIS server 3 includes a system control unit 31, a medical treatment information database 32, and a patient information database 33.

  The system control unit 31 includes a CPU, a ROM, and a RAM similarly to the system control unit 11, and executes processing according to various application programs loaded in the ROM and RAM. The system control unit 31 stores the medical information output from the examination device 42 and the medical information / patient information input terminal 43 in the medical information database 32, and stores the patient information output from the medical information / patient information input terminal 43 as patient information. Store in the database 33. Alternatively, the medical information and patient information stored in the medical information database 32 and the patient information database 33 are read and output to the diagnostic terminal management server 6.

  The medical information database 32 is configured from a storage medium such as an HDD or a flash memory, like the storage unit 13, and stores medical information output from the examination device 42 and the medical information / patient information input terminal 43. The analysis result of the patient sample examined using the automatic analyzer which is the examination device 42, the treatment history of the patient inputted using the medical information / patient information input terminal 43, the medication history, the future treatment plan, etc. It is stored in the medical information database 32 as medical information. Note that the medical information is not limited to text information, and may include image information related to the affected area of the patient, chart information, and the like.

  The patient information database 33 is configured by a storage medium such as an HDD or a flash memory, like the storage unit 13, and stores patient information output from the medical information / patient information input terminal 43. In the patient information, a so-called electronic medical record input using the medical information / patient information input terminal 43 is stored. The electronic medical record contains the patient's personal information such as the patient's name, contact information, medical history, the date of the examination and treatment, the patient's medical condition and symptoms, the doctor's findings on the patient, the prescription of the treatment, and the course of the medical condition. It is stored in the patient information database 33 as patient information. The patient information is not limited to text information, and image information related to the affected area of the patient, chart information, and the like may be mixed.

  The imaging apparatus 41 is an apparatus for imaging a medical image, such as an X-ray image diagnostic apparatus or an ultrasonic image diagnostic apparatus. The imaging device 41 images an affected area of the patient and outputs the image to the PACS server 2 as a medical image. The imaging apparatus 41 is not limited to the apparatus exemplified here, and is configured using various apparatuses such as a CT (Computed Tomography) scanning apparatus, an MRI (Magnetic Resonance Imaging) apparatus, or a camera. It doesn't matter.

  The inspection device 42 is a device for analyzing and inspecting a sample collected from a patient, such as an automatic analyzer. The inspection device 42 collects a sample such as blood or urine of the patient and analyzes the components contained in the sample to inspect the patient. The inspection device 42 outputs the inspection result to the RIS / HIS server 3 as medical information.

  The medical information / patient information input terminal 43 is an electronic terminal for inputting and outputting information. The user of the medical information / patient information input terminal 43 inputs the history and results of treatment performed on the patient as medical information, or the patient information including patient personal information, medication history, medication information such as a prescription, etc. Enter as. The medical information / patient information input terminal 43 outputs the input medical information and patient information to the RIS / HIS server 3.

  The diagnostic terminal management server 6 is a database server for transferring medical information managed by the PACS server 2 and the RIS / HIS server 3 to the information display device 1. The diagnostic terminal management server 6 includes a system control unit 61, a diagnostic terminal database 62, and an operation unit 63. The diagnostic terminal management server 6 stores the medical information acquired from the PACS server 2 and the RIS / HIS server 3 in the diagnostic terminal database 62, classifies the medical information stored in the diagnostic terminal database 62, and performs diagnosis. The medical information is managed, for example, the medical information stored in the medical terminal database 62 is output to the information display device 1.

  The system control unit 61 includes a CPU, a ROM, a RAM, and the like, similar to the system control unit 11, and executes processing according to various application programs loaded in the ROM and RAM. The system control unit 61 acquires medical information stored in the medical image database 22, the medical information database 32, and the patient information database 33 and stores the medical information in the diagnostic terminal database 62, or stored in the diagnostic terminal database 62. Medical information is read and output to the storage unit 13.

  In addition, the system control unit 61 adds transfer information and printability information to the medical information stored in the diagnostic terminal database 62 in accordance with an instruction signal output from the operation unit 63 described later. The output of the medical information to the storage unit 13 performed by the diagnostic terminal management server 6 is controlled based on the presence / absence of this export permission signal. The output process of medical information according to the presence / absence of the take-out permission signal will be described in detail later.

  Similar to the storage unit 13, the diagnostic terminal database 62 is configured by a storage medium such as an HDD or a flash memory, and stores medical information acquired from the medical image database 22, the medical information database 32, and the patient information database 33.

