JP2018143526A - Ophthalmic examination system and ophthalmic examination management device - Google Patents

Abstract

[PROBLEMS] To ascertain and improve inspection quality by grasping the ability and habit of an examiner. An ophthalmic examination system according to an embodiment includes a plurality of ophthalmic examination apparatuses, a plurality of examiner terminals, recording means, search means, and output control means. The recording means records the examination information including at least a part of information exchanged between the ophthalmic examination apparatus and the examiner terminal in association with the identification information of the examiner terminal or the identification information of the examiner. The search means receives input of the identification information of the examiner terminal or the identification information of the examiner, and searches the recording means for examination information associated with the identification information. The output control means causes the output means to output information based on the examination information searched by the search means. [Selection] Figure 5

Description

  The present invention relates to an ophthalmic examination system and an ophthalmic examination management apparatus.

The ophthalmic examination apparatus is used for eye examination (measurement of characteristics, photographing, etc.) in medical institutions, eyeglass stores, venues for health examinations and examinations, patient homes, and the like. The following is a typical example of an ophthalmic examination apparatus.
・ A visual acuity test device that measures visual acuity based on the response to the presented target ・ An eye refraction test device that measures the refractive characteristics of the eyeball (refractometer, keratometer)
-Tonometer for measuring intraocular pressure-Specular microscope for obtaining corneal characteristics (corneal thickness, cell distribution, etc.)-Wavefront analyzer that obtains aberration information of the eyeball using a Hartmann-Shack sensor Perimeter and microperimeter for detection ・ Optical coherence tomography (OCT) to obtain cross-sectional images, three-dimensional data, and analysis data of the fundus and anterior segment using optical interference
-Fundus camera for photographing the fundus-Scanning laser opthalmoscope (SLO) for obtaining images of the fundus by laser scanning using a confocal optical system
・ Multifunction machines that combine two or more functions

  In many ophthalmic examinations, the examiner gives instructions to the subject or operates the ophthalmic examination apparatus. In recent years, remote inspection has been widespread in which an examiner in a place different from the place where the ophthalmic examination apparatus is installed performs an examination while giving instructions to the subject or the ophthalmic examination apparatus (see, for example, Patent Documents 1-6). In the remote examination, a visual instruction and an audio instruction are given from the examiner to the subject.

JP 2001-286442 A JP 2002-10978 A JP 2002-78679 A JP 2002-78681 A JP-A-2005-342042 International Publication No. 2003/041572

  There are various types of ophthalmic examinations. For example, there are many examinations that require skill, such as a subjective examination using a visual target.

  On the other hand, in remote examination, one of a plurality of examiners (or examiner terminals) is assigned to each of a plurality of ophthalmic examination apparatuses that are distributed in various places. In order to guarantee and improve the quality of such remote inspection, it is necessary to grasp the ability and habit of each examiner.

  If all the examiner terminals are installed in specialized facilities, it is not difficult to evaluate the ability of each examiner or to improve the ability. However, in remote inspection, generally, a plurality of examiner terminals are distributed in various places, so it is difficult to secure and improve the ability of the examiner.

  An object of the present invention is to provide an ophthalmic examination system and an ophthalmic examination management apparatus capable of grasping the ability and habit of the examiner and ensuring and improving the examination quality.

A first aspect of the embodiment is an ophthalmic examination system including a plurality of ophthalmic examination apparatuses, a plurality of examiner terminals, a recording unit, a search unit, and an output control unit. The recording means records the examination information including at least a part of information exchanged between the ophthalmic examination apparatus and the examiner terminal in association with the identification information of the examiner terminal or the identification information of the examiner. The search means receives input of the identification information of the examiner terminal or the identification information of the examiner, and searches the recording means for examination information associated with the identification information. The output control means causes the output means to output information based on the examination information searched by the search means.
In the second aspect of the embodiment, each of the plurality of examiner terminals includes a user interface. The output means includes display means. The output control means causes the display means to display information based on the examination information together with user interface information representing at least a part of the user interface.
In the third aspect of the embodiment, the output control means synchronously executes display control of user interface information and display control of information based on examination information.
In a fourth aspect of the embodiment, the output means includes display means. The output control means causes the display means to display event information indicating a plurality of events in the examination in chronological order based on the examination information.
In the fifth aspect of the embodiment, the ophthalmic examination system further includes first operation means. When any one of the plurality of events indicated in the event information is designated using the first operation means, the output control means identifies information corresponding to the designated event from the inspection information, and the specified information is Based on this, the output means is controlled.
In the sixth aspect of the embodiment, at least some of the plurality of examiner terminals include output means.
In the seventh aspect of the embodiment, the output control means causes a plurality of output means to output information based on the inspection information synchronously.
In an eighth aspect of the embodiment, the recording unit generates examination information by recording a plurality of information corresponding to a plurality of events in an examination using an ophthalmic examination apparatus in association with time information.
In the ninth aspect of the embodiment, the output control means sequentially controls the output means based on the plurality of information according to the temporal order of the plurality of events by referring to the time information.
In the tenth aspect of the embodiment, the ophthalmic examination system further includes second operation means. When any one of the plurality of events is designated using the second operation means, the output control means identifies information corresponding to the designated event from among the plurality of information, and outputs based on the identified information Control means.
An eleventh aspect of the embodiment is an ophthalmic examination management apparatus that can communicate with each of a plurality of ophthalmic examination apparatuses and each of a plurality of examiner terminals. The ophthalmic examination management apparatus includes a recording unit, a search unit, and an output control unit. The recording means records the examination information including at least a part of information exchanged between the ophthalmic examination apparatus and the examiner terminal in association with the identification information of the examiner terminal or the identification information of the examiner. The search means receives input of the identification information of the examiner terminal or the identification information of the examiner, and searches the recording means for examination information associated with the identification information. The output control means causes the output means to output information based on the examination information searched by the search means.

