Ophthalmic information processing programs and ophthalmic computers

Abstract

Provided are an ophthalmologic information processing program and an ophthalmological computer making it possible to reduce the burden on an examiner when a report is to be transmitted to another system.　This ophthalmologic information processing program is executed by a processor of an ophthalmological computer, thereby causing the ophthalmological computer to execute: a display step for causing a plurality of examination results be sequentially displayed on a screen, the examination results being for an eye under test from an eye examination device; a generation step for generating converted examination results obtained by converting the examination results to a predetermined format; and a transfer step for, upon receiving a transfer operation, executing transfer processing batchwise on a plurality of the converted examination results corresponding to the plurality of examination results. In the generation step, at least some of the plurality of converted examination results corresponding respectively to the plurality of examination results are generated before the transfer operation is received.

Description

Technical Field

[0001] It relates to an ophthalmic information processing program and an ophthalmic computer.

Background Art

[0002] [[ID=Z12]]When making a diagnosis at an ophthalmic facility, an inspection report is utilized. In the inspection report, images, measurement values, and their analysis results obtained via an eye inspection device are arranged in a form predetermined as inspection results (see Patent Document 1).

[0003] For example, an inspection report may be created under the examiner who conducted the inspection, and further, the diagnosis using the inspection report may be performed by another person. For example, an inspection report created by an examiner is managed in another system such as a medical information management system of the facility. As a result, the inspection report can be viewed via a terminal device within the system.

Prior Art Documents

Patent Documents

[0004]

Patent Document 1

Summary of the Invention

[0005] [[ID=3Z5]] 以前は、レポートなどの検査結果が所定の形式に変換されたものを他のシステムに転送する際に、検者が検査結果を1つずつ確認し、必要に応じて内容を修正するまたは再検査する運用が想定されていた。このため、以前は、例えば、それぞれの検査結果毎を表示して検者に確認させて、検査結果毎に転送操作を受け付けた後でなければ、他のシステムに転送できなかった。また、一度の転送操作で複数の検査結果をまとめて転送できなかった。これらの制約があることで、上記の運用が担保されると考えられていた。

[0006] However, with improvements in inspection techniques (e.g., equipment alignment techniques and analysis techniques), the possibility of obtaining inappropriate inspection results has decreased. Therefore, the practice of having inspectors check each inspection result individually is becoming an excessive burden on them.

[0007] This disclosure addresses the technical challenge of reducing the burden on examiners when sending reports to other systems, in light of the problems encountered in the past.

[0008] An ophthalmic information processing program according to a first aspect of this disclosure is an ophthalmic information processing program that is executed by the processor of an ophthalmic computer and causes the ophthalmic computer to execute the following steps: a display step of sequentially displaying a plurality of examination results of an eye examined by an eye examination device on a screen; a generation step of generating converted examination results obtained by converting the examination results into a predetermined format; and a transfer step of performing a transfer process in a batch for a plurality of the examination results and a plurality of converted examination results corresponding to the plurality of examination results when a transfer operation is received, wherein in the generation step, at least a portion of the plurality of converted examination results corresponding to each of the plurality of examination results is generated before the transfer operation is received.

[0009] The ophthalmic information processing device according to the second aspect of this disclosure executes the above-described ophthalmic information processing program. [Brief explanation of the drawing]

[0010] [Figure 1] This is a schematic diagram illustrating the configuration of the ophthalmic system according to the first and second embodiments. [Figure 2] This is a flowchart showing the operation flow in the first embodiment. [Figure 3] This is a flowchart showing the operation flow in the second embodiment. [Figure 4] This figure shows the inspection result selection screen for the example. [Figure 5] This figure shows the inspection result display screen for the example. [Modes for carrying out the invention]

[0011] The embodiments described herein are described below. The items classified in <> below may be used independently or in relation to each other. Furthermore, some or all of each embodiment may be used in other embodiments.

[0012] <Device configuration in the embodiment> The ophthalmic information processing programs according to each embodiment of this disclosure are executed by the processor of an ophthalmic computer. The ophthalmic computer may be integrated with an eye examination device.

[0013] The ophthalmic computer is connected to the medical information system. The medical information system manages the test results obtained by various examination devices. For example, the test reports created by the ophthalmic computer are managed by the medical information system.