  The operation unit 63 includes, for example, a mechanical keyboard, a mouse, a touch panel display, and the like, and receives an input made by the user of the diagnostic terminal management server 6 with respect to the operation unit 63. The operation unit 63 outputs an instruction signal to the system control unit 61 according to the input made by the user.

(Database configuration)
FIG. 2 is a conceptual diagram showing data stored in the diagnostic terminal database 62, the medical image database 22, the medical treatment information database 32, and the patient information database 33. Hereinafter, an operation of transferring medical information stored in each database to the diagnostic terminal database 62 will be described with reference to FIG.

  Each medical information is given a data name such as “medical image a_20091211_10th day_ ★ possible”.

  Identification information indicating the patient name and the creation date and time of medical information is given to the data name. Specifically, “a”, “20091111”, and “10th day” in the data name indicate identification information. “A” represents the patient name, “20091111” represents the date and time when the data was created, and “10th day” represents the date on which the data was created from the date when the patient was first treated.

  The identification information is given by the system control unit 61 when the medical information acquired by the diagnostic terminal management server 6 is stored in the diagnostic terminal database 62. The identification information is given by the system control unit 21 of the PACS server 2, the system control unit 31 of the RIS / HIS server 3, the imaging device 41, the examination device 42, the medical information / patient information input terminal 43, or the diagnostic terminal management. It may be performed by the system control unit 61 of the server 6.

  The data name is assigned transfer information indicating whether or not medical information can be transferred to the information display device 1 or printability information indicating whether or not the medical information can be printed by the printing unit 5. Specifically, “★” in the data name indicates transfer information. The medical information to which “★” is given is transferred to the information display device 1 by medical information transfer processing by the system control unit 61 described later. “Permitted” in the data name indicates printing permission / inhibition information. When the user of the information display apparatus 1 selects medical information and prints the medical information with the printing unit 5, the user selects the medical information using the mark with “OK” as a mark. This prevents a situation in which medical information that is not permitted to be printed is inadvertently printed. The transfer information and the printability information may be expressed using other characters “★” and “Yes”.

  The transfer information and the printability information are provided by the system control unit 61 according to the operation input to the operation unit 63 of the diagnostic terminal management server 6.

  Note that the information represented by the identification information is not limited to those listed here, the patient identification number of the patient name may be added to the data name, and the name of the doctor who performed the medical image photographing or treatment is the data name. Information for specifying the imaging device 41 that performed imaging, the examination device 42 that outputs medical information / patient information, and the medical / patient information input terminal 43 may be added to the data name. Absent. Further, these identification information, transfer information, and printability information may be included in the data as header information instead of adding to the data name. Alternatively, a database for storing identification information, transfer information, and printability information may be provided separately, and identification information may be stored in association with medical information.

  The system control unit 61 causes the medical information stored in the medical image database 22, the medical treatment information database 32, and the patient information database 33 to be output to the diagnostic terminal database 62. The output to the diagnostic terminal database 62 may be performed every time medical information is stored in the medical image database 22, the medical information database 32, and the patient information database 33, or may be performed periodically. You may perform according to the operation part 63 having input the output instruction | indication.

  When medical information is output to the diagnostic terminal database 62, the diagnostic terminal database 62 sorts the output medical information into folders for each patient. In the example illustrated in FIG. 2, medical information regarding the patient a, the patient b, and the patient c is stored in a folder a131, a folder b132, and a folder c133, respectively.

  In the present embodiment, an example is shown in which medical information is distributed to folders based on patient information, but the distribution to folders may be performed using other information. Specifically, it is possible to add visit destination information indicating the visit destination of a home patient to medical information, and perform distribution to a folder based on this visit destination information. Alternatively, the identification information of the doctor who generated the medical information or the doctor who performed the diagnosis may be added to the medical information, and distribution to the folder may be performed based on the identification information of the doctor.

(Grant transfer information)
The system control unit 61 assigns transfer information and printability information to the medical information stored in the diagnostic terminal database 62 based on the operation performed on the operation unit 63 by the user.

