Photographing support device, photographing support system, photographing support method and program

Abstract

To reduce errors and operator's labor when assigning execution information of unplanned imaging performed by an imaging device.SOLUTION: An RIS server 20 includes: a setting unit (control unit 21) for setting a first imaging protocol, which is an imaging protocol of an imaging support device reserved before imaging, to a status of not-bring automatic assigned, and an assign control unit (control unit 21) for assigning a second imaging protocol, which is an imaging protocol of an imaging device acquired as imaging execution information, as the first imaging protocol.SELECTED DRAWING: Figure 2

Description

[Technical Field]

[0001] The present invention relates to a photography support device, a photography support system, a photography support method, and a program. [Background technology]

[0002] Conventionally, examinations in radiology departments proceed as follows: First, the RIS (Radiology Information System) transmits scheduled examination information to the imaging device. Next, the imaging device performs imaging related to the scheduled examination information and sends imaging performance information to the RIS. Next, the RIS automatically links the imaging performance information received from the imaging device via MPPS (Modality Performed Procedure Step) to the original examination information.

[0003] Furthermore, a technique for adding an MPPS function to an imaging device that does not have the MPPS function has also been disclosed (Patent Document 1). [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Patent No. 5287005 Summary of the Invention [Problem to be solved by the invention]

[0005] However, when an image is taken that differs from the scheduled examination information, the information on the unscheduled image taken by the imaging device is transmitted to the RIS, but there is a problem in that the information on the unscheduled image taken is mistakenly assigned to the examination information on the RIS side as the scheduled image taken information.

[0006] Furthermore, if the status of the imaging protocol for the scheduled examination information (accepted, performed, canceled, etc.) is a status that cannot be allocated (e.g., canceled), the operator is notified with an error message, etc., and the operator can add a new examination area to the examination information and then perform automatic allocation again.Even if this solves the problem of incorrect allocation described above, it is still time-consuming because the operator must "add an area."

[0007] Furthermore, the invention described in Patent Document 1 does not link the received imaging implementation information with the MPPS, and therefore cannot solve the above problem.

[0008] Therefore, an object of the present invention is to reduce errors and operator's trouble when assigning imaging implementation information when unscheduled imaging is performed with an imaging device. [Means for solving the problem]

[0009] In order to solve the above problems, the photography support device of the present invention comprises: an acquisition unit that acquires examination information including a first imaging protocol that is an imaging protocol of an imaging support device reserved before imaging; a registration unit that registers the examination information; a setting unit that sets the first imaging protocol to a status that is not subject to automatic assignment; an update unit that updates the examination information registered in the registration unit by using a second photographing protocol, which is a photographing protocol acquired from the photographing device as photographing implementation information, when the first photographing protocol is set to a status that is not subject to automatic assignment; an allocation control unit that automatically allocates the second photographing protocol to the first photographing protocol when the first photographing protocol is not set to a status that is not subject to automatic allocation; A display unit; a display control unit that displays the first photographing protocol and the second photographing protocol side by side on the display unit; an operation unit for specifying, by a user operation, the first imaging protocol that is to be subject to the status not subject to automatic assignment; Equipped with The display control unit compares the first imaging protocol with the second imaging protocol and displays items having differences in a distinguishable manner. death, The setting unit sets the first imaging protocol designated by the operation unit to a status that is not subject to automatic assignment. do.

[0010] The photography support system of the present invention also includes: The imaging support device manages a first imaging protocol, and an imaging device performs imaging according to a second imaging protocol, The photography support device includes: an acquisition unit that acquires examination information including the first imaging protocol reserved before imaging; a registration unit that registers the examination information; a setting unit that sets the first imaging protocol to a status that is not subject to automatic assignment; an update unit that updates the examination information registered in the registration unit by using the second photographing protocol acquired from the photographing device as photographing implementation information when the first photographing protocol is set to a status that is not subject to automatic assignment; an allocation control unit that automatically allocates the second photographing protocol to the first photographing protocol when the first photographing protocol is not set to a status that is not subject to automatic allocation; A display unit; a display control unit that displays the first photographing protocol and the second photographing protocol side by side on the display unit; an operation unit for specifying, by a user operation, the first imaging protocol that is to be subject to the status not subject to automatic assignment; Equipped with The display control unit compares the first imaging protocol with the second imaging protocol and displays items having differences in a distinguishable manner. death, The setting unit sets the first imaging protocol designated by the operation unit to a status that is not subject to automatic assignment. do.

[0011] The photography support method of the present invention further comprises: A computer of a photography support device having a display unit, acquiring examination information including a first imaging protocol, which is an imaging protocol of the imaging support device reserved before imaging; registering the examination information; setting the first imaging protocol to a status that is not subject to automatic assignment; When the first photographing protocol is set to a status that is not subject to automatic assignment, updating the examination information registered in the registering step by using a second photographing protocol, which is a photographing protocol acquired from the photographing device as photographing implementation information; When the first photographing protocol is not set to the status not subject to automatic assignment, performing control to automatically assign the second photographing protocol to the first photographing protocol; a display control step of displaying the first imaging protocol and the second imaging protocol side by side on the display unit; an operation step for designating, by a user operation, the first imaging protocol that is to be subject to the status not subject to automatic assignment; Including, The display control step compares the first imaging protocol with the second imaging protocol and displays items having differences in a distinguishable manner. death, The setting step sets the first imaging protocol designated in the operation step to a status that is not subject to automatic assignment. do.