[0014] An ophthalmic examination device has an examination unit (measuring unit or imaging unit) used to examine the eye under examination. The ophthalmic examination device may be a measuring device for measuring the eye under examination, or an imaging device for photographing the eye under examination. Examples of measuring devices include refractive power measuring devices, aberration meters, axial length measuring devices, intraocular pressure measuring devices, and visual field meters. The ophthalmic examination device may also be an imaging device that photographs the eye under examination and obtains the image as an examination result. Examples of imaging devices include OCT devices (optical coherence tomography), fundus cameras, and SLO devices. In some cases, the measurement results of the eye under examination can be obtained as an examination result by processing the received light signal obtained by the imaging device. For example, by processing OCT data or OCT images obtained by an OCT device (optical coherence tomography), measurement results regarding tissue thickness, dimensions, shape, and blood vessels can be obtained. However, the ophthalmic examination device exemplified here is merely an example, and other devices can be applied. Furthermore, the ophthalmic examination device may be a composite device combining two or more measuring and imaging devices.

[0015] <Overview of operation> In each embodiment of this disclosure, the ophthalmic computer acquires the examination results of the eye being examined by an eye examination device (acquisition step). The ophthalmic computer also generates a converted examination result by converting the acquired examination results into a predetermined format (generation step). In this case, the predetermined format may be the format of an examination report. The examination report may be generated based on the examination results and a pre-prepared template. The template may specify at least the content (combination) and arrangement of information to be placed in the examination report. The examination report is used, for example, for diagnosis by a physician. Here, if an image of the eye being examined is acquired as an examination result and an examination report is generated, the ophthalmic computer may process the image of the eye being examined to generate an examination report that includes the image of the eye being examined. For example, the examination report may include at least an image of the eye being examined relating to a part of the eye that is relevant to the purpose of the examination report. Additionally, the examination report may include at least one of the following: measurement results and analysis results related to the image of the eye being examined.

[0016] Furthermore, when the eye image of the subject is obtained as an examination result, the converted examination result is DICOM. A standard ophthalmological image format is also acceptable.

[0017] Furthermore, in each embodiment, the ophthalmic computer performs a transfer process for the generated conversion test results (transfer step). Based on the transfer process, the conversion test results are transferred to, for example, a medical information system. The medical information system is, for example, a system that digitizes medical information and manages it centrally on a server. The medical information system manages the conversion test results at least.

[0018] The transfer process may be a process of directly outputting the converted test results from the ophthalmic computer to the medical information system, or a process of once placing the converted test results in a memory shared between the ophthalmic computer and the medical information system and notifying the medical information system that the converted test results can be acquired. After the notification, the converted test results are transferred as appropriate when accessed from the medical information system.

[0019] Unless otherwise specified, in the following description, it is assumed that the converted test results are directly output from the ophthalmic computer to the medical information system by the transfer process. <Transfer Process of Converted Test Results in the First Embodiment> In the first embodiment of the present disclosure, the converted test results are transferred to the medical information system without necessarily requiring a transfer operation. In the first embodiment, the first transfer step and the second transfer step are selectively executed to transfer the converted test results to the medical information system. That is, the converted test results are transferred by either the first transfer step or the second transfer step.

[0020] In the first transfer step, the test results serving as the basis for the converted test results are displayed and a transfer operation is requested. For example, an operation of a switch that triggers the transfer is requested from the examiner. The interface through which the transfer operation is input may be a hardware interface or a GUI may be used. Also, in the first transfer step, when the transfer operation is received, the converted test results are transferred to the medical information system. Thus, when the first transfer step is executed, it is premised on an operation in which the examiner confirms the test results before transfer.

[0021] In the second transfer step, the conversion test results are transferred to the medical information system without requiring a transfer operation. That is, in the second transfer step, the transfer operation is not a prerequisite for transferring the conversion test results. In this embodiment, at least the conversion test results are transferred without requiring a transfer operation in a state where the test results are displayed. Therefore, in the second transfer step, the input of the transfer operation is omitted with respect to the first transfer step, reducing the burden on the examiner.

[0022] Furthermore, in the second transfer step, the conversion test results may be transferred before the test results are displayed. As a result, the operation of confirming the test results is omitted, further reducing the burden on the examiner. However, it is not necessarily required that the test results are finally displayed on the ophthalmic computer after the transfer of the conversion test results from the ophthalmic computer to the medical information system.