  FIG. 3 is a screen display example displayed on a display unit (not shown) when transfer information is added to medical information using the operation unit 63. The display unit displays a list in which medical information stored in the diagnostic terminal database 62 is classified for each patient name. In addition, although the example which displays the list classified for every patient name was shown in FIG. 3, the classification | category of a list is not restricted to this. For example, information for identifying the visit destination of a home patient may be added to the medical information, and the medical information may be classified and displayed for each visit destination. Alternatively, information for identifying the doctor who generated the medical information or the doctor who performed the diagnosis may be added to the medical information, and the medical information may be classified and displayed for each doctor. Alternatively, the list may be rearranged according to the photographing date information, or medical information may be narrowed and displayed based on the photographing date information. Alternatively, a list may be displayed by combining these classifications and refinements.

For example, when the user operates the cursor displayed in the list and selects medical information with the data name “medical image a — 20091211_10th day”, the system control unit 61 assigns transfer information to this medical information. In this embodiment, transfer information is given by adding “★” to the data name of medical information. Therefore, the data name of the selected medical information changes as “medical image a — 20091211_10th day_ ★” with “★” appended as shown in FIG.

  The system control unit 61 transfers the medical information provided with the transfer information to the storage unit 13 of the information display device 1 by a transfer process described later. A doctor who uses the information display device 1 takes the information display device 1 to the patient's home when performing home medical care or the like. The doctor projects the medical information taken out using the image projecting unit 15 when explaining treatment or treatment to the patient at the patient's home. FIG. 4 shows a state in which medical information is projected using the image projection unit 15. The image projection unit 15 projects medical information on a screen or a wall of a patient's house.

  Medical information includes image information and specialized medical terms. Therefore, it is difficult for a doctor to explain medical information only verbally when a patient explains medical treatment using medical information. In addition, the display unit 14 provided in the information display device 1 is provided so that the display area is small because the information display device 1 is configured to be portable. Therefore, it is difficult for the patient to visually recognize various medical information using the small display unit 14. The image projection unit 15 enlarges and projects the medical information, so that the medical information can be displayed at a position that is easy for the patient to visually recognize and in a size that is easy to visually recognize. Medical information can be displayed.

(Granting printability information)
FIG. 5 is a screen display example that is displayed on a display unit (not shown) when printability information is given to medical information using the operation unit 63. For example, when the user operates the cursor to select medical information with the data name “medicine information a — 20091211_day 10_ ★”, the system control unit 61 gives printability information to this medical information. In this embodiment, the printing permission / prohibition information is given by appending “OK” to the data name of the medical information. Therefore, the data name of the selected medical information changes as “medicine information a_20091211_10th day_ ★ possible” with “possible” appended as shown in FIG.

  The medical information to which the transfer information is added is transferred to the storage unit 13 of the information display device 1 by a transfer process described later. The doctor who took the information display device 1 to the patient's home prints necessary medical information and gives it to the patient when explaining treatment or treatment to the patient at the patient's home. FIG. 7 shows a state in which medical information is printed using the printing unit 5. The printing unit 5 prints the medical information output from the storage unit 13 on the paper 51 and passes it to the patient.

  The medical information includes, for example, information on medicines prescribed to the patient and future treatment plans for the patient, and such information is preferably printed and handed over so that the patient can grasp it reliably. On the other hand, the medical information includes personal information such as a history of the patient. For this reason, a doctor who is obliged to keep personal information confidential must be careful to pass only medical information that is not related to the confidentiality of personal information even if it is given to a patient. Using the diagnostic terminal management server 6, printability information is added in advance to medical information that may be given to the patient, and only medical information with “Yes” added is selected when the doctor prints the medical information. To do. Accordingly, the doctor can grasp the medical information that may be given to the patient and perform printing.

  In this embodiment, as an example, an example is shown in which medical information is delivered by printed paper 51. However, the present invention is not limited to this, and for example, medical information may be passed to a patient using a storage medium such as a memory card, or an information terminal at a patient's home using a wired / wireless communication line. You may send it to. When passing medical information to a patient by these methods, the doctor visually identifies the printability information to determine which information is acceptable to the patient.

(Medical information transfer process)
The medical information stored in the PACS server 2 and the RIS / HIS server 3 is transferred to the diagnostic terminal database 62 described above, and medical information of a large number of patients is stored. However, the number of patients that the doctor carrying the information display device 1 treats at one time is several, and there is no need to bring out medical information about all patients. Further, since the storage capacity in which the storage unit 13 of the information display device 1 can store medical information is limited, there is a possibility that medical information regarding all patients cannot be taken out when the number of patients is large. Therefore, in the present invention, the system control unit 61 extracts medical information related to the designated patient and transfers it to the storage unit 13.

