CN101404938A - Small-scale diagnostic system - Google Patents

Abstract

The invention provides a diagnosis system which can provide a photo operator with the state of a patient having possibility of being left in a small-scale facility such as a personal office hospital and a clinic without increasing the number of workers for inputting examination order information and the like, and can improve the diagnosis efficiency. When a registration of a patient is accepted, the accepting device (5) generates a patient information list of the patient who is admitted on the same day, and a display unit (221) of the reading device (202) displays a patient list screen. When patient information of a patient to be imaged is specified from a patient list screen, the specified patient information is sent to a control device (3). When the image data generated by the image generation device (2) is sent to the control device (3), the control device (3) stores the image data in the image server (4) in association with the patient information received from the reading device (202).

Description

Translated fromChinese

小规模诊断系统small scale diagnostic system

技术领域technical field

本发明涉及诊断系统，尤其涉及小规模诊断系统，其主要用于小规模医疗设施。The present invention relates to diagnostic systems, in particular to small scale diagnostic systems, mainly for use in small scale medical facilities.

背景技术Background technique

以前，技师采用CR(Computed Radiography)装置和FPD(Flat PanelDetector)装置等图像生成装置，对前来接受检查的患者进行摄影，并对得到的图像施加灰度处理等图像处理使之能够提供于诊断，然后输出图像处理完毕的图像供医师读影，这种诊断系统已为周知。In the past, technicians used image generation devices such as CR (Computed Radiography) devices and FPD (Flat Panel Detector) devices to take pictures of patients who came for examination, and applied image processing such as grayscale processing to the obtained images so that they could be used for diagnosis. , and then output the processed image for the doctor to read. This diagnostic system is known.

上述诊断系统是由多位担当人员承担各自的职责使诊断正常进行，例如：受理来院患者发行检查订单的担当人员(受理)；实际在摄影房对患者进行摄影生成图像数据的担当人员(技师)；判断所得图像的灰度性等能否提供于诊断，根据情况进行对比度和浓度修正的担当人员(从一般技师中任命的技师等)；根据图像判断有无疾病(诊断)的读影担当人员(医师)等。The above-mentioned diagnostic system is composed of multiple responsible persons who undertake their respective responsibilities to make the diagnosis go on normally, for example: the person in charge (acceptance) who accepts the patients who come to the hospital to issue inspection orders; the person in charge (technician) who actually takes pictures of patients in the photography room to generate image data ;A person in charge of judging whether the gradation of the obtained image can be used for diagnosis, and correcting the contrast and density according to the situation (technicians appointed from general technicians, etc.); (physician) etc.

在设想应用以往这种诊断系统的大规模医疗设施(以下称之为大规模设施)中，存在多台图像生成装置和操作它们的技师，操作图像生成装置的中央控制以及供医生等确认图像数据的观察器等分别承担各自的职责被分开设置。因此，存在搞错患者和图像数据等危险。为了防止上述现象，有一种系统被提案，其中通过网络使各装置协作，在各装置发行ID，对在各装置进行的作业工序结果，分别付与相关性(例如请参照专利文献1)。In a large-scale medical facility (hereinafter referred to as a large-scale facility) where such a conventional diagnostic system is supposed to be applied, there are many image generation devices and technicians who operate them, and central control for operating the image generation devices and confirmation of image data by doctors etc. The observers, etc. each take on their respective responsibilities are set separately. Therefore, there is a risk of mistaking patient and image data, etc. In order to prevent the above-mentioned phenomenon, a system has been proposed in which each device cooperates through a network, ID is issued to each device, and a correlation is associated with each operation process result performed by each device (for example, refer to Patent Document 1).

上述这种系统中，承担上述各职责的场所，例如受理是在1楼，放射线科在地下等等，大多数情况是分散在大医院内分开的场所，且在放射线科内，经常有多位技师使用多台摄影装置对多位患者同时进行摄影的情况，多位患者经常滞留在各工序，为了使生成的图像与各位患者的对应关系不出错，对在各工序的每一作业附上ID，通过HIS(Hospital Information System；医院信息系统)或RIS(Radiology Information System；放射线信息科信息系统)网络，进行对应(例如请参照专利文献2以及专利文献3)。In the above-mentioned system, the places that undertake the above-mentioned responsibilities, for example, the reception is on the first floor, the radiology department is on the ground floor, etc., are mostly scattered in separate places in large hospitals, and in the radiology department, there are often multiple When a technician uses multiple imaging devices to take pictures of multiple patients at the same time, multiple patients often stay in each process. In order to ensure that the corresponding relationship between the generated image and each patient is correct, an ID is attached to each operation in each process. , through HIS (Hospital Information System; hospital information system) or RIS (Radiology Information System; radiation information department information system) network, corresponding (for example, please refer topatent document 2 and patent document 3).

例如，在1楼受理窗口，根据患者的病情自述决定检查内容(摄影内容)，与患者姓名一起登记。由此作成如图12(a)所示的患者目录。上述患者目录随时被追加，且显示在1楼的受理用工作站(以下称之为「WS」)。同时，上述患者目录通过RIS/HIS等网络，显示在地下1楼的放射线科内的中央控制(这里的“中央控制”是指放射线科内的工作站，其中显示摄影条件的设定、RIS/HIS的摄影订单信息、对患者拍摄的图像)。为了提高分散处理的效率，常常设置多台中央控制，它们被通过网络相互连接，当在任意一台中央控制选择所定的摄影ID时，为了防止在多位技师间的重复拍摄，采用下述方法，即在该被选择了的患者目录中出示正在处理中的告示(一闪一闪显示或改变颜色，或若指定相同检查则发出嘟嘟警告等等)。For example, at the reception window on the first floor, the examination content (photographing content) is determined based on the patient's medical condition and registered together with the patient's name. In this way, a patient list as shown in FIG. 12( a ) is created. The above-mentioned patient list is added at any time, and is displayed on the reception desk (hereinafter referred to as "WS") on the first floor. At the same time, the above-mentioned patient list is displayed on the central control in the radiology department on the first basement floor through a network such as RIS/HIS (the "central control" here refers to the workstation in the radiology department, which displays the setting of imaging conditions, RIS/HIS, etc.) photography order information, images taken of patients). In order to improve the efficiency of decentralized processing, multiple central controllers are often set up, and they are connected to each other through the network. When selecting the specified photography ID in any central control, in order to prevent repeated shooting among multiple technicians, the following method is adopted , that is, a notification in progress is displayed in the selected patient list (flashing display or changing color, or if the same inspection is specified, a beep warning is issued, etc.).

放射线科的技师使用自己身旁近处的中央控制，从显示着的患者目录中选择将要进行摄影的检查ID，登录所使用的CR盘(换片匣)的ID(换片匣ID)。这样，如图12(b)所示，患者目录的“换片匣ID”(D1)栏中便显示出做了登录的换片匣ID。例如技师带着3张换片匣来到摄影房进行患者的摄影。之后，用读取装置读取摄影完毕的换片匣。读取装置读取贴在被插入的换片匣上的换片匣ID，使其附带到图像数据中并发送该换片匣ID信息，最后，对检查ID(患者ID)和生成的图像数据进行对应。生成的图像数据被送往技师选择了所述检查ID的中央控制，显示在中央控制。在该阶段进行摄影定位的确认，定位不良时再次摄影，还判断是否应用浓度和、对比度修正、和频率增强处理等。之后，将该图像保存到读影等待(诊断等待)服务器。读影医师从保存在所述读影等待服务器中的图像中抽出与所定患者有关的图像，显示在读影室的工作站(大多数场合为了观察功能用而备有高精细显示器)，进行读影(诊断)。The radiology technician selects the examination ID to be photographed from the displayed patient list using the central control near him, and registers the ID (cassette ID) of the CR disc (cassette) to be used. In this way, as shown in FIG. 12( b ), the registered cassette ID is displayed in the "cassette ID" (D1) column of the patient list. For example, the technician comes to the photography room with 3 cassettes to take pictures of the patient. Afterwards, the film cassette that has been photographed is read with a reading device. The reading device reads the cassette ID attached to the inserted cassette, attaches it to the image data, and transmits the cassette ID information. Finally, the examination ID (patient ID) and the generated image data are compared. Correspond. The generated image data is sent to the central control where the technician selected the examination ID, and is displayed on the central control. In this stage, the imaging positioning is confirmed, and if the positioning is poor, the imaging is performed again, and it is also judged whether to apply density sum, contrast correction, and frequency enhancement processing. After that, the image is stored in the imaging waiting (diagnosis waiting) server. The radiologist extracts the images related to the predetermined patient from the images stored in the waiting server for radiology, displays them on the workstation in the radiology room (in most cases, a high-definition display is equipped for the observation function), and performs the radiology ( diagnosis).

然而，这种大规模设施使用的系统中，是通过在例如：对患者所作的摄影是单纯摄影还是造影摄影等有关影响保险点数计算的信息中，也登录患者的检查ID和换片匣ID等，来进行与患者和摄影图像的对应，这样，所有的信息都能够相关地被集中到RIS/HIS服务器等中进行管理。However, in such a system used in large-scale facilities, the examination ID and cassette ID of the patient are also registered in the information that affects the calculation of insurance points, such as whether the imaging of the patient is simple imaging or contrast imaging. , to carry out correspondence with patients and photographic images, so that all the information can be centralized and managed in the RIS/HIS server etc. in relation to each other.

专利文献1：美国专利第5,334,851号公报Patent Document 1: US Patent No. 5,334,851

专利文献2：特开2002-159476号公报Patent Document 2: JP-A-2002-159476

专利文献3：特开2002-311524号公报Patent Document 3: JP-A-2002-311524

发明内容Contents of the invention

发明欲解决的课题The problem to be solved by the invention

但是，根据本发明申请者等的调查，像个人开业医院和诊疗所那种规模较小的医疗设施(以下称之为小规模设施)的场合，图像生成装置的设置台数也较少，大多数情况是助手对患者进行定位，接到助手定位结束的通知后医生控制X线照射开关，或包括对患者定位所有操作都由医生自己进行。However, according to investigations by the applicants of the present invention, in the case of small-scale medical facilities (hereinafter referred to as small-scale facilities) such as private hospitals and clinics, the number of image generating devices installed is also small, and most The situation is that the assistant positions the patient, and the doctor controls the X-ray irradiation switch after receiving the notification of the end of the assistant's positioning, or all operations including positioning the patient are performed by the doctor himself.

另外，例如大规模设施的场合，设想了从摄影到接受医师诊断期间，患者必须在设施内多层楼中来来去去，但是小规模设施的场合，因为设施小，所以从拍摄到接受医生诊断期间，患者的移动距离也短。In addition, for example, in the case of a large-scale facility, it is assumed that patients have to come and go between multiple floors in the facility from the time of photography to the consultation with the doctor, but in the case of a small-scale facility, because the facility is small, it is assumed that patients have to come and go from the photography to the doctor's consultation. During diagnosis, the patient's movement distance is also short.

在这种情况下，不大会发生与其他患者搞错摄影图像的事情，如果也采用与大规模设施同样系统的话，必须进行以输入患者姓名为首的检查订单信息的生成作业等，反而手续变得烦杂，降低诊疗效率。In this case, it is unlikely that the photographed images will be mistaken with other patients, and if the same system as that used in large-scale facilities is adopted, it is necessary to perform work such as the creation of inspection order information including inputting the patient's name, and the procedures become more complicated. Complicated, reducing the efficiency of diagnosis and treatment.

另外，预先生成患者的患者信息和检查信息等检查订单信息，且使之与拍摄该检查订单信息所得到的摄影图像对应，为此需要一种用网络来连接各装置的系统，而所述网络必须是与RIS/HIS那样的基干系统相对应的网络，但是构筑这样的系统花费成本，存在成为小规模设施的负担之问题。另外，就用上述大规模设施中的构成概念而仅减少各装置数目的话，对小规模设施来说也不是最适合。In addition, examination order information such as patient information and examination information of the patient is generated in advance and associated with the photographed image obtained by photographing the examination order information. For this purpose, a system is required to connect each device through a network, and the network A network corresponding to a backbone system such as RIS/HIS is necessary, but the construction of such a system costs money, and there is a problem that it becomes a burden on small-scale facilities. In addition, simply reducing the number of devices using the above-mentioned configuration concept in large-scale facilities is not optimal for small-scale facilities.