[0023] <Type of test report> When the conversion test results are a test report, in this embodiment, it may be possible to generate a test report for each of a plurality of types of templates associated with at least one of the disease type and the test conditions by the eye examination device. For example, the ophthalmic computer may acquire information regarding either the disease type in the examined eye or the test conditions for the examined eye, and selectively transfer a test report based on at least one of a plurality of types of templates to the medical information system based on the information. As a result, the medical information system side can selectively receive an appropriate report corresponding to at least one of the disease type in the examined eye and the test conditions for the examined eye, enabling diagnosis based on an appropriate report.

[0024] Note that the disease type may be, for example, an automatic diagnosis result for the test results. Also, if information specifying the disease type of the subject, such as past diagnosis results of the subject, is stored in advance, such information can also be used.

[0025] Furthermore, for example, the following may be specified as examination conditions: namely, at least one of the following may be specified as examination conditions: the eye being examined (either left or right, or both eyes), the area being examined in the eye, and the content of the examination. For example, if the eye examination device is an OCT device, the examination area may be specified based on examination conditions such as fixation position, field of view, scan settings (scan position, scan pattern, scan speed), and whether or not OCT-Angiography is performed. The content of the test is specified. The information indicating the test conditions may be supplementary information associated with the test results, or it may be the test results themselves.

[0026] The examination report may generate both a monocular report, which outputs only the examination results for one eye, and a binocular report, which displays the examination results for both eyes simultaneously. The decision of whether to output a monocular report or a binocular report may be based on at least one of the following: information regarding the presence or absence of binocular disease, and whether examination results for both the left and right eyes are available. For example, it may be decided based on information regarding the type of disease in the eye being examined and the examination conditions for the eye being examined. Alternatively, if examination results for both eyes are available, a binocular report may be generated, and if only examination results for one eye are available, a monocular report may be generated and forwarded accordingly. This allows the second forwarding step to appropriately generate and forward both the binocular report and the monocular report.

[0027] <Automatic selection of the patient's eye image to be placed in the examination report> If the eye examination device is an ophthalmic imaging device, and multiple images of the subject's eye taken from different positions are acquired, and furthermore, if some of these images have structural features, the images of the subject's eye near the features may be placed in the examination report. Note that the structural features may also be disease-related features.

[0028] If there is a limit to the number of eye images that can be placed in the examination report, eye images near features may be prioritized. For example, features with a higher priority may be prioritized. Priority may be determined according to the degree of structural abnormality. In particular, if the eye examination device is an OCT device and 3D OCT data is obtained as one of the examination results, the degree of structural abnormality may be obtained based on a probability distribution obtained by inputting the 3D OCT data into a trained model from which a probability distribution for identifying tissue in the image is obtained. For more details, please refer to Japanese Patent Publication No. 2020-18794 by the present applicant.

[0029] Furthermore, if the eye examination device is an OCT device and 3D OCT data is obtained as one of the examination results, the examination report may include 2D images of several cross-sections included in the 3D OCT data. In this case, the spacing between the cross-sections may be automatically determined, for example, according to the number of 2D images that can be placed on the report, or it may be selected manually.

[0030] <Follow-up examination> In this embodiment, a follow-up examination report may be generated based on examination results from different examination dates for the same eye. In this case, the follow-up examination report will show the changes over time between the current and past examination results. For example, it may show at least one of both the current and past examination results, and the difference.

[0031] A follow-up test report may be generated, for example, when it is identified that a follow-up test was performed based on information indicating the test conditions in the current test, or by referring to past test results. In this case, both a report based on the current test results and a report for the follow-up test may be generated.

[0032] <Second Embodiment> In the second embodiment, when a transfer operation is input, a transfer process is performed for multiple conversion test results in a single operation. In the second embodiment, the ophthalmic computer performs at least a selection step, a display step, a generation step, and a transfer step based on an ophthalmic information processing program.

[0033] <Selection Steps> In the second embodiment, a selection step may be performed to select from pre-acquired test results those for which a converted test result will be generated. In the selection step, multiple pre-acquired test results of the eye examined by the eye examination device are selected all at once. The multiple test results are then placed in a state where they will be displayed sequentially in the display step described later. The multiple test results selected all at once may be test results for multiple examination dates or test results for multiple subjects.