[0012] The program of the present invention also includes: A computer of a photography support device equipped with a display unit, an acquisition step of acquiring examination information including a first imaging protocol which is an imaging protocol of the imaging support device reserved before imaging; a registration step of registering the examination information; a setting step of setting the first imaging protocol to a status that is not subject to automatic assignment; an updating step of updating the examination information registered in the registration step by using a second photographing protocol, which is a photographing protocol acquired from the photographing device as photographing implementation information, when the first photographing protocol is set to a status that is not subject to automatic assignment; a control step of automatically assigning the second photographing protocol to the first photographing protocol when the first photographing protocol is not set to the status not subject to automatic assignment; a display control step of displaying the first imaging protocol and the second imaging protocol side by side on the display unit; an operation step for specifying, by a user operation, the first imaging protocol that is to be subject to the status not subject to automatic assignment; Execute In the display control step, the first imaging protocol and the second imaging protocol are compared, and items having differences are displayed in a distinguishable manner. death, In the setting step, the first imaging protocol designated in the operation step is set to a status that is not subject to automatic allocation. do. [Effects of the Invention]

[0013] According to the present invention, when unscheduled imaging is performed with an imaging device, it is possible to reduce errors and the operator's effort when assigning imaging performance information. [Brief explanation of the drawings]

[0014] [Figure 1] FIG. 1 is a system configuration diagram of a medical system. [Figure 2] FIG. 2 is a block diagram showing the functional configuration of a RIS server. [Figure 3] FIG. 2 is a block diagram showing the functional configuration of an examination implementer terminal. [Figure 4] FIG. 2 is a block diagram showing the functional configuration of a modality. [Figure 5] FIG. 10 is a diagram showing the data configuration of a first imaging protocol table. [Figure 6] FIG. 10 is a diagram showing the data configuration of a second imaging protocol table. [Figure 7] FIG. 10 is a diagram showing the data configuration of an imaging protocol linking table. [Figure 8] FIG. 1 is an image diagram showing the relationships between tables in a database. [Figure 9] FIG. 10 is a diagram showing the data configuration of a RIS setting information table. [Figure 10] 10 is a flowchart showing a first imaging protocol table registration process. [Figure 11] 10 is a flowchart showing a second imaging protocol table registration process. [Figure 12] 10 is a flowchart showing a radiography protocol linking table registration process. [Figure 13] 10 is a flowchart showing a RIS setting information table registration process. [Figure 14] 10 is a ladder chart showing the system linkage process executed in the RIS server and modality. [Figure 15] 10 is an example of an allocation screen displayed on an examination implementer terminal. [Figure 16] 10 is an example of an allocation screen displayed on an examination implementer terminal. [Figure 17] 10 is a ladder chart of a first modified example showing the system collaboration process executed in the RIS server and modality. [Figure 18] 10 is an example of an allocation screen displayed on an examination implementer terminal. [Figure 19] 10 is a ladder chart of a second modified example showing the system collaboration process executed in the RIS server and modality. DETAILED DESCRIPTION OF THE INVENTION

[0015] Hereinafter, an embodiment of a photography support device according to the present invention will be described, however, the scope of the invention is not limited to the illustrated examples.

[0016] FIG. 1 shows the system configuration of a medical system 100. As shown in FIG. 1, the medical system 100 is composed of an electronic medical record server 10, a RIS (Radiology Information System) server 20, an image management server 30, an examiner terminal 40, a modality 50, etc., which are connected to each other via a communication network N such as a LAN (Local Area Network) so that data communication is possible. Each device constituting the medical system 100 conforms to the HL7 (Health Level Seven) or DICOM (Digital Image and Communications in Medicine) standards, and communication between the devices is performed in accordance with HL7 or DICOM. The number of examiner terminals 40 and modalities 50 is not particularly limited. The electronic medical record server 10, the RIS server 20, and the image management server 30 may be cloud servers installed in a cloud environment.

[0017] The electronic medical record server 10 generates electronic medical record information that records medical treatments and diagnosis results for patients in response to operational instructions from a client terminal (not shown) used by a doctor.

[0018] The RIS server 20 manages information within the radiology department, such as appointments for examinations and treatments using radiation equipment, and examination results.

[0019] The image management server 30 stores image data of medical images generated in the modality 50 and manages the data for each patient. An example of the image management server 30 is a PACS (Picture Archiving and Communication System). When an external device requests acquisition of a medical image, the image management server 30 transmits the requested medical image to the external device in response to the acquisition request.

[0020] The examiner terminal 40 is a computer device such as a PC (Personal Computer) used by the examiner (radiologist) and is installed in an examination operation room. The examiner operates the examiner terminal 40 to control the modality 50 and perform imaging examinations, etc.

[0021] The modality 50 is an image generating device such as an X-ray device (DR, CR), an ultrasound diagnostic device (US), a CT, or an MRI, which generates medical images by capturing images of a subject. The modality 50 attaches additional information (patient information, examination information, etc.) to the medical image by writing the additional information to the header of the image file in accordance with the DICOM standard. In the following, the imaging device refers to the modality 50.

[0022] FIG. 2 shows the functional configuration of the RIS server 20. As shown in FIG. 2, the RIS server 20 comprises a control unit 21, a communication unit 22, a storage unit 23, etc., and each unit is connected by a bus 24.

[0023] The control unit 21 is composed of a CPU (Central Processing Unit), RAM (Random Access Memory), etc., and controls the overall processing of each unit of the RIS server 20. Specifically, the CPU reads out various processing programs stored in the storage unit 23, loads them into the RAM, and performs various processes in cooperation with the programs. Below, the control unit 21 also functions as a setting unit.