另外，不对患者与摄影图像进行对应的话，例如，在对同一患者进行再检查时，就不能检索过去拍摄的该患者的摄影图像，不能作为判断治愈状况时的比较用图像进行使用等等，存在不能有效使用摄影图像之问题。In addition, if patients and photographed images are not associated, for example, when the same patient is re-examined, the photographed images of the patient taken in the past cannot be retrieved, and they cannot be used as comparison images for judging the healing status. The problem of not being able to effectively use photographic images.

另外，即使是个人开业医院和诊所等小规模设施，实施摄影的医生或摄影技师等摄影实施人员，能够掌握滞留在设施内的有摄影可能性的患者的状况，这对提高诊疗效率来说是重要的。In addition, even in small-scale facilities such as privately operated hospitals and clinics, imaging personnel such as doctors and photography technicians who perform photography can grasp the status of patients who may be photographed staying in the facility, which is important for improving the efficiency of diagnosis and treatment. important.

本发明是用来解决以上所述课题的发明，以提供一种诊疗系统为目的，该诊断系统是在个人开业医院和诊所等小规模设施中，不增加输入检查订单信息等作业人工，能够向摄影实施人员提供滞留在设施内的有摄影可能性的患者的状况，能够提高诊疗效率。The present invention is an invention to solve the above-mentioned problems, and aims to provide a diagnosis and treatment system that can be used in small-scale facilities such as privately operated hospitals and clinics without increasing manpower for inputting inspection order information and the like. The imaging staff can provide the status of the patients who may be photographed staying in the facility, and the efficiency of diagnosis and treatment can be improved.

用来解决课题的手段means to solve problems

为了解决上述课题，第1项记载的发明是小规模诊断系统，其特征在于，备有：受理登记手段，受理并登记来院患者的患者信息；目录生成手段，生成所述受理登记手段受理登记的患者信息的目录；图像生成装置，生成所述患者的检查对象部位的摄影图像数据；其中，所述图像生成装置备有显示部，显示所述目录生成手段生成的患者信息的目录。In order to solve the above-mentioned problems, the invention described inclaim 1 is a small-scale diagnostic system characterized by comprising: reception and registration means for accepting and registering patient information of incoming patients; A list of patient information; an image generating device that generates photographic image data of an inspection target site of the patient; wherein the image generating device includes a display unit that displays the list of patient information generated by the list generating means.

第2项记载的发明是第1项中记载的发明，其特征在于，备有：患者指定手段，从所述显示部显示的目录中含有的患者信息中，输入指定摄影对象患者的患者信息；对应手段，使所述患者指定手段指定的患者信息，与从所述患者指定手段指定该患者信息开始到指定下一个患者信息为止的期间由所述图像生成装置生成的摄影图像数据，对应；保存手段，保存所述对应手段对应的摄影图像数据及患者信息。The invention described inclaim 2 is the invention described inclaim 1, characterized in that it includes: patient specifying means for inputting patient information specifying a patient to be photographed from among patient information contained in a list displayed on the display unit; Corresponding means for associating the patient information designated by the patient designating means with the photographed image data generated by the image generating means during the period from when the patient information is designated by the patient designating means to when the next patient information is designated; and storing The means is to store the photographic image data and patient information corresponding to the corresponding means.

第3项记载的发明是第1项或第2项中记载的发明，其特征在于，所述受理登记手段被备在电脑装置中，所述电脑装置备有医疗费明细信息生成手段，生成有关所述被受理登记了的患者的有关会计及医疗费明细的医疗费明细相关信息。The invention described inclaim 3 is the invention described inclaim 1 or 2, characterized in that the acceptance registration means is provided in a computer device, and the computer device is equipped with medical expense detailed information generation means to generate information about Information related to accounting and medical expense details of the patient whose registration has been accepted.

第4项记载的发明是第1项～第3项的任何一项中记载的发明，其特征在于，所述目录生成手段至少生成含有受理登记顺序和患者信息的目录，所述显示部中至少显示含有受理登记顺序和患者信息的目录。The invention described inclaim 4 is the invention described in any one ofclaims 1 to 3, wherein the list generating means generates at least a list including the reception registration order and patient information, and at least Displays the table of contents containing the order of call registrations and patient information.

第5项记载的发明是第1项～第4项的任何一项中记载的发明，其特征在于，所述目录生成手段在所述受理登记手段受理登记患者信息之际，或所述医疗费明细信息生成手段结束生成医疗费明细相关信息之际，更新所述目录。The invention described inclaim 5 is the invention described in any one ofclaims 1 to 4, wherein the list creation means accepts and registers patient information at the registration acceptance means, or the medical expenses When the detailed information generating means finishes generating the information related to the detailed medical expenses, it updates the list.

第6项记载的发明是第1项～第5项的任何一项中记载的发明，其特征在于，所述图像生成装置是放射线图像读取装置。The invention described inclaim 6 is the invention described in any one ofclaims 1 to 5, wherein the image generation device is a radiographic image reading device.

第7项记载的发明是第2项中记载的发明，其特征在于，备有医疗费明细信息生成手段，其生成有关所述被受理登记了的患者的有关会计及医疗费明细的医疗费明细相关信息，所述图像生成装置是放射线图像读取装置，其从内藏辉尽性荧光体板、已供放射线摄影了所述被受理登记了的患者的检查对象部位的换片匣，读取记录在所述辉尽性荧光体板中的所述患者的检查对象部位的放射线图像信息，生成图像数据，所述放射线图像读取装置备有：检测换片匣装入本放射线图像读取装置的检测手段；所述显示部；所述患者指定手段；通知手段，在所述患者指定手段指定放射线摄影对象患者的患者信息、且所述检测手段检测到换片匣的装入时，将所述患者信息指定手段指定的患者信息和换片匣装入信息，通知到所述医疗费明细信息生成手段；所述医疗费明细信息生成手段根据从所述放射线图像读取装置被通知的患者信息及换片匣装入信息，生成有关与所述被通知的患者信息对应的患者的医疗费明细相关信息。The invention described in claim 7 is the invention described inclaim 2, and is characterized in that it includes medical expense statement information generating means for generating medical expense statement related to accounting and medical expense statement of the registered patient. In related information, the image generating device is a radiographic image reading device, which reads from a cassette containing a glowing phosphor plate for radiographing the examination target site of the registered patient. The radiographic image information of the patient's examination target site recorded in the luminescent phosphor plate is used to generate image data, and the radiographic image reading device is equipped with: a detection cassette is incorporated into the radiographic image reading device the detection means; the display unit; the patient designation means; and the notification means, when the patient designation means designates patient information of a patient to be radiographed and the detection means detects loading of a cassette, the The patient information specified by the patient information specifying means and the cassette loading information are notified to the medical expense detailed information generating means; the medical expense detailed information generating means is based on the patient information notified from the radiographic image reading device and cassette loading information to generate information related to the details of medical expenses of the patient corresponding to the notified patient information.

第8项记载的发明是第7项中记载的发明，其特征在于，所述换片匣上贴有有关该换片匣的换片匣信息，所述放射线图像读取装置备有换片匣信息取得手段，取得被装入本放射线图像读取装置的换片匣的换片匣信息，所述通知手段与所述患者信息及所述换片匣装入信息一起，将所述换片匣信息取得手段取得的换片匣信息，通知到所述医疗费明细信息生成手段。The invention described in claim 8 is the invention described in claim 7, wherein the cassette information related to the cassette is attached to the cassette, and the radiographic image reading device is provided with a cassette. The information acquisition means acquires cassette information of a cassette loaded in the radiation image reading apparatus, and the notification means sends the cassette information together with the patient information and the cassette loading information. The cassette information obtained by the information obtaining means is notified to the medical expense detailed information generating means.

第9项记载的发明是第8项中记载的发明，其特征在于，所述换片匣信息是换片匣尺寸信息。The invention described in claim 9 is the invention described in claim 8, wherein the cassette information is cassette size information.

第10项记载的发明是第8项中记载的发明，其特征在于，所述换片匣信息是所述换片匣中内藏的辉尽性荧光体板的种类信息。The invention described inclaim 10 is the invention described in claim 8, wherein the cassette information is information on the type of the incandescent phosphor plate contained in the cassette.

发明的效果The effect of the invention

根据第1记载的发明，利用来院时在受理窗口等登记的患者信息，自动生成用来摄影的患者目录，显示在图像生成装置的显示部。这样，能够向摄影房的摄影实施人员提供摄影对象的患者信息。According to the invention described inclaim 1, a patient list for imaging is automatically generated using the patient information registered at the reception window or the like at the time of hospital admission, and is displayed on the display unit of the image generating device. In this way, it is possible to provide patient information of an imaging subject to an imaging operator in an imaging room.

此时在小规模设施中，掌握摄影内容的医生等一般就是摄影实施人员，所以没有必要特意制作检查订单信息。因此，没有必要进行以往大医院的系统中由专职人员所作的检查订单信息的输入作业。也不需要进行诊察的医生用生疏的键盘进行输入作业。这样不降低诊疗效率。At this time, in a small-scale facility, a doctor or the like who understands the contents of the photography is generally the person performing the photography, so there is no need to specially create inspection order information. Therefore, there is no need to perform the work of inputting inspection order information, which was done by a full-time person in the system of a conventional large hospital. There is also no need for the doctor performing an examination to use an unfamiliar keyboard for input work. This will not reduce the efficiency of diagnosis and treatment.

另外，摄影实施人员能够身在摄影房，掌握滞留在设施内的有摄影可能性的患者的状况，能够提高诊疗效率。In addition, the person performing the photography can be in the photography room and grasp the condition of the patient who may be photographed staying in the facility, thereby improving the efficiency of diagnosis and treatment.

根据第2记载的发明，使得从图像生成装置的显示部显示的患者信息目录中指定的患者信息，自动地与到下一个患者信息被指定期间所摄影的摄影图像数据对应，所以能够正确地进行患者与摄影图像数据的对应，同时因为能够防止搞错患者与摄影图像数据，能够减轻医生物理上的精神负担，能够进一步提高诊疗效率。According to the invention described inclaim 2, the patient information specified from the patient information list displayed on the display unit of the image generating device is automatically associated with the photographed image data captured until the next patient information is specified, so that the patient information can be accurately performed. The correspondence between patients and photographic image data can also prevent patients from being confused with photographic image data, reduce the physical and mental burden of doctors, and further improve the efficiency of diagnosis and treatment.

根据第3记载的发明，因为能够用生成医疗费明细相关信息的电脑装置来生成患者信息的目录，所以，没有必要设像大规模设施那样的专门作业人员，实现节省人力。According to the invention described inclaim 3, since the list of patient information can be created by the computer device that creates the information related to the statement of medical expenses, it is not necessary to provide a specialized worker like a large-scale facility, and manpower can be saved.

根据第4项记载的发明，摄影实施人员能够掌握滞留在设施内的患者的受理登记顺序以及患者信息。According to the invention described inclaim 4, the imaging implementer can grasp the registration order and patient information of patients staying in the facility.

根据第5项记载的发明，因为是随患者来院和退出更新患者信息的目录，所以，摄影实施人员能够身在摄影房掌握滞留在设施内的有摄影可能性的患者的最新的状况，能够提高诊疗效率。According to the invention described inclaim 5, since the list of patient information is updated with the patient's arrival and exit, the staff performing the photography can grasp the latest status of the patient who may be photographed staying in the facility in the photography room, and can improve diagnosis and treatment efficiency.

