Report confirmation support system, report confirmation support method, and report confirmation support program

Abstract

To provide a report checking support system, a report checking support method, and a report checking support program for reducing a user's oversight in an image reading report.SOLUTION: A report checking support system 1 comprises a first terminal device 20, a setting unit 173, and an output control unit 35. In association with creation of an image reading report related to a medical image acquired through inspection on a subject, the first terminal device 20 receives input of a voice related to the medical image as voice data. The setting unit 173 sets an importance flag to the image reading report associated with the voice data. The output control unit 35 causes a second terminal device 33 related to a requesting doctor to output, as a voice from a speaker 336, the details of the voice data related to the importance flag, from among a plurality of image reading reports corresponding to a plurality of inspections requested from the requesting doctor.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The embodiments disclosed in this specification and the drawings relate to a report confirmation support system, a report confirmation support method, and a report confirmation support program. [Background technology]

[0002] Conventionally, overlooking of information in radiology reports has been a problem. In order to reduce such oversights, there is a technology related to report creation notification that notifies a higher-level system such as a hospital information system (hereinafter referred to as HIS (Hospital Information System)) that the radiology report creation has been completed when the radiology report creation for the medical image in which the problem was generated is completed. In addition, there is a technology related to report read management that adds a confirmation button to a mechanism for referencing the radiology report in order to manage the read history of the radiology report for each logged-in user.

[0003] In report read management, if the image reading report by the requesting physician for the examination is not marked as read in the list of image reading reports, the radiology department contacts the requesting physician to review the image reading reports that are not marked as read. In other words, if the image reading report is marked as read in the list of image reading reports, the radiologist determines that the requesting physician has reviewed the image reading report. In addition, in report read management, after reviewing the image reading report, the requesting physician transcribes the contents of the image reading report into the electronic medical record. By operating in this manner, the radiology department can refer to the contents of the electronic medical record and determine whether the image reading report has been read based on whether the image reading report has been transcribed into the electronic medical record.

[0004] However, in the above technology, the purpose is to press the confirmation button for the image reading report, i.e., to mark the image reading report as read, and the requesting physician may not be able to properly confirm the contents of the image reading report. In addition, there is no distinction between abnormal findings and weighting of findings in multiple image reading reports, making it difficult for the radiology department to check all electronic medical records, and since read management is information that is originally managed by the HIS, it is difficult to manage it on the department system alone. In addition, there are cases where the requesting physician overlooks important findings outside the area of ​​interest, findings in organs other than the examination purpose in the image reading report, important findings in the image reading report, etc. [Prior art documents] [Patent documents]

[0005] [Patent Document 1] JP 2013-48990 A Summary of the Invention [Problem to be solved by the invention]

[0006] One of the problems to be solved by the embodiments disclosed in this specification and the drawings is to reduce user oversights in an image interpretation report. However, the problems to be solved by the embodiments disclosed in this specification and the drawings are not limited to the above problem. Problems corresponding to the effects of each configuration shown in the embodiments described later can also be positioned as other problems. [Means for solving the problem]

[0007] The report confirmation support system according to the present embodiment includes a first terminal device, a setting unit, and an output control unit. The first terminal device inputs voice related to a medical image acquired by an examination on a subject as voice data in association with the creation of an interpretation report on the medical image. The setting unit sets an importance flag for the interpretation report associated with the voice data. The output control unit outputs the content of the voice data associated with the importance flag, among multiple interpretation reports corresponding to multiple examinations requested by a client doctor, as voice from a speaker of a second terminal device related to the client doctor. [Brief description of the drawings]

[0008] [Figure 1] FIG. 1 is a diagram showing an example of the configuration of a report checking support system according to an embodiment. [Diagram 2] FIG. 2 is a flowchart showing an example of a procedure for supporting report checking according to the embodiment. [Diagram 3] FIG. 3 is a flowchart showing an example of a procedure for supporting report checking according to the embodiment. [Figure 4] FIG. 4 is a diagram showing an example of voice input by an image interpretation doctor according to the embodiment. [Diagram 5] FIG. 5 is a diagram showing an example in which voice data is reproduced for a requesting doctor in the embodiment. [Figure 6] FIG. 6 is a diagram showing an example of a report list displayed on the second display for multiple patients visiting the hospital on the same day in the embodiment. [Figure 7] FIG. 7 is a diagram showing an example of an important report that is highlighted according to the embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0009] The report confirmation support system, the report confirmation support method, and the report confirmation support program will be described in detail below with reference to the drawings. In the following embodiments, parts with the same reference numerals perform the same operations, and duplicated descriptions will be omitted as appropriate. Note that the report confirmation support system according to the present application is not limited to the following embodiments.

[0010] (Embodiment) The overall configuration of a report review support system according to an embodiment will be described. Fig. 1 is a diagram showing an example of the configuration of a report review support system 1 according to an embodiment. The report review support system 1 includes an electronic medical record system 3, a radiology department server device 5, an information management department terminal device 6, a medical image diagnostic device 7, a reception device 8, a medical image management server device 11, and a medical image management terminal device 20 corresponding to a first terminal device. The medical image management server device 11 and the medical image management terminal device 20 constitute a medical image management system (hereinafter referred to as PACS (Picture Archiving and Communication Systems)) 2.

[0011] PACS2 is an information system that manages medical images such as X-ray CT images and MR images, and image interpretation reports, also called image diagnosis reports. The image interpretation report includes, for example, the subject's name, patient information such as a patient ID, the purpose of the examination such as an area of ​​interest, the examination date and time, and the findings and diagnosis by the image interpretation physician regarding the medical image of the subject (hereinafter referred to as a key image) that is attached (attached) to the image interpretation report. The findings are the observation results of the image interpretation physician regarding the key image. The findings include, for example, observation results related to the examination purpose (area of ​​interest) in the examination order by the requesting physician, and observation results that deviate from the examination purpose (hereinafter referred to as important findings). Marks and annotations are appropriately superimposed on the key image in the image interpretation report to explain the findings.

[0012] The various components mounted on the medical image management terminal device (hereinafter referred to as PACS terminal) 20 may be provided in the report review support system 1 as one or more terminal devices for each of the various server devices described above. Also, the various server devices in the report review support system 1 may be realized as an integrated server that integrates the functions of each server device. In other words, the server devices in the report review support system 1 may be realized as a single integrated server.

[0013] Furthermore, the report confirmation support system 1 may further include a report confirmation support device having a processing circuit for implementing the setting function 173, the extraction and specification function 174, the order generation function 175, and the output control function 35, a server communication interface 13, and a server memory 15, in addition to the normal medical image management server device. In this case, the medical image management server device (hereinafter referred to as PACS server) 11 does not have the setting function 173, the extraction and specification function 174, and the order generation function 175 like a normal PACS server, but has a system control function 171 and a storage function 172. In addition, the various components mounted on the PACS terminal 20 are mounted on a terminal device electrically connected to the above-mentioned report confirmation support device and the normal PACS server.

[0014] The electronic medical record system 3 comprises an electronic medical record server device 31 and a terminal device (hereinafter referred to as an electronic medical record terminal device) 33 electrically connected to the electronic medical record server device 31. The electronic medical record system 3 is an information system that manages electronic medical records for recording medical treatment details. The electronic medical record server device 31 is a computer device that executes processes related to the management of electronic medical records. The electronic medical record terminal device 33, which corresponds to a second terminal device, is used by doctors, nurses, etc. who input and refer to electronic medical records, etc. The electronic medical record server device 31 and the electronic medical record terminal device 33 are connected to a communication network.

[0015] The electronic medical record terminal device 33 inputs, for example, an examination order (e.g., a radiology order, etc.) which is an order for an examination on a subject, or a hospital visit order (also called an outpatient order) which is an order for a visit of the subject, according to an instruction from a requesting doctor (also called a clinician) who requests an examination on the subject. An examination order is an order for an examination of a subject. When an examination order is for imaging of a subject related to image diagnosis, the examination order has order information for each item, such as the patient ID of the subject to be examined, the patient name, an examination number (examination ID) used to identify the examination, the examination date, the examination site, the examination purpose, imaging information, and the requesting doctor's comments. The requesting doctor corresponds to a referrer who refers to an interpretation report created by a radiologist, i.e., an image interpretation doctor, in the PACS2. In response to the input of an examination order by the electronic medical record terminal device 33, the electronic medical record server device 31 transmits the examination order to the radiology department server device 5 together with the patient information of the subject. Various components of the electronic medical record terminal device 33 will be described later.