[0034] <Display Steps> The test results are displayed sequentially on the screen, with multiple test results being shown, and each result is then confirmed by the examiner. If multiple test results are selected at once during the selection step, they are displayed sequentially among the selected results. A switching operation may be required to switch between test results sequentially. The switching operation may be an operation on a GUI located on the screen where the test results are displayed sequentially. Based on the switching operation, the test results on the screen may be switched to other test results (switching step).

[0035] Furthermore, editing operations may be accepted while any of the test results are displayed on the screen. In this case, the ophthalmic computer modifies the content of the corresponding converted test result and the test result based on the editing operation (editing step).

[0036] <Transfer Step> In the transfer step of the second embodiment, when the ophthalmic computer receives a transfer operation, it performs a transfer process in a batch for each of the multiple test results and the multiple corresponding converted test results. At this time, the transfer process may be performed in a batch for at least the multiple test results that are displayed sequentially. This allows, for example, the transfer process of multiple converted test results to a medical information system to be started with a single transfer operation as a trigger.

[0037] Furthermore, the transfer operation in the second embodiment can be described by referring to the transfer operation required in the first transfer step of the first embodiment.

[0038] <Generation Steps> In the generation step, the ophthalmic computer generates the test results and corresponding converted test results. The content of the converted test results can be described by referring to the explanation of the first embodiment. In the second embodiment, the ophthalmic computer generates at least a portion of the multiple converted test results corresponding to each of the multiple test results selected in a batch before accepting the transfer operation. That is, at least a portion of the multiple converted test results is generated before the examiner accepts the transfer operation (particularly while confirming the test results). The remaining portion is generated after the transfer operation is accepted. By generating at least a portion of the multiple converted test results before accepting the transfer operation, the time from when the transfer operation for multiple converted test results is input until the transfer process for all converted test results is completed can be reduced.

[0039] The process of generating at least some of the multiple conversion test results in the generation step may be performed in the background while the test results are displayed on the screen. Since the process of generating the conversion test results is less likely to interrupt the sequential display of the test results, the examiner's verification of the test results can be performed more smoothly.

[0040] Furthermore, in the second embodiment, the trigger for starting the generation of the converted inspection result corresponding to each inspection result may be a switching operation that is entered while each inspection result is displayed on the screen. The generation of the converted inspection result corresponding to the inspection result that was immediately displayed on the screen is started based on the switching operation. Since the switching operation is entered after the examiner has confirmed and even edited the inspection result, even if the converted inspection result for the inspection result that has finished being displayed is generated before the transfer operation is accepted, it is less likely that rework such as re-editing will occur. Therefore, the converted inspection result can be efficiently generated before the transfer operation is accepted.

[0041] The timing for initiating the generation of the corresponding converted test results is not necessarily limited to this. For example, a test report for the currently displayed test result may be generated while each test result is being displayed.

[0042] "Examples" Embodiments according to the present disclosure will be described with reference to the drawings.

[0043] Figure 1 shows a schematic configuration of the ophthalmology system 1 in the first embodiment. The ophthalmology system 1 includes an OCT device 10, a PC (personal computer) 20, and a medical information system 30. Each device may be interconnected via a network.

[0044] In this embodiment, an OCT device 10 is used as an example of an eye examination device. The OCT device 10 acquires OCT data of the eye under examination via an examination optical system (not shown). For example, the examination optical system includes an OCT light source, a scanning unit for scanning OCT light, an optical system for irradiating the eye under examination with OCT light, and a light-receiving element for receiving light reflected by the tissue of the eye under examination. Unless otherwise specified, in this embodiment, OCT data of the fundus is acquired. The OCT data may be, for example, 2D OCT data (B-scan data) or 3D OCT data. A 2D tomographic image is generated based on the 2D OCT data. A 3D image and an OCT frontal image (also called an en-face image) are acquired based on the 3D OCT data. Motion contrast data may also be used. Motion contrast may be information that captures, for example, blood flow in the eye under examination, changes in retinal tissue, etc. MC data is acquired by processing multiple OCT data acquired for the same position but at different times.

[0045] The OCT device 10 may further include an observation optical system. The observation optical system is different from the above-described inspection optical system and acquires a frontal image of the fundus as an observation image. The observation optical system may be a fundus camera optical system, an SLO optical system, or something else.