根据第7项记载的发明，一旦在放射线图像读取装置中装入换片匣，则摄影对象的患者信息及换片匣装入信息被通知到医疗费明细信息生成手段，自动通知医疗费明细相关信息，所以，窗口担当等操作人员可以省掉看着纸张病历输入摄影张数的人工，降低医疗设施内的作业人工数，能够加快医疗费明细相关信息生成后所实施的处理、例如会计计算和保险点数计算等处理的实施，能够实现设施内的工作流程效率化。According to the invention described in claim 7, once the cassette is loaded in the radiographic image reading device, the patient information of the subject to be photographed and the loading information of the cassette are notified to the medical expense statement information generation means, and the medical expense statement is automatically notified. Relevant information, so the operator in charge of the window can save the labor of looking at the paper medical records and inputting the number of photographs, reduce the number of manpower in the medical facility, and can speed up the processing after the information related to the medical expense statement is generated, such as accounting calculation It is possible to realize the efficiency of workflow in the facility by implementing processing such as insurance point calculation.

根据第8项～第10项记载的发明，一旦在放射线图像读取装置中装入换片匣，则与摄影对象的患者信息及换片匣装入信息一起，换片匣信息被通知到医疗费明细信息生成手段，自动通知医疗费明细相关信息，所以，窗口担当等操作人员可以省去看着纸张病历输入摄影张数和换片匣信息(例如换片匣尺寸、辉尽性荧光体板的种类信息等)的人工，降低医疗设施内的作业人工数，能够加快医疗费明细相关信息生成后所实施的处理、例如会计计算和保险点数计算等处理的实施，能够实现设施内的工作流程效率化。According to the inventions described in claims 8 to 10, once the cassette is loaded in the radiographic image reading device, the cassette information is notified to the medical department together with the patient information of the subject to be photographed and the loading information of the cassette. The method of generating detailed information of medical expenses automatically notifies relevant information of detailed medical expenses. Therefore, operators such as the window can save the need to look at the paper medical records and input the number of photographs and cassette information (such as the size of the cassette, the glowing phosphor plate, etc.) type information, etc.) to reduce the number of manpower in the medical facility, to speed up the processing performed after the generation of information related to medical expense details, such as accounting calculation and insurance point calculation, and to realize the workflow in the facility efficiency.

附图说明Description of drawings

图1：本发明涉及的小规模诊断系统1的整体构成例示意图。FIG. 1 is a schematic diagram showing an example of the overall configuration of a small-scalediagnostic system 1 according to the present invention.

图2：应用了图1所示的小规模诊断系统1时，各装置在医疗设施中的配置例示意图。Fig. 2: A schematic diagram of an example of arrangement of each device in a medical facility when the small-scalediagnostic system 1 shown in Fig. 1 is applied.

图3：适用于图1所示小规模诊断系统1的读取装置202的功能性结构要部方框示意图。FIG. 3 : A block diagram of the main part of the functional structure of thereading device 202 suitable for the small-scalediagnostic system 1 shown in FIG. 1 .

图4：适用于图1所示小规模诊断系统1的控制装置3的功能性结构要部方框示意图。Fig. 4: A schematic block diagram of the functional structure of thecontrol device 3 applicable to the small-scalediagnostic system 1 shown in Fig. 1 .

图5：适用于图1所示小规模诊断系统1的受理装置5的功能性结构要部方框示意图。Fig. 5: A schematic block diagram of the main part of the functional structure of the receivingdevice 5 applicable to the small-scalediagnostic system 1 shown in Fig. 1 .

图6：图1所示医疗费明细DB57的数据格纳例示意图。Fig. 6: Schematic diagram of an example data grid of the medical expense detail DB57 shown in Fig. 1 .

图7：一位患者从来院到退出，在小规模诊断系统1中实行的处理经过的流程示意。Fig. 7: Schematic diagram of the flow of a patient's treatment process in the small-scalediagnostic system 1 from discharge to discharge.

图8：图5的显示部55中显示的受理输入画面551的一例示意图。FIG. 8 is a schematic diagram of an example of areception input screen 551 displayed on thedisplay unit 55 of FIG. 5 .

图9：图3的显示部221中显示的患者目录画面223的一例示意图。FIG. 9 is a schematic diagram of an example of apatient list screen 223 displayed on the display unit 221 of FIG. 3 .

图10：图4的显示部35中显示的摄影图像显示画面351的一例示意图。FIG. 10 is a schematic diagram of an example of a capturedimage display screen 351 displayed on thedisplay unit 35 of FIG. 4 .

图11：图3的显示部221中显示的人体部位图标的一例示意图。FIG. 11 is a schematic diagram of an example of human body part icons displayed on the display unit 221 of FIG. 3 .

图12：(a)是以往的诊断系统中，在受理窗口登记的目录的一例示意图，(b)是以往的诊断系统中，放射线科的技师在(a)所示的目录中登录上换片匣的一例示意图。Fig. 12: (a) is a schematic diagram of an example of the list registered at the reception window in the conventional diagnostic system, and (b) is a schematic view of the radiographer in the conventional diagnostic system registering and changing films in the list shown in (a) A schematic diagram of a box.

符号说明Symbol Description

1    小规模诊断系统1 Small-scale diagnostic system

2    图像生成装置2 Image generating device

2a   超声波诊断装置2a Ultrasonic diagnostic device

20   变换装置20 Transformation device

2b   内窥镜装置2b Endoscopic devices

2c   CR装置2c CR device

201  摄影装置201 Photographic installations

202  读取装置202 reading device

21   CPU21 CPUs

22   操作显示部22 Operation Display

221  显示部221 display unit

222  触板222 touch panel

223  患者目录画面223 Patient list screen

23   通信部23 Department of Communications

24   RAM24 RAM

25  记忆部25 Memory

26  图像声称部26 Image claim department

27  编码读取器27 code reader

28  装入检测传感28 Load detection sensor

29  总线29 bus

3   控制装置3 control device

31  CPU31 CPUs

32  RAM32 RAM

33  记忆部33 memory department

331 临时记忆部331 Temporary memory department

34  输入部34 input part

35  显示部35 Display

351 摄影图像显示画面351 Photographic image display screen

36  通信部36 Department of Communications

37  总线37 bus

4   服务器4 servers

40  图像DB40 Image DB

5   受理装置5 receiving device

51  CPU51 CPUs

52  RAM52 RAM

53  记忆部53 memory department

54  输入部54 input part

55  显示部55 display unit

551 受理输入画面551 Reception input screen

56  通信部56 Department of Communications

57  医疗费明细DB57 Medical Expense Details DB

58  总线58 bus

6   网络6 network

具体实施方式Detailed ways

以下参照图1～图11，对本发明涉及的小规模诊断系统的一实施方式进行说明。但是本发明并不局限于图示例。One embodiment of the small-scale diagnostic system according to the present invention will be described below with reference to FIGS. 1 to 11 . However, the present invention is not limited to the illustrated examples.

图1表示本实施方式中的小规模诊断系统1的系统结构，图2表示应用了小规模诊断系统1时，各装置在医疗设施中的配置例。FIG. 1 shows a system configuration of a small-scalediagnostic system 1 according to the present embodiment, and FIG. 2 shows an arrangement example of each device in a medical facility when the small-scalediagnostic system 1 is applied.

小规模诊断系统1适用于个人开业医院和诊所等小规模医疗设施，如图1所示，由作为图像生成装置2的超声波诊断装置2a、内窥镜装置2b、CR装置2c和、控制装置3和、服务器4和、医疗费明细用电脑(以下称之为受理装置)5构成，各装置通过例如没有图示的开关等连接在LAN(Local AreaNetwork)等通信网络(以下简称为“网络”)6上。The small-scalediagnostic system 1 is suitable for small-scale medical facilities such as individual hospitals and clinics. As shown in FIG. And, aserver 4 and a medical expense account computer (hereinafter referred to as a reception device) 5 are composed, and each device is connected to a communication network such as a LAN (Local Area Network) (hereinafter referred to as a "network") through a switch not shown in the figure, for example. 6 on.

作为医院设施内的通信方式，一般采用DICOM(Digital Image andCommunications in Medicine)规格，通过LAN连接的各装置之间的通信，采用DICOM MWM(Modality Worklist Management)、DICOM MPPS(Modality Performed Procedure Step)。可适用于本实施方式的通信方式不局限于此。As a communication method in hospital facilities, DICOM (Digital Image and Communications in Medicine) standard is generally adopted, and DICOM MWM (Modality Worklist Management) and DICOM MPPS (Modality Performed Procedure Step) are adopted for communication between devices connected via LAN. The communication method applicable to this embodiment is not limited to this.

例如，在个人开业医院和诊所等小规模医疗设施中，各装置被配置成如图2所示。For example, in small-scale medical facilities such as private practice hospitals and clinics, each device is configured as shown in FIG. 2 .

即，一进入进口10是进行患者受理的受理11和等候室12。受理11中有窗口担当人员，该担当人员对来院的患者发行受理号票，其上印有为了按照受理顺序区分各患者的受理号(当天受理顺序的连号)。另外，受理11中设有进行保险点数计算和会计计算等的受理装置5，窗口担当人员询问患者姓名，在受理装置5中输入受理号和患者姓名的对应关系。并且，窗口担当人员还根据患者诊察结束后的病历信息，在受理装置5进行输入操作，输入与会计及医疗费明细(会计计算、保险点数账单计算)有关的信息(以下称之为医疗费明细相关信息)的必要事项。That is, thefirst entry entrance 10 is areception desk 11 and awaiting room 12 where patient reception is performed. In thereception 11, there is a person in charge of the window, and the person in charge issues a reception number ticket to the patients who come to the hospital, on which the reception number (serial number of the order of the day's reception) is printed to distinguish each patient according to the order of reception. In addition, thereception 11 is provided with areception device 5 for calculating insurance points and accounting calculations. And, the person in charge of the window also performs an input operation on the receivingdevice 5 according to the medical record information after the patient's examination, and inputs information related to accounting and medical expense details (accounting calculation, insurance point bill calculation) (hereinafter referred to as medical expense statement). related information).

隔着门等在等候室12隔壁设有医生对患者进行诊察诊断的诊察室13。例如在诊察室13内的诊察用桌子(没有图示)上，设置着医生用来显示摄影图像进行图像诊断的控制装置3和备有保存摄影图像图像数据之图像DB(Data Base)40的服务器4。门诊室13内还设置着从隐私等观点出发在隔离空间进行的必要性较低的超声波诊断装置2a。Next to thewaiting room 12 through a door or the like, there is anexamination room 13 in which doctors conduct examinations and diagnoses on patients. For example, on an examination table (not shown) in theexamination room 13, acontrol device 3 for displaying photographed images for image diagnosis by a doctor and a server equipped with an image DB (Data Base) 40 for storing image data of photographed images are installed. 4. Also installed in theoutpatient room 13 is an ultrasonicdiagnostic apparatus 2a that is less necessary to perform in an isolated space from the viewpoint of privacy or the like.

隔着走廊14，在诊察室13的对面设有进行X线摄影的X线摄影房15。X线摄影房15内设有由摄影装置201和读取装置202构成的CR装置2c。并且在X线摄影房15的隔壁设有检查室16，检查室16内设有内窥镜装置2b。AnX-ray imaging room 15 for performing X-ray imaging is provided on the opposite side of theexamination room 13 across thecorridor 14 . ACR device 2 c composed of animaging device 201 and areading device 202 is installed in theX-ray imaging room 15 . Furthermore, anexamination room 16 is provided next to theX-ray imaging room 15, and anendoscope device 2b is provided in theexamination room 16.

接下去对小规模诊断系统1作详细说明。Next, the small-scalediagnostic system 1 will be described in detail.

首先说明各装置的结构。First, the structure of each device will be described.

图像生成装置2是样式(modality)，例如超声波诊断装置2a、内窥镜装置2b、CR装置2c等以患者的检查对象部位作为被摄物体进行摄影，对拍摄好的图像进行数字变换，生成摄影图像图像数据(摄影图像信息)。Theimage generation device 2 is a modality, such as an ultrasonicdiagnostic device 2a, anendoscope device 2b, aCR device 2c, etc., which take the patient's inspection target part as the subject, digitally converts the captured image, and generates a photographic image. Image image data (photographic image information).