[0024] The communication unit 22 is configured by a network interface or the like, and transmits and receives data to and from external devices such as the test implementer terminal 40 connected via the communication network N.

[0025] The storage unit 23 is configured with an HDD (Hard Disk Drive), a nonvolatile memory, etc., and stores various processing programs, various data necessary for executing the programs, etc. For example, the storage unit 23 has a database 231, and the database 231 stores a first imaging protocol table T1, an imaging protocol linking table T3, and a RIS setting information table T4.

[0026] FIG. 3 shows the functional configuration of the test implementer terminal 40. As shown in FIG. 3, the test implementer terminal 40 is configured with a control unit 41, an operation unit 42, a display unit 43, a communication unit 44, a memory unit 45, etc., and each unit is connected by a bus 46.

[0027] The control unit 41 is composed of a CPU, RAM, etc., and comprehensively controls the processing of each unit of the test implementer terminal 40. Specifically, the CPU reads out various processing programs stored in the storage unit 45, expands them in the RAM, and performs various processes in cooperation with the programs.

[0028] The operation unit 42 is configured with a keyboard having cursor keys, letter and number input keys, various function keys, etc., and a pointing device such as a mouse, and outputs operation signals input by key operations on the keyboard or mouse operations to the control unit 41. The operation unit 42 may also have a touch panel on the display screen of the display unit 43, and in this case, outputs instruction signals input via the touch panel to the control unit 41.

[0029] The display unit 43 is configured with a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of display signals input from the control unit 41. The display unit 43 displays an operation screen operated by the test implementer and images of body positions.

[0030] The communication unit 44 is configured by a network interface or the like, and transmits and receives data to and from external devices connected via the communication network N.

[0031] The storage unit 45 is configured by a HDD, a non-volatile semiconductor memory, or the like, and stores various processing programs and various data required for executing the programs.

[0032] In this embodiment, the photography support device may be configured as a standalone RIS server 20, or may be configured as a photography support device by using the test implementer terminal 40 as an input / output means for the RIS server 20, and the photography support device may be configured as a single unit with the RIS server 20 and the test implementer terminal 40. Note that the RIS server 20 and the test implementer terminal 40 may also be integrated.

[0033] FIG. 4 shows the functional configuration of modality 50. As shown in FIG. 4, the modality 50 comprises a control unit 51, an operation unit 52, a display unit 53, a communication unit 54, a storage unit 55, etc., and each unit is connected by a bus 56.

[0034] The control unit 51 is composed of a CPU, RAM, etc., and comprehensively controls the processing of each unit of the modality 50. Specifically, the CPU reads out various processing programs stored in the storage unit 55, expands them in the RAM, and performs various processes in cooperation with the programs.

[0035] The operation unit 52 is configured with a keyboard having cursor keys, letter and number input keys, various function keys, etc., and a pointing device such as a mouse, and outputs operation signals input by key operations on the keyboard or mouse operations to the control unit 51. The operation unit 52 may also have a touch panel on the display screen of the display unit 53, and in this case, outputs instruction signals input via the touch panel to the control unit 51.

[0036] The display unit 53 is configured with a monitor such as an LCD, and displays various screens according to instructions of display signals input from the control unit 51. The display unit 53 displays an operation screen operated by the test implementer and images of body positions.

[0037] The communication unit 54 is configured by a network interface or the like, and transmits and receives data to and from external devices connected via the communication network N.

[0038] The storage unit 55 is configured with an HDD, a nonvolatile semiconductor memory, etc., and stores various processing programs, various data necessary for executing the programs, etc. For example, the storage unit 55 has a database 551, and the database 551 stores a second imaging protocol table T2.

[0039] 5 shows the specific contents of the first imaging protocol table T1. The first imaging protocol table T1 is a table for managing imaging protocols in the RIS server 20. In the first imaging protocol table T1, for each examination area ID, an examination area code, an examination area name, an examination type ID, etc. are associated. The examination area ID is identification information of the examination area. The examination area code is a code indicating the examination area. The examination area name is the name of the examination area. The examination type ID is an ID corresponding to the examination type (X-ray examination, CT examination, MRI examination, etc.). The first imaging protocol is not limited to the examination area. Other information may include, for example, imaging direction, imaging conditions, film, and medication information. The imaging conditions include tube voltage, tube current, irradiation time, distance, angle, etc.

[0040] 6 shows the specific contents of the second imaging protocol table T2. The second imaging protocol table T2 is a table for managing imaging protocols in the modality 50. In the second radiography protocol table T2, radiography device part names and the like are associated with each radiography device part code. The radiography device part code is identification information of the radiography part. The radiography device part name is the name of the radiography part in the radiography device. The second imaging protocol is not limited to the imaging region. Other information may include, for example, imaging direction, imaging conditions, film, and medication information. The imaging conditions include tube voltage, tube current, irradiation time, distance, angle, etc.

[0041] Specific contents of the imaging protocol linking table T3 are shown in Fig. 7. The imaging protocol linking table T3 is a table for defining the linking between the first imaging protocol table T1 and the second imaging protocol table T2. In the imaging protocol linking table T3, for each link between an examination part ID and an imaging device part code, an imaging protocol linked part ID, an imaging protocol linked part name, etc. are associated. The examination part ID is identification information of the examination part and is used for linking. The imaging device part code is identification information of the imaging part and is used for linking. The imaging protocol linked part ID is identification information of the imaging protocol linked part. The imaging protocol linked part name is the name of the imaging protocol linked part.