[0046] In this embodiment, PC20 is used as an example of an ophthalmic computer. In this embodiment, PC20 also serves as a control unit that controls the operation of the OCT device 10. PC20 also acquires the images of the eye being examined (various OCT images and observation images) captured via the OCT device 10, as well as the analysis results of the images of the eye being examined, as examination results. Furthermore, it generates an examination report based on the image data of the eye being examined.

[0047] PC20 has at least a processor 21 (processing unit) and memory 22. In this embodiment, the memory 22 pre-stores a control program for the OCT device 10, an image processing program for processing OCT data, an ophthalmological information processing program for generating and transferring examination reports, and fixed value data, etc. The various programs are read by the processor 21 and executed. In addition, the memory 22 may store examination results acquired via the OCT device 10. For example, examination results of the eye to be examined acquired in past examinations may be pre-stored in the memory 22.

[0048] The PC20 may have an operating unit 23, such as a mouse or keyboard, connected to it. Various operations are input via the operating unit 23.

[0049] The medical information system 30 digitizes medical information and manages it centrally via a server. The medical information managed includes at least examination reports created on the PC 20. In addition, medical images, medical records, image interpretation results, etc., may also be managed. In this embodiment, medical images include OCT data and a portion of observation images acquired via the OCT device 10, and medical records and image interpretation results include patient information such as the patient's disease information. Each piece of information is managed in association with the patient's identification information.

[0050] Various types of medical information managed by the medical information system 30 can be displayed on a diagnostic terminal (not shown in the diagram). This allows for a division of labor between examination and diagnosis.

[0051] <Operation Description> Next, referring to the flowchart in Figure 2, we will explain the flow of operations in the ophthalmology system 1 from the examination of the eye to the transfer of the examination report to the medical information system 30.

[0052] First, the PC20 performs a patient search (S1). By pre-registering the patient's name and ID, the patient can be searched on the search screen and identified. This links the patient's information with the test results to be obtained.

[0053] Next, PC20 controls the OCT device 10 to examine (measure) the subject's eye (S2). This acquires the subject's OCT data. At this time, the OCT device 10 may perform imaging based on the examination conditions set by the examiner. For example, at least one of the following examination conditions may be set: the eye to be examined (either left or right, or both eyes), fixation position, field of view, scan settings (scan position, scan pattern, scan speed), and whether or not OCT-Angiography is performed. This may be done. In addition, multiple imaging operations with different examination conditions may be performed. Part of the examination results may be displayed on a confirmation screen. Here, the OCT image and analysis results with relatively low processing load may be displayed. If it is confirmed via the confirmation screen that the desired examination results have been obtained, the examination results are stored in the memory 22 of the PC 20, etc. If it is confirmed that an unexpected examination result has been obtained (for example, due to a poor image acquisition), a re-imaging is performed. The confirmation screen may also have a re-imaging button to accept instructions for re-imaging.

[0054] After the inspection is completed, in this embodiment, an inspection report is created and transferred. In this embodiment, the process branches into a flow where the inspection report is transferred manually (S3-S5) and a flow where it is transferred automatically (S6, S7). In this embodiment, the transfer settings indicating which process is executed are pre-set based on the examiner's selection. Note that the transfer settings may be set for each inspection condition. For example, the transfer settings may be pre-set so that automatic transfer is performed under one inspection condition and manual transfer is performed under another.

[0055] First, we will explain the process of manually transferring the inspection report (S3-S5). In this embodiment, the inspection report is transferred manually via the viewer displayed on PC20.

[0056] First, PC20 launches the viewer (S3). The viewer is launched at any time based on the launch operation. In the viewer, an inspection report is created based on the inspection results and a pre-prepared template (S4). The inspection report contains images based on the OCT data and the results of the OCT data analysis. The analysis results may be a two-dimensional map such as a heatmap, segmentation results, or numerical information such as measured values. PC20 processes the OCT data as appropriate and obtains the analysis results.

[0057] As an example, in this embodiment, three types of reports can be created as examination reports: a macular disease report, a glaucoma report, and an angio report. Here, the macular disease report is used for the diagnosis of macular disease. The glaucoma report is used for the diagnosis of glaucoma. The angio report allows for an overview of the state of each vascular network. Which report is generated may be automatically set based on, for example, the examination conditions and examination results. For example, if the area around the macula is imaged, a macular disease report may be generated; if a wide area of ​​the retina is imaged, a glaucoma report may be generated; and if MC data is acquired, an angio report may be generated. Alternatively, disease information of the subject may be obtained from a medical information system 30, etc., and an examination report may be selected according to the disease information. However, the types of reports and the content of the imaging operations corresponding to each report are not necessarily limited to these.