超声波诊断装置2a由输出超声波的超声波探测器和电子装置构成(都没有图示)，电子装置连接在超声波探测器，将超声波探测器接到的声波(回波信号)变换成内部组织的摄影图像的图像数据。超声波诊断装置2a是从超声波探测器向体内送出超声波，再次用超声波探测器接受体内组织反射的声波(回波信号)，通过电子装置生成相应于回波信息的摄影图像。The ultrasonicdiagnostic device 2a is composed of an ultrasonic probe that outputs ultrasonic waves and an electronic device (both not shown in the figure). The electronic device is connected to the ultrasonic probe and converts the sound waves (echo signals) received by the ultrasonic probe into photographic images of internal tissues image data. The ultrasonicdiagnostic apparatus 2a sends ultrasonic waves from the ultrasonic probe to the body, receives the sound waves (echo signals) reflected by the tissue in the body with the ultrasonic probe again, and generates photographic images corresponding to the echo information through the electronic device.

超声波诊断装置2a上连接着变换装置20，它是进行从模拟信号向数字信号的变换等的变换手段(转换器)，超声波诊断装置2a介过变换装置20连接在网络6上。通过介过变换装置20，这样即使有形式与连接在网络6中的其它外部器具规格(例如通信协议)等不符合的数据从超声波装置2a输出，此时也能够适宜变换，与连接在网络6上的外部器具之间进行数据信息接发。The ultrasonicdiagnostic apparatus 2 a is connected to aconversion device 20 , which is a conversion means (converter) for converting an analog signal to a digital signal. By passing through theconversion device 20, even if there are data that do not conform to the other external device specifications (such as communication protocols) connected in thenetwork 6, the output from theultrasonic device 2a can be properly converted at this time, and connected to thenetwork 6. Send and receive data information between external devices on the device.

内窥镜装置2b是在具有可挠性的管的先端设置小型摄影装置(都没有图示)，摄影装置备有：例如由光学透镜等构成的对物光学系；设置在对物光学系的成像位置上的摄像部；由LED(Light Emitting Diode)等构成的摄像时进行必须照明的照明部(都没有图示)。摄像部备有例如CCD(Charge CoupledDevice)、CMOS(Complementary Metal Oxide Semiconductor)等的固体摄像元件，一旦光入射则向与光的入射光量相应量的电信号进行光电变换。对物光学系被构成为用光学透镜对被照明部照明的区域进行聚光，成像于摄像部具有的固体摄像元件之结构，通过对入射到固体摄像元件的光进行光电变换，摄影图像的图像数据作为电信号被输出。Theendoscopic device 2b is to have a small photographing device (all not shown) arranged at the tip of a flexible pipe, and the photographing device is provided with: for example, an object optics system made of optical lenses; The imaging unit at the imaging position; the lighting unit which is composed of LED (Light Emitting Diode) and the like for lighting necessary for imaging (both are not shown). The imaging unit is equipped with a solid-state imaging element such as CCD (Charge Coupled Device) or CMOS (Complementary Metal Oxide Semiconductor), and when light enters, it performs photoelectric conversion into an electrical signal corresponding to the amount of incident light. The objective optical system is configured to collect light from the area illuminated by the illumination unit with an optical lens, and image the image on the solid-state imaging element of the imaging unit. By photoelectrically converting the light incident on the solid-state imaging element, an image of the image is captured. Data is output as electrical signals.

CR装置2c是采用辉尽性荧光体放射线摄影被摄物体，使透过被摄物体的放射线能蓄积在辉尽性荧光体，通过读取蓄积在辉尽性荧光体的图像生成摄影图像的图像数据。CR装置2c有以下类型：读取装置(放射线图像读取装置)既具有放射线线源同时又内藏辉尽性荧光体，从摄影到读取由1台进行；使用收藏了辉尽性荧光体板的能够持带的换片匣。本实施方式中，以换片匣型的CR装置为例进行说明，但并不局限于此。TheCR device 2c uses a bright fluorescent substance to radiate a subject, allows the radiation transmitted through the subject to accumulate in the bright fluorescent substance, and generates an image of a photographed image by reading the image accumulated in the bright fluorescent substance. data. TheCR device 2c has the following types: a reading device (radiation image reading device) has both a radiation source and a built-in incandescent phosphor, and one unit performs from imaging to reading; A cassette that can hold the tape. In this embodiment, a cassette-type CR device is described as an example, but the present invention is not limited thereto.

CR装置2c由摄影装置201和读取装置202构成，其中，摄影装置201备有放射线线源，读取装置202从在摄影装置201中已供放射线摄影的换片匣中收藏的辉尽性荧光体板读取图像生成摄影图像数据(参照图2)。换片匣上贴有表示换片匣信息的编码。换片匣信息是表示该换片匣属性的信息，具体包括：表示该换片匣尺寸的换片匣尺寸信息；表示换片匣内藏的辉尽性荧光体板种类的信息(板种信息)。板种信息是表示下述内容的信息，即：是用于被加算到保险点数的乳房专用摄影的板；还是用于上述之外部位的摄影的板。TheCR device 2c is composed of animaging device 201 and areading device 202, wherein theimaging device 201 is equipped with a radiation source, and thereading device 202 collects incandescent fluorescent light from a cassette that has been used for radiographing in theimaging device 201. The body plate read image generates photographic image data (see FIG. 2 ). A code indicating the information of the cassette is affixed to the cassette. Cassette information is information representing the properties of the cassette, specifically including: cassette size information representing the size of the cassette; ). The plate type information is information indicating whether the plate is used for mammography exclusive to which insurance points are added, or it is used for imaging of other sites.

图3是读取装置202的功能性结构方框示意图。如图3所示，读取装置202包括CPU 21、操作显示部22、通信部23、RAM24、记忆部25、图像生成部26、编码读取器27、装入检测传感28等，各个部分通过总线29连接。FIG. 3 is a schematic block diagram of the functional structure of thereading device 202 . As shown in FIG. 3, thereading device 202 includes a CPU 21, an operation display unit 22, a communication unit 23, a RAM 24, a memory unit 25, an image generation unit 26, a code reader 27, a loading detection sensor 28, etc., each part Connection via bus 29.

CPU 21读出记忆部25中记忆的控制程序，展开于形成在RAM24内的工作区域，按照该控制程序，控制读取装置202的各部。CPU21还按照控制程序读出记忆部25中记忆的各种处理程序，展开于工作区域，通过与读出的程序协动，实行以图7所示的读取装置202侧处理为首的各种处理。CPU21作为本发明的通知手段发挥功能。The CPU 21 reads out the control program stored in the storage unit 25, expands it in the work area formed in the RAM 24, and controls each unit of thereading device 202 according to the control program. The CPU 21 also reads various processing programs stored in the storage unit 25 in accordance with the control program, deploys them in the work area, and executes various processing including the processing on thereading device 202 side shown in FIG. 7 in cooperation with the read programs. . The CPU 21 functions as notification means of the present invention.

操作显示部22备有显示部221、触板222。显示部221由LCD(LiquidCrystal Display)等构成的显示画面构成，按照被从CPU 21输入的显示信号的指示，在显示画面上显示患者目录等等。The operation display unit 22 includes a display unit 221 and a touch panel 222 . The display unit 221 is composed of a display screen such as an LCD (Liquid Crystal Display), and displays patient lists and the like on the display screen in accordance with instructions from a display signal input from the CPU 21.

触板222覆盖在显示部221的上面，检出用户用手指等的操作而被按下输入的所望的输入位置，向CPU21输出其检测信号。触板222作为本发明的患者指定手段发挥功能。The touch panel 222 covers the upper surface of the display unit 221 , detects a desired input position pressed and input by the user with a finger or the like, and outputs a detection signal to the CPU 21 . The touch panel 222 functions as patient specifying means of the present invention.

通信部23由网络接口等构成，与连接在网络6上的外部器具之间进行数据接发。The communication unit 23 is constituted by a network interface or the like, and performs data transmission and reception with an external device connected to thenetwork 6 .

RAM24形成临时记忆工作区，临时记忆由CPU21实行控制的各种处理中，被从记忆部25读出的能够在CPU21实行的各种程序和输入或输出数据，以及参数等等。The RAM 24 forms a temporary memory work area, and temporarily stores various programs, input or output data, and parameters that can be executed by the CPU 21 that are read from the storage unit 25 in various processes controlled by the CPU 21 .

记忆部25由不挥发性半导体存储等构成，记忆在CPU21实行的控制程序和各种程序，以及各种数据等。The storage unit 25 is composed of a non-volatile semiconductor memory, etc., and stores a control program executed by the CPU 21, various programs, various data, and the like.

图像生成部26能够装入供给放射线摄影的换片匣，从装入的换片匣取出辉尽性荧光体板用激励光扫描，使蓄积保存在辉尽性荧光体板中的放射线图像信息辉尽发光，光电读取该辉尽发光光，根据得到的图像信号生成图像数据。The image generation unit 26 can be loaded into a cassette for radiographing, and the incandescent phosphor plate can be taken out from the loaded cassette to scan with excitation light to brighten the radiographic image information stored in the incandescent phosphor plate. The exhaust light is photoelectrically read, and image data is generated based on the obtained image signal.

编码读取器27读取表示在换片匣上的编码，并输出到CPU21。The code reader 27 reads the code displayed on the cassette, and outputs it to the CPU 21 .

装入检测传感28检测有没有向图像生成部26装入换片匣，并将其检测信号输出到CPU21。The loading detection sensor 28 detects whether or not a cassette is loaded into the image generating unit 26 , and outputs the detection signal to the CPU 21 .

控制装置3是工作站，被设置在例如诊察室13，用来对应从图像生成装置2送来的图像数据和患者信息，或供医生显示图像等进行读影诊断，备有的显示器也可以比一般的PC(Personal Computer)使用的显示器来得高精细一些。Thecontrol device 3 is a workstation, which is installed in theconsultation room 13, for example, and is used to correspond to the image data and patient information sent from theimage generation device 2, or for the doctor to display images and perform diagnostic readings. The display used by the PC (Personal Computer) is more high-definition.

图4是控制装置3的功能性结构方框示意图。如图4所示，控制装置3备有CPU31、RAM32、记忆部33、输入部34、显示部35、通信部36等，各部通过总线37连接。FIG. 4 is a schematic block diagram of the functional structure of thecontrol device 3 . As shown in FIG. 4 , thecontrol device 3 includes aCPU 31 , aRAM 32 , astorage unit 33 , aninput unit 34 , adisplay unit 35 , acommunication unit 36 , and the like, and each unit is connected by abus 37 .

CPU31读出记忆部33中记忆的系统程序、处理程序等各种程序展开于RAM32，按照被展开的程序，实行以图7所示的控制装置3侧处理为首的各种处理。CPU31作为本发明的对应手段发挥功能。TheCPU 31 reads various programs such as system programs and processing programs stored in thestorage unit 33 and expands them in theRAM 32, and executes various processes including the processing on thecontrol device 3 side shown in FIG. 7 according to the expanded programs. TheCPU 31 functions as a corresponding means of the present invention.

RAM32形成临时记忆工作区，临时记忆由CPU31实行控制的各种处理中、被从记忆部33读出的、能够在CPU31实行的、各种程序和输入或输出数据以及参数等。例如，RAM32形成患者信息区域，临时记忆从读取装置202接到的患者信息。TheRAM 32 forms a temporary memory work area, and temporarily stores various programs, input or output data, and parameters that are read from thememory unit 33 and can be executed by theCPU 31 in various processes controlled by theCPU 31 . For example,RAM 32 forms a patient information area and temporarily stores patient information received fromreader 202 .