[0042] FIG. 8 shows an image of linking the first and second imaging protocols. In the radiography protocol linking table T3, each record includes the "examination region ID" of the first radiography protocol table T1 and the "radiography apparatus region code" of the second radiography protocol table T2.

[0043] 5 to 8, the imaging protocol is expressed in a form linked to the examination site, but is not limited to the examination site. For example, information on the imaging direction, imaging conditions, film, and medication can be included.

[0044] 9 shows the specific contents of the RIS setting information table T4. The RIS setting information table T4 is a table for managing status information of items not subject to automatic allocation in the RIS server 20. Statuses and the like that are not subject to automatic allocation are input into the RIS setting information table T4. Examples of statuses that can be set as statuses that are not subject to automatic allocation include: examination canceled (cancelled), not accepted, accepted, performed, and paid for, and in the example of FIG. 9, examination canceled (cancelled) is set as a status that is not subject to automatic allocation.

[0045] Next, the operation of the medical system 100 will be described. 10 is a flowchart showing the first imaging protocol table T1 registration process executed in the RIS server 20 based on an operation from the test implementer terminal 40. In this process, for convenience, the test implementer terminal 40 is used as an input / output means for the RIS server 20, but the process may also be based on an operation from a device other than the test implementer terminal 40 installed in the test operation room.

[0046] First, when the administrator of the radiology information system accesses the RIS server 20 from the test provider terminal 40, the control unit 21 of the RIS server 20 transmits display data for the first imaging protocol table T1 registration screen to the test provider terminal 40 via the communication unit 22. In the test implementer terminal 40, the display unit 43 displays a screen for registering the first imaging protocol table T1.

[0047] When the administrator inputs an imaging protocol by operating the operation unit 42 in the test implementer terminal 40 (step S11), the control unit 41 transmits the input imaging protocol to the RIS server 20 via the communication unit 44. The imaging protocol is information related to the imaging to be registered. The control unit 21 of the RIS server 20 acquires the imaging protocol from the test implementer terminal 40 via the communication unit 22.

[0048] Next, the control unit 21 stores the imaging protocol acquired from the test implementer terminal 40 in the storage unit 23. That is, the control unit 21 associates the newly assigned examination site ID with the examination site code, examination site name, examination type ID, etc. acquired from the test implementer terminal 40, and registers them in the first imaging protocol table T1 (step S12). This completes the first imaging protocol table T1 registration process.

[0049] 11 is a flowchart showing the second imaging protocol table T2 registration process executed in the modality 50. In this process, the examiner terminal 40 or the like may be used as an input / output means for the modality 50.

[0050] First, when the administrator of the radiology information system accesses the modality 50, the control unit 51 of the modality 50 transmits display data for the second imaging protocol table T2 registration screen to the display unit 53. Then, the second imaging protocol table T2 registration screen is displayed on the display unit 53.

[0051] In the modality 50, when the administrator inputs an imaging protocol by operating the operation unit 52 (step S21), the control unit 51 acquires the input imaging protocol from the operation unit 52. The imaging protocol is information related to imaging to be registered.

[0052] Next, the control unit 51 stores the imaging protocol acquired from the operation unit 52 in the storage unit 55. That is, the control unit 51 associates the newly numbered imaging device part code with the imaging device part name acquired from the operation unit 52, and registers them in the second imaging protocol table T2 (step S22). This completes the second imaging protocol table T2 registration process.

[0053] 12 is a flowchart showing the imaging protocol linking table T3 registration process executed in the RIS server 20 based on an operation from the test implementer terminal 40. In this process, for convenience, the test implementer terminal 40 is used as an input / output means for the RIS server 20, but the process may also be based on an operation from a device other than the test implementer terminal 40 installed in the test operation room.

[0054] First, when the administrator of the radiology information system accesses the RIS server 20 from the test provider terminal 40, the control unit 21 of the RIS server 20 sends display data for the imaging protocol linking table T3 registration screen to the test provider terminal 40 via the communication unit 22. In the tester terminal 40, the display unit 43 displays a registration screen for the imaging protocol linking table T3.

[0055] When the administrator inputs related information by operating the operation unit 42 in the test implementer terminal 40 (step S31), the control unit 41 transmits the input related information to the RIS server 20 via the communication unit 44. The related information is information other than the examination region ID and the imaging device region code in the imaging protocol linking table T3 in FIG. 7. The control unit 21 of the RIS server 20 acquires the related information from the test implementer terminal 40 via the communication unit 22.

[0056] Next, at the test implementer terminal 40, the administrator selects the test site ID of the test site to be registered by operating the operation unit 42 (step S32), and the control unit 41 transmits the selected test site ID to the RIS server 20 via the communication unit 44. The control unit 21 of the RIS server 20 acquires the examination region ID from the test implementer terminal 40 via the communication unit 22.

[0057] Next, at the test implementer terminal 40, the administrator operates the operation unit 42 to select the imaging device area code of the imaging area to be registered (step S33), and the control unit 41 transmits the selected imaging device area code to the RIS server 20 via the communication unit 44. The control unit 21 of the RIS server 20 acquires the imaging device site code from the test implementer terminal 40 via the communication unit 22.

[0058] Next, the control unit 21 stores the linking information acquired from the test implementer terminal 40 in the storage unit 23. That is, the control unit 21 associates the newly numbered imaging protocol linked region ID, the examination region ID and imaging device region code acquired from the test implementer terminal 40, related information, etc., and registers them in the imaging protocol linking table T3 (step S34). This completes the imaging protocol linking table T3 registration process.