[0016] The radiology department server device 5 and terminal devices (hereinafter referred to as radiology department terminal devices) electrically connected to the radiology department server device 5 constitute a radiology department information system (hereinafter referred to as a RIS (Radiology Information Systems)). The RIS is an information system that manages information in the radiology department of a hospital. Information in the radiology department of a hospital is, for example, examination schedules for various modalities. The radiology department terminal devices (hereinafter referred to as RIS terminals) input various instructions, for example from radiologists, regarding the management of information in the radiology department of a hospital.

[0017] The radiology department server device (hereinafter referred to as the RIS server) 5 mainly manages the process from reservations for examinations and treatments using medical image diagnostic devices 7 such as radiological equipment to the examination results. The RIS server 5 acquires and stores patient information, reservation information (examination reservation information and treatment reservation information), and other information from a hospital information system (hereinafter referred to as the HIS (Hospital Information System)) server device and an electronic medical record server device 31. As an example of its operation, the RIS server 5 receives an examination order from the electronic medical record system 3 and acquires information about the medical image diagnostic device 7 from the examination order. The RIS server 5 transmits the examination order to the medical image diagnostic device 7 specified by the examination order. Usually, the RIS server 5 plays a central role as a worklist server conforming to the DICOM (Digital Imaging and Communications in Medicine) specifications.

[0018] The medical image diagnostic device 7 is a device for acquiring medical images, such as an X-ray diagnostic device, an X-ray computed tomography (CT) device, a magnetic resonance imaging (MRI) device, or a nuclear medicine diagnostic device such as PET (Positron Emission computed Tomography) or SPECT (Single Photon Emission Computed Tomography). Based on the examination order output from the RIS server 5, the medical image diagnostic device 7 performs imaging of the subject in response to an operation by a technician or the like to start imaging. By performing imaging, the medical image diagnostic device 7 collects data on the subject's internal tissues. The medical image diagnostic device 7 generates a medical image based on the data. The medical image diagnostic device 7 transmits the generated medical image to the PACS server 11 together with the examination number.

[0019] The PACS server 11 is a computer device that executes processes related to management of medical images. The PACS server 11 includes a server communication interface 13, a server memory 15, and a server processing circuit 17. The PACS server 11 is connected to a network and a PACS terminal 20 via the server communication interface 13.

[0020] The server communication interface 13 performs data communication, for example, between the electronic medical record system 3, the RIS server 5, the medical image diagnostic device 7, and the first communication interface 21. Any standard may be used for communication by the server communication interface 13. The server communication interface 13 outputs data acquired through data communication with various server devices to the server memory 15. The server communication interface 13 receives an electrical signal of an input operation input to the first input interface 29 of the PACS terminal 20 via the first communication interface 21. The server communication interface 13 outputs the received electrical signal to the server processing circuit 17.

[0021] The server memory 15 is a storage device such as an HDD (Hard disk Drive), an SSD (Solid State Drive), or an integrated circuit storage device that stores various information. In addition to an HDD or SSD, the server memory 15 may be a drive device that reads and writes various information between a portable storage medium such as a CD (Compact Disc), a DVD (Digital Versatile Disc), or a flash memory, or a semiconductor memory element such as a RAM (Random Access Memory), etc.

[0022] When the server memory 15 receives a medical image from the medical image diagnostic device 7, it stores the examination number and the medical image in association with each other. Various additional information is attached to the medical image. The additional information includes the patient's name, patient ID, information regarding imaging (e.g., slice thickness, slice number, presence or absence of contrast, imaging conditions), etc. The server memory 15 stores the interpretation report created by the PACS terminal 20 in association with the examination number. At this time, the PACS terminal 20 functions as a report creation terminal that creates the interpretation report. The server memory 15 stores various programs related to a system control function 171, a storage function 172, a setting function 173, an extraction and specification function 174, and an order generation function 175.

[0023] The server memory 15 stores data acquired by the system control function 171, data generated by the extraction and specification function 174 and the order generation function 175, etc. The server memory 15 stores various masters that are standard formats for input information in input items of input forms related to visit orders (also called outpatient orders) and examination orders (such as radiology orders) generated by the order generation function 175.

[0024] The master data related to the visit order is, for example, the department name to which the requesting doctor belongs, the purpose of medical treatment according to the clinical diagnosis, etc. The master data related to the examination order is, for example, the examination site, the purpose of examination, and the imaging information according to the clinical diagnosis. The server memory 15 may store a predetermined period used in the output control function 35. The predetermined period is used, for example, to determine whether or not it is necessary to recommend the issuance of a visit order for a subject, or whether or not it is necessary to recommend the issuance of an examination order corresponding to the examination advice by the image interpretation doctor in the image interpretation report. The predetermined period is set in advance, for example, one month or two weeks, starting from the time of generation of the image interpretation report, the date of execution of the examination related to the image interpretation report, the date of request for the examination, etc. The predetermined period may be set appropriately according to the disease name related to the important finding and the stage of the disease in the important finding. The predetermined period, the visit order, the examination order, etc. related to this embodiment will be described later along the procedure for executing a process for supporting the confirmation of the image interpretation report by the requesting doctor (hereinafter, referred to as a confirmation support process).

[0025] The server processing circuit 17 has, for example, as hardware resources, a processor such as a CPU (Central Processing Unit), an MPU (Micro Processing Unit), or a GPU (Graphics Processing Unit), and a memory such as a ROM (Read Only Memory), a RAM, etc. Also, the server processing circuit 17 may be realized by an Application Specific Integrated Circuit (ASIC), a Field Programmable Gate Array (FPGA), another Complex Programmable Logic Device (CPLD), a Simple Programmable Logic Device (SPLD), or the like.

[0026] The server processing circuit 17 has a system control function 171, a storage function 172, a setting function 173, an extraction and specification function 174, and an order generation function 175. Each of the system control function 171, the storage function 172, the setting function 173, the extraction and specification function 174, and the order generation function 175 is stored in the server memory 15 in the form of a program executable by a computer. The server processing circuit 17 executes the system control function 171, the storage function 172, the setting function 173, the extraction and specification function 174, and the order generation function 175 by a processor that executes the programs deployed in the memory.

[0027] That is, the server processing circuit 17 corresponds to a processor that realizes a function corresponding to each program by reading the program from the server memory 15 and executing it. In other words, the server processing circuit 17 in a state where each program is read has a function corresponding to the read program. Note that each function (171 to 175) is not limited to being realized by a single processing circuit. A processing circuit may be configured by combining multiple independent processors, and each processor may realize each function (171 to 175) by executing a program.

[0028] The system control function 171 controls each function of the server processing circuit 17 based on an electrical signal corresponding to an input operation received from a user via the first input interface 29. Specifically, the system control function 171 reads out a control program stored in the server memory 15, expands it on the memory in the server processing circuit 17, and controls each part of the PACS server 11 according to the expanded control program. When the system control function 171 receives an interpretation report from the PACS terminal 20, the system control function 171 stores the interpretation report in the server memory 15 in association with the examination number. In addition, the system control function 171 transmits the interpretation report together with the examination number to the electronic medical record server device 31. The interpretation report transmitted to the electronic medical record server device 31 is associated with the electronic medical record of the subject related to the interpretation report and stored in the electronic medical record server device 31.

[0029] The storage function 172 acquires the medical image together with the examination number from the medical image diagnostic apparatus 7. The storage function 172 stores the medical image in the server memory 15 together with the patient information such as the patient ID and the examination number.

[0030] The setting function 173 associates voice data corresponding to the voice of the image-reading doctor input via the first input interface 29 with the image-reading report corresponding to the input of the voice. The voice data is data of the voice generated by the image-reading doctor when creating an image-reading report or after creating an image-reading report, and is input by the microphone in the first input interface 29. The contents of the voice data include, for example, important findings and advice on the next examination related to the important findings.