  FIG. 7 shows a screen display example displayed on a display unit (not shown) when selecting a patient name to which information is transferred using the operation unit 63. For example, when the user operates the cursor to select the item “patient b”, a check mark indicating that the medical information related to “patient b” is to be transferred to the storage unit 13 is displayed near the item “patient b”. .

  In addition, the system control unit 61 displays “take-out data: yes” for patients with medical information to which transfer information is added, and “does not hold” for patients without medical information to which transfer information is added. By displaying “output data: none”, it is possible to determine whether there is medical information that can be taken out for the patient to be treated.

  When the name of a patient whose information is to be transferred is selected using the operation unit 63, the system control unit 61 reads medical information that matches the selected patient name from the diagnostic terminal database 62 and outputs it to the storage unit 13. . FIG. 8 shows an example of medical information transferred to the storage unit 13. When the patients to whom the medical information is transferred are “patient a” and “patient b”, the system control unit 61 uses the medical information regarding “patient a” and “patient b” to which the transfer information is added. Are extracted and output to the storage unit 13. By this operation, only the medical information to which “★” is added among the medical information related to “patient a” and “patient b” is transferred to the storage unit 13 as shown in FIG.

  In the present embodiment, an example of selecting a patient name to which information is transferred using the operation unit 63 is shown as an example. However, the present invention is not limited to this. For example, the operation unit 12 of the information display device 1 is used. It may be used to select a patient name.

  By the way, since the imaging apparatus 41 and the inspection apparatus 42 have different medical information imaging / acquisition methods and purposes, the data format of the medical information output by the imaging apparatus 41 and the inspection apparatus 42 varies depending on the apparatus. . Therefore, the data format that can be displayed by the display unit 14 and the image projection unit 15 provided in the information display device 1 and the data format of medical information that can be printed by the printing unit 5 are output from the imaging device 41 and the inspection device 42. The situation may differ from the data format of medical information. Specifically, when a medical image captured by the imaging device 41 has a high resolution and a data format having a large data size, the medical image is displayed on the display unit 14 or the image projection unit 15 provided so as to be portable. It may not be able to be exhausted. Further, when the information display device 1 is an electronic device such as a digital camera, the medical information is converted into a DCF (Design Rule Former File System) so that the information display device 1 can recognize the medical information stored in the storage unit 13. It is necessary to convert it into image data that conforms to a standard or the like. The DCF standard defines the data name of image data, the folder structure for classifying the data, and the data format of the image data. In the present invention, when the data format of the medical information transferred to the storage unit 13 is different from the data format that can be output by the information display device 1, the system control unit 61 outputs the data format of the medical information by the information display device 1. Convert to a possible data format.

  Data format conversion can be achieved, for example, by converting the medical image data format to JPEG (Joint Photographic Expert Group) format or PNG (Portable Network Graphics) format, and reducing the resolution, image size, and number of colors of the medical image, or This is done by increasing the data compression rate. Alternatively, it is performed by converting medical information of text data accompanied by a table format or a chart into an image data format and converting the text data into an image. When medical information is converted into image data that conforms to the DCF standard, the data format of the image data is converted into JPEG format, and a file name that conforms to the standard is assigned.

  This data format conversion may be performed when the system control unit 61 transfers medical information to the storage unit 13, and diagnosis is performed from the medical image database 22, the medical information database 32, and the patient information database 33. It may be performed when medical information is transferred to the medical terminal database 62.

  Further, it has been described that the medical information stored in the diagnostic terminal database 62 in FIG. 2 is stored in a folder classified for each patient. When outputting the medical information to the storage unit 13, the system control unit 61 may add the directory information to the medical information in order to output the folder classification while maintaining the folder classification. When the system control unit 11 of the information display apparatus 1 receives the medical information, the system control unit 11 classifies the medical information into folders based on the directory information added to the medical information and stores the medical information in the storage unit 13.

  FIG. 9 is a flowchart showing processing of the system control unit 61 when transferring medical information to the storage unit 13. The processing flow of the system control unit 61 will be described below with reference to FIG.

  First, the system control unit 61 waits for selection of a patient name for outputting medical information to the storage unit 13 (step 101). The patient name is selected by the user of the diagnostic terminal management server 6 using the operation unit 63 for input.