记忆部33由HDD(Hard Disc)、半导体不挥发性存储器等构成。记忆部33中除了记忆着在CPU31被实行的系统程序和各种程序之外，还记忆着如特开平11-85950、特开2001-76141说明书中公开的用来识别摄影部位的部位识别参数(摄影图像上出现的摄影对象的轮廓、形状等与摄影部位对应的查找表等)，以及与识别后的摄影部位相应地对其进行图像处理的图像处理参数(定义了用于灰度处理的灰度曲线的查找表、频率处理的增强度等)等。Thestorage unit 33 is composed of HDD (Hard Disc), semiconductor non-volatile memory, and the like. In addition to memorizing the system program and various programs executed by theCPU 31, thememory unit 33 also memorizes part identification parameters ( The outline, shape, etc. of the photographed object appearing on the photographed image corresponds to the photographed part, etc.), and the image processing parameters for image processing corresponding to the recognized photographed part (the gray scale used for grayscale processing is defined The look-up table of the degree curve, the enhancement degree of the frequency processing, etc.), etc.

另外，记忆部33具有临时记忆部331，临时保存从图像生成装置2送来的图像数据。记忆部33作为本发明的保存手段发挥功能。In addition, thestorage unit 33 has atemporary storage unit 331 that temporarily stores image data sent from theimage generation device 2 . Thestorage unit 33 functions as storage means of the present invention.

输入部34包括备有游标、数字输入键以及各种功能键等的键盘和鼠标等定位器，将在键盘被操作按下的键的按下信号和鼠标的操作信号作为输入信号输出到CPU31。Theinput unit 34 includes a cursor, numeric input keys, and various function keys, such as a keyboard and a pointer such as a mouse, and outputs a key press signal on the keyboard and a mouse operation signal to theCPU 31 as input signals.

显示部35备有例如CRT(Cathode Ray Tube)、LCD(Liquid CrystalDisplay)等显示器，按照从CPU31输入的显示信号的指示显示各种画面。Thedisplay unit 35 includes, for example, a display such as a CRT (Cathode Ray Tube) or an LCD (Liquid Crystal Display), and displays various screens in accordance with instructions from a display signal input from theCPU 31.

通信部36由网络接口等构成，与介过转换中枢连接在网络6上的外部器具之间进行数据接送。Thecommunication part 36 is comprised by the network interface etc., and performs data exchange with the external equipment connected to thenetwork 6 via the conversion hub.

回到图1，服务器4是电脑，备有由CPU、RAM、HDD等构成的记忆部和控制与连接在网络6上的各装置间通信的通信部等(都没有图示)。服务器4，其中备有图像DB 40，通过由CPU和记忆部中记忆的程序的协动而实现的软件处理，对介过通信部被从控制装置3指示写入的摄影图像的图像数据及其附带信息(包括患者信息的信息)进行对应，并格纳到作为图像记忆手段的图像DB 40，同时还应答控制装置3发出的要求，检索图像DB 40，读出应答要求的图像数据及其附带信息，送往控制装置3。Returning to FIG. 1 , theserver 4 is a computer, and includes a storage unit composed of CPU, RAM, HDD, etc., and a communication unit for controlling communication with each device connected to the network 6 (none of which are shown). Theserver 4 is equipped with animage DB 40, and through the software processing realized by the cooperation of the program stored in the CPU and the memory unit, the image data of the photographed image and the image data of the photographed image written by thecontrol device 3 through the communication unit are instructed. The incidental information (information including patient information) is correspondingly stored in theimage DB 40 as an image memory means, and at the same time responds to the request issued by thecontrol device 3, retrieves theimage DB 40, and reads out the image data and its accompanying information in response to the request. The information is sent to thecontrol device 3.

受理装置5是用来进行来院患者的受理登记、会计计算、保险点数计算等的电脑装置。Thereception device 5 is a computer device for performing reception registration of incoming patients, accounting calculations, insurance point calculations, and the like.

图5是受理装置5的功能性结构方框示意图。如图5所示，受理装置5备有CPU 51、RAM52、记忆部53、输入部54、显示部55、通信部56、医疗费明细DB 57等，各部通过总线58连接。FIG. 5 is a schematic block diagram of the functional structure of the acceptingdevice 5 . As shown in FIG. 5 , the receivingdevice 5 is equipped with aCPU 51, aRAM 52, amemory unit 53, aninput unit 54, adisplay unit 55, acommunication unit 56, a medicalexpense statement DB 57, etc., and each unit is connected by abus 58.

CPU51读出记忆部53中记忆的系统程序、处理程序等各种程序展开于RAM52，按照展开的程序，实行以图7所示的受理装置5侧处理为首的各种处理。CPU 51作为本发明的受理登记手段、目录生成手段、医疗费明细信息生成手段发挥功能。TheCPU 51 reads various programs such as system programs and processing programs stored in thestorage unit 53 and expands them in theRAM 52, and executes various processes including the processing on the receivingdevice 5 side shown in FIG. 7 according to the developed programs. TheCPU 51 functions as the acceptance registration means, catalog generation means, and medical expense detailed information generation means of the present invention.

记忆部53由HDD(Hard Disc)、半导体不挥发性存储器等构成，记忆在CPU51被实行的系统程序、各种处理程序、各种数据等。Thestorage unit 53 is composed of HDD (Hard Disc), semiconductor non-volatile memory, etc., and stores system programs executed by theCPU 51, various processing programs, various data, and the like.

输入部54包括备有游标、数字输入键以及各种功能键等的键盘和鼠标等定位装置，将在键盘被操作按下的键的按下信号和鼠标的操作信号作为输入信号输出到CPU 51。Theinput unit 54 includes positioning devices such as a keyboard and a mouse equipped with cursors, numeric input keys, and various function keys, etc., and outputs the pressing signal of the key pressed on the keyboard and the operation signal of the mouse as input signals to theCPU 51. .

显示部55备有例如CRT等显示器，按照从CPU 51输入的显示信号的指示，显示各种画面。Thedisplay unit 55 is equipped with a display such as a CRT, for example, and displays various screens in accordance with an instruction of a display signal input from theCPU 51.

通信部56由网络接口等构成，与介过转换中枢连接在网络6上的外部器具之间进行数据接发。Thecommunication part 56 is comprised by the network interface etc., and performs data transmission and reception with the external equipment connected to thenetwork 6 via the conversion hub.

医疗费明细DB 57是数据库，其中，有关来院患者的医疗费明细相关信息和患者信息对应地被格纳。图6表示医疗费明细DB 57的数据格纳例。医疗费明细DB 57是格纳各来院患者的医疗费明细相关信息的数据库，如图6所示，包括以下各项目：「受理日期」项目57a，格纳患者的受理日期；「受理号」项目57b，格纳对患者发行的受理号；「患者信息」项目57c，格纳患者信息(这里是患者姓名)；「摄影数」项目57d，格纳在受理日期中对该患者摄影的图像的张数；「造影数」项目57e，格纳采用造影剂的摄影张数；「样式」项目57f，格纳进行摄影的图像生成装置2的种类；「部位」项目57g，格纳摄影部位的信息；「板种」项目57h，格纳用于摄影的板的种类信息；「换片匣尺寸」项目57i，格纳用于摄影的换片匣的尺寸信息；「投药」项目57j，格纳在受理日期中对患者处方的药剂信息；「伤病名」项目57k，格纳在受理日期中医生诊断的伤病名；「注释」项目57l，格纳后述被从控制装置3输入的注释；「保险点数」项目57m，格纳算出的保险点数；等等。The medicalexpense statement DB 57 is a database in which information related to the medical expense statement of visiting patients and patient information are stored in correspondence with each other. FIG. 6 shows an example of a data format of the medicalexpense statement DB 57. The medical expense statement DB 57 is a database of information related to the medical expense details of each patient who comes to the hospital in Gurner, as shown in Figure 6, and includes the following items: "Acceptance date" item 57a, the acceptance date of the Gurner patient; "Acceptance number" item 57b, the acceptance number issued by Garner to the patient; "patient information" item 57c, the patient information of Gerner (here is the patient's name); Number; "Number of Contrast" item 57e, the number of photographs taken by Gurner using contrast agent; "Style" item 57f, the type of image generation device 2 for Gener to take pictures; Item 57h of "plate type" is the type information of the plate used by Gener for photography; item 57i of "cassette size" is the size information of the cassette used by Gener for photography; item 57j of "dosage" is accepting The drug information prescribed to the patient during the date; the "injury and disease name" item 57k, the name of the injury and disease diagnosed by the doctor on the acceptance date; the "comment" item 57l, the comment input from the control device 3 as described later; " "Insurance points" item 57m, the insurance points calculated by Garner; and so on.

接下去，对小规模诊断系统1的动作进行说明。Next, the operation of the small-scalediagnostic system 1 will be described.

图7是一位患者从来院到退出在小规模诊断系统1中实行的处理经过的流程示意。以下参照图7，对一位患者从来院到退出，在小规模诊断系统1中的一系列的处理经过并同设施内人员(医生、摄影技师、窗口担当人员)的工作流程一起，进行说明。FIG. 7 is a schematic flow chart of a patient's treatment process in the small-scalediagnostic system 1 from hospitalization to discharge. Referring to FIG. 7 , a series of processing procedures in the small-scalediagnostic system 1 for a patient from hospitalization to withdrawal, together with the workflow of personnel in the facility (doctors, photographers, and window personnel), will be described.

首先，在受理11由窗口担当人员对来院患者发行受理号票，并询问患者姓名。接下去，操作受理装置5的输入部54使显示受理输入画面551(参照图8)，通过输入部54在受理号栏551a中输入受理号，并在患者姓名栏551b中输入为患者信息的患者姓名。First, atreception 11, the person in charge at the window issues a reception number ticket to the incoming patient and asks the patient's name. Next, theinput unit 54 of theacceptance device 5 is operated to display the acceptance input screen 551 (refer to FIG. 8 ), and the acceptance number is input in theacceptance number column 551a through theinput unit 54, and the patient name as patient information is input in thepatient name column 551b. Name.

受理装置5中，一旦从输入部54输入显示受理输入画面551的显示指示，则显示部55显示受理输入画面551，其中有用来输入受理号和患者信息的受理号栏551a和患者姓名栏551b，一旦通过输入部54在该受理输入画面551的受理号栏551a和患者姓名栏551b中输入受理号和患者姓名等患者信息(步骤S1)，则新的记录被追加到医疗费明细DB 57中，现时的日期被写入「受理日期」项目57a，输入的受理号被写入「受理号」项目57b，输入的患者信息被写入「患者信息」项目57c，被受理登记(步骤S2)。图8表示受理输入画面551的一例。In thereception device 5, when a display instruction to display thereception input screen 551 is input from theinput unit 54, thedisplay unit 55 displays thereception input screen 551, which includes areception number column 551a and apatient name column 551b for inputting a reception number and patient information, Once patient information such as a reception number and patient name is input in thereception number column 551a and thepatient name column 551b of thereception input screen 551 through the input unit 54 (step S1), a new record is added to the medicalexpense statement DB 57, The current date is written in the "reception date"item 57a, the input reception number is written in the "reception number"item 57b, the input patient information is written in the "patient information"item 57c, and registration is accepted (step S2). FIG. 8 shows an example of areception input screen 551 .