  According to the embodiment, it is possible to ascertain and improve inspection quality by grasping the ability and habit of the examiner.

Schematic showing an example of a structure of the ophthalmic examination system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic examination system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic examination system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic examination system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic examination system which concerns on embodiment. Schematic showing an example of a structure of the ophthalmic examination system which concerns on embodiment. The sequence diagram showing an example of the usage pattern of the ophthalmic examination system which concerns on embodiment. The sequence diagram showing an example of the usage pattern of the ophthalmic examination system which concerns on embodiment. Schematic for demonstrating the usage type of the ophthalmic examination system which concerns on embodiment. Schematic for demonstrating the usage type of the ophthalmic examination system which concerns on embodiment. Schematic for demonstrating the usage type of the ophthalmic examination system which concerns on embodiment. The sequence diagram showing an example of the usage pattern of the ophthalmic examination system which concerns on embodiment. Schematic for demonstrating the usage type of the ophthalmic examination system which concerns on embodiment. Schematic for demonstrating the usage type of the ophthalmic examination system which concerns on embodiment.

  Several examples of exemplary embodiments of the present invention are described. In addition, the content of the literature referred in this specification and arbitrary well-known techniques can be used for embodiment.

  The ophthalmic examination system according to the embodiment is used for remote examination using an ophthalmic examination apparatus installed in various facilities or a portable ophthalmic examination apparatus. In the remote inspection in the embodiment, various examiners assist the inspection. There are internal examiners and external examiners as types of examiners.

  The internal examiner is an examiner who assists the examination inside the facility where the ophthalmic examination apparatus is installed. Typically, an internal examiner uses a tablet terminal or wearable device (for example, a wireless earphone) to grasp and give instructions on the status of all or some of the subjects who are being examined in the facility. Send. The subject can proceed with the examination based on instructions from the internal examiner. An information processing device used by an internal examiner is called an internal examiner terminal.

  The external examiner is an examiner who assists the examination from outside the facility where the ophthalmic examination apparatus is installed. Typically, an external examiner can be configured to assist from a facility (management center) for managing the examination or from outside the management center. An example outside the management center is the home of an external examiner. The external examiner uses an information processing apparatus installed in the management center, home, or the like to grasp the status of all or a part of the subjects who are currently undergoing the examination and send instructions. The subject can proceed with the examination based on instructions from the external examiner. An information processing device used by an external examiner is called an external examiner terminal.

  Note that the internal examiner terminal and / or the external examiner terminal may include an information processing device used by a person who performs the evaluation and guidance of the examiner. Such a person is called an evaluation person. The person in charge of evaluation may be a person who plays a role as an examiner, or may be a person who does not. An evaluator who does not play a role as an examiner plays a role as an evaluator / instructor of the examiner, or as an evaluator / verifier of a test carried out in the past or a current test. .

  Examples of facilities where an ophthalmic examination apparatus is installed include medical institutions, eyeglass stores, health examination venues, examination venues, patient homes, welfare facilities, public facilities, and examination cars. That is, the facility where the ophthalmic examination apparatus is installed may include at least one of a fixed facility such as a medical institution and a mobile facility such as a medical examination car. In addition, the instruction sent from the examiner to the subject may include support regarding how to proceed with the examination, operation of the ophthalmic examination apparatus, advice to the subject, and the like. In addition, the examiner can send an instruction or the like to another examiner, or the evaluation person can send an instruction or the like to the examiner. Typically, an internal examiner who is an unskilled person can assist an external examiner who is a skilled person (evaluator).

  The ophthalmic examination apparatus may be any apparatus used for examining the eye to be examined, and may have at least one of a function as an ophthalmologic measurement apparatus and a function as an ophthalmologic imaging apparatus. The ophthalmologic measurement device is a device for measuring the characteristics of the eye to be examined. Examples of ophthalmic measurement devices include eyesight testing devices (target presentation devices, phoropters, etc.), eye refraction testing devices (refractometers, keratometers, etc.), tonometers, specular microscopes, wavefront analyzers, perimeters, microperimeters, etc. There is. The ophthalmologic photographing apparatus is an apparatus for imaging the eye to be examined. Examples of the ophthalmologic photographing apparatus include OCT, fundus camera, SLO, and the like. Furthermore, the ophthalmic examination apparatus may include an application for processing and / or analyzing measurement data and captured images.

<Configuration of ophthalmic examination system>
An example of the configuration of the ophthalmic examination system according to the embodiment will be described. The ophthalmic examination system 1 illustrated in FIG. 1A includes N facilities (first facility to N-th facility) where an examination is performed, a management device 4, and an external examiner terminal 5m (m = 1 to M: M is 1 or more). It is constructed using a network (communication line 100) that connects to (integer).

Each facility (the n Property: n = 1 to N, N is an integer of 1 or more), the one or more ophthalmologic examination apparatus _{2-i n (i n =} 1~K n, K n is an integer of 1 or more) Is installed. Ophthalmologic examination apparatus _{2-i n} are included in the ophthalmic examination system 1. The ophthalmic examination system 1 may include an examination apparatus capable of conducting examinations other than ophthalmology.