[0031] The setting function 173 links the voice data to the patient ID of the subject and the examination number related to the examination of the subject at the time of voice input. That is, the voice data is stored in the server memory 15 as a voice file to which the patient ID, examination number, etc. are linked. At this time, the setting function 173 identifies an interpretation report corresponding to the patient ID and examination number. The setting function 173 associates the voice data with the identified interpretation report. The association of the interpretation report with the voice data corresponds to, for example, attaching the voice data (or voice file) to the interpretation report.

[0032] The setting function 173 sets an importance flag for the image interpretation report associated with the voice data to indicate to the attending physician that the image interpretation report is important. That is, an image interpretation report with an importance flag set corresponds to an image interpretation report associated with the voice data. The importance flag corresponds to image interpretation data having important findings. The setting function 173 also associates the examination advice identified in the voice data by the extraction identification function 174 with the image interpretation report associated with the voice data.

[0033] The extraction and identification function 174 extracts the contents of the voice (hereinafter referred to as the voice contents) from the voice data associated with the radiology report. For example, the extraction and identification function 174 uses an existing voice recognition program to extract a character string from the voice data. The extraction and identification function 174 extracts the voice contents by executing natural language processing on the extracted character string using an existing natural language processing program having, for example, morphological analysis, syntactic analysis, context analysis, semantic analysis, etc. Note that the extraction and identification function 174 is not limited to using the above voice recognition program or natural language processing program in extracting the voice contents from the voice data, and may use a trained model (for example, a recurrent neural network (RNN)) trained to input voice data and output the voice contents. The voice recognition program, natural language processing program, and the trained model are stored in the server memory 15.

[0034] The extraction identification function 174 compares the contents of the description in the image interpretation report related to the voice data with the voice contents to identify a portion of the description that is related to or overlaps with the voice contents. The extraction identification function 174 associates the identified portion with the image interpretation report using a patient ID and an examination number. At this time, the extraction identification function 174 may create an emphasized report that emphasizes the portion identified in the image interpretation report. The extraction identification function 174 also identifies examination advice related to at least one of the findings and diagnoses in the corresponding image interpretation report in the character string extracted from the voice data. The identified examination advice is, for example, the purpose of the examination, the examination site, and imaging information. The extraction identification function 174 associates the extracted examination advice with the image interpretation report using a patient ID and an examination number.

[0035] The order generation function 175 generates a visit order with predetermined items input based on the subject's available visit date and time, the subject's patient information, and the requesting doctor's schedule output from the information management department terminal device 6 described below. The predetermined items include, for example, the department name to which the requesting doctor belongs, the purpose of medical treatment according to the clinical diagnosis, the subject's visit date and time, etc. The order generation function 175 outputs the generated visit order to the electronic medical record terminal device 33 via the server communication interface 13.

[0036] If there is a character string in the examination advice that matches the examination master, the order generation function 175 generates an examination order with predetermined items input based on the subject's available visit date and time output from the information management department terminal device 6, the subject's patient information, the requesting doctor's schedule, and the examination schedule of the modality related to the examination advice. The predetermined items are, for example, the department name to which the requesting doctor belongs, the examination purpose, the examination date and time, the examination site, and the imaging information. The order generation function 175 outputs the generated examination order to the electronic medical record terminal device 33 via the server communication interface 13.

[0037] The server processing circuit 17 which realizes the system control function 171, the storage function 172, the setting function 173, the extraction and specification function 174, and the order generation function 175 is an example of a system control unit, a storage unit, a setting unit, an extraction and specification unit, and an order generation unit.

[0038] The PACS terminal 20 corresponds to a first terminal device and includes a first communication interface 21, a first memory 23, a first processing circuit 25, a first display 27, and a first input interface 29. The PACS terminal 20 is used for storing and managing medical images and interpretation reports, displaying medical images related to interpretation, creating interpretation reports, etc. The PACS terminal 20 functions as, for example, a management terminal for managing medical images acquired by the medical image diagnostic device 7, a viewer, and a report creation terminal. Note that a plurality of PACS terminals 20 may be connected to the network.

[0039] The PACS terminal 20 as a report creation terminal displays a report creation screen for a template of an image interpretation report in which predetermined information is written, and creates an image interpretation report by inputting findings and the like into the report creation screen. The predetermined information is, for example, patient information, examination information, and requester information that are the subject of the image interpretation report. The report creation terminal inputs voice related to the medical image as voice data, along with the creation of an image interpretation report related to a medical image acquired by an examination on a subject. The PACS terminal 20 transmits the created image interpretation report to the PACS server 11 via the first communication interface 21.

[0040] The first communication interface 21 performs data communication with the server communication interface 13. The first communication interface 21 outputs data acquired through data communication with the PACS server 11 to the first memory 23. The first communication interface 21 transmits an electrical signal of an input operation input to the first input interface 29 to the server communication interface 13.

[0041] The first memory 23 is a storage device such as an HDD, SSD, or integrated circuit storage device that stores various information. The first memory 23 may be a drive device that reads and writes various information between a portable storage medium such as a CD, DVD, or flash memory, or a semiconductor memory element such as a RAM, in addition to an HDD or SSD. The first memory 23 stores various information transmitted from the PACS server 11 via the first communication interface 21. For example, the first memory 23 stores medical images acquired by the first processing circuit 25 via the first communication interface 21 and a template for an interpretation report. The first memory 23 stores a program related to the display function 251.

[0042] The first processing circuit 25 has, for example, a processor such as a CPU, MPU, or GPU, and a memory such as a ROM or RAM, as hardware resources. The first processing circuit 25 may also be realized by an ASIC, an FPGA, a CPLD, or a SPLD. The first processing circuit 25 has a control function for controlling the PACS terminal 20, a report creation function for creating an interpretation report, and a display function 251. The control function, the report creation function, and the display function 251 are stored in the first memory 23 in the form of a program executable by a computer. The first processing circuit 25 executes the display function 251 by a processor that executes a program deployed in the memory. That is, the first processing circuit 25 corresponds to a processor that realizes a function corresponding to a program by reading the program from the first memory 23 and executing it.

[0043] In other words, the first processing circuit 25 in a state where a program has been read out has a function corresponding to the read out program. The above-mentioned control function, report creation function, and display function 251 are not limited to being realized by a single processing circuit. A processing circuit may be configured by combining a plurality of independent processors, and each processor may execute a program to realize the control function, report creation function, and display function 251. The first processing circuit 25 that realizes the display function 251 is an example of a display control unit. The first processing circuit 25 controls the first display 27 with respect to various displays on the first display 27 by the display function 251.

[0044] The first display 27 displays a GUI (Graphical User Interface) for accepting various operations from the user and various information. As the first display 27, for example, a liquid crystal display (LCD), a cathode ray tube (CRT) display, an organic electroluminescence display (OELD), a plasma display, or any other arbitrary display can be appropriately used. In addition, the first display 27 may be a desktop type, or may be configured as a tablet terminal or the like capable of wireless communication with the PACS server 11.

[0045] The first display 27 displays medical images related to an examination performed on a subject and a report creation screen using the report creation function and display function 251. The first display 27 displays findings, diagnoses, and the like inputted to the report creation screen via the first input interface 29.

[0046] The first input interface 29 accepts various input operations from the user, converts the accepted input operations into electrical signals, and outputs them to the first processing circuit 25. The converted electrical signals are output to the server processing circuit 17 via the first communication interface 21 and the server communication interface 13. For example, the first input interface 29 accepts selection instructions, various conditions, and the like from the user. As the first input interface 29, for example, input devices such as a mouse, a keyboard, a trackball, a switch, a button, a joystick, a touchpad, and a touch panel display can be used as appropriate.

[0047] The first input interface 29 has a microphone that converts a voice generated by a radiologist or the like into an electric signal when creating an image interpretation report or after creating an image interpretation report. The microphone is turned on for voice input by, for example, a specific operation by a user such as a radiologist on an input device. The specific operation is, for example, pressing a specific button related to voice input, pressing a specific key on a keyboard, or maintaining the specific key (for example, a shift key) in a pressed state. That is, the microphone is in a state where voice input is possible during the execution of the specific operation. Also, the microphone is in a state where voice input is impossible when, for example, the specific operation is released. Specifically, when there is an important finding in a key image or an image interpretation report, the microphone inputs the voice generated by the radiologist, such as the important finding or advice for the next examination, as voice data in response to a specific operation by the radiologist.