受理装置5中，一旦被受理登记，则生成被受理登记的患者的患者目录信息(或更新)(步骤S3)。患者目录信息是例如在受理登记最初的患者时生成，记忆在RAM 52的所定区域，每受理登记后一个患者便更新为新的患者目录信息。患者目录信息是例如从医疗费明细DB 57抽出下述记录、即：「受理日期」项目57a中有现时日期，且除了「受理日期」项目57a、「受理号」项目57b、「患者信息」项目57c之外的项目中没有数据的记录，根据抽出的记录来生成。患者目录信息至少包括表示受理顺序的受理号和患者姓名等患者信息。被生成或更新的患者目录信息通过通信部56被送往读取装置202(步骤S4)。读取装置202中，一旦通过通信部23接到患者目录信息，则根据接到的患者目录信息，在显示部221显示患者目录画面223(步骤S5)。When the registration is accepted, theacceptance device 5 generates (or updates) patient list information of the patient whose registration is accepted (step S3). The patient list information is generated, for example, when the first patient is accepted and registered, and is stored in a predetermined area of theRAM 52, and the new patient list information is updated every time a patient is accepted and registered. The patient list information is, for example, extracted from the medicalexpense statement DB 57, that is, the current date is included in the "reception date"item 57a, and the "reception date"item 57a, the "reception number"item 57b, and the "patient information" item are not included. Items other than 57c do not have records of data, and are generated from extracted records. The patient list information includes at least patient information such as a reception number and a patient name indicating the order of reception. The generated or updated patient list information is sent to thereading device 202 through the communication unit 56 (step S4). When thereading device 202 receives the patient list information through the communication unit 23, thepatient list screen 223 is displayed on the display unit 221 based on the received patient list information (step S5).

拿到受理号的患者在等候室12等候之后向诊察室13移动。在诊察室13，医生进行患者问诊，决定应该对该患者进行的摄影(图像生成装置2的种类、摄影部位、摄影方向、摄影张数等)。患者在医生或摄影技师等摄影实施人员的指示下，向进行摄影的图像生成装置2(超声波诊断装置2a、内窥镜装置2b或CR装置2c)跟前移动。The patient who received the reception number waits in thewaiting room 12 and then moves to theexamination room 13 . In theconsultation room 13 , a doctor conducts an interview with a patient and determines the imaging to be performed on the patient (the type of theimage generating device 2 , the imaging site, the imaging direction, the number of images, etc.). The patient moves in front of the imaging device 2 (ultrasonicdiagnostic device 2 a ,endoscope device 2 b , orCR device 2 c ) under the instruction of a person performing imaging such as a doctor or a radiographer.

摄影实施人员使患者向进行摄影的图像生成装置2跟前移动后，来到读取装置202跟前，从显示在显示部221的患者目录画面223中，指定摄影对象的患者信息。The imaging operator moves the patient in front of theimaging device 2 , then approaches thereading device 202 , and specifies the patient information of the imaging target from thepatient list screen 223 displayed on the display unit 221 .

图9(a)(b)表示患者目录画面223的例子。患者目录画面223在一览显示患者的患者信息的同时，还受理从患者目录指定摄影对象患者的患者信息。An example of thepatient list screen 223 is shown in (a)(b) of FIG. 9 . Thepatient list screen 223 not only displays patient information of patients in a list, but also accepts designation of patient information of a patient to be photographed from the patient list.

图9(a)是从患者目录信息的先头信息开始，一个患者一个患者地显示受理号以及患者姓名之方式的患者目录画面。在该患者目录画面223中，若有患者目录信息被接到，则先头信息首先被显示，若触及「跳跃」按钮，则患者目录中的下一个信息被显示。若在显示了摄影对象患者的患者信息状态下触及画面，则被显示的患者信息作为摄影对象患者的患者信息被指定。显示部221画面较小时，图9(a)所示的患者目录画面223的显示，是能够使患者目录容易看清地进行显示。FIG. 9( a ) is a patient list screen in which reception numbers and patient names are displayed on a patient-by-patient basis starting from the header information of the patient list information. On thepatient list screen 223, when patient list information is received, the first information is displayed first, and when the "jump" button is touched, the next information in the patient list is displayed. When the screen is touched while the patient information of the imaging target patient is displayed, the displayed patient information is designated as the patient information of the imaging target patient. When the screen of the display unit 221 is small, thepatient list screen 223 shown in FIG. 9( a ) is displayed so that the patient list can be easily seen.

图9(b)是作为一览显示患者目录信息方式的设有受理号栏223a以及患者姓名223b的患者目录画面。若摄影对象患者的患者信息通过触及而被选择，且进一步触及「选择」按钮，则选择的患者信息作为摄影对象患者的患者信息被指定。图9(b)所示的患者目录画面223，在显示部221画面较大时，可以使患者目录容易看清地进行显示。在显示部221画面较小时，由于各个患者信息的显示区域较小所以在触板选择患者信息不方便。此时也可以用下述方式，即另设数字键等来取代触板222，一旦参照患者目录通过数字键输入与作为摄影对象作指定的患者信息相应的检索用ID(这里是受理号)，则与被输入的检索用ID相应的患者信息作为摄影对象的患者信息被指定。Fig. 9(b) is a patient list screen provided with areception number column 223a and apatient name 223b as a method for displaying patient list information in a list. When the patient information of the patient to be photographed is selected by touching, and the "Select" button is further touched, the selected patient information is designated as the patient information of the patient to be photographed. Thepatient list screen 223 shown in FIG. 9( b ) can display the patient list so that it is easy to see when the display unit 221 has a large screen. When the screen of the display unit 221 is small, it is inconvenient to select patient information on the touch panel because the display area of each patient information is small. At this time, it is also possible to replace the touch panel 222 with numeric keys, etc., once referring to the patient list and inputting the retrieval ID (here, the acceptance number) corresponding to the patient information specified as the photographing object through the numeric keys, Then, the patient information corresponding to the input search ID is designated as the patient information to be photographed.

如图9(a)、(b)所示，通过将被受理登记且还没有退出的患者、即滞留在设施内的患者的目录画面，显示在X线摄影房15内的读取装置202中，摄影实施人员能够容易地确认和把握滞留在设施内的患者的最新的状况，能够提高诊疗效率。As shown in Fig. 9(a) and (b), the list screen of patients who have been accepted for registration and have not withdrawn, that is, patients staying in the facility, is displayed on thereading device 202 in theX-ray imaging room 15 Therefore, the imaging staff can easily confirm and grasp the latest status of the patients staying in the facility, and the efficiency of diagnosis and treatment can be improved.

读取装置202中，一旦通过触板222从患者目录画面223指定患者信息(步骤S6)，则被指定的患者信息通过通信部23送往控制装置3(步骤S7)。控制装置3中，一旦从读取装置202接到患者信息，则接到的患者信息被记忆(覆盖保存)到RAM32的患者信息区域(步骤S8)。In thereading device 202, when patient information is designated from thepatient list screen 223 via the touch panel 222 (step S6), the designated patient information is sent to thecontrol device 3 via the communication unit 23 (step S7). When thecontrol device 3 receives patient information from thereading device 202, the received patient information is memorized (overwritten and saved) in the patient information area of the RAM 32 (step S8).

一旦完成患者信息指定，摄影实施人员则向进行摄影的图像生成装置2移动，以患者的检查对象部位作为被摄物体进行摄影，生成摄影图像的图像数据。在进行摄影的图像生成装置2是CR装置2c时，在摄影装置201进行摄影，将拍摄好的换片匣装入读取装置202。读取装置202中，一旦作为检测手段的装入检测传感28检测到拍摄好的换片匣被装入(步骤S9；YES)，则作为换片匣信息取得手段的编码读取器27读取贴在换片匣上的编码，取得换片匣信息(步骤S10)，换片匣装入通知和、从现时患者目录画面指定的患者信息、以及取得的换片匣信息通过通信部23送往受理装置5(步骤S11)。接下去由图像生成部26读取被装入的换片匣中记录的放射线图像生成图像数据(步骤S12)，通过通信部23送往控制装置3(步骤S13)。优选将成为被摄物体的患者的患者信息、即步骤S7指定的患者信息作为附带信息附带到生成的图像数据中，一起送往控制装置3。在对一位患者用多个摄影条件进行多张摄影时，反复实行步骤S9～13。Once the patient information has been specified, the radiographer moves to theimage generating device 2 for photographing, photographs the patient's examination target site as an object, and generates image data of photographed images. When theimage generating device 2 for taking pictures is theCR device 2 c , take pictures at thepicture taking device 201 , and load the cartridges taken into thereading device 202 . In thereading device 202, once the loading detection sensor 28 as the detection means detects that the film cassette that has been photographed is loaded (step S9; YES), the code reader 27 as the cassette information acquisition means reads Get the code affixed on the cassette, obtain the cassette information (step S10), the cassette loading notification, the patient information specified from the current patient list screen, and the obtained cassette information are sent through the communication unit 23. to the receiving device 5 (step S11). Next, the radiographic image data recorded in the loaded cassette is read by the image generation unit 26 (step S12), and sent to thecontrol device 3 through the communication unit 23 (step S13). Preferably, the patient information of the subject patient, that is, the patient information specified in step S7 is attached to the generated image data as incidental information, and sent to thecontrol device 3 together. When a plurality of imaging conditions are performed on one patient, steps S9 to S13 are repeated.

受理装置5中，一旦通过通信部56从读取装置202接到换片匣装入通知和患者信息以及换片匣信息，则根据接到的信息生成医疗费明细相关信息(步骤S14)。具体的是，在医疗费明细DB 57中检索受理日期为当天的有接到的患者信息的记录，该记录的「摄影数」项目57d被计数1，在「样式」项目57f中写入表示是CR装置的信息，在「板种」项目57h中写入换片匣信息中含有的板种信息，在「换片匣尺寸」项目57i中写入换片匣信息中含有的换片匣尺寸信息。When the receivingdevice 5 receives the cassette loading notification, patient information, and cassette information from thereading device 202 through thecommunication unit 56, it generates medical expense statement-related information based on the received information (step S14). Specifically, the medicalexpense statement DB 57 is searched for a record of received patient information whose reception date is the same day, and theitem 57d of the "number of photographs" of the record is counted 1, and it is written in theitem 57f of the "pattern" to indicate yes. For the information of the CR device, write the board type information contained in the cassette information in the "plate type"item 57h, and write the cassette size information contained in the cassette information in the "cassette size"item 57i .

进行摄影的图像生成装置2是CR装置2c以外的情况时，即是超声波诊断装置2a或内窥镜装置2b时，一旦摄影实施人员从输入部指示摄影(步骤S15；YES)，则进行摄影(步骤S16)，摄影所得的图像数据被送往控制装置3(步骤S17)。对一位患者用多个摄影条件摄影多张时，生成的所有图像数据都被送往控制装置3。When theimage generation device 2 that performs imaging is other than theCR apparatus 2c, that is, when it is the ultrasonicdiagnostic apparatus 2a or theendoscope apparatus 2b, once the imaging operator instructs the imaging from the input unit (step S15; YES), the imaging is performed ( Step S16), the photographed image data is sent to the control device 3 (step S17). When a plurality of images are taken for one patient under a plurality of imaging conditions, all the generated image data are sent to thecontrol device 3 .

控制装置3中，一旦从读取装置202或其他图像生成装置2接到图像数据，则接到的图像数据被与RAM 32的患者信息区域中记忆着的患者信息对应后记忆到临时记忆部331(步骤S18)。也就是说，控制装置3中，从在读取装置202指定患者信息且该指定的患者信息被送到控制装置3开始，到在读取装置202指定下一个患者信息为止，在该期间，从读取装置202或其他图像生成装置2接到的图像数据，是与在读取装置202中正被指定着的患者信息进行对应并被记忆的。并且，在拍摄的患者总是一个人的情况时(摄影房里不存在多位患者的情况)，从读取装置202向控制装置2发送患者信息开始，到下一个患者信息被送出为止，其间生成的超声波诊断装置2a和内窥镜装置2b的图像数据，也都能够在控制装置33与患者信息进行对应。In thecontrol device 3, once the image data is received from thereading device 202 or otherimage generating devices 2, the received image data is stored in thetemporary storage unit 331 after corresponding to the patient information stored in the patient information area of theRAM 32. (step S18). That is, in thecontrol device 3, from the time when the patient information is designated by thereading device 202 and the designated patient information is sent to thecontrol device 3, until the next patient information is designated by thereading device 202, during this period, from The image data received by thereading device 202 or anotherimage generating device 2 is stored in association with the patient information specified by thereading device 202 . In addition, when the patient to be photographed is always one person (there are not many patients in the photography room), the patient information is sent from thereading device 202 to thecontrol device 2 until the next patient information is sent. The generated image data of the ultrasonicdiagnostic device 2 a and theendoscope device 2 b can also be associated with patient information in thecontrol device 33 .