  When the system control unit 61 receives the selection of the patient name, the system control unit 61 reads one piece of medical information from the diagnostic terminal database 62 and determines whether this medical information is that of the patient who has received the output instruction. (Step 102). When the system control unit 61 determines that the read medical information is not from the patient who has received the output instruction (No in step 102), the system control unit 61 determines all the medical information stored in the diagnostic terminal database 62. It is determined whether or not a determination has been made (step 107). If the system control unit 61 determines that all the medical information has not been determined (No in step 107), the system control unit 61 reads the next medical information from among the medical information stored in the diagnostic terminal database 62. Return to the determination of step 102.

  When the system control unit 61 determines that the read medical information is that of the patient who has received the output instruction (Yes in step 102), the system control unit 61 adds a take-out permission signal to the read medical information. It is judged whether it is (step 103). If the system control unit 61 determines that the export permission signal is not added to the medical information read (No in Step 103), the system control unit 61 proceeds to Step 107.

When the system control unit 61 reads out and determines that a take-out permission signal has been added to the medical information (Yes in step 103), the system control unit 61 uses the read medical information as the display unit 14 of the information display device 1, image projection, and so on. It is determined whether the data is stored in a data format that can be output by the unit 15 and the printing unit 5 (step 104). When the system control unit 61 determines that the read medical information is in a data format that can be output by the information display device 1, the read medical information is output to the storage unit 13 (step 106). On the other hand, when the system control unit 61 determines that the read medical information is not in a data format that can be output by the information display device 1, the system control unit 61 converts the read medical information into a data format that can be output (step 105). The read medical information is output to the storage unit 13 (step 106). When the system control unit 61 outputs the medical information read in step 106 to the storage unit 13, the system control unit 61 proceeds to the process of step 107. If the system control unit 61 determines that all the medical information has been determined in step 107 (Yes in step 107), the system control unit 61 ends the processing (step 108).

  Through the above processing, the system control unit 61 extracts only the medical information to which the transfer permission information is added from the medical information related to the patient who has received the output instruction, and transfers it to the storage unit 13. Furthermore, when the data format of the extracted medical information is not suitable for output by the information display device 1, the data format is converted before transfer. Thereby, the doctor carrying the information display device 1 can easily transfer the medical information used for the treatment to the storage unit 13, and converts the medical information into a data format suitable for the information display device 1 to output. be able to.

(Medical imaging)
A doctor carrying the information display device 1 uses the imaging unit 16 to take an image of an affected area of the patient when performing treatment at the patient's home. FIG. 10 shows how a patient is imaged using the imaging unit 16. The medical image captured by the imaging unit 16 is stored in the storage unit 13. The photographed medical image can be projected onto the image projection unit 15 as shown in FIG. 4 and compared with the medical image stored in advance in the storage unit 13.

  When the imaging unit 16 captures a medical image, the system control unit 61 stores the medical image in the storage unit 13. FIG. 11 shows a data configuration of the storage unit 13 in which the captured medical images are stored. The system control unit 61 adds a data name to the taken medical image. The addition of the data name may be performed by acquiring a shooting date and time using a timer (not shown) provided in the information display device 1 and adding recognition information based on the shooting date and time. The doctor who uses the information display device 1 may input the data name.

  The medical image captured by the imaging unit 16 is output to the diagnostic terminal database 62 by the system control unit 11 when the doctor finishes home medical care and connects the information display device 1 and the diagnostic terminal management server 6.

(Effect of this embodiment)
With the configuration of the above invention, the system control unit 61 performs data format conversion on medical information in a data format that is not suitable for output from the display unit 14, the image projection unit 15, and the printing unit 5 of the information display device 1. . Thus, regardless of the data format of the medical information output from the imaging device 41, the inspection device 42, and the medical information / patient information input terminal 43, the medical information is sent to the storage unit 13 in accordance with the data format that can be output by the information display device 1. Information can be transferred.

  Further, with the configuration of the above invention, the system control unit 61 converts medical information stored in the diagnostic terminal database 62 into image data in the DCF format. As a result, even when the information display device 1 is a small electronic device such as a digital camera that can be easily carried, medical information output in various data formats can be output using the information display device 1.

  With the configuration of the above invention, the medical information generated by the imaging device 41, the inspection device 42, and the medical information / patient information input terminal 43 is transferred to the storage unit 13 of the information display device 1 via the diagnostic terminal management server 6. Is done. Thereby, the doctor can take out medical information and refer to it appropriately by carrying the information display device 1 when performing home medical care.

  Further, according to the configuration of the above invention, the medical information stored in the storage unit 13 of the information display device 1 is provided so that it can be projected and displayed by the image projection unit 15. By projecting medical information to a desired location, it is possible to make it easier for the patient to recognize medical information that is difficult to explain verbally.