[0059] 13 is a flowchart showing the RIS setting information table T4 registration process executed in the RIS server 20 based on an operation from the test implementer terminal 40. For convenience, this process uses the test implementer terminal 40 as an input / output means for the RIS server 20, but the process may also be based on an operation from a device other than the test implementer terminal 40 installed in the test operation room.

[0060] First, when the administrator of the radiology information system accesses the RIS server 20 from the test provider terminal 40, the control unit 21 of the RIS server 20 transmits display data for the RIS setting information table T4 registration screen to the test provider terminal 40 via the communication unit 22. In the test implementer terminal 40, the display unit 43 displays a screen for registering the RIS setting information table T4.

[0061] When the administrator selects a status that is not subject to automatic allocation by operating the operation unit 42 on the test implementer terminal 40 (step S41), the control unit 41 transmits the entered status that is not subject to automatic allocation to the RIS server 20 via the communication unit 44. The control unit 21 of the RIS server 20 acquires the status of being excluded from automatic allocation from the test implementer terminal 40 via the communication unit 22.

[0062] Next, the control unit 21 stores the status of not being subject to automatic allocation acquired from the test implementer terminal 40 in the storage unit 23. That is, the control unit 21 registers the status of not being subject to automatic allocation, etc. in the RIS setting information table T4 (step S42). This completes the RIS setting information table T4 registration process.

[0063] Note that data is registered in advance by an administrator in the first imaging protocol table T1, the second imaging protocol table T2, the imaging protocol linking table T3, and the RIS setting information table T4.

[0064] 14 is a ladder chart showing the system linkage process executed in the RIS server 20 and the modality 50. It is assumed that the status "cancel" is registered in advance in the RIS setting information table T4. 15 and 16 show examples of an allocation screen 431 displayed on the display unit 43 of the test implementer terminal 40. The allocation screen 431 includes an examination information area 431A, an imaging implementation information area 431B, an MPPS apply button B1, an implementation button B2, and the like. The examination information area 431A is an area where the examination information stored in the storage unit 23 of the RIS server 20 is displayed. The imaging implementation information area 431B is an area where the imaging implementation information received by the RIS server 20 from the modality 50 is displayed. The MPPS application button B1 is a button for automatically allocating the imaging implementation information received by the RIS server 20 from the modality 50 to the examination information stored in the storage unit 23 of the RIS server 20. The execute button B2 is a button for updating the examination information management table (not shown). FIG. 15 is an example of an assignment screen immediately after step S58, which will be described later. FIG. 16 shows an example of the assignment screen immediately after step S59, which will be described later.

[0065] First, a doctor accesses the electronic medical record server 10 from a client terminal, specifies the patient and the test contents, and inputs the test information. The electronic medical record server 10 registers the test information and transmits it to the RIS server 20. When the control unit 21 of the RIS server 20 receives the test information from the electronic medical record server 10 via the communication unit 22, it performs a test information import process. Specifically, the control unit 21 registers the test information received from the electronic medical record server 10 in a test information management table (not shown) (step S51). Here, the status information corresponding to each first imaging protocol included in the registered test information is in the "before acceptance" state.

[0066] Next, when the test implementer operates the operation unit 42 on the test implementer terminal 40 to input reception information for the registered test information, the control unit 41 transmits the input reception information to the RIS server 20 via the communication unit 44. When the control unit 21 of the RIS server 20 acquires the reception information input from the test implementer terminal 40 via the communication unit 22, it registers the reception information for the corresponding test information (the test information received in step S51) in a test information management table (not shown) (step S52). Here, the control unit 21 changes the status information corresponding to each first imaging protocol included in the corresponding test information to "received" in the test information management table (not shown).

[0067] Next, when the registered examination information (including the first imaging protocol) is sent to the modality 50 by the examination performer operating the operation unit 42 on the examination performer terminal 40, the control unit 21 of the RIS server 20 sends the examination information to the modality 50 via the communication unit 22 (step S53). The control unit 51 of the modality 50 receives the examination information transmitted from the RIS server 20 via the communication unit 54 (step S54).

[0068] Next, the modality 50 sets a second imaging protocol linked to the first imaging protocol and performs an imaging examination (step S55). Note that the set second imaging protocol can be changed. The linking of the first imaging protocol and the second imaging protocol has been described above in the explanation of FIG. 8. For example, the modality 50 takes an image of a target area of a subject and generates a medical image in response to an operation by an examiner from the operation unit 42 of the examiner terminal 40. The modality 50 attaches additional information to the generated medical image and transmits it to the image management server 30. When the image management server 30 receives a medical image from the modality 50, it stores and manages the medical image based on the supplementary information of the medical image. In the present embodiment, it is assumed that an examination different from the imaging examination based on the second imaging protocol linked to the first imaging protocol included in the examination information received from the modality 50 is to be performed. Here, among the imaging implementation information of the examinations performed by modality 50, the imaging implementation information of the originally scheduled examination received is referred to as planned imaging implementation information, and the imaging implementation information of the examination that differs from the originally scheduled examination is referred to as unscheduled imaging implementation information.

[0069] Next, in the modality 50, the test provider operates the operation unit 42 of the test provider terminal 40, causing the control unit 51 to transmit the imaging implementation information, including the unplanned imaging implementation information, to the RIS server 20 via the communication unit 54 (step S56). The control unit 21 of the RIS server 20, as a display control unit, receives the imaging implementation information transmitted from the modality 50 via the communication unit 22, and further transmits the imaging implementation information to the test implementer terminal 40 via the communication unit 22. Then, the control unit 41 of the test implementer terminal 40 receives the imaging implementation information transmitted from the RIS server 20 via the communication unit 44, and displays it on the display unit 43 (step S57). It is also possible to add any desired imaging conditions to the imaging implementation information. Specifically, the examiner can check the display unit 43 of the examiner terminal 40 and add any desired imaging conditions to the imaging protocol using the operation unit 42.