[0048] In this embodiment, the first input interface 29 is not limited to one having physical operation parts such as a mouse, a keyboard, a trackball, a switch, a button, a joystick, a touchpad, and a touch panel display. For example, an example of the first input interface 29 includes an electrical signal processing circuit that receives an electrical signal corresponding to an input operation from an external input device provided separately from the device and outputs the electrical signal to the server processing circuit 17 and the first processing circuit 25. The first input interface 29 may be configured with a tablet terminal or the like capable of wireless communication with the PACS server 11.

[0049] The electronic medical record terminal device 33 corresponds to a second terminal device, and includes a second communication interface 331, a second memory 333, a second processing circuit 335, a speaker 336, a second display 337, and a second input interface 339. The electronic medical record terminal device 33 is used for displaying image interpretation reports and the like, and for inputting electronic medical records, hospital visit orders, examination orders, and the like.

[0050] The second communication interface 331 performs data communication with the electronic medical record server device 31 and the server communication interface 13. The second communication interface 331 outputs data acquired through data communication with the electronic medical record server device 31 and the PACS server 11 to the second memory 333. The second communication interface 331 transmits an electrical signal of an input operation input to the second input interface 339 to the electronic medical record server device 31, the server communication interface 13, etc.

[0051] For example, the second communication interface 331 acquires an electronic medical record related to the subject and a schedule of the requesting doctor within a predetermined period from the electronic medical record server device 31, and stores them in the second memory 333. In addition, the second communication interface 331 acquires an examination schedule of the modality from the RIS server 5 along with the acquisition of the electronic medical record related to the subject, and stores it in the second memory 333. Note that the second communication interface 331 may acquire various information from the PACS server 11 as necessary, and store it in the second memory 333. For example, the second communication interface 331 receives a visit order or an examination order generated by the order generation function 175 from the PACS server 11.

[0052] The second memory 333 is a storage device such as an HDD, SSD, or integrated circuit storage device that stores various information. The second memory 333 may be a drive device that reads and writes various information between a portable storage medium such as a CD, DVD, or flash memory, or a semiconductor memory element such as a RAM, in addition to an HDD or SSD. The second memory 333 stores various information transmitted from the electronic medical record server device 31 or the PACS server 11 via the second communication interface 331. The second memory 333 stores programs related to various functions such as the output control function 35 executed by the second processing circuit 335.

[0053] The second processing circuit 335 has, for example, a processor such as a CPU, MPU, or GPU, and a memory such as a ROM or RAM, as hardware resources. The second processing circuit 335 may also be realized by an ASIC, FPGA, CPLD, or SPLD. The second processing circuit 335 has a terminal control function for controlling the electronic medical record terminal device 33, an output control function 35 for controlling various outputs by the electronic medical record terminal device 33, and the like. The terminal control function and the output control function 35 are stored in the second memory 333 in the form of a program executable by a computer. The second processing circuit 335 executes the terminal control function and the output control function 35 by a processor that executes the program deployed in the memory. That is, the second processing circuit 335 corresponds to a processor that realizes a function corresponding to a program by reading and executing a program from the second memory 333.

[0054] In other words, the second processing circuit 335 in a state where a program has been read out has a function corresponding to the read out program. The above-mentioned terminal control function and output control function 35 are not limited to being realized by a single processing circuit. A processing circuit may be configured by combining a plurality of independent processors, and each processor may execute a program to realize the terminal control function and output control function 35. The second processing circuit 335 that realizes the output control function 35 is an example of an output control unit. The second processing circuit 335 controls the second display 337 and the like with respect to various displays on the second display 337 by the output control function 35.

[0055] The second processing circuit 335 causes the output control function 35 to sequentially output, as voice, from the speaker 336, the contents of the voice data associated with the important flag among the multiple image interpretation reports corresponding to the multiple examinations requested by the requesting doctor. The multiple image interpretation reports may be related to patients who visit the hospital on the same day. The output control function 35 may also control the second input interface 339 so as not to accept other operations on the electronic medical record terminal device 33 until the output of the voice is completed, that is, until the playback of the voice data is completed. The access of the requesting doctor to the electronic medical record terminal device 33 corresponds to, for example, a login operation via the second input interface 339 after the power supply to the electronic medical record terminal device 33 is turned on.

[0056] The output control function 35 displays a list of multiple image interpretation reports (hereinafter referred to as a report list) together with an importance flag on the second display 337 of the electronic medical record terminal device 33. In addition, the output control function 35 displays patient information (e.g., patient ID and subject name) in the image interpretation report corresponding to the audio data on the second display 337 during the playback period of the audio data.

[0057] When the electronic medical record terminal device 33 is installed in an environment where the personal information of the subject is not leaked, such as the consulting room of the requesting doctor, i.e., a private room, the output control function 35 may further output the patient ID, the subject's name, the examination purpose of the examination related to the image interpretation report, etc. as sound from the speaker 336. The items of the sound output from the speaker 336 can be appropriately set by the second input interface 339, etc.

[0058] The timing of outputting the sound from the speaker 336 based on the sound data is not limited to the time when the client doctor logs in to the electronic medical record terminal device 33. For example, the output control function 35 may output the contents of the sound data as sound from the speaker 336 according to a preset condition. The condition is set, for example, by a user's instruction via the second input interface 339. The condition can be appropriately set so as to protect the personal information of the subject, for example, according to a private room where the subject or other patients cannot enter without the consent of the client doctor, the machine name (for example, the client name) of the electronic medical record terminal device 33, the location information of the electronic medical record terminal device 33, the time period, etc. That is, depending on the setting of the condition, important findings can be followed up by a team such as the department to which the client doctor belongs. In addition, the output control function 35 may output the contents of the sound data as sound from the sound output device when a terminal of a sound output device that the client doctor can wear, such as earphones or headphones, is connected to the electronic medical record terminal device 33.

[0059] When a reference item in an image interpretation report with an important flag attached in the report list (hereinafter referred to as an important report) is selected by the requesting doctor via the second input interface 339 (hereinafter referred to as important report selection), the output control function 35 displays the important report on the second display 337 with the portion identified by the extraction identification function 174 highlighted. Note that when an highlighted report is generated by the extraction identification function 174, the output control function 35 displays the highlighted report in response to the input of the important report selection. Highlighting the portion identified in the image interpretation report includes changing the hue to a hue (such as red) that highlights the identified portion, changing the font, applying character modifications such as underlining, and the like.

[0060] If there is no visit order for the subject in the important report within a predetermined period from a starting date such as the time of generating the important report, the output control function 35 displays a recommendation to issue a visit order for the subject on the second display 337. Specifically, the output control function 35 determines whether or not the subject is scheduled to visit the hospital within a predetermined period in the electronic medical record of the subject related to the important report. If there is no plan for the subject to visit the hospital within the predetermined period, the output control function 35 displays example text for recommending the requesting doctor to visit the subject on the second display 337.

[0061] Furthermore, in response to an instruction to set a visit order for the subject regarding an important report, at the instruction of the requesting doctor via the second input interface 339, the output control function 35 outputs an instruction to confirm with the subject the subject's available visit date and time (hereinafter referred to as a visit confirmation instruction) and the requesting doctor's schedule to the information management department terminal device 6. The output control function 35 receives the visit order generated by the order generation function 175 via the second communication interface 331, and displays the received visit order on the second display 337.

[0062] Furthermore, if there is no test order corresponding to the test advice for the subject in the important report within a predetermined period from a starting date such as the time of generating the important report, the output control function 35 displays a recommendation to issue a test order corresponding to the test advice (hereinafter referred to as a recommended test order) on the second display 337. Specifically, the output control function 35 determines whether there is a recommended test order within a predetermined period in the electronic medical record of the subject related to the important report. If there is no recommended test order within the predetermined period, the output control function 35 displays a text example for recommending the requesting physician to issue a recommended test order on the second display 337. At this time, the output control function 35 may receive the test order generated by the order generation function 175 via the second communication interface 331 and display the received test order on the second display 337.