Ophthalmologic examination apparatus 2-i _n in this example, functions as a "computer" as a function of a "check device" carrying out the inspection of the subject (the subject's eye), the communication with the various data processing and an external apparatus It has both. In another example, the inspection apparatus and the computer may be provided separately. In this case, the inspection apparatus and the computer are configured to be able to communicate with each other. The number of inspection devices and the number of computers are arbitrary. For example, a single computer and a plurality of inspection devices may be provided.

  An information processing device (internal examiner terminal) used by an internal examiner is installed in at least a part of N facilities (first facility to N-th facility). In the example illustrated in FIG. 1A, the internal examiner terminal is not installed in the first facility and the Nth facility, and the internal examiner terminal 3-n is installed in the nth facility.

  The internal examiner terminal 3-n is a computer used in the n-th facility. The internal examiner terminal 3-n is, for example, at least one of a mobile terminal such as a tablet terminal or a smartphone, a wearable device such as a wireless earphone, and a server (such as an in-facility server) installed at the nth facility. May be included. The internal examiner terminal 3-n may be a computer that can realize the function in the n-th facility, and includes, for example, a computer (a cloud server or the like) installed outside the n-th facility. Also good.

The ophthalmologic examination apparatus 2-i _n and internal examiner terminal 3-n, and a network (Institutional LAN, etc.) that are built into the n site, a wide area network (such as the Internet) or via a short-range communication technology You may be comprised so that communication can be performed.

Ophthalmologic examination apparatus 2-i _n may have a function as a server. If this configuration is applied, it is possible and ophthalmologic examination apparatus 2-i _n and internal examiner terminal 3-n is configured to communicate directly. In this case, it is not necessary to provide a function for performing communication between the internal examiner terminal 3-n and the management device 4. In other words, it is possible to configure to perform via the ophthalmologic examination apparatus 2-i _n the communication between the management device 4 and the internal examiner terminal 3-n.

The ophthalmic examination system 1 may include a management device 4. Typically, the management device 4 is installed in a management center. The management device 4 can communicate with the external examiner terminal 5m via the communication line 100 (LAN, wide area network, etc.). Further, the management apparatus 4, the first to N ophthalmologic examination apparatus installed in the facility 2-i _n, can communicate via the communication line 100 (wide area network, etc.).

Management device 4, at least one of the plurality of ophthalmologic examination apparatus 2-i _n, the communication between at least one of the plurality of examiner terminals (including internal examiner terminal 3-n and the external examiner terminal 5m) Control. In a first example, the management apparatus 4, one of a plurality of ophthalmologic examination apparatus 2-i _n, controls communication between the internal examiner terminal 3-n. In a second example, the management apparatus 4, one of a plurality of ophthalmologic examination apparatus 2-i _n, that controls communication with an external examiner terminal 5 m. In a third example, the management apparatus 4, the communication between the three devices, including one, and the internal examiner terminal 3-n of the plurality of ophthalmologic examination apparatus 2-i _n, an external examiner terminal 5m To control. In a fourth example, the management device 4 controls the communication between the three devices including a one, two internal examiner terminal 3-n of the plurality of ophthalmologic examination apparatus 2-i _n. In the fifth embodiment, the management device 4 controls the communication between the three devices including a one, two external examiner terminal 5m of the plurality of ophthalmologic examination apparatus 2-i _n.

In addition to such a communication mode, the management device 4 controls communication between one or more internal examiner terminals 3-n and one or more external examiner terminals 5m, and two or more internal examiner terminals. 3-n between the control of the communication between two or more external examiner terminal 5 m, and, out of the control of the communication between two or more ophthalmologic examination apparatus 2-i _n can perform at least one It is.

Management device 4 has a function of relaying communication between the ophthalmologic examination apparatus 2-i _n and examiner terminals, and a function of relaying communications between the two examiner terminal, two ophthalmologic examination apparatus 2-i and a function of relaying communication between _n .

Management device 4 may include a function of recording at least part of the information exchanged between the ophthalmologic examination apparatus 2-i _n the examiner terminal. The recorded information is called inspection information. Examination information may include at least part of the information sent to the examiner terminal from ophthalmologic examination apparatus 2-i _n. The inspection information may include at least part of the information sent to the ophthalmologic examination apparatus 2-i _n the examiner terminal.

Examination information may include any information about the interaction between the ophthalmologic examination apparatus 2-i _n the examiner terminal. Examples of such information, processed in the interior of the inner or examiner terminal of the ophthalmic examination apparatus 2-i _n when the communication between the ophthalmologic examination apparatus 2-i _n the examiner terminal is established There is arbitrary information. As typical examples, information (control information) for controlling internal elements or external devices of the device, information input to the device (input information), and information obtained by processing the input information (Processing result).

  The control information includes, for example, control information for controlling the device in the examination of the eye to be examined, control information for causing the output device (display device, printing device, etc.) provided in the device to output information, It includes control information for causing the connected output device to output information.

  The input information includes, for example, information input by the user to the device, information indicating an instruction input by the user to operate the device, information input by the external device to the device, and the like.

  The processing result includes, for example, the processing result of the result obtained in the past examination of the eye to be examined, the processing result of the past image of the eye to be examined, the determination result of the suitability of the instruction input by the user to the apparatus.

Management device 4 has a function of associating an ophthalmologic examination apparatus 2-i _n and examiner terminals, that is, may have a function to assign examiner to each of the ophthalmic examination apparatus 2-i _n. Correspondence between the ophthalmologic examination apparatus 2-i _n and examiner terminals, one-to-one correspondence, many-to-one correspondence, and may be any of one-to-many correspondence. The management device 4 has a function of detecting that the default miss the contents of the communication between the ophthalmologic examination apparatus 2-i _n the examiner terminal occurs, a function of recording this, the examiner terminal And / or a function of notifying another examiner's terminal of a warning.