[0070] Next, in response to an operation from the operation unit 42 of the test implementer terminal 40, the control unit 21 of the RIS server 20 changes the status information corresponding to each first imaging protocol included in the original test information in the test information management table (not shown). Specifically, in the present embodiment, the control unit 21, as a setting unit, changes (sets) the status information corresponding to each first imaging protocol included in the original test information to "cancel" in the test information management table (not shown) (step S58). The display unit 43 displays the assignment screen shown in FIG. 15.

[0071] Here, the allocation screen shown in FIG. 15 will be described. The initially scheduled first imaging protocol is the imaging protocol displayed in the upper section of the examination information area 431A. Specifically, it is a single imaging protocol that combines two imaging protocols with deployment codes of "1000000100000500" and "1000000100000600" and specifies a simple X-ray lateral radiography of the head as the detailed region. The "K" mark indicates cancellation, indicating that the first imaging protocol was not implemented. The first imaging protocol is linked to the examination information of the logged-in user displayed in the upper left of the assignment screen 431. The status can be changed by right-clicking the mouse on the "K" mark (step S58 above).

[0072] Next, in the test implementer terminal 40, the test implementer operates the operation unit 42 to automatically assign the imaging implementation information to the original examination information. Specifically, in the present embodiment, the control unit 21, as an assignment control unit, assigns the second imaging protocol that has been implemented to the original examination information in an examination information management table (not shown) in the memory of the storage unit 23, and displays the imaging implementation information on the display unit 43 (step S59). An assignment screen shown in FIG. 16 is displayed on the display unit 43.

[0073] Here, the assignment screen shown in FIG. 16 will be described. The imaging implementation information area 431B displays unscheduled imaging implementation information based on the implemented second imaging protocol. The implemented second imaging protocol shows that three imaging protocols were implemented with deployment site codes of "1000000100000500" (no imaging defects), "1001001000110000," and "1000000100000500" (imaging defects). Also displayed are the deployment site tab, film tab, and imaging condition tab, which are the imaging protocols. By pressing the MPPS Apply button B1, two imaging protocols, "1000000100000500" (no imaging errors) and "1001001000110000," marked with a check mark in the imaging implementation information area 431B, are newly assigned to the examination information of the logged-in user shown in the upper left of the assignment screen 431, and unscheduled imaging implementation information is displayed in the middle and lower sections of the examination information area 431A (step S59 above). In other words, by pressing the MPPS Apply button B1, the two second imaging protocols that were implemented are automatically assigned, and then the unscheduled imaging implementation information can be displayed. In addition, since two second imaging protocols are assigned, the display is in two sections, the middle and lower sections. Note that instead of pressing the MPPS Apply button B1, the second imaging protocol can also be assigned manually by dragging and dropping it from the imaging implementation information area 431B to the examination information area 431A. In addition, when the second imaging protocol linked to the originally scheduled first imaging protocol is implemented (no change in status), the planned imaging implementation information based on a single imaging protocol that combines two imaging protocols with deployment area codes "1000000100000500" and "1000000100000600" will be displayed in one row in the upper part of the examination information area 431A. The middle and bottom rows of the examination information area 431A display information about unscheduled imaging that has been performed. The "Actual" mark indicates that the imaging protocol has been performed, and indicates that the imaging protocol has been performed. When an imaging protocol is assigned by pressing the MPPS Apply button B1 or by dragging and dropping, the "Actual" mark is automatically added to the assigned imaging protocol. The status can also be changed by right-clicking the mouse.

[0074] Next, in response to an operation from the operation unit 42 of the test implementer terminal 40, the control unit 21 of the RIS server 20 stores the second imaging protocol assigned in the memory of the storage unit 23 in the database of the storage unit 23, and updates the information of the first imaging protocol. In other words, the control unit 21, as a registration control unit, links the newly implemented second imaging protocol to the original test information in the test information management table (not shown), and updates the test information management table (not shown) (step S510). For example, on the allocation screen shown in FIG. 16, when the implementation button B2 is pressed, the second imaging protocols "1000000100000500" and "1001001000110000", which indicate the implementation information, are added to the examination information management table (not shown), the examination information management table (not shown) is updated, and the examination information is registered in the memory unit 23 of the RIS server 20. This completes the system linkage process executed by the RIS server 20 and the modality 50.

[0075] [Variation 1] FIG. 17 is a ladder chart showing the system linkage process executed in the RIS server 20 and the modality 50.

[0076] Steps S61 to S66 in the ladder chart shown in FIG. 17 are the same as steps S51 to S56 in the ladder chart shown in FIG. 14, and steps S69 to S611 in the ladder chart shown in FIG. 17 are the same as steps S58 to S510 in the ladder chart shown in FIG. 14, so their explanations are omitted.

[0077] The control unit 21 of the RIS server 20 receives the imaging implementation information transmitted from the modality 50 via the communication unit 22 (step S67).

[0078] The control unit 21 of the RIS server 20 checks whether there is a difference between the second imaging protocol included in the received imaging implementation information and the first imaging protocol included in the original examination information. Furthermore, it transmits the difference information and the imaging implementation information to the test implementer terminal 40 via the communication unit 22. Then, the control unit 41 of the test implementer terminal 40 receives the difference information and the imaging implementation information transmitted from the RIS server 20 via the communication unit 44, and displays them on the display unit 43 (step S68). 18, examples of displaying difference information include making the background of the part with a difference red and the background of the part without a difference blue (not shown) for each item of each second imaging protocol in the imaging implementation information area 431B, or making the background of each first imaging protocol that has not been implemented yellow among the initial examination information in the examination information area 431A, etc. Note that the present invention is not limited to changing the background color, and examples include changing the character color, etc.

