JPH02164336A - Medical information processing system - Google Patents

Abstract

PURPOSE:To facilitate management and utilization in case clinical data takes the form or image data by storing image data of the result from clinical inspection due to different types of ME apparatus in a photo-disk, and enabling unified management by a computer. CONSTITUTION:In a work station 11, an image data input processing part 17 is started using an image input command or a menu screen. Image data in the form of video signals given by an ME apparatus 14 is taken in and stored in an image data file 18a. The attribute information about the taken-in image data is once accommodated in a local file 18b, transferred to a center host 23 by batch treatment at an appropriate timing, and stored by an image data managing part 27 in an image data attribute information file 28 together with other relevant attribute information. Transfer may be done online through a network 22, but offline system is rather favorable in respect of data offer, etc., in practices.

Description

[Detailed Description of the Invention] [Summary] When a workstation handles both reservation data and clinical data, if a large amount of clinical data is flowing between the center host and the workstation, the input processing of reservation data becomes difficult. As a result, the response becomes slow.

Although the present invention processes the transfer of reservation data in real time, the transfer of clinical data is in principle performed by batch processing, thereby preventing the deterioration of the reservation reception service.

[Industrial application field]

The present invention relates to a comprehensive medical information processing system that manages reservations, clinical data, etc. in medical institutions such as hospitals, and particularly relates to the transfer of reservation data, clinical data, etc. between workstations and center hosts. It provides efficient processing means.

[Prior Art] FIG. 6 shows an example of a conventional medical information processing system in a medical institution.

In FIG. 6, 1 is a center host, 2 is a computer, 3 is a reservation management program, 4 is a clinical test data management program, 5 is a reservation data file, 6 is a clinical test data file, 1 to 9 are workstations, 10
is a network such as a LAN.

The computer 2 of the center host 1 uses a reservation management program 3 and a reservation data file 5.

We manage reservations for ME equipment such as ultrasound diagnostic equipment and endoscopic imaging diagnostic equipment, and manage data on clinical test results and various ME equipment using the clinical test data management program 4 and clinical test data file 6. We manage the data of physiological function test results using equipment.

Workstations M to 9 are the examination rooms and reception areas of each department,
It is placed in diagnostic rooms for various ME devices, and is used to make reservations for ME devices, input data on results of clinical tests, physiological tests, etc., and retrieve data.

However, if the clinical test data is an X-ray shadow film, a CT scan, or a diagnostic image output from an ultrasound diagnostic device,
Usually, each film, hard copy output, etc. is directly managed for each patient, and the clinical test data file 6 only records the management.

[Problem to be solved by the invention]

In conventional medical information processing systems, when clinical test result data is an image, inputting and storing it in a computer requires a huge amount of storage capacity, so it is managed in the form of film, photographs, hard copies, etc. Ta.

For this reason, it takes time to retrieve clinical data, and based on the disclosure of diagnostic information to patients, which has recently become important, and the strengthening of cooperation between hospitals and clinics (receiving clinical test data to clinics), There was a problem that it was difficult to provide services smoothly.

An object of the present invention is to provide an efficient medical information processing system that facilitates the management and use of clinical data, especially when the clinical data is in the form of image data.

[Means to solve the problem]

The present invention stores image data of clinical test results obtained by various ME devices on an optical disk.

Enables centralized management by computer. Furthermore, the amount of clinical test data is large.

In addition, since the input is often not required with great urgency, the process of transferring it from the workstation to the center host is performed in batch processing, while the reservation data is transferred in real time, allowing reservations to be accepted. Preventing negative impact on services.

FIG. 1 shows the basic configuration of a medical information processing system according to the present invention. Note that only one workstation is shown as a representative workstation to simplify the diagram.

In FIG.

11 is a work station.

12 is the display.

13 is the keyboard.

14 is an ME device that outputs clinical test results such as ultrasound diagnosis in video image data format.

15 is an analyzer that performs biochemical tests on body fluids such as blood and urine.