[0063] The output control function 35 outputs a recommendation to confirm the test results for the subject (hereinafter referred to as a result confirmation recommendation) to the reception device 8 described below before the subject visits the hospital for the image interpretation report for which the important flag is set. The result confirmation recommendation is, for example, a character string such as "The test results have been released, so please check with your doctor." At this time, the output control function 35 outputs a print instruction for the character string regarding the result confirmation recommendation to the reception device 8 when the subject visits the hospital.

[0064] The speaker 336 is mounted on the electronic medical record terminal device 33. The speaker 336 may be realized as an audio output device such as earphones or headphones that can be worn by the requesting doctor. The speaker 336 outputs the contents of the audio data as audio by the output control function 35. The speaker 336 may further output, as audio, the patient ID, the name of the subject, the purpose of the examination related to the image interpretation report, and the like by the output control function 35.

[0065] The second display 337 displays a GUI (Graphical User Interface) for accepting various operations from the user and various information. As the first display 27, for example, a liquid crystal display (LCD), a cathode ray tube (CRT) display, an organic electroluminescence display (OELD), a plasma display, or any other display can be used as appropriate. The second display 337 may be a desktop type, or may be configured as a tablet terminal or the like capable of wireless communication with the electronic medical record server device 31.

[0066] The second display 337, under the control of the output control function 35, displays a login screen for the electronic medical record terminal device 33 by the client doctor, electronic medical records related to the subject, a report list, patient information of the subject, etc. Specifically, the second display 337 displays the login screen when the electronic medical record terminal device 33 is turned on or when the client doctor operating the electronic medical record terminal device 33 is changed. During the playback period of the audio data by the speaker 336, the second display 337 displays the patient information in the image interpretation report corresponding to the audio data. During the playback period, the second display 337 also displays a report list together with an important flag.

[0067] The second display 337 also displays the recommendation to issue a visit order, for example as a character string, by the output control function 35. The second display 337 also displays a visit order generated by the order generation function 175 and with specified items input. The second display 337 also displays the recommendation to issue a recommended test order, for example as a character string, by the output control function 35. The second display 337 also displays an test order generated by the order generation function 175 and with specified items input.

[0068] Furthermore, in response to the selection of an important report, the second display 337 displays the important report with emphasis on the portion identified by the extraction and identification function 174. If an emphasis report has been generated, the second display 337 displays the emphasis report in response to the input of the important report selection. At this time, the second display 337 may display the electronic medical record of the subject related to the selected important report.

[0069] The second input interface 339 accepts various input operations from a user such as a client doctor, converts the accepted input operations into electrical signals, and outputs the electrical signals to the second processing circuit 335. The converted electrical signals are output to the electronic medical record server device 31 via the second communication interface 331. For example, the second input interface 339 accepts selection instructions and various conditions from the user. As the second input interface 339, for example, a mouse, a keyboard, a trackball, a switch, a button, a joystick, a touchpad, a touch panel display, and the like can be used as appropriate.

[0070] The second input interface 339 inputs a login instruction of the requesting physician on the login screen. The second input interface 339 performs input to the electronic medical record displayed on the second display 337 according to an instruction from a user such as a requesting physician. The second input interface 339 inputs an instruction to select an image interpretation report in a report list. The second input interface 339 inputs an instruction to issue a visit order in response to a recommendation to issue a visit order. The second input interface 339 inputs information required for a visit order on the display screen of the visit order on which a specified item has been input. The second input interface 339 inputs an instruction to issue an examination order in response to a recommendation to issue an examination order. The second input interface 339 inputs information required for an examination order on the display screen of the examination order on which a specified item has been input.

[0071] In this embodiment, the second input interface 339 is not limited to one having physical operation parts such as a mouse, a keyboard, a trackball, a switch, a button, a joystick, a touchpad, and a touch panel display. For example, an example of the second input interface 339 includes an electrical signal processing circuit that receives an electrical signal corresponding to an input operation from an external input device provided separately from the device and outputs the electrical signal to the electronic medical record server device 31 and the second processing circuit 335. The second input interface 339 may also be configured with a tablet terminal or the like capable of wireless communication with the electronic medical record server device 31, etc.

[0072] The information management department terminal device 6 is a terminal (hereinafter referred to as information management terminal) arranged in the information management department that manages the patient information of the subject. The information management terminal 6 receives an instruction to confirm the subject's available visit date and time from the electronic medical record terminal device 33 (hereinafter referred to as visit confirmation instruction) and the requesting doctor's schedule, triggered by the requesting doctor's instruction to set a visit order via the second input interface 339. The operator of the information management terminal 6 or a contact person who contacts the subject confirms with the subject the available visit date and time within the free date and time in the requesting doctor's schedule. The means for confirming the available visit date and time for the subject can be implemented by any communication means such as telephone, e-mail, etc. The operator or contact person confirms the available visit date and time by adjusting the requesting doctor's schedule and the subject's schedule. The information management terminal 6 transmits the confirmed available visit date and time to the PACS server 11 by inputting the confirmed available visit date and time.

[0073] The reception device 8 has a printer 81 that prints a reception slip indicating the reception of the subject's visit. For example, the printer 81 prints a reception slip for the subject in response to an input instruction for reception by the subject when the subject visits the hospital. The input instruction for reception by the subject when the subject visits the hospital is, for example, reading a barcode printed on the appointment slip for the subject and various input operations related to the visit in the reception device 8. The reception device 8 receives a result confirmation recommendation from the output control function 35 before the subject's visit date for the image interpretation report for which the important flag is set. The printer 81 prints the result confirmation recommendation on the reception slip that is printed in response to the subject's visit. Specifically, the printer 81 prints a character string related to the result confirmation recommendation on the reception slip in response to the reception instruction.

[0074] The above describes the overall configuration of the report confirmation support system 1. The following describes the procedure of the process for supporting the confirmation of important reports (hereinafter, referred to as the report confirmation support process). Figures 2 and 3 are flowcharts showing an example of the procedure of the report confirmation support process.

[0075] (Report confirmation support process) (Step S201) The PACS terminal 20 inputs the voice of the image interpreter regarding the medical image as voice data via a microphone in association with the creation of an image interpretation report for the medical image. For example, after the image interpretation doctor creates an image interpretation report via the first input interface 29, if the image interpretation report contains important findings, the image interpretation doctor performs a specific operation. Next, the image interpretation doctor inputs voice regarding the important findings, etc. The voice data corresponding to the input voice is transmitted to the PACS server 11.

[0076] Fig. 4 is a diagram showing an example of voice input by the image interpretation doctor IpD. As shown in Fig. 4, when an important finding is described in the image interpretation report displayed on the first display 27, the image interpretation doctor IpD executes a specific operation to input a voice regarding the important finding, "There is a suspicion of lung cancer outside the region of interest," as voice data Vd to the PACS terminal 20.

[0077] (Step S202) The server processing circuit 17 uses the setting function 173 to associate the voice data Vd at the time of voice input with the patient ID and the examination number. Next, the setting function 173 identifies an interpretation report corresponding to the patient ID and the examination number. The setting function 173 associates the voice data Vd with the identified interpretation report. The setting function 173 sets an importance flag for the interpretation report associated with the voice data Vd.

[0078] (Step S203) The server processing circuit 17 extracts the contents of the voice from the voice data Vd using the extraction identification function 174. Next, the extraction identification function 174 compares the extracted voice contents, i.e., character strings, with descriptions in the radiology report related to the voice data Vd. In this way, the extraction identification function 174 identifies a portion in the radiology report that corresponds to the extracted voice contents. The extraction identification function 174 also identifies a character string in the extracted voice contents that corresponds to examination advice (hereinafter referred to as examination advice). The extraction identification function 174 associates the identified examination advice with the radiology report.

[0079] (Step S204) When the requesting doctor accesses (logs in) the electronic medical record terminal device 33 (Yes in step S204), the processes in steps S205 to S207 are executed in parallel. If the requesting doctor does not access (log in) the electronic medical record terminal device 33 (No in step S204), this step is repeated.