一旦摄影结束，患者则向诊察室移动。医生通过操作控制装置3的输入部34，使显示部35中显示没有图示的图像检索画面，输入对象患者的患者信息。控制装置3中，应答输入部34的操作显示图像检索画面，通过输入部34受理患者信息的输入。一旦图像检索画面被显示，从该画面通过输入部34输入患者信息(步骤S19)，则与被输入的患者对应的图像数据被从临时记忆部331抽出，抽出的图像数据被实施灰度处理和频率增强处理等图像处理，图像处理完毕的图像数据被制作成缩小的简略速写图像，显示在显示部35的摄影图像显示画面351(步骤S20)。Once the photography is over, the patient moves to the examination room. The doctor operates theinput unit 34 of thecontrol device 3 to display an image search screen (not shown) on thedisplay unit 35 to input patient information of the target patient. In thecontrol device 3 , an image search screen is displayed in response to an operation of theinput unit 34 , and input of patient information is accepted through theinput unit 34 . Once the image search screen is displayed, and patient information is input from the screen through the input unit 34 (step S19), the image data corresponding to the input patient is extracted from thetemporary storage unit 331, and the extracted image data is subjected to grayscale processing and After image processing such as frequency enhancement processing, the processed image data is created into a reduced simplified sketch image, and displayed on the capturedimage display screen 351 of the display unit 35 (step S20).

图10表示显示部35中显示的摄影图像显示画面351的显示画面例子。如图10所示，摄影图像显示画面351具有图像显示栏351a～351d，用来一览显示抽出的图像。若通过输入部34的鼠标等选择图像显示栏351a～351d的任何一栏，被选择的图像则以实际尺寸单独显示。医生能够通过该单独显示的图像，详细观察图像进行读影诊断。另外，在该画面的右上方设有图像处理调整栏，医生可以通过用鼠标等操作该图像处理调整栏351e来进行浓度和对比度的调整。若按下与各个图像相应显示着的OK按钮351h，则能够将显示着的图像作为保存到图像DB 40的图像进行确定。摄影图像显示画面351还设有患者信息显示栏351f，显示被与显示着的摄影图像对应了的患者信息。FIG. 10 shows an example of a display screen of the capturedimage display screen 351 displayed on thedisplay unit 35 . As shown in FIG. 10 , the capturedimage display screen 351 hasimage display columns 351 a to 351 d for displaying a list of extracted images. When any one of theimage display columns 351a to 351d is selected by the mouse of theinput unit 34, the selected image is individually displayed in actual size. Doctors can observe the images in detail and perform radiological diagnosis through the independently displayed images. In addition, an image processing adjustment column is provided at the upper right of the screen, and the doctor can adjust density and contrast by operating the imageprocessing adjustment column 351e with a mouse or the like. When theOK button 351h displayed corresponding to each image is pressed, the displayed image can be confirmed as an image to be stored in theimage DB 40. The capturedimage display screen 351 is further provided with a patientinformation display column 351f that displays patient information associated with the displayed captured image.

通过输入部34从摄影图像显示画面351进行图像处理调整和图像确定之后(步骤S21)，若通过输入部34按下摄影图像显示画面351的结束按钮，由此指示诊断结束(步骤S22；YES)，则与该患者的患者信息对应的图像数据经由通信部36被送往服务器4，保存到图像DB 40(步骤S23)。写入服务器4的图像DB 40的图像，被从临时记忆部331消去(步骤S24)。After the image processing adjustment and image confirmation are performed from the capturedimage display screen 351 via the input unit 34 (step S21), if the end button of the capturedimage display screen 351 is pressed through theinput unit 34, the end of the diagnosis is instructed (step S22; YES) , then the image data corresponding to the patient information of the patient is sent to theserver 4 via thecommunication unit 36, and stored in the image DB 40 (step S23). The image written in theimage DB 40 of theserver 4 is erased from the temporary storage unit 331 (step S24).

一旦诊察室中患者的诊察结束，患者则向受理11移动，进行会计等，医生将对该患者的诊断结果(被诊断的伤病名)、表示对该患者处方药剂的投药信息、对该患者所作的摄影等有关信息(摄影的装置种类、摄影张数、有无造影剂、摄影部位、摄影方向等等)记录到纸张病历。然后，纸张病历传交受理11的窗口担当人员。Once the patient's examination in the consultation room is over, the patient moves to thereception 11 for accounting, etc., and the doctor will report the diagnosis result of the patient (the name of the diagnosed injury and disease), the information indicating the administration of the prescribed drug for the patient, and the information for the patient. The relevant information such as the photography done (the type of photography device, the number of photographs, whether there is a contrast agent, the location of photography, the direction of photography, etc.) is recorded in the paper medical record. Then, the paper medical record is handed over to the person in charge of thereception desk 11 .

窗口担当人员在受理装置5中显示医疗费明细相关信息输入画面(没有图示)，从医疗费明细相关信息输入画面，根据纸张病历的记载，输入对象患者的受理号以及医疗费明细相关信息。在用CR装置2c进行摄影时，样式种类、在CR装置2c的摄影张数、板种、换片匣尺寸信息都已登录，窗口担当人员没有必要输入这些信息，简化了输入作业，能够加快会计。The person in charge of the window displays the medical expense details related information input screen (not shown) on the receivingdevice 5, and inputs the acceptance number of the target patient and the medical expenses statement related information according to the records in the paper medical record from the medical expenses statement related information input screen. When shooting with theCR device 2c, the type of pattern, the number of photographed sheets in theCR device 2c, the plate type, and the size of the cassette are all registered, and the counter personnel do not need to input these information, which simplifies the input work and can speed up accounting. .

受理装置5中，从医疗费明细相关信息输入画面输入的信息，被追加登录到医疗费明细DB 57中具有对象患者受理号之记录的相应项目中，被保存(步骤S25)。另外，根据输入的医疗费明细相关信息，进行有关该患者的会计信息/保险点数算出处理(步骤S26)。窗口担当人员根据算出的会计信息，向患者进行诊疗费付款请求，进行会计。患者在结束支付后退出。In the receivingdevice 5, the information input from the information input screen for the details of medical expenses is additionally registered in the corresponding item of the record having the reception number of the target patient in the details ofmedical expenses DB 57, and stored (step S25). In addition, accounting information/insurance point calculation processing for the patient is performed based on the input medical expense details related information (step S26). Based on the calculated accounting information, the person in charge of the counter requests the payment of medical expenses to the patient and performs accounting. The patient withdraws after completing the payment.

受理装置5中，一旦会计信息/保险点数算出处理结束，则判断患者退出，从RAM 52中记忆着的患者目录信息中，删除医疗费明细相关信息被登录、会计信息/保险点数计算对象的患者信息，进行更新(步骤S27)，更新了的患者目录信息介过通信部56被送往读取装置202(步骤S28)。读取装置202中，为了下一次摄影使用，根据更新了的患者目录信息，显示患者目录画面(步骤S29)。In the receivingdevice 5, once the accounting information/insurance point calculation process is completed, it is judged that the patient has withdrawn, and from the patient list information memorized in theRAM 52, the patient whose information related to the details of medical expenses is registered and whose accounting information/insurance point is calculated is deleted. The information is updated (step S27), and the updated patient list information is sent to thereader 202 via the communication unit 56 (step S28). In thereading device 202, a patient list screen is displayed based on the updated patient list information for the next imaging use (step S29).

如上所述，根据小规模诊断系统1，受理装置5中，一旦受理登记来院患者，则生成当天来院患者的患者信息目录，读取装置202的显示部221显示出患者目录画面。一旦从读取装置202的患者目录画面指定摄影对象患者的患者信息，该指定的患者信息则被送往控制装置3，记忆到控制装置3的RAM 32的患者信息区域。图像生成装置2中，一旦进行患者摄影生成图像数据，生成的图像数据则被送往控制装置3。控制装置3中，一旦接到图像数据，则该图像数据被与RAM 32的患者信息区域中记忆着的患者信息对应后记忆到临时记忆部331，供医生诊断，然后被保存到图像服务器4的图像DB 40。As described above, according to the small-scalediagnostic system 1 , when thereception device 5 accepts and registers an incoming patient, the patient information list of the day's incoming patient is created, and the display unit 221 of thereading device 202 displays a patient list screen. Once the patient information of the imaging target patient is specified from the patient list screen of thereading device 202, the specified patient information is sent to thecontrol device 3 and stored in the patient information area of theRAM 32 of thecontrol device 3. In theimage generating device 2 , imaging of a patient is performed to generate image data, and the generated image data is sent to thecontrol device 3 . In thecontrol device 3, once the image data is received, the image data is stored in thetemporary memory unit 331 after corresponding to the patient information stored in the patient information area of theRAM 32, and then stored in theimage server 4 for diagnosis by the doctor.Image DB 40.

因此，利用在受理装置5中来院时受理登记的信息，自动生成用来摄影的患者目录信息，将其显示在读取装置202的显示部221。这样，能够在X线摄影房对摄影实施人员提供患者信息。Therefore, the patient list information for imaging is automatically generated by using the information registered at the time of admission in thereception device 5 and displayed on the display unit 221 of thereading device 202 . In this way, patient information can be provided to the radiographer in the radiographing room.

此时在小规模设施中，掌握摄影内容的医生等一般就是摄影实施人员，所以没有必要特意制作检查订单信息。因此，没有必要进行以往大医院的系统中由专职人员所作的检查订单信息的输入作业。也不需要进行诊察的医生用生疏的键盘进行输入作业。这样不降低诊疗效率。At this time, in a small-scale facility, a doctor or the like who understands the contents of the photography is generally the person performing the photography, so there is no need to specially create inspection order information. Therefore, there is no need to perform the work of inputting inspection order information, which was done by a full-time person in the system of a conventional large hospital. There is also no need for the doctor performing an examination to use an unfamiliar keyboard for input work. This will not reduce the efficiency of diagnosis and treatment.

另外，摄影实施人员能够身在摄影房，掌握滞留在设施内的患者的最新状况，能够提高诊疗效率。In addition, the photography staff can be in the photography room and grasp the latest status of the patients staying in the facility, which can improve the efficiency of diagnosis and treatment.

并且，一旦从显示部221显示的患者目录画面指定摄影对象患者的患者信息，则到下一个别的患者信息被指定为止，其间在读取装置202及其他图像生成装置2生成的所有的图像数据，在控制装置3中自动与被指定的患者信息对应，所以在小规模设施中，能够正确地进行患者与摄影图像的对应，同时能够减轻为了防止搞错患者与摄影图像而产生的医生实质性的精神负担，能够进一步提高诊疗效率。And, once the patient information of the imaging target patient is specified from the patient list screen displayed on the display unit 221, all the image data generated by thereading device 202 and otherimage generating devices 2 until the next individual patient information is specified , thecontrol device 3 automatically corresponds to the specified patient information, so in a small-scale facility, it is possible to accurately associate the patient with the photographed image, and at the same time, it is possible to reduce the doctor's substantial trouble in order to prevent the patient from being confused with the photographed image. The mental burden can further improve the efficiency of diagnosis and treatment.

另外，根据小规模诊断系统1，一旦从读取装置202的患者目录画面指定摄影对象患者的患者信息并装入换片匣，则贴在换片匣上的编码被读取，取得由编码表示的换片匣信息(板种类信息以及换片匣尺寸信息)，取得的信息与换片匣装入信息及被指定的患者信息一起被送往受理装置5。受理装置5中，根据从读取装置202接到的信息，生成被指定患者的医疗费明细相关信息。In addition, according to the small-scalediagnostic system 1, once the patient information of the patient to be photographed is specified from the patient list screen of thereading device 202 and loaded into the cassette, the code attached to the cassette is read, and the data indicated by the code is obtained. Cassette information (plate type information and cassette size information), the acquired information is sent to the receivingdevice 5 together with the cassette loading information and the specified patient information. In the receivingdevice 5, based on the information received from thereading device 202, information related to the details of medical expenses of the specified patient is generated.