Reference numeral 16 denotes a reservation manual processing unit that detects a reservation command and performs interactive reservation processing with the center host.

Reference numeral 17 denotes an image data input processing unit that performs a process of accumulating image data output from the ME device 14 into a file on an optical disk or the like.

18a is an image data file such as an optical disk that stores image data;

18b is a local file such as a floppy disk which is linked to the image data of the image data file 18a and stores attribute information such as the type and storage location of the image data.

Reference numeral 19 denotes a clinical test data input processing unit that inputs and stores clinical test data as an analysis result of the analyzer I5.

20 is a Dn bed test data file such as a floppy disk that stores clinical test data.

21 is an interface control unit that controls communication with the center host via a network such as a LAN.

22 is a network such as LAN.

23 is the center host.

24 is an interface control unit on the center host side.

25 is a reservation management unit that performs reservation processing for various MEa devices.

26 is a reservation data file used as a reservation management ledger.

An image data management unit 27 manages attribute information regarding all image data stored in the image data file (18a) of each workstation (11), and performs search processing in response to a request for retrieving arbitrary image data. Attribute information of all image data, such as image data content, storage location, medical record number, and patient name.

An image data attribute information file that stores information that associates referral clinics, names of attending physicians, etc.

29 is all clinical test data stored in the clinical test data file (20) of each workstation (11);
The clinical data management unit 30, which integrally manages other clinical data and performs search processing in response to an arbitrary retrieval request, is a clinical data mask file that stores all clinical data. Here, the clinical data includes image data, clinical test data, finding data, interview data, and the like.

The number of workstations 11 can be any number depending on the system scale of the medical institution.

In that case, each workstation may have different functions depending on its installation location and purpose. Although the illustrated workstation 11 is coupled with an ME device 14 and an analysis device 15, the types of these ME devices and analysis devices, whether or not they are coupled, etc. can be arbitrarily set by the workstation.

[For production]

The operation of the configuration of the present invention shown in FIG. 1 will be explained.

The reservation data file 26 of the center host 23 stores reservation data indicating the reservation status of each ME device, such as a CT or ultrasonic diagnostic device. The user of the workstation 11 inputs a reservation command from the keyboard 13 to instruct reservation inquiry, reservation, cancellation of reservation, etc. Note that a menu screen can also be displayed on the display 12 to allow selection.

For this reason, the reservation input processing unit 16 of the workstation 11
analyzes the command input by the user, creates a message with the necessary content, and instructs the interface control unit 21 to transfer it in real time.

The interface control unit 21 converts this message into a predetermined format and transmits it to the center host 23 via the network 22.

The interface control unit 24 of the center host 23 receives this message and passes it to the reservation management unit 25.

The reservation management section 25 analyzes the message and performs processing according to its contents. For example, in the case of a reservation inquiry, the reservation data file 26 is checked for available dates and times for the specified MEgl device, and the results are returned to the workstation that originated the inquiry. Similarly, in the case of a reservation, the date and time of the designated ME device in the reservation data file 26 is set as reserved. The same procedure can be used to cancel a reservation.

These reservation processes can be done by using the 9-interrupt function.
Executed interactively.

On the other hand, in the workstation 11, when inputting image data from the ME device 14, the image data input processing unit 17 uses the 9 image input command or the menu screen.
Start.

The image data input processing unit 17 takes in image data in a video signal format output from the ME device 14 and stores it in a single image data file 18a.

The image data input processing section 17 inputs the image data file 18a.
Attribute information about the image data imported into is first stored in the local file 18b, and then transferred to the center host 23 by batch processing at an appropriate time and then by the 1-image data management section 27.

The image data attribute information file is stored in the second image data attribute information file along with other related attribute information.

The clinical test data as a result of analysis by the analyzer 15 is stored in a clinical test data file 20 by the clinical test data input processing section 19.

It is transferred to the center host 23 by batch processing at an appropriate time. The clinical data management department 29 of the center host 23
Save the received clinical test data to clinical data mask file 3
Store at 0.