[0058] Furthermore, in this embodiment, binocular and monocular reports are selectively generated. The system accepts a selection operation regarding whether the disease affects both eyes or one eye, and either a binocular or monocular report is generated according to the selection operation.

[0059] The PC20 automatically arranges OCT images and analysis results according to a predetermined report template. However, even if the OCT device 10 captures a large number of OCT images, there are space limitations on the number of OCT images that can be placed in the examination report. Therefore, the automatically placed images may not be in line with the examiner's intentions. To address this, the OCT images placed in the examination report can be changed based on user input.

[0060] These various test reports are displayed selectively on the viewer. For example, each test report has its own tab, and the examiner can switch to the desired test report by selecting the corresponding tab. A transfer button (linking button) is also displayed along with the test report. When the transfer button is operated, the displayed test report is transferred to the medical information system 30 (S5). Furthermore, if it is desired to transfer another test report, the examiner changes the test report displayed on the viewer and performs the same operation. In this way, when transferring reports manually, the examiner is required to confirm the test report each time before being asked to perform the transfer operation.

[0061] Next, we will explain the process for automatically transferring inspection reports (S6, S7).

[0062] In this case, after the inspection is complete, the inspection report is generated on PC20 without launching the viewer (S6). Similar to (S4) above, the inspection report is created based on the inspection results and a pre-prepared template.

[0063] The type of report to generate—whether it's a macular disease report, a glaucoma report, or an angio report—is automatically selected based on the examination conditions and results. For example, whether or not a particular report is generated may be determined based on whether the required OCT images and analysis results for that report template have been obtained.

[0064] Furthermore, in this embodiment, the decision of whether to generate a binocular report or a monocular report is made based on the current and previously obtained examination results.

[0065] For example, if only one eye's results exist from the current and past examinations, a monocular report will be generated. On the other hand, if results exist for both the left and right eyes from the current and past examinations, a binocular report will be generated. When generating a binocular report, if both eyes were examined in the current examination, the binocular report will be generated based on the current examination. Furthermore, if only one eye was examined in the current examination, and only past examination results exist for the other eye, the binocular report will be generated using the current examination results for the one eye and the most recent past examination results for the other eye.

[0066] In this embodiment, the automatically generated examination report is automatically transferred to the medical information system 30 (S7). In other words, in this case, it is not required to check the created report on the viewer and perform the transfer operation. Therefore, the examiner does not need to check the report and input the transfer operation for each examination or each report, thus reducing the examiner's burden. In this embodiment, the quality of the examination results is guaranteed by the examiner by going through a confirmation screen after the examination, and as a result, the quality of the automatically generated examination report is also more easily guaranteed.

[0067] "Second Embodiment" In the first embodiment, a case was described in which a report is generated and transmitted each time an examination is completed. In contrast, in the second embodiment, after examinations have been performed on multiple subjects, the reports are transmitted to the medical information system 30 all at once.

[0068] In the second embodiment, the explanation of the automatic transfer process will be omitted, and the case of manual transfer will be described. In the second embodiment, for example, inspection reports for multiple inspections may be transferred all at once for each specified inspection day. The following explanation will follow the flowchart in Figure 3.

[0069] After multiple tests are completed, the viewer is launched (S3).

[0070] First, the test result selection screen, shown in Figure 4, is displayed. On the test result selection screen, pre-obtained test results are listed, for example, in List 110.

[0071] The test result selection screen includes a GUI120 for setting the criteria for the search results to be selected. By setting the desired criteria via GUI120, test results that meet the criteria will be selected all at once. There may be multiple types of configurable criteria, and test results may be selected by combining multiple criteria.

[0072] Conditions that can be set via GUI120 include, for example, the date of examination, the subject, and the disease. For example, by specifying the date of examination, multiple examination results obtained on the specified date will be selected at once (S21). In the following explanation, unless otherwise specified, we will describe the case where the date of examination is set as a condition.

[0073] After the test results are selected, the test results display screen shown in Figure 5 is displayed. The test results, which form the basis of the test report, are then confirmed by the examiner.