[0080] (Step S205) The second processing circuit 335 outputs the contents of the voice data Vd related to the important flag as voice from the speaker 336 by the output control function 35. At this time, as a condition for voice output, for example, when the electronic medical record terminal device 33 is installed in a private room (e.g., an examination room) where the subject or other patients cannot enter without the consent of the requesting doctor, or when a voice output device that can be worn by the requesting doctor is connected to the electronic medical record terminal device 33, the output control function 35 may output the patient ID, patient name, examination purpose, etc. related to the voice data Vd to be played back as voice from the speaker 336 before playing back the voice data Vd.

[0081] Fig. 5 is a diagram showing an example of voice data Vd being played back to the requesting doctor ReD after the requesting doctor RdD accesses the electronic medical record terminal device 33 via the second input interface 339. As shown in Fig. 5, for example, after the requesting doctor RdD accesses the electronic medical record terminal device 33, the voice data Vd is played back as a voice saying "There is a suspicion of lung cancer outside the region of interest."

[0082] (Step S206) The output control function 35 displays patient information related to the image interpretation report corresponding to the reproduced voice data Vd on the second display 337. The patient information is, for example, a patient ID and a patient name. The output control function 35 may display the purpose of the examination of the subject on the second display 337 in addition to the patient information. As shown in FIG. 5, the second display 337 may display an exclamation mark or the like to alert the requesting physician ReD during the reproduction period of the voice data Vd related to important findings.

[0083] (Step S207) The output control function 35 displays the report list together with the importance flag on the second display 337. FIG. 6 is a diagram showing an example of a report list RL displayed on the second display 337 for multiple patients who visited the hospital on the same day. As shown in FIG. 6, in the radiology report to which the voice data Vd is attached, "important findings" IFI is written as an importance flag in the finding section, and "report" is highlighted in the reference section. In FIG. 6, the voice data Vd is played back in the order of, for example, patient ID 9999, 9992. Note that the output control function 35 may highlight the section of the radiology report corresponding to the voice data Vd in the report list RL during the voice playback period.

[0084] (Step S208) When an image reading report (important report) with an important flag set is selected in the report list RL by an instruction from the client doctor ReD via the second input interface 339 (Yes in step S208), the process of step S209 is executed. If an important report is not selected in the report list RL (No in step S208), the process of steps S205 to S208 is repeated. At this time, the voice data Vd related to the important report is sequentially played back. When the voice data Vd related to all important reports in the report list RL are played back, the system is in a waiting state for a selection instruction by the second input interface 339. Note that, as shown in FIG. 6, when there are multiple important reports in the report list RL, the output control function 35 may lock the input of an operation via the second input interface 339 until all the voice data associated with all the important reports in the report list RL are played back. At this time, the content of this step is "not only the hospital visit data on the day, but also all the voice data with the important flag attached after the image reading is completed is played back (even in the case of an emergency)."

[0085] (Step S209) The second display 337 displays the selected radiology report (important report) with the portion identified in step S203 highlighted by the output control function 35. Fig. 7 is a diagram showing an example of an important report that is highlighted. As shown in Fig. 7, the important report IR is displayed on the second display 337 with the portion related to the audio data Vd highlighted.

[0086] (Step S210) If there is a visit order for the subject within a predetermined period from the time of generating the image reading report (Yes in step S210), the process of step S214 is executed. If there is no visit order for the subject within a predetermined period from the time of generating the image reading report (No in step S210), the process of step S211 is executed. If there is no visit order for the subject within a predetermined period from the time of generating the image reading report, as shown in the report list RL in FIG. 6, in the item "Next visit scheduled" the words "No next visit scheduled" NVP are highlighted and displayed on the second display 337. At this time, when the "No next visit scheduled" NVP is selected via the second input interface 339, the output control function 35 displays the patient information and contact information (telephone number, address, email address, etc.) of the subject related to the important report on the second display 337. This enables the requesting doctor ReD to easily convey the contents of the important report to the subject verbally or in writing.

[0087] (Step S211) The output control function 35 displays the recommendation to issue a visit order for the subject in the important report on the second display 337. The output control function 211 displays, for example, a character string "There are important findings. Would you like to issue a visit order?" on the second display 337 in relation to the recommendation to issue a visit order.

[0088] (Step S212) An instruction to issue a visit order for the subject is input by the requesting doctor ReD via the second input interface 339. In response to the instruction to set the visit order, the output control function 35 outputs an instruction to confirm the subject's visit and the schedule of the requesting doctor ReD to the information management terminal 6. Next, the operator of the information management terminal 6 or the like confirms with the subject via various communication means the date and time when the subject can visit the hospital within the available date and time in the schedule of the requesting doctor ReD. By adjusting the schedule of the requesting doctor ReD and the schedule of the subject, the operator of the information management terminal 6 or the like determines the date and time when the subject can visit the hospital and inputs it to the information management terminal 6. The information management terminal 6 transmits the determined date and time when the subject can visit the hospital to the PACS server 11.

[0089] (Step S213) The order generating function 175 generates a visit order with predetermined items input based on the available visit date and time determined by adjusting the schedule of the requesting doctor ReD and the schedule of the subject, the patient information, and the schedule of the requesting doctor ReD. Next, the order generating function 175 outputs the generated visit order to the electronic medical record terminal device 33 via the server communication interface 13. The output control function 35 causes the second display 337 to display the visit order generated by the order generating function 175.

[0090] (Step S214) If there is an examination order corresponding to the examination advice for the subject in the important report within a predetermined period from the generation of the image interpretation report (Yes in step S214), the process of step S216 is executed. If there is no examination order corresponding to the examination advice for the subject in the important report within a predetermined period from the generation of the image interpretation report (No in step S214), the process of step S215 is executed.

[0091] (Step S215) The output control function 35 displays the recommendation to issue an examination order for the subject in the important report on the second display 337. The output control function 211 displays, for example, a character string "There is examination advice from the radiology doctor. Why don't you issue an examination order?" on the second display 337 in relation to the recommendation to issue an examination order.

[0092] (Step S216) The order generating function 175 generates an examination order with predetermined items entered based on the available visit date and time, patient information, the schedule of the requesting doctor ReD, and the examination schedule of the modality related to the examination advice. Next, the order generating function 175 outputs the generated examination order to the electronic medical record terminal device 33 via the server communication interface 13. The output control function 35 displays the examination order generated by the order generating function 175 on the second display 337.

[0093] (Step S217) The output control function 35 outputs a result confirmation recommendation to the reception device 8 before the visit date of the subject regarding the important report. The output control function 35 may output a character string regarding the result confirmation recommendation to the reception device 8.

[0094] (Step S218) The reception device 8 receives a recommendation to check the results from the output control function 35 before the subject's visit date for the important report. The subject inputs the reception input instruction by the subject when visiting the hospital to the reception device 8. The printer 81 prints the recommendation to check the results on the reception ticket in response to the reception input instruction by the subject when visiting the hospital. Specifically, by printing a character string related to the recommendation to check the results on the reception ticket by the printer 81 in response to the reception input instruction, it becomes possible to encourage the subject to check the test results, and it is possible to reduce overlooking of important findings by the requesting doctor ReD.

[0095] According to the report confirmation support system 1 according to the embodiment described above, when an interpretation report is created for a medical image acquired by an examination on a subject, a voice for the medical image is input as voice data Vd, an importance flag is set for the interpretation report associated with the voice data Vd, and the contents of the voice data Vd associated with the importance flag among the multiple interpretation reports corresponding to the multiple examinations requested by the requesting physician ReD are output as voice from the speaker 336 of the electronic medical record terminal device 33. For example, after the requesting physician Red accesses the second terminal device (electronic medical record terminal device 33), this report confirmation support system 1 outputs the contents of the voice data as voice from the speaker.

[0096] As a result, according to the present report confirmation support system 1, when an important finding is found in an image interpretation report, the image interpretation physician IpD can input the contents of the important finding and advice on the next examination for the subject by voice, and an important flag can be automatically set without troublesome operations. Therefore, according to the present report confirmation support system 1, it is possible to reduce the burden on the image interpretation physician IpD in setting the important flag, and to improve the throughput of image interpretation.