The image data stored in the image data file 18a of the workstation 11 is transferred to the center host 23 or other workstations via the network 2.
2, but since the network occupancy time is longer, it is better to use an offline format in which storage media such as optical disks are directly transferred, which reduces running costs and data in the hospital/clinic collaboration system. It is advantageous in terms of provision, etc., and is rather practical.

When a reference request for specific image data is made from any workstation 11 in an internal medicine examination room or conference room, the reference request is sent to the center host 2.
Sent on 3rd. The image data management unit 27 of the center host 23 searches the one image data attribute information file 28 for attribute information of the requested image data, and searches for the attribute information of the requested image data.
Sends the information back to the requesting workstation.

The request source workstation identifies a storage medium such as an optical disk in which the target image data is stored based on the attribute information, and extracts nine image data.

Of course, it is also possible to provide a mask file of image data in the center host so that the center host can directly respond to reference requests.

When providing patient image data to an external referring clinic or referring doctor, the center host 23 writes the necessary image data on an optical disk or the like and provides the data. In the case of clinical test data, it can be recorded on a floppy disk and provided.

In order to transfer the attribute information of the image data stored in the local file 18b to the center host 23, it is necessary to give other instructions to the 1-image data input processing section 17. This instruction can be made using a command or an interrupt from a clock, and is executed, for example, at a time when there is no problem with the reservation reception service. The same applies to the case of transferring the clinical test data of the clinical test data file 20.

The image data management unit 27 stores the contents and storage location of the image data in one image data file 18a, as well as the medical record number, patient name, and referral clinic name.

The name of the attending physician, etc. can be associated and managed to enable searches in a variety of ways.

〔Example〕

FIG. 2 is a block diagram of one embodiment of the medical information processing system shown in FIG. 1, and the same reference numerals are used for common elements.

In the figure, 11-1 to 11-5 are workstations, 11-1 and 11-2 are located in the internal medicine examination room,
1-3 are conference rooms.

11-4 is installed in an ultrasound diagnostic room, and 11-5 is installed in an endoscopy diagnostic room. Also, 22 is a network,
23 is a center host to which the workstations 11-1 to 11-5 are connected via the network 22; 25 is a reservation management section;

26 is a reservation data file, 27 is an image data tube ring part,
2nd is an image data attribute information file, 29 is a clinical data management department, 30 is a clinical data mask file, 31 is a patient mask file, 32 is a referral facility mask file, 33
34 is the introducing doctor mask file, 34 is the site mask file, 35 is the video projector connected to the workstation 11-3, and 36 is the workstation 11-
4 is an ultrasonic diagnostic device connected to the workstation 11-5, and 37 is an endoscopic imaging diagnostic device connected to the workstation 11-5.

Workstations 11-1 to 11-3 are located in the internal medicine examination room and conference room.

It has a function of extracting patient's clinical test result data, especially image data and displaying it on a monitor or video projector 35, and a function of accepting reservations for ME@ equipment. There are also various support systems that use image displays to make it easier to explain medical conditions to patients, as well as a system for issuing instruction manuals to hand to patients.

The workstations 11-4 and 11-5 respectively take out video signals of diagnostic images from the video output terminals of the ultrasound diagnostic devices 1 & 36 and the endoscopic imaging diagnostic device 37, and store them in their built-in hard disk devices (not shown). Has a function.

Each of the workstations 11-4 and 11-5 is equipped with a recording/playback device such as a VTR or an optical disk, and records or plays back diagnostic images from the ultrasonic diagnostic device 36 and the endoscopic imaging diagnostic device 37 from the hard disk device. It is possible to provide diagnostic images in the form of videotapes or optical discs to clinics and family doctors that refer patients.

Next, the configuration of each file in the center host 23 will be explained.

The reservation data file 26 uses a code for the reservation unit for each MEIA device, and each record consists of items such as January 1, 1999, 1 hour, patient code, site code, and completion flag. The code has a length of 256 bytes and records reservation data for 60 days after the current day and reservation data for the past 30 days for each M-device.