[0074] In this embodiment, the display screen shows one of several selected test results in a selective manner within the display area 200 (S22). In the case of OCT, the display area 200 displays the test results for each scan pattern. Similar to the first embodiment, the PC 20 automatically arranges the OCT images and analysis results for each test according to a predetermined report template. If OCT data for the same eye is acquired for multiple scan patterns in a single test, each scan pattern is displayed in the third list 500. The scan pattern to be displayed in the display area 200 is switched by selecting from those displayed in the third list 500. If the scan pattern consists of multiple scan lines, the display area 200 may display a tomographic image related to any of the scan lines. The display area 200 may also display analysis results such as a thickness map.

[0075] The inspection results displayed in display area 200 are edited based on editing operations (S24). The OCT images and analysis results placed in the inspection report can be changed based on the operation input. For example, the tomographic image displayed in display area 200 may be changed to that of another scan line. Also, the reference position for analysis in the analysis results may be changed.

[0076] The test result display screen includes a second list 300 and a "Next" button 400. The second list 300 displays one of several test results selected at once in the display area 200. The user can arbitrarily select one of the multiple test results listed in the second list 300, and the selected result will be displayed in the display area 200. The multiple test results are arranged in a predetermined order (for example, chronological order). When the "Next" button 400 is operated (S25: YES), the next test result in order to the currently selected test result is newly selected and displayed in the display area 200 (S26). Therefore, in the second embodiment, multiple test results can be viewed without transitioning from the test result display screen 200, allowing for a smooth verification process.

[0077] In the second embodiment, the selection of a new test result via the second list 300 and the "Next" button 400 triggers the generation of an inspection report for the previously selected (i.e., previously displayed) test result (S27). The inspection report is generated in the background while subsequent test results are displayed in the display area 200. It is also temporarily stored in the computer's memory (e.g., a transient memory area, e.g., main memory).

[0078] These steps are repeated for the test results selected in a batch.

[0079] Furthermore, if a test result that has already been displayed is selected and displayed again before forwarding, and further edits are made to that test result, the previously created test report may be discarded, and a new test report may be generated based on the test result that reflects the new edits.

[0080] A transfer button (linking button) is displayed on the test result display screen. When the transfer button 600 is operated (S28:YES), the transfer of the test report to the medical information system 30 begins. Since test reports corresponding to at least a portion of the multiple test results selected at once have been generated in advance, the transfer may begin with the already generated test reports. The remaining portion that has not been generated at the time the transfer button 600 is operated will be generated after the transfer button 600 is operated (S29). The process of generating the remaining portion of the test reports may be performed after the transfer button 600 is operated but before the transfer begins, or it may be performed in parallel with the transfer of the portion of the test reports that have been generated earlier. The transfer status may be displayed as a progress bar or the like to allow the examiner to keep track of it. Furthermore, the viewer may automatically close after the transfer is complete. In this embodiment, since at least a portion of the multiple test reports have been generated before the transfer operation is accepted, the time from when the transfer operation for multiple test reports is entered until the transfer of all test reports is completed can be reduced.

[0081] <Variation> Although the above has been explained based on the examples, this disclosure is not necessarily limited to the above examples.

[0082] For example, in the above embodiment, manual transfer and automatic transfer are used in combination, but either one or the other may be implemented in the device.

[0083] For example, in the first embodiment, automatic transfer was performed upon completion of the examination. However, this is not necessarily the only example; for instance, the trigger for automatic transfer may be the launch of the viewer, or it may be the timing when a patient search (S1) is performed to examine a new subject.

[0084] For example, in the first embodiment, one inspection report is transferred for each transfer operation, while in the second embodiment, multiple inspection reports are transferred in a batch based on the transfer operation. These two methods may be used in combination. For example, in the second embodiment, if multiple inspection results are pre-selected, two types of transfer operations may be selectively accepted: an individual transfer operation for individual transfers and a batch transfer operation for batch transfers, and the transfer may be performed by the selected method.

[0085] Furthermore, in each embodiment, if a follow-up inspection is performed and the inspection report is transferred based on a transfer operation, the inspection report based on the current inspection results may be generated using the same report generation conditions as the inspection report based on past inspection results. In this case, the current inspection report may be automatically generated without requiring the current inspection results to be displayed on the inspection results display screen. The report generation conditions may include conditions that specify at least one of the report type and the report editing results in the previous inspection report. An appropriate inspection report can be generated for the inspection results obtained in the follow-up inspection without the examiner having to confirm them. Reports generated in this way may also be set as targets for bulk transfer. <Other forms> This disclosure also includes the following ophthalmic information processing programs and ophthalmic information processing devices.