[0097] In addition, according to the present report confirmation support system 1, the voice data Vd regarding the image interpretation report (important report) for which an important flag is set can be automatically reproduced and output as voice. That is, according to the present report confirmation support system 1, the contents of the important findings can be confirmed by voice without opening the electronic medical record of the subject related to the important report, that is, without the requesting doctor ReD visually confirming the important report.

[0098] For these reasons, the report confirmation support system 1 eliminates the need for operations such as opening the electronic medical record of the subject related to the important report (e.g., clicking or displaying a separate screen) when playing back the voice data Vd, reducing the burden on the requesting physician ReD, and also prevents important findings from being overlooked by the voice output. Furthermore, the report confirmation support system 1 allows the requesting physician ReD to grasp the nuances of the importance of the contents of the important report (i.e., the importance of the findings) from the intonation of the voice of the radiology interpreter IpD being played back. As a result, the report confirmation support system 1 can improve the throughput of confirming important findings while reducing the occurrence of overlooking important findings.

[0099] Furthermore, according to the present report confirmation support system 1, after the requesting doctor ReD accesses the electronic medical record terminal device 33, the report list RL can be displayed on the second display 337 together with an important flag. This allows the requesting doctor ReD to easily understand important reports in the report list RL, and reduces the risk of missing important findings. Furthermore, according to the present report confirmation support system 1, during the playback period of the voice data Vd, patient information in the radiology report corresponding to the voice data Vd can be displayed on the second display 337. This allows the requesting doctor ReD to easily understand the subject related to the currently output voice, while preventing the leakage of personal information of the subject.

[0100] Furthermore, according to the present report confirmation support system 1, the contents of the voice are extracted from the voice data Vd, a portion related to the extracted contents is identified in the image interpretation report related to the voice data Vd, and the image interpretation report related to the voice data Vd is displayed on the second display 337 with the identified portion emphasized. As a result, in the image interpretation report for which an important flag is set, the character string of the portion (e.g., findings) corresponding to the contents of the voice is modified, so that the points that the image interpretation physician IpD judges to be important are displayed in highlight so that the requesting physician ReD can easily understand them. Therefore, according to the present report confirmation support system 1, it is possible to improve the throughput of confirmation of important findings while reducing the omission of confirmation of important findings.

[0101] Furthermore, according to the present report confirmation support system 1, if there is no visit order for a subject related to an important report within a predetermined period from the time of generation of the image interpretation report, a recommendation to issue a visit order for the subject is displayed on the second display 337. As a result, according to the present report confirmation support system 1, it is possible to recommend to the requesting doctor ReD that a subject related to an important report visit the hospital, and it is possible to reduce oversight of confirmation of important findings when explaining the important findings to the subject.

[0102] Furthermore, according to this report confirmation support system 1, in response to an instruction to set a visit order via the second input interface 339, an instruction to confirm the subject's available visit date and time and the requesting physician ReD's schedule are output to the information management terminal 6, and a visit order with predetermined items entered is generated based on the subject's available visit date and time confirmed by the response from the subject, the subject's patient information, and the requesting physician ReD's schedule, and the generated visit order is displayed on the second display 337. As a result, according to this report confirmation support system 1, a visit order can be issued easily, reducing the burden on the requesting physician ReD.

[0103] Furthermore, according to the present report confirmation support system 1, if there is no examination order corresponding to the examination advice in the voice data Vd within a predetermined period from the time of generation of the image interpretation report, a recommendation to issue an examination order corresponding to the examination advice is displayed on the second display 337. As a result, according to the present report confirmation support system 1, it is possible to recommend reexamination of the subject related to the important report to the requesting physician ReD based on the examination advice, thereby reducing the number of cases where a reexamination is not requested.

[0104] Furthermore, according to the present report confirmation support system 1, an examination order with predetermined items entered is generated based on the subject's available visit date and time determined by the response from the subject, the subject's patient information, the requesting physician ReD's schedule, and the examination schedule of the modality related to the examination advice, and the generated examination order is displayed on the second display 337. As a result, according to the present report confirmation support system 1, a visit order can be easily issued, reducing the burden on the requesting physician ReD.

[0105] Furthermore, according to this report confirmation support system 1, a result confirmation recommendation regarding an important report is output to the reception device 8 before the subject's visit date, and the result confirmation recommendation is printed on the reception slip that is printed when the subject visits the hospital. As a result, according to this report confirmation support system 1, since a character string regarding the result confirmation recommendation is printed on the reception slip, when the requesting physician ReD examines the subject, the subject can easily approach the requesting physician ReD to confirm the test results, thereby reducing the number of times the requesting physician ReD fails to confirm important findings.

[0106] From the above, it is possible to reduce the omission of confirmation of important findings according to the present report confirmation support system 1. In addition, according to the present report confirmation support system 1, it is possible to reduce the burden on the requesting physician ReD and the image interpretation physician IpD, and to improve the throughput of image interpretation and the throughput of confirmation of important findings.

[0107] (Application example) In an application example, when multiple interpretations are performed on a medical image in creating an interpretation report, whether or not to attach (associate) the voice data Vd to the interpretation report is determined based on the instruction of the image interpreter for the last interpretation of the multiple interpretations. The voice data Vd in this application example corresponds to the voice input by the microphone in the first input interface 29 for an interpretation other than the last interpretation of the multiple interpretations.

[0108] The first input interface 29 inputs approval or update for the voice data Vd by the user (image reading physician) related to the last interpretation. The image reading physician related to the last interpretation has the authority to edit the voice data Vd. The first input interface 29 may also input a deletion instruction to delete the voice data Vd by the user related to the last interpretation (hereinafter referred to as the final image reading physician). The final image reading physician is, for example, an image reading physician who has highly specialized knowledge regarding important findings.

[0109] When the voice data Vd is approved or updated by the last interpreting doctor, the setting function 173 associates the approved or updated voice data with the image interpretation report. At this time, the setting function 173 sets an importance flag for the image interpretation report associated with the voice data Vd. If the voice data Vd is not updated and approved by the last interpreting doctor, the setting function 173 deletes the voice data Vd. That is, the processing contents of the setting function 173 in this application example are executed, for example, between step S201 and step S202 in the report confirmation support processing shown in FIG. 2.

[0110] According to the report confirmation support system 1 according to the application example of the embodiment described above, when multiple interpretations are performed, the voice data Vd is input in an interpretation different from the last interpretation, and when the voice data Vd is approved or updated by the user related to the last interpretation, the approved or updated voice data is associated with the interpretation report, and if the voice data Vd is not updated or approved by the user, the voice data is deleted. This allows the last interpretation physician to be given the authority to edit the voice data Vd, thereby improving the reliability of the important findings and the voice data Vd. Other effects are similar to those of the embodiment, and therefore will not be described.

[0111] When the technical idea of ​​this embodiment is realized in a report confirmation support method, the report confirmation support method inputs voice related to the medical image as voice data Vd from a first terminal device (PACS terminal 20) in association with the creation of an interpretation report related to a medical image acquired by an examination on a subject, sets an importance flag for the interpretation report associated with the voice data Vd, and outputs the contents of the voice data Vd associated with the importance flag from a speaker of a second terminal device (electronic medical record terminal device 33) among a plurality of interpretation reports corresponding to a plurality of examinations requested by a client doctor ReD. The process procedure and effects of the report confirmation support method are similar to those of the embodiment, and therefore description thereof will be omitted.

[0112] When the technical idea of ​​this embodiment is realized by a report confirmation support program, the report confirmation support program causes a computer to set an importance flag for an interpretation report associated with audio data Vd related to the medical image input from a first terminal device (PACS terminal 20) when creating an interpretation report on a medical image obtained by an examination on a subject, and to output the contents of the audio data Vd associated with the importance flag from a speaker of a second terminal device (electronic medical record terminal device 33) among multiple interpretation reports corresponding to multiple examinations requested by the client physician ReD.