  The management device 4 includes one or more computers. An example in which the management apparatus 4 includes a plurality of computers is shown in FIG. 1B. The management apparatus 4 shown in FIG. 1B includes a master management apparatus 6 and R local management apparatuses 7-r (R is an integer of 2 or more). The master management device 6 and each local management device 7-r can communicate with each other via the communication line 100. Two or more local management devices 6 may be communicable via the communication line 100.

Master management apparatus 6, the first to N devices installed in each facility (at least include ophthalmologic examination apparatus 2-i _n. Internal examiner terminal 3-n may be further included.) Communication is possible via the communication line 100. The master management device 6 is installed inside or outside the management center. The master management device 6 may include two or more information processing devices.

  In one example, two or more management centers may be provided. The local management device 7-r is installed in any management center, for example. When one or more external examiner terminals 5m are installed in the management center, the local management device 7-r can manage each of the external examiner terminals 5m. The master management device 6 manages each of the local management devices 7-r.

  The configuration of the management device 4 will be described later. When the management apparatus 4 includes a plurality of computers, components of the management apparatus 4 described later are distributed and arranged on the plurality of computers. Moreover, arbitrary components can be provided redundantly in two or more computers. Thereby, for example, distributed processing and redundancy are realized.

Examiner terminal (internal examiner terminal 3-n, the external examiner terminal 5m, etc.) Each examiner to guide and manage the checks carried out using any of a plurality of ophthalmologic examination apparatus 2-i _n Including computers used by.

<Configuration of ophthalmic examination apparatus>
Description will be given of a configuration of an ophthalmologic examination apparatus _{2-i n.} Ophthalmologic examination apparatus illustrated in Figure 2. 2 corresponds to each of the plurality of ophthalmologic examination apparatus 2-i _n shown in FIG. 1A. Similarly, each of the internal examiner terminals 3-n may be referred to as an internal examiner terminal 3, and each of the external examiner terminals 5m may be referred to as an external examiner terminal 5.

  The ophthalmic examination apparatus 2 includes a control unit 20, an examination unit 21, an examination status information generation unit 22 a, a communication request generation unit 22 b, a user interface (UI) unit 23, and a communication unit 24. These components may be provided integrally (that is, in a single housing), or may be distributed in two or more housings. Examples of the former include a refractometer, a keratometer, a tonometer, a specular microscope, a wavefront analyzer, a perimeter, a microperimeter, an OCT, a fundus camera, and an SLO. As an example of the latter, there is a visual acuity inspection device including a visual target presenting device and a phoropter. Further, part or all of the control unit 20 can be provided in a personal computer or a portable terminal. Further, part or all of the user interface unit 23 can be provided in a personal computer, a portable terminal, a television receiver, a smart television, or the like.

<Control unit 20>
The control unit 20 executes various controls and calculations. The control unit 20 includes a processor. In this specification, the “processor” is, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an ASIC (Application Specific Integrated Circuit), or a programmable logic device (eg, SPLD (Simple LD). It means a circuit such as (Complex Programmable Logic Device) or FPGA (Field Programmable Gate Array). For example, the control unit 20 reads and executes a program stored in a storage circuit or a storage device, thereby realizing the function according to the embodiment. The control unit 20 may further include a RAM, a ROM, a hard disk drive, a solid state drive, and the like.

<Output control unit 201>
The control unit 20 includes an output control unit 201. The output control unit 201 performs control for outputting information transmitted from the internal examiner terminal 3 or the external examiner terminal 5 to the ophthalmic examination apparatus 2. Examples of output information include visual information and audio information. Visual information is information recognized by the visual system, and includes character string information and image information. The character string information includes, for example, a character message representing the examiner's instruction. The image information includes, for example, a moving image of the examiner's face and hand, and a mark representing the examiner's instruction. The output control unit 201 outputs visual information by controlling a liquid crystal display (LCD) 214 and a display device 231 described later. The voice information is information recognized by the auditory system and includes a warning sound and a voice message. The output control unit 201 outputs auditory information by controlling an audio output device 233 described later. A specific example of processing executed by the output control unit 201 will be described later.

<Inspection unit 21>
The examination unit 21 performs examination of the eye to be examined under the control of the control unit 20. The inspection unit 21 has a configuration corresponding to the type of the ophthalmic examination apparatus 2. The configuration of the inspection unit 21 may be at least a part of a known configuration, or may include a known configuration. The inspection unit 21 includes the following optical system and mechanisms (not shown) (actuators, power transmission mechanisms, etc.).

  When the inspection unit 21 has a function of measuring the characteristics of the eye E, the inspection unit 21 includes, for example, at least an optical system for projecting light to the eye to be examined, and returns light returned to the eye to be examined. An optical system for detection is further provided. Furthermore, the examination unit 21 may include an optical system having various functions such as an optical system for projecting a fixation target onto the eye to be examined, an optical system for performing alignment, and an optical system for performing focusing. . Further, the inspection unit 21 may include a processor for processing the return light detection result (image signal, video signal, etc.).

  When the inspection unit 21 has a function of photographing the eye E, the inspection unit 21 detects, for example, an optical system for projecting light to the eye to be examined and return light of the light projected on the eye to be examined. And an optical system. Further, the inspection unit 21 may include various optical systems as in the case of the measurement function. Further, the inspection unit 21 may include a processor for processing the return light detection result (image signal, video signal, etc.).