因此，用CR装置进行摄影时，作为医疗费明细相关信息所必需的摄影张数、板种类信息、换片匣尺寸信息被自动地通知到受理装置5，在受理装置5中自动地生成医疗费明细相关信息，所以，能够省掉窗口担当人员看着纸张病历并输入其上信息的麻烦，同时能够防止输入出错，降低人工，并且加快医疗费明细生成后实施的处理、例如会计信息、保险点数计算等。结果能够实现设施内整体工作流程的效率化。Therefore, when photographing is performed with a CR device, the number of photographs, information on the type of plate, and information on the cassette size required as information related to the details of medical expenses are automatically notified to the receivingdevice 5, and the medical expenses are automatically generated in the receivingdevice 5. Detailed relevant information, so it can save the trouble of the window staff looking at the paper medical record and inputting the information on it. At the same time, it can prevent input errors, reduce labor, and speed up the processing after the generation of medical expense details, such as accounting information and insurance points. calculation etc. As a result, the efficiency of the entire work flow in the facility can be realized.

上述实施方式中记载的内容是本发明涉及的小规模诊断系统1的一例，本发明并不局限于此。The content described in the above embodiment is an example of the small-scalediagnostic system 1 according to the present invention, and the present invention is not limited thereto.

例如，上述实施方式中，是一旦在受理装置5中登记患者的受理以及退出便更新患者目录信息，将更新后的患者目录信息送往读取装置202，由此在读取装置202显示现时滞留在设施内的患者的患者目录画面的，但也可以是在受理登记患者时，将追加的患者有关的信息(例如受理号、患者信息等)从受理装置5送往读取装置202，追加到显示部221的患者目录画面中，在患者退出登记时，将退出的患者有关的信息(例如受理号、患者信息等)从受理装置5送往读取装置202，从显示部221患者目录画面删除。还可以在受理11设用来输入患者登记进入、登记退出的终端，将来自于该终端的输入信息(进入退出信息)送往读取装置202，使读取装置202显示现时滞留在设施内患者的患者目录画面。For example, in the above-mentioned embodiment, the patient list information is updated once the patient's acceptance and withdrawal are registered in thereception device 5, and the updated patient list information is sent to thereading device 202, thereby displaying the current status on thereading device 202. In the patient list screen of patients in the facility, it is also possible to send additional patient-related information (for example, reception number, patient information, etc.) In the patient list screen of the display unit 221, when the patient withdraws from the registration, the information (such as the reception number, patient information, etc.) related to the withdrawn patient is sent from theacceptance device 5 to thereading device 202, and is deleted from the patient list screen of the display unit 221. . It is also possible to set up a terminal for inputting patient registration entry and registration exit at thereception 11, and send the input information (entry and exit information) from the terminal to thereading device 202, so that thereading device 202 displays the information of the patients currently staying in the facility. the patient directory screen.

还可以构成下述结构，即，与受理输入画面的各患者信息相应地，显示核对栏或图标等，用来指定所显示的患者信息不追加到患者目录中去的患者，窗口担当人员在例如，只来取药或从最近的患者伤病名等判断没有摄影必要时，在受理登记该患者时，输入指定不追加到患者目录中去，受理装置5便除去该被指定的患者信息，然后生成患者目录。还可以省掉受理号，只将患者信息作为患者目录进行现实。It is also possible to configure a configuration in which a check box or an icon is displayed corresponding to each patient information on the acceptance input screen for designating a patient whose displayed patient information is not to be added to the patient list, and the counter person in charge, for example, When only coming to pick up medicine or judging that there is no need to take pictures from the recent patient's injury or disease name, etc., when accepting and registering the patient, the input designation is not added to the patient list, and the receivingdevice 5 deletes the designated patient information, and then Generate a patient directory. It is also possible to omit the reception number and only display the patient information as a patient list.

上述实施方式中，是在换片匣上贴上表示换片匣尺寸信息和表明是否乳房专用摄影的板种信息的编码，在读取装置202中通过编码读取器读取编码得到换片匣尺寸信息和板种信息，但也可以是在读取装置202中解析生成的图像数据，例如生成图像数据的直方图求出最大值、最小值，由此取得是否乳房专用摄影的信息。In the above-mentioned embodiment, the code indicating the size information of the cassette and the plate type information indicating whether breast-specific photography is pasted on the cassette, and the code is read by the code reader in thereading device 202 to obtain the cassette The size information and plate type information may also be image data generated by analysis in thereading device 202, for example, a histogram of the image data is generated to obtain the maximum value and the minimum value, thereby obtaining information on whether mammography is exclusively used.

还可以构成下述结构，即，在装入换片匣时，在读取装置202的显示部221显示例如如图11所示能够选择人体各部位的人体部位图标，取得从人体部位图标触及(选择)的摄影部位信息，将取得的摄影部位信息和换片匣装入通知、患者信息以及换片匣信息一起送往受理装置5。这样，医疗费明细相关信息的摄影部位信息也被自动生成，窗口担当人员没有必要进行输入，能够进一步实现设施内的工作流程的效率化。It is also possible to configure such a structure that when the cassette is loaded, the display unit 221 of thereading device 202 displays, for example, human body part icons that can select various parts of the human body as shown in FIG. Select) the imaging site information, and send the acquired imaging site information to the receivingdevice 5 together with the cassette loading notification, patient information, and cassette information. In this way, the photographed part information of the information related to the medical bill details is also automatically generated, and there is no need for the person in charge of the counter to input it, which can further improve the efficiency of the workflow in the facility.

上述实施方式中，出示了以CR装置作为放射线图像生成装置的例子，但是，也可以采用FPD装置作为放射线图像生成装置。在采用备有特开2000-131785号公报等中公开的显示部(含外装置)以及操作部的FPD装置时，可以在显示部显示患者目录，通过操作部从该患者目录中选择摄影对象的患者信息。此时，被选择的患者信息可以通过无线或有线送往控制装置3或受理装置5。In the above-mentioned embodiments, an example in which a CR device is used as the radiographic image generation device is shown, but an FPD device may also be used as the radiographic image generation device. When an FPD device equipped with a display unit (including an external device) and an operation unit disclosed in JP-A No. 2000-131785 and the like is used, the patient list can be displayed on the display unit, and the imaging target can be selected from the patient list through the operation unit. patient information. At this time, the selected patient information can be sent to thecontrol device 3 or the receivingdevice 5 wirelessly or by wire.

FPD装置的情况时，因为装置价格也贵，不大有像CR换片匣那样相应摄影部位掉换换片匣的情况，常常是在一个换片匣中记忆多个摄影图像数据。此时，能够根据读取动作和复原动作的触发信号认识摄影的实施，所以，能够在多个摄影图像数据中分别附带患者信息。为此在FPD装置中，优选向控制装置3发送摄影图像数据时，附带患者信息进行发送。In the case of the FPD device, because the device is also expensive, it is rare to change the cassette for the corresponding photographic part like the CR cassette, and often multiple photographic image data are stored in one cassette. In this case, since the execution of imaging can be recognized based on the trigger signals of the reading operation and the restoring operation, patient information can be attached to each of the plurality of imaging image data. For this reason, in the FPD device, it is preferable to transmit the captured image data with patient information when transmitting it to thecontrol device 3 .

有关摄影张数，每当附带患者信息地记忆摄影图像数据时，或在向控制装置3发送的同时，从FPD装置向受理装置5发送患者信息，在受理装置5算出得到同一患者信息的次数，便能够判断对应于所述患者信息的摄影次数，摄影次数可以用于保险点数处理等的事先算出。Regarding the number of photographs, whenever the photographed image data is stored with patient information, or at the same time as sending to thecontrol device 3, the patient information is sent from the FPD device to the receivingdevice 5, and the receivingdevice 5 calculates the number of times the same patient information is obtained, The number of imaging times corresponding to the patient information can be determined, and the number of imaging times can be used for calculation in advance such as insurance point processing.

另外，本发明不局限于本实施方式，可以进行适当变更。In addition, this invention is not limited to this embodiment, It can change suitably.

Claims (10)

1. a small-scale diagnostic system is characterized in that, has:

Accept the registration means, accept and register the patient's of institute patient information;

Catalogue generates means, generates by the described catalogue of accepting the registration means and being accepted the patient information of registration;

Video generation device generates the photographic image data at described patient's inspection object position;

Wherein, described video generation device has display part, shows the catalogue of the patient information that is generated by described catalogue generation means.

2. according to the small-scale diagnostic system of record in the claim 1, it is characterized in that, have:

Patient's designating means, in the patient information that contains from the catalogue that is presented at described display part, photography target patient's patient information is specified in input;

Corresponding means make the specified patient information of described patient's designating means, with specify from described patient's designating means this patient information begin to specify till the next patient information during the photographic image data that generates by described video generation device, correspondence;

The preservation means are preserved the photographic image data and the patient information of described corresponding means correspondence.

3. according to the small-scale diagnostic system of putting down in writing in claim 1 or 2, it is characterized in that, the described registration means of accepting are equipped with in computer apparatus, described computer apparatus has the medical care expenses managing detailed catalogue and generates means, generates the medical care expenses detailed relevant information that the medical care expenses detail is taken into account in the relevant described relevant meeting of being accepted the patient who has registered.

4. according to the small-scale diagnostic system of putting down in writing in any one of claim 1 to 3, it is characterized in that, described catalogue generation means generate at least and contain the catalogue of accepting registration order and patient information, show at least in the described display part to contain the catalogue of accepting registration order and patient information.

5. according to the small-scale diagnostic system of putting down in writing in any one of claim 1 to 4, it is characterized in that, described catalogue generates means and accepts when the registration means accept the registration patient information described, or described medical care expenses managing detailed catalogue generation means finish to upgrade described catalogue when the detailed relevant information of generation medical care expenses.

6. according to the small-scale diagnostic system of putting down in writing in any one of claim 1 to 5, it is characterized in that described video generation device is a radiation image reading apparatus.

7. according to the small-scale diagnostic system of record in the claim 2, it is characterized in that,

Have the medical care expenses managing detailed catalogue and generate means, generate the medical care expenses detailed relevant information that the medical care expenses detail is taken into account in the relevant described relevant meeting of being accepted the patient who has registered,

Described video generation device is a radiation image reading apparatus, its from built-in stimulated fluorophor plate, for radiography the described film replacement box of being accepted the patient's who has registered inspection object position, the radiation image information at the described patient of reading and recording in described stimulated fluorophor plate inspection object position, generate view data

Described radiation image reading apparatus has: detect pack into the detection means of this radiation image reading apparatus of film replacement box; Described display part; Described patient's designating means; Notification means, when described patient's designating means specifies the patient information of radiography subject patient and described detection means to detect film replacement box to pack into, with the specified patient information of described patient information designating means and the film replacement box information of packing into, notify described medical care expenses managing detailed catalogue to generate means;

Described medical care expenses managing detailed catalogue generates means according to the information of packing into from the notified patient information of described radiation image reading apparatus and film replacement box, generates the corresponding patient's of relevant and described notified patient information medical care expenses detail relevant information.

8. according to the small-scale diagnostic system of record in the claim 7, it is characterized in that,

Post the film replacement box information of relevant this film replacement box on the described film replacement box,

Described radiation image reading apparatus has film replacement box information and obtains means, obtains the film replacement box information of the film replacement box that is loaded into this radiation image reading apparatus,

Described notification means obtains the film replacement box information that means obtain with described patient information and the described film replacement box information of packing into described film replacement box information, notifies described medical care expenses managing detailed catalogue to generate means.

9. the middle according to Claim 8 small-scale diagnostic system of putting down in writing is characterized in that described film replacement box information is the film replacement box dimension information.

According to Claim 8 in the small-scale diagnostic system of record, it is characterized in that described film replacement box information is the kind of information of stimulated fluorophor plate built-in in the described film replacement box.

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