[0079] As a result of the above, it is possible to visually check the items of the shooting protocol that have been implemented differently from the originally planned shooting protocol, as well as the shooting protocols that have not been implemented, thereby reducing errors and omissions in changing the status in step S69.

[0080] [Variation 2] FIG. 19 is a ladder chart showing the system linkage process executed in the RIS server 20 and the modality 50.

[0081] Steps S71 to S76 in the ladder chart shown in FIG. 19 are the same as steps S51 to S56 in the ladder chart shown in FIG. 14, and steps S78 to S79 in the ladder chart shown in FIG. 19 are the same as steps S59 to S510 in the ladder chart shown in FIG. 14, so their explanations are omitted.

[0082] The control unit 21 of the RIS server 20 receives the imaging implementation information transmitted from the modality 50 via the communication unit 22, and further transmits the imaging implementation information to the test implementer terminal 40 via the communication unit 22. Then, the control unit 41 of the test implementer terminal 40 receives the imaging implementation information transmitted from the RIS server 20 via the communication unit 44, and displays it on the display unit 43. Then, the control unit 21 automatically changes the status information corresponding to each first imaging protocol included in the original test information to "cancelled" in the test information management table (not shown), regardless of the test implementer's operation on the operation unit 42 (step S77). It is not necessary to change the mark in the examination information area 431A displayed on the display unit 43 to "Q".

[0083] In step S77, if the first imaging protocol included in the original examination information is the same as the second imaging protocol included in the received imaging implementation information, the status information may not be changed to "cancelled" but may be subject to automatic allocation.

[0084] It should be noted that the initial first imaging protocol does not have to be displayed on the display unit 43 after the automatic allocation is performed in step S78.

[0085] As a result, the imaging implementation information is always correct when displaying and updating information, which reduces the work of the examiner.

[0086] As described above, according to this embodiment, the RIS server 20 is equipped with a setting unit (control unit 21) that sets the first imaging protocol, which is the imaging protocol of the imaging support device reserved before imaging, to a status that is not subject to automatic allocation, and an allocation control unit (control unit 21) that assigns the second imaging protocol, which is the imaging protocol of the imaging device acquired as imaging implementation information, as the first imaging protocol. This solves the problem that implementation information of unscheduled imaging performed with the imaging device is mistakenly assigned as implementation information of scheduled imaging, and the problem that the operator needs to take the time to "add an area" before assigning implementation information of unscheduled imaging performed with the imaging device, and makes it possible to reduce errors when assigning imaging implementation information and the effort required by the operator when unscheduled imaging is performed with the imaging device.

[0087] In addition, the photography support device consisting of the RIS server 20 and the test implementer terminal 40 is equipped with a display unit 43, a display control unit (control unit 21) that displays the first photography protocol and the second photography protocol side by side on the display unit 43, and an operation unit 42 for user operation to specify the first photography protocol that is to be set to a status that is not subject to automatic allocation.The setting unit sets the first photography protocol specified by the operation unit 42 to a status that is not subject to automatic allocation, thereby eliminating the problem that implementation information for unscheduled photography performed on the photography device is mistakenly assigned as implementation information for scheduled photography, and the problem that the operator needs to take the time to ``add an area'' before assigning implementation information for unscheduled photography performed on the photography device.This makes it possible to reduce errors in assigning photography implementation information and the effort required of the operator when unscheduled photography is performed on the photography device.

[0088] Furthermore, the display control unit compares the first imaging protocol with the second imaging protocol and displays items with differences in a distinguishable manner, thereby reducing assignment errors and omissions by the operator.

[0089] Furthermore, by providing a registration control unit (control unit 21) that registers the imaging protocol assigned by the assignment control unit, the assigned imaging protocol can be linked to the examination information and stored in the storage unit.

[0090] In addition, the registration control unit is characterized by controlling the addition and registration of arbitrary shooting conditions when registering as a shooting protocol for the shooting support device, which allows the operator to optionally add information that is not sent as shooting conditions depending on the device.

[0091] Furthermore, the allocation control unit can reduce the operator's workload by automatically allocating.

[0092] Furthermore, the control unit can automatically change the status of the imaging protocol reserved before imaging to a status that is not subject to automatic allocation, thereby reducing the burden on the operator.

[0093] In addition, the statuses that are not subject to automatic allocation are one or more of the following: completed, examination canceled, accepted, not accepted, and accounted for. By setting the statuses that are not subject to automatic allocation in advance, it is possible to reduce the operator's workload.

[0094] Furthermore, the imaging protocol is information on the examination site, imaging direction, imaging conditions, film, and medication, and is not limited to the examination site.

[0095] In addition, during automatic allocation, the control unit can reduce the operator's workload by controlling the registration of the shooting conditions, such as tube voltage, tube current, irradiation time, distance, and angle, obtained from the shooting device as shooting conditions of the shooting support device.