  The above optical system corresponds to the inspection optical system 211. The inspection optical system 211 includes an optical element 212 and a projection system 213. The optical element 212 is applied to the eye E to guide the light beam output from the projection system 213 to the eye E. The optical element 212 may include any of various optical elements such as a lens (objective lens, etc.), a prism (objective prism, etc.), a concave mirror (parabolic mirror, etc.), and a glass plate.

  The projection system 213 projects a light beam (inspection light beam) for inspecting the eye E onto the eye E through the optical element 212. The projection system 213 is provided with an LCD 214. The LCD 214 operates under the control of the control unit 20. The LCD 214 has a function of displaying information (examination information: visual target, fixation target, etc.) used for the inspection and a function of displaying information transmitted from the internal examiner terminal 3 or the external examiner terminal 5. The latter is a function of the information presentation optical system, and the LCD 214 corresponds to a display unit of the information presentation optical system. Further, the projection system 213 is a light guide system that guides a light beam (display light beam) from the LCD 214 corresponding to information transmitted from the internal examiner terminal 3 or the external examiner terminal 5 to the eye E through the optical element 212. Play a function. That is, in the inspection unit 21 of the present embodiment, the inspection optical system and the information presentation optical system have a common configuration. On the other hand, the inspection optical system and the information presentation optical system can be configured separately, and an example thereof will be described later.

<Inspection status information generation unit 22a>
The examination status information generation unit 22a generates examination status information indicating the examination status of the eye E. The inspection status information includes the progress of the inspection (inspection phase), the intermediate result of the inspection (for example, the presentation history of the target in the visual acuity test), the inspection time (for example, the inspection start time, elapsed time), and the like. When the ophthalmic examination apparatus 2 has a function of photographing the eye E or the subject, the examination status information may include a photographed image (still image, moving image) of the eye E or the like. Further, the examination status information may include voice information of the subject input via the voice input device 234. The generated examination status information is transmitted to the internal examiner terminal 3 and / or the external examiner terminal 5, for example, and is referred to by the examiner. In the present embodiment, the generated inspection status information is sent to the communication request generation unit 22b. The inspection status information generation unit 22a includes, for example, a processor and a computer program for performing an inspection or a computer program for monitoring the computer program.

  Note that not all information transmitted from the ophthalmic examination apparatus 2 toward the internal examiner terminal 3 and / or the external examiner terminal 5 needs to be processed by the examination status information generation unit 22a. For example, the moving image of the eye E and the voice information of the subject can be transmitted to the internal examiner terminal 3 and / or the external examiner terminal 5 as they are. Thereby, the state of the eye E, the state of the subject, and the request of the subject can be provided to the examiner substantially without time lag.

<Communication request generator 22b>
The communication request generation unit 22b generates a request (communication request) for reading out an internal examiner and / or an external examiner. The communication request generation unit 22b includes at least a process for generating a communication request in response to an instruction from the subject and a process for generating a communication request based on the examination status information generated by the examination status information generation unit 22a. One is configured to be executable.

  An instruction from the subject is input using the user interface unit 23. The instruction is input via, for example, an operation device 232 and / or a voice input device 234 described later. As a specific example, the subject uses the operation device 232 to perform a predetermined operation (such as pressing a button or tilting a lever) for calling an internal examiner and / or an external examiner. Further, the subject operates a software key displayed on the display device 231 described later using the operation device 242 or operates a software key displayed on the touch panel display with a finger. A call request can be entered. In addition, when the subject utters a message that the examination content is not grasped or a message that the instruction of the internal examiner and / or the external examiner is necessary, the voice information is detected by the voice input device 234. can do. According to this example, it is possible to provide assistance according to the request of the subject.

  An example in which a communication request is generated based on inspection status information will be described. The inspection status information generation unit 22a sequentially generates inspection status information while monitoring the inspection status. The communication request generation unit 22b determines whether the generated inspection status information meets a predetermined condition. The predetermined conditions include, for example, that the examination is not progressing, that the result of the examination is in progress (for example, the target presentation history in the visual acuity test), that the elapsed time from the start of the examination is long, May be closed for a long time, and fixation of the eye E may not be applied. The fact that the examination is not progressing is recognized, for example, by detecting that the examination phase has not shifted for a predetermined time or longer (for example, that the same target is presented). Inappropriate results during the examination are recognized, for example, by detecting that the target presentation order is inappropriate (for example, the response content does not converge). Whether the eyelid is closed or the fixation state of the eye E is recognized by analyzing a captured image of the eye E. This image analysis includes, for example, pupil detection. According to this example, it is possible to automatically detect a situation requiring assistance.

  The communication request generated by the communication request generation unit 22b is transmitted by the communication unit 24 to other devices (the management device 4, the internal examiner terminal 3, the external examiner terminal 5, etc.).

<User interface unit 23>
The user interface unit 23 has a function of outputting information for the examinee (and the internal examiner) and a function for inputting information and operating instructions. The user interface unit 23 includes a display device 231 and a voice output device 233 for the former function, and an operation device 232 and a voice input device 234 for the latter function.

  The display device 231 includes a display device such as a flat panel display. The operation device 232 includes operation devices such as buttons, keys, joysticks, knobs, operation panels, and the like provided on the housing of the ophthalmic examination apparatus 2 and outside. The operation device 232 may include an operation device such as a personal computer connected to the ophthalmic examination apparatus 2 (a mouse, a keyboard, a trackpad, a button, a touch panel, etc.). The user interface unit 23 may include a device such as a touch panel in which the display device 231 and the operation device 232 are integrated, or a graphical user interface (GUI). The user interface unit 23 may include a processor and a computer program for performing operations and inputs based on the subject's voice input from the voice input device 234.