[0086] A first ophthalmic information processing program, which is executed by the processor of an ophthalmic computer, causing the ophthalmic computer to execute: an acquisition step of acquiring the results of an eye examination performed by an eye examination device; a generation step of generating a converted examination result of the eye examination based on the examination result and a pre-prepared template; a first transfer step of displaying the converted examination result and requesting a transfer operation, and if the transfer operation is accepted, performing a transfer process on the converted examination result; and a second transfer step of transferring the converted examination result to a medical information system that performs a transfer process on the converted examination result without requesting the transfer operation, the second transfer step being selectively executed from the first transfer step.

[0087] In the second ophthalmic information processing program, in the second transfer step, a transfer process for the converted test results is performed before the converted test results are displayed.

[0088] The third ophthalmic information processing program, in the first or second ophthalmic information processing program, generates the converted test results as an examination report in the generation step, and is capable of generating the examination report for each of the multiple types of templates associated with at least one of the disease type and the examination conditions by the eye examination device; in the acquisition step, acquires second information relating to either the disease type in the eye examined or the examination conditions for the eye examined, along with the examination results; and in the second transfer step, selectively transfers the examination report based on at least one of the multiple types of templates to the medical information system based on the second information.

[0089] The fourth ophthalmic information processing program is capable of generating a binocular report based on the examination results of both eyes and a monocular report based on the examination results of one eye in the generation step of the third ophthalmic information processing program, and selectively transfers the binocular report and the monocular report along with the examination results based on either information regarding the presence or absence of binocular disease or the presence or absence of examination results for both the left and right eyes.

[0090] The ophthalmic computer executes one of the ophthalmic information processing programs 1 through 4.

Claims

1. This is an ophthalmic information processing program, By being executed by the processor of an ophthalmic computer connected to a medical information system that manages test results, The acquisition step involves obtaining the examination results of the eye being examined using an eye examination device, A generation step in which the conversion test results of the eye under examination are generated based on the test results and a pre-prepared template, A first transfer step includes displaying the conversion test results and requesting a transfer operation, and executing a transfer process to transfer the conversion test results to the medical information system when the transfer operation is accepted, A second transfer step, which performs a transfer process to transfer the conversion test results to the medical information system without requesting the transfer operation, wherein the ophthalmic computer is made to perform the second transfer step, which is selectively performed from the first transfer step, In the generation step, an examination report of the eye under examination is generated based on the examination results and a pre-prepared template, and it is possible to generate the examination report for each of the multiple types of templates associated with at least one of the disease type and the examination conditions of the eye examination device. In the acquisition step, along with the test results, information is acquired regarding either the type of disease in the eye being examined or the test conditions for the eye being examined. An ophthalmic information processing program that, in the second transfer step, selectively transfers the examination report based on at least one of a plurality of templates, based on the information acquired in the acquisition step.

2. An ophthalmic information processing program, By being executed by the processor of an ophthalmic computer connected to a medical information system that manages test results, The acquisition step involves obtaining the examination results of the eye being examined using an eye examination device, A generation step in which the conversion test results of the eye under examination are generated based on the test results and a pre-prepared template, A first transfer step includes displaying the conversion test results and requesting a transfer operation, and executing a transfer process to transfer the conversion test results to the medical information system when the transfer operation is accepted, A second transfer step, which performs a transfer process to transfer the conversion test results to the medical information system without requesting the transfer operation, wherein the ophthalmic computer is made to perform the second transfer step, which is selectively performed from the first transfer step, In the generation step described above, it is possible to generate a binocular report based on the examination results of both eyes and a monocular report based on the examination results of one eye. In the acquisition step, along with the examination results, information is acquired regarding the presence or absence of bilateral ocular diseases, or information regarding the presence or absence of examination results for both the left and right eyes. An ophthalmic information processing program that, in the second transfer step, selectively transfers the binocular report and the monocular report based on the information acquired in the acquisition step.

3. An ophthalmic computer that executes the ophthalmic information processing program according to claim 1 or 2.

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