[0096] Furthermore, the detailed configurations and operations of the components constituting the medical system 100 in the above-described embodiment may be modified as appropriate without departing from the spirit of the present invention. [Explanation of symbols]

[0097] 10 Electronic Medical Record Server 20 RIS Server 21 control unit (allocation control unit, setting unit, display control unit, registration control unit) 22 Communications Department 23 Memory section 30 Image Management Server 40 Tester terminal 41 Control Unit 42 Operation section 43 Display section 44 Communications Department 45 Storage section 50 Modalities 51 Control section 52 Operation section 53 Display section 54 Communications Department 55 Storage section 100 Healthcare Systems 231 databases 551 databases N Communication Network T1 First Imaging Protocol Table T2 Second Imaging Protocol Table T3 Imaging Protocol Linking Table T4 RIS setting information table

Claims

1. an acquisition unit that acquires examination information including a first imaging protocol that is an imaging protocol of an imaging support device reserved before imaging; a registration unit that registers the examination information; a setting unit that sets the first imaging protocol to a status that is not subject to automatic assignment; an update unit that updates the examination information registered in the registration unit by using a second photographing protocol, which is a photographing protocol acquired from the photographing device as photographing implementation information, when the first photographing protocol is set to a status that is not subject to automatic assignment; an allocation control unit that automatically allocates the second photographing protocol to the first photographing protocol when the first photographing protocol is not set to a status that is not subject to automatic allocation; A display unit; a display control unit that displays the first imaging protocol and the second imaging protocol side by side on the display unit; an operation unit for specifying, by a user operation, the first imaging protocol to be subject to the status not subject to automatic assignment; Equipped with the display control unit compares the first photographing protocol with the second photographing protocol and displays items having differences in a distinguishable manner; The setting unit sets the first imaging protocol designated by the operation unit to a status that is not subject to automatic assignment.

2. The photographing support device according to claim 1 , further comprising a registration control unit that registers the photographing protocol assigned by the assignment control unit.

3. 3. The photographing support device according to claim 2, wherein the registration control unit controls the registration of the photographing protocol by adding any photographing condition when registering the photographing protocol of the photographing support device.

4. 4. The photographing support device according to claim 1, wherein the allocation control unit automatically changes the status of a photographing protocol reserved before photographing to a status that is not subject to automatic allocation.

5. The imaging support device according to any one of claims 1 to 4, characterized in that the status that is not subject to automatic allocation is one or more of the following statuses: completed, examination canceled, accepted, not accepted, and accounted for.

6. 6. The imaging support device according to claim 1, wherein the imaging protocol includes information on an examination region, an imaging direction, imaging conditions, a film, and a drug.

7. 7. The imaging support device according to claim 6, wherein the imaging conditions include a tube voltage, a tube current, an irradiation time, a distance, and an angle obtained from an imaging device.

8. The imaging system includes an imaging support device that manages a first imaging protocol and an imaging device that performs imaging according to a second imaging protocol, The photography support device includes: an acquisition unit that acquires examination information including the first imaging protocol reserved before imaging; a registration unit that registers the examination information; a setting unit that sets the first imaging protocol to a status that is not subject to automatic assignment; an update unit that updates the examination information registered in the registration unit by using the second photographing protocol acquired from the photographing device as photographing implementation information when the first photographing protocol is set to a status that is not subject to automatic assignment; an allocation control unit that automatically allocates the second photographing protocol to the first photographing protocol when the first photographing protocol is not set to a status that is not subject to automatic allocation; A display unit; a display control unit that displays the first imaging protocol and the second imaging protocol side by side on the display unit; an operation unit for specifying, by a user operation, the first imaging protocol to be subject to the status not subject to automatic assignment; Equipped with the display control unit compares the first photographing protocol with the second photographing protocol and displays items having differences in a distinguishable manner; The setting unit sets the first imaging protocol designated by the operation unit to a status that is not subject to automatic assignment.

9. A computer of a photography support device having a display unit, acquiring examination information including a first imaging protocol that is an imaging protocol of the imaging support device reserved before imaging; registering the examination information; setting the first imaging protocol to a status that is not subject to automatic assignment; When the first photographing protocol is set to a status that is not subject to automatic assignment, updating the examination information registered in the registering step by using a second photographing protocol, which is a photographing protocol acquired from the photographing device as photographing implementation information; When the first photographing protocol is not set to the status of the protocol not to be automatically assigned, performing control to automatically assign the second photographing protocol to the first photographing protocol; a display control step of displaying the first imaging protocol and the second imaging protocol side by side on the display unit; an operation step for designating, by a user operation, the first imaging protocol to be subject to the status not subject to automatic assignment; Including, the display control step includes comparing the first photographing protocol with the second photographing protocol and displaying items having differences in a distinguishable manner; The setting step sets the first imaging protocol designated in the operation step to a status that is not subject to automatic allocation.

10. A computer of a photography support device equipped with a display unit, an acquisition step of acquiring examination information including a first imaging protocol which is an imaging protocol of the imaging support device reserved before imaging; a registration step of registering the examination information; a setting step of setting the first imaging protocol to a status that is not subject to automatic assignment; an updating step of updating the examination information registered in the registration step by using a second photographing protocol, which is a photographing protocol acquired from the photographing device as photographing implementation information, when the first photographing protocol is set to a status that is not subject to automatic assignment; a control step of automatically allocating the second photographing protocol to the first photographing protocol when the first photographing protocol is not set to the status of the protocol not to be automatically allocated; a display control step of displaying the first imaging protocol and the second imaging protocol side by side on the display unit; an operation step for designating, by a user operation, the first imaging protocol to be subject to the status not subject to automatic assignment; Execute In the display control step, the first photographing protocol and the second photographing protocol are compared, and items having differences are displayed in an identifiable manner; In the setting step, the first imaging protocol designated in the operation step is set to a status that is not subject to automatic assignment.

Images