  The audio output device 233 includes, for example, a circuit that processes output audio information (audio signal) and a speaker that outputs the processed audio information. The voice input device 234 includes a microphone that converts voice information into an electric signal and a circuit that processes the electric signal.

<Communication unit 24>
The communication unit 24 performs data communication with other devices (the management device 4, the internal examiner terminal 3, the external examiner terminal 5, etc.). The method of data communication is arbitrary. For example, the communication unit 24 includes a communication interface compliant with the Internet, a communication interface compliant with LAN, a communication interface compliant with near field communication, and the like. Data communication may be wired communication or wireless communication. Data transmitted and received by the communication unit 24 may be encrypted. In this case, for example, the control unit 20 includes an encryption processing unit that encrypts transmission data and a decryption processing unit that decrypts reception data.

  The ophthalmic examination apparatus 2 may be configured to at least temporarily record information included in examination information recorded in the management apparatus 4 or candidates thereof. For example, various types of information can be recorded when the eye E is being examined. Examples of information to be recorded include information input to the ophthalmic examination apparatus 2, information inside the ophthalmic examination apparatus 2, and information output from the ophthalmic examination apparatus 2.

  For example, the ophthalmic examination apparatus 2 is configured to sequentially record various types of information during examination and transmit the accumulated information to the management apparatus 4 at a predetermined timing. At this time, the ophthalmic examination apparatus 2 can select information to be recorded according to a preset rule.

  The information transmission timing is, for example, the timing at which the examination of the eye E is completed, the timing at which the predetermined period is completed, the timing at which the predetermined number of examinations are completed, or a user, another examiner, an evaluation person, It may be the timing when a transmission instruction is received from the management device 4 or the like.

  When the ophthalmic examination apparatus 2 does not execute such a recording process, the ophthalmic examination apparatus 2 transmits various types of information to the management apparatus 4 in real time while the examination of the eye E is being performed. In this case, the ophthalmic examination apparatus 2 may be configured to select information to be transmitted to the management apparatus 4 according to a preset rule. For example, the ophthalmic examination apparatus 2 is configured to select information input by the examiner and information input by the subject and transmit the selected information to the management apparatus 4.

<Configuration of internal examiner terminal>
The configuration of the internal examiner terminal 3 will be described. The internal examiner terminal 3 illustrated in FIG. 3 includes a control unit 30, a user interface (UI) unit 31, a transmission information generation unit 32, and a communication unit 33.

<Control unit 30>
The control part 30 performs control of each part of the internal examiner terminal 3, and various arithmetic processes. The control unit 30 includes a processor. The control unit 30 may further include a RAM, a ROM, a hard disk drive, a solid state drive, and the like.

<Output control unit 301>
The control unit 30 includes an output control unit 301. The output control unit 301 controls the user interface unit 31 based on the inspection information recorded in the management device 4. In particular, the output control unit 301 causes the display device 311 and / or the audio output device 313 to output information based on the inspection information. Details of processing executed by the output control unit 301 will be described later.

<User interface unit 31>
The user interface unit 31 includes a function for outputting information directed to the user and a function for allowing the user to input information and give an operation instruction. Similar to the user interface 23 of the ophthalmic examination apparatus 2, the user interface unit 31 includes a display device 311, an operation device 312, an audio output device 313, and an audio input device 314.

  For example, the control unit 30 displays examination status information sequentially transmitted from the ophthalmic examination apparatus 2 and causes the display device 311 to display a screen (such as a GUI) for inputting an instruction to the subject. Further, the control unit 30 causes the voice output device 313 to output the voice information of the subject. The examiner determines the content of the instruction with reference to the display information and audio information, and inputs it using the operation device 312. In addition, a voice instruction is input via the voice input device 314.

  Moreover, the control part 30 displays the information transmitted from other examiner terminals (other internal examiner terminals 3, external examiner terminal 5, etc.), for example, and is transmitted to another examiner terminal. A screen (GUI or the like) for inputting information is displayed on the display device 311. Moreover, the control part 30 makes the audio | voice output device 313 output the audio | voice information input into the other examiner terminal. The examiner refers to display information and audio information transmitted from another examiner terminal, determines a message to the examinee and another examiner, and inputs the message using the operation device 312. A voice message is input via the voice input device 314.

<Transmission information generation unit 32>
Based on the information input by the examiner using the user interface 31, the transmission information generating unit 32 uses the user of another device (the subject using the ophthalmic examination apparatus 2, the other examiner's terminal). Information (transmission information) is generated. The transmission information generation unit 32 includes, for example, a processor and a transmission information generation program that is executed in association with the screen (GUI).

  Note that it is not necessary for the transmission information generation unit 32 to process all of the information transmitted from the internal examiner terminal 3 toward another device. For example, the examiner's moving image and audio information can be transmitted to another apparatus as they are. Thus, the examiner's message can be provided to the examinee and other examiners with substantially no time lag.

<Communication unit 33>
The communication unit 33 performs data communication with other devices (such as the ophthalmic examination apparatus 2, the management apparatus 4, and the external examiner terminal 5). The data communication method and encryption may be the same as those of the communication unit 24 of the ophthalmic examination apparatus 2.