The image data attribute information file 28 includes a management data record, and the management data record includes information such as 9:00 on January 1, 2018, when one image data was taken, a patient code, an ME device code, a site code, and the disk classification in which the image data exists. Contains items such as starting track.

It has a length of 96 bytes.

The records in the patient mask file 31 include patient code, patient name, gender, date of birth, and patient phone number.

It has a length of 160 bytes and includes items such as the referring facility code, referring doctor code, and imaging progress data by ME equipment.

Introduction facility mask file 32 is! ! Manage data on facilities such as hospitals and clinics that referred Person A.

The records include facility code, facility group, address, postal code,
It includes items such as telephone numbers and has a length of 160 bytes.

The introducing doctor mask file 33 manages data on the doctor who introduced the patient, and its record includes items such as doctor code and doctor name, and has a length of 32 bytes.

The region mask file 34 manages data of each region of the human body to be photographed and diagnosed, and its record includes items such as region code 2 region name, and has a length of 32 bytes.

Although not shown, several other files are provided, such as an equipment mask file and a facility mask file.

The device mask file manages data regarding ME devices, and its records include items such as VI device code and Ja device name, and have a length of 32 bytes.

The facility mask file manages the data of the own facility, and its records include facility name, address, and postal code.

It includes items such as telephone numbers and has a length of 256 bytes.

The data in each of these files includes the ME reservation ledger shown in Figure 3, patient history shown in Part 4, image data list shown in Figure 5, patient instructions, and image data transmission letter to the referring clinic. It is used as basic data when outputting various data such as.

〔Effect of the invention〕

According to the present invention, since diagnostic image data of ME devices is centrally managed, diagnostic image data of all or any MEi devices of a patient at any time can be quickly retrieved from any workstation. It can be used in a variety of ways, including explaining and providing guidance to patients about medical conditions, examining medical conditions within medical offices, and providing training.

In particular, in a collaborative system between hospitals and clinics, it will be easier to provide data on clinical test results from hospitals to clinics, allowing smooth operation of patient aftercare systems and family physician systems.

[Brief explanation of the drawing]

FIG. 1 is a diagram showing the basic configuration of a medical information processing system according to the present invention, FIG. 2 is a diagram showing the configuration of an embodiment of the system according to the present invention, FIG. 3 is an explanatory diagram of an example of ME reservation ledger output, and FIG. FIG. 5 is an explanatory diagram of an example of outputting an image data list, and FIG. 6 is a configuration diagram of an example of a conventional medical information processing system. In Figure 1. 11: Workstation 12: Display 13: Keyboard 14: MEfi device 15: Analyzer 16: Reservation input processing unit 17: Image data input processing unit 18a: Image data file 18b: Local file 19: Clinical test data input processing unit 20: PS floor examination data file 21; Interface control unit 22: Network 23: Center host 24: Interface control unit 25: Reservation management unit 26 Reservation data file 27: Image data management unit 2nd: Image data attribute information file 29: Clinical data Management Department 30: I)! S floor data mask file patent applicant
Care Net Co., Ltd. Representative Patent Attorney Fumihiro Hase Conventional Medicine F! ,
Compassion processing system 1 clear Figure 6

Claims (3)

[Claims] (1) Consisting of multiple workstations and a center host, reservation data, clinical data, etc. input from the workstations are transferred to the center host, and the center host centrally manages files for these reservation data, clinical data, etc. In a medical information processing system, at least one workstation has the function of transmitting input reservation data to the center host in real time, and the function of temporarily storing input clinical data in the workstation and transmitting it to the center host in batch processing. A medical information processing system characterized by having a transfer function. (2) In claim 1, the clinical data etc. are image data,
A medical information processing system characterized in that a file storing image data, among which clinical examination data, observation data, interview data, etc., is an optical disk file. (3) A medical information processing system according to any one of claims 1 and 2, characterized in that clinical data etc. in the center host are linked to the name of a patient's introducing institution or the name of an introducing doctor for file management.