[0113] For example, the report confirmation support process can be realized by installing a report confirmation support program in a computer such as the PACS server 11 or an integrated server in a hospital information system and expanding the program in memory. In this case, the program that can cause a computer to execute the method can be stored in a storage medium such as a magnetic disk (hard disk, etc.), an optical disk (CD-ROM, DVD, etc.), or a semiconductor memory and distributed. The process procedure and effects of the report confirmation support program are the same as those in the embodiment, so a description thereof will be omitted.

[0114] According to at least one of the embodiments described above, it is possible to reduce oversights made by the user in the radiology report.

[0115] Although some embodiments have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, substitutions, modifications, and combinations of embodiments can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope of the invention and its equivalents as described in the claims, as well as in the scope and spirit of the invention. [Explanation of symbols]

[0116] 1 Report confirmation support system 2. Medical Image Management System (PACS) 3. Electronic medical record system 5 Radiology department server device (RIS server) 6 Information management department terminal device (information management terminal) 7 Medical imaging diagnostic equipment 8 Reception equipment 11 Medical image management server device (PACS server) 13 Server Communication Interface 15 Server Memory 17 Server Processing Circuit 20 Medical image management terminal device (PACS terminal, first terminal device) 21 First communication interface 23 First Memory 25 First processing circuit 27 1st Display 29 First input interface 31 Electronic medical record server device 33 Electronic medical record terminal device (second terminal device) 35 Output control function 81 Printing machine 171 System Control Functions 172 Storage Function 173 Setting Function 174 Extraction specific function 175 Order Generation Function 251 Display function 331 Second communication interface 333 Second Memory 335 Second Processing Circuit 336 Speaker 337 Second Display 339 Second Input Interface

Claims

1. a first terminal device for inputting voice related to a medical image as voice data in association with the creation of an image interpretation report related to the medical image acquired by an examination on a subject; A setting unit that sets an importance flag for the radiology report associated with the voice data; an output control unit that outputs, as a voice, the contents of the voice data associated with the importance flag among a plurality of image interpretation reports corresponding to a plurality of examinations requested by the requesting doctor from a speaker of a second terminal device used by the requesting doctor; Equipped with The output control unit is If there is no visit order for the subject in the image interpretation report for which the important flag is set within a predetermined period from the time when the image interpretation report is generated, a recommendation to issue a visit order for the subject is displayed on a display of the second terminal device; In response to the instruction to set the visit order, an instruction to confirm with the subject the date and time when the subject can visit the hospital and the schedule of the requesting doctor are output to a terminal of an information management department for managing patient information of the subject; an order generating unit that generates a hospital visit order in which predetermined items are input based on the available hospital visit date and time, the patient information of the subject, and the schedule of the requesting doctor; The output control unit is Displaying the generated hospital visit order on a display of the second terminal device; if there is no examination order corresponding to the advice for the examination in the voice data within a predetermined period from the time point of generating the image interpretation report after the generated hospital visit order is displayed on the display of the second terminal device, a recommendation to issue an examination order corresponding to the advice for the examination is displayed on the display of the second terminal device. Report checking support system.

2. The output control unit outputs the content of the voice data as the voice from the speaker after the client doctor accesses the second terminal device. The report confirmation support system according to claim 1 .

3. The output control unit displays a list of the plurality of image interpretation reports together with the importance flag on a display of the second terminal device.

3. The report confirmation support system according to claim 1.

4. the output control unit displays, during a playback period of the voice data, patient information in the image interpretation report corresponding to the voice data on a display of the second terminal device. The report confirmation support system according to any one of claims 1 to 3.

5. An extraction and identification unit that extracts the contents of the voice from the voice data and identifies a portion related to the extracted contents in the radiology report related to the voice data, The output control unit displays the image interpretation report related to the voice data on a display of the second terminal device with emphasis on the specified portion. The report confirmation support system according to any one of claims 1 to 4.

6. the output control unit displays, on a display of the second terminal device, a recommendation to issue a visit order for the subject in the image interpretation report for which the important flag is set, if there is no visit order for the subject within a predetermined period from the time point of generation of the image interpretation report. The report confirmation support system according to any one of claims 1 to 5.

7. the output control unit, in response to the visit order setting instruction, outputs an instruction to the subject to confirm the subject's available visit date and time and the requesting doctor's schedule to a terminal of an information management department for managing patient information of the subject; an order generating unit that generates a hospital visit order in which predetermined items are input based on the available hospital visit date and time, the patient information of the subject, and the schedule of the requesting doctor; The output control unit displays the generated hospital visit order on a display of the second terminal device. The report confirmation support system according to claim 6.

8. the order generation unit generates an examination order in which predetermined items are input based on the available visit date and time, the patient information, the schedule, and an examination schedule of a modality related to the examination advice; The output control unit displays the generated test order on a display of the second terminal device. The report confirmation support system according to claim 7.

9. A reception device having a printer for printing a reception ticket indicating the reception of the subject's visit, The output control unit outputs, to the reception device, a recommendation to confirm a result of the examination before a visit date of the subject regarding the image interpretation report for which the important flag is set, and The reception device prints, by the printer, a recommendation to confirm the result of the test on a reception slip printed when the subject visits the hospital. The report confirmation support system according to any one of claims 1 to 8.

10. When multiple interpretations are performed on the medical image in creating the image interpretation report, the voice data is input in an interpretation that is different from the last interpretation among the multiple interpretations, The setting unit is When the voice data is approved or updated by the user related to the last image interpretation, the approved or updated voice data is associated with the image interpretation report; deleting the voice data if the voice data is not updated and approved by the user; The report confirmation support system according to any one of claims 1 to 9.

11. inputting voice data relating to a medical image acquired by an examination on a subject from a first terminal device in association with the generation of an image interpretation report relating to the medical image; setting an importance flag for the radiology report associated with the voice data; outputting, as a voice, from a speaker of a second terminal device used by the requesting doctor, the contents of the voice data associated with the importance flag among a plurality of image interpretation reports corresponding to a plurality of examinations requested by the requesting doctor who requested the examination; If there is no visit order for the subject in the image interpretation report for which the important flag is set within a predetermined period from the time when the image interpretation report is generated, a recommendation to issue a visit order for the subject is displayed on a display of the second terminal device; In response to the instruction to set the visit order, an instruction to confirm with the subject the date and time when the subject can visit the hospital and the schedule of the requesting doctor are output to a terminal of an information management department for managing patient information of the subject; generating a hospital visit order in which predetermined items are input based on the available hospital visit date and time, the patient information of the subject, and the schedule of the requesting doctor; Displaying the generated hospital visit order on a display of the second terminal device; if there is no examination order corresponding to the advice for the examination in the voice data within a predetermined period from the time point of generating the image interpretation report after the generated hospital visit order is displayed on the display of the second terminal device, a recommendation to issue an examination order corresponding to the advice for the examination is displayed on the display of the second terminal device; A report confirmation support method comprising:

12. On the computer, When creating an image interpretation report on a medical image acquired by an examination on a subject, an important flag is set for the image interpretation report associated with voice data input from a first terminal device regarding the medical image; outputting, as a voice, from a speaker of a second terminal device used by the requesting doctor, the contents of the voice data associated with the importance flag among a plurality of image interpretation reports corresponding to a plurality of examinations requested by the requesting doctor who requested the examination; If there is no visit order for the subject in the image interpretation report for which the important flag is set within a predetermined period from the time when the image interpretation report is generated, a recommendation to issue a visit order for the subject is displayed on a display of the second terminal device; In response to the instruction to set the visit order, an instruction to confirm with the subject the date and time when the subject can visit the hospital and the schedule of the requesting doctor are output to a terminal of an information management department for managing patient information of the subject; generating a hospital visit order in which predetermined items are input based on the available hospital visit date and time, the patient information of the subject, and the schedule of the requesting doctor; Displaying the generated hospital visit order on a display of the second terminal device; if there is no examination order corresponding to the advice for the examination in the voice data within a predetermined period from the time point of generating the image interpretation report after the generated hospital visit order is displayed on the display of the second terminal device, a recommendation to issue an examination order corresponding to the advice for the examination is displayed on the display of the second terminal device; A report confirmation support program that makes this possible.

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