  The internal examiner terminal 3 may be configured to at least temporarily record information included in the examination information recorded in the management device 4 or information candidates included in the examination information. For example, when the internal examiner terminal 3 is used to inspect the eye E or to give instructions to other examiners, various information can be recorded. Examples of information to be recorded include information input to the internal examiner terminal 3, information inside the internal examiner terminal 3, and information output from the internal examiner terminal 3.

  For example, the internal examiner terminal 3 is configured to sequentially record various types of information during the examination and transmit the accumulated information to the management device 4 at a predetermined timing. At this time, the internal examiner terminal 3 can select the information to be recorded according to a preset rule.

  The information transmission timing is, for example, the timing at which the examination of the eye E is completed, the timing at which an instruction to another examination is completed, the timing at which a predetermined period ends, the timing at which a predetermined number of examinations are completed, or the user, It may be a timing when a transmission instruction is received from another examiner, an evaluation person, or an external device (such as the management device 4).

  When the internal examiner terminal 3 does not execute such a recording process, the internal examiner terminal 3 transmits various types of information to the management device 4 in real time when the eye E is being examined. In this case, the internal examiner terminal 3 may be configured to select information to be transmitted to the management apparatus 4 according to a preset rule. For example, the internal examiner terminal 3 is configured to select information input by the examiner and transmit it to the management device 4.

<Configuration of external examiner terminal>
The configuration of the external examiner terminal 5 will be described. The external examiner terminal 5 illustrated in FIG. 4 includes a control unit 50, a photographing unit 51, a user interface (UI) unit 52, a transmission information generation unit 53, and a communication unit 54.

<Control unit 50>
The control part 50 performs control of each part of the external examiner terminal 5, and various arithmetic processes. The control unit 50 includes a processor. The control unit 50 may further include a RAM, a ROM, a hard disk drive, a solid state drive, and the like.

<Output control unit 501>
The control unit 50 includes an output control unit 501. The output control unit 501 controls the user interface unit 52 based on the inspection information recorded in the management device 4. In particular, the output control unit 501 causes the display device 521 and / or the audio output device 523 to output information based on the inspection information. Details of processing executed by the output control unit 501 will be described later.

<Shooting unit 51>
The imaging unit 51 is used to shoot a video of the examiner and includes, for example, a video camera. The imaging target includes a body part (for example, face, upper body, hand, etc.) used for expressing an instruction to the subject.

<User interface unit 52>
The user interface unit 52 has a function of outputting information directed to the examiner and a function for the examiner to input information and give an operation instruction. Similar to the user interface 23 of the ophthalmic examination apparatus 2, the user interface unit 52 includes a display device 521, an operation device 522, an audio output device 523, and an audio input device 524.

  For example, the control unit 50 displays examination status information sequentially transmitted from the ophthalmic examination apparatus 2 and causes the display device 521 to display a screen (such as a GUI) for inputting an instruction to the subject. Further, the control unit 50 causes the voice output device 523 to output the voice information of the subject. The examiner determines the content of the instruction with reference to the display information and audio information, and inputs it using the operation device 522. In addition, a voice instruction is input via the voice input device 524.

  Moreover, the control part 50 displays the information transmitted from other examiner terminals (internal examiner terminal 3, other external examiner terminals 5 etc.), for example, and is transmitted to another examiner terminal. A screen (GUI etc.) for inputting information is displayed on the display device 521. Moreover, the control part 50 makes the audio | voice output apparatus 523 output the audio | voice information input into the other examiner terminal. The examiner refers to display information and audio information transmitted from another examiner terminal, determines a message to the examinee and another examiner, and inputs the message using the operation device 522. A voice message is input via the voice input device 524.

<Transmission information generation unit 53>
Based on the information input by the examiner using the user interface 52, the transmission information generating unit 53 uses the user of another device (the subject using the ophthalmic examination apparatus 2, the other examiner terminal). Information (transmission information) is generated. The transmission information generation unit 53 includes, for example, a processor and a transmission information generation program that is executed in association with the screen (GUI).

  Note that it is not necessary for the transmission information generation unit 53 to process all of the information transmitted from the external examiner terminal 5 toward the other apparatus. For example, the examiner's moving image and audio information can be transmitted to another apparatus as they are. Thus, the examiner's message can be provided to the subject with substantially no time lag.

<Communication unit 54>
The communication unit 54 performs data communication with other devices (the ophthalmic examination apparatus 2, the internal examiner terminal 3, the management apparatus 4, etc.). The data communication method and encryption may be the same as those of the communication unit 24 of the ophthalmic examination apparatus 2.

  The external examiner terminal 5 may be configured to record at least temporarily information included in the examination information recorded in the management device 4 or information candidates included in the examination information. For example, various types of information can be recorded when an examination of the eye E is performed using the external examiner terminal 5 or an instruction is given to another examiner. Examples of information to be recorded include information input to the external examiner terminal 5, information inside the external examiner terminal 5, information output by the external examiner terminal 5, and the like.

  For example, the external examiner terminal 5 is configured to sequentially record various information during the examination and transmit the accumulated information to the management device 4 at a predetermined timing. At this time, the external examiner terminal 5 can select the information to be recorded according to a preset rule.

  The information transmission timing is, for example, the timing when the examination of the eye E is completed, the timing when an instruction to another examination is completed, the timing when a predetermined period is completed, the timing when a predetermined number of examinations are completed, or the user, It may be a timing when a transmission instruction is received from another examiner, an evaluation person, or an external device (such as the management device 4).

  When the external examiner terminal 5 does not execute such a recording process, the external examiner terminal 5 transmits various types of information to the management device 4 in real time while the eye E is being examined. In this case, the external examiner terminal 5 may be configured to select information to be transmitted to the management device 4 according to a preset rule. For example, the external examiner terminal 5 is configured to select information input by the examiner and transmit it to the management device 4.