  Further, according to the configuration of the above invention, the medical information stored in the storage unit 13 of the information display device 1 is provided so as to be printable by the printing unit 5. By printing the medical information on a paper medium, it is possible to make it easier for the patient to recognize by hand the medical information that is difficult to explain verbally.

  Further, according to the configuration of the above invention, transfer information is added to the medical information stored in the diagnostic terminal database 62. Since the transfer of medical information to the storage unit 13 by the system control unit 61 is performed based on the transfer information, the user of the information display device 1 is allowed to carry out medical information by a simple operation of specifying a patient name. Can be transferred to the storage unit 13. In addition, it is possible to prevent a situation in which medical information that is not permitted to be taken out is inadvertently transferred to the information display device 1.

  In addition, with the configuration of the above invention, the printability information is added to the medical information stored in the diagnostic terminal database 62. Since the user of the information display apparatus 1 can check the printability information when selecting the medical information to be printed by the printing unit 5, the user can accidentally select the medical information that is not permitted to be printed and print it by the printing unit 5. Can be prevented.

  Further, with the configuration of the above invention, the imaging unit 16 captures a medical image and stores it in the storage unit 13. Thereby, the medical information stored in the storage unit 13 and the medical image captured by the imaging unit 16 can be displayed at the patient's home, and more efficient treatment can be performed.

The configuration of the present invention is not limited to what has been described here, and various inventions can be formed by proper combinations of a plurality of components disclosed in the above embodiments. For example, the image projection unit 15 may be provided separately from the information display device 1 and may be attached to the information display device 1 when performing projection. Further, the function of the diagnostic terminal management server 6 is integrated with the PACS server 2 or the RIS / HIS server 3, and the system control unit 21 of the PACS server 2 or the system control unit 31 of the RIS / HIS server 3 stores the diagnostic terminal database 62. You may take the structure which performs control. Or you may delete a some component from all the components shown by embodiment.

DESCRIPTION OF SYMBOLS 1 Information display apparatus 2 PACS server 3 RIS / HIS server 5 Printing part 6 Diagnosis terminal management server 11 System control part 12 Operation part 13 Storage part 14 Display part 15 Image projection part 16 Imaging part 21 System control part 22 Medical image database 31 System control unit 31
32 Medical Information Database 33 Patient Information Database 41 Imaging Device 42 Inspection Device 43 Medical Information / Patient Information Input Terminal 61 System Control Unit 62 Diagnosis Terminal Database 63 Operation Unit

Claims (7)

In a medical support device for managing medical information,
Medical information acquisition means for acquiring medical information;
Storage means for storing medical information acquired by the medical information acquisition means;
Conversion means for converting medical information including at least text data stored in the storage means into image data;
A medical support apparatus comprising: medical information output means for outputting medical information converted by the conversion means. In a medical support device for managing medical information,
Medical information acquisition means for acquiring medical information;
Storage means for storing medical information acquired by the medical information acquisition means;
Conversion means for converting medical information stored in the storage means into a data format that can be output by a digital camera;
A medical support apparatus comprising: medical information output means for outputting medical information converted by the conversion means. Selecting means for selecting medical information from a medical information list in which medical information stored in the storage means is listed;
The medical support apparatus according to claim 1, wherein the medical information output unit outputs the medical information selected by the selection unit. The storage means stores patient identification information or visit destination identification information in association with medical information,
The apparatus further includes an adding unit that adds classification information for classification based on at least one of patient identification information and visit destination identification information to the medical information output by the medical information output unit. The medical support apparatus according to any one of claims 1 to 3. 5. The printability information adding means for adding printability information indicating whether or not printing of medical information is permitted to the medical information stored in the storage means, further comprising: The medical support device according to any one of the above. The storage means stores patient identification information or visit destination identification information in association with medical information,
The medical information list is categorized based on at least one of patient identification information or visitor identification information,
The medical support apparatus according to claim 3, wherein the selection unit selects medical information based on at least one of the patient identification information and the visit destination identification information. In a medical support system for managing medical information,
Medical information acquisition means for acquiring medical information;
Storage means for storing medical information acquired by the medical information acquisition means;
Conversion means for converting medical information stored in the storage means into image data;
A medical support device comprising:
Storage means for storing medical information converted by the conversion means;
Projection means for projecting and displaying medical information stored in the storage means;
A portable projection device comprising:
A medical support system comprising:

Images