<Configuration of Management Device 4>
The configuration of the management device 4 will be described. The management device 4 illustrated in FIG. 5 includes a control unit 40, a communication establishment unit 41, a communication unit 42, and a reproduction processing unit 43. At least one of these components is realized by, for example, cooperation of hardware resources and software included in the master management device 6 and / or the local management device 7-r illustrated in FIG. 1B.

<Control unit 40>
The control unit 40 controls each unit of the management device 4. For example, a part of the control unit 40 (master control unit) is provided in the master management device 6, and this master control unit controls each local management device 7-r. The control unit 40 may be capable of executing other arithmetic processes. The control unit 40 includes a processor. The control unit 40 may further include a RAM, a ROM, a hard disk drive, a solid state drive, and the like.

  The control unit 40 includes a communication control unit 401, a transfer control unit 402, and an output control unit 403.

  The communication control unit 401 is connected between the ophthalmic examination apparatus 2 and the internal examiner terminal 3, between the ophthalmic examination apparatus 2 and the external examiner terminal 5, and between the internal examiner terminal 3 and the external examiner terminal 5. Control relating to establishment of communication between the ophthalmic examination apparatus 2, between the two or more internal examiner terminals 3, and between the two or more external examiner terminals 5 is executed. For example, the communication control unit 401 is selected by a selection unit 412 described later from a plurality of devices including a plurality of ophthalmic examination apparatuses 2, one or more internal examiner terminals 3, and one or more external examiner terminals 5. A control signal for establishing communication can be transmitted to each of the devices.

  The transfer control unit 402 performs control related to the exchange of information between devices established by the communication establishment unit 41 (and the communication control unit 401). For example, the transfer control unit 402 transmits information transmitted from one device out of at least two devices whose communication has been established by the communication establishment unit 41 (and the communication control unit 401) to at least one of the other one or more devices. Forward to some.

  A specific example of processing executed by the transfer control unit 402 will be described. When communication between the ophthalmic examination apparatus 2 and the external examiner terminal 5 is established, the transfer control unit 402 uses the information transmitted from the ophthalmic examination apparatus 2 (or the external examiner terminal 5) as the external examiner terminal 5. (Or ophthalmic examination apparatus 2). At this time, the transfer control unit 402 may transmit information obtained by processing the information transmitted from the ophthalmic examination apparatus 2 or the like to the external examiner terminal 5 or the like. For example, the transfer control unit 402 can extract a part of the information transmitted from the ophthalmic examination apparatus 2 or the like and transmit it to the external examiner terminal 5 or the like. Further, information transmitted from the ophthalmic examination apparatus 2 or the like (for example, image data of the eye E to be examined) is analyzed by the management apparatus 4 or another apparatus, and the analysis result (and original information) is transmitted to the external examiner terminal 5 or the like. You may make it do. Information processing is not limited to such extraction or analysis, and may include arbitrary data processing.

  Another specific example of the process executed by the transfer control unit 402 will be described. When communication between the two examiner terminals is established, the transfer control unit 402 transfers information transmitted from one examiner terminal to another examiner terminal. At this time, the transfer control unit 402 may transmit information obtained by processing information transmitted from one examiner terminal to another examiner terminal. For example, the transfer control unit 402 can extract a part of the information transmitted from one examiner terminal and transmit it to another examiner terminal. Further, information transmitted from one examiner terminal (for example, image data obtained by the imaging unit 51) is analyzed by the management device 4 or another device, and the analysis result (and original information) is analyzed by another examiner terminal. You may make it transmit to. Information processing may include arbitrary data processing.

<Output control unit 403>
The output control unit 403 performs a process for controlling the internal examiner terminal 3 based on the examination information recorded in the management device 4 and a process for controlling the external examiner terminal 5 based on the examination information. Configured.

  For example, the output control unit 403 cooperates with the output control unit 301 of the internal examiner terminal 3 to cause the display device 311 and / or the audio output device 313 to output information based on the examination information.

  Similarly, the output control unit 403 causes the display device 521 and / or the audio output device 523 to output information based on the examination information, for example, in cooperation with the output control unit 501 of the external examiner terminal 5. Details of processing executed by the output control unit 501 will be described later.

  In the present embodiment, elements (output control means) that execute output control of information based on examination information are provided in each of the internal examiner terminal 3, the external examiner terminal 5, and the management device 4. However, the embodiment is not limited to such a configuration. For example, a configuration in which output control means is provided in any one or any two of the internal examiner terminal 3, the external examiner terminal 5, and the management apparatus 4 can be applied. When two or more devices are provided with output control means, the two or more output control means may be configured to cooperate, or each output control means may be configured to operate independently. Good.

<Communication establishment unit 41>
The communication establishment unit 41 can execute processing for establishing communication between at least two apparatuses including at least one ophthalmic examination apparatus 2 and at least one examiner terminal. In this embodiment, “establishing communication” means, for example, (1) establishing one-way communication from a disconnected state, (2) establishing two-way communication from a disconnected state, This is a concept including at least one of (3) switching from a state where only reception is possible to a state where transmission is possible, and (4) switching from a state where only transmission is possible to a state where reception is possible.

  As a specific example, the “establishment of communication” includes a state where the examiner is monitoring an examination performed using the ophthalmic examination apparatus 2 using the internal examiner terminal 3 or the external examiner terminal 5 (reception Switching to a state in which an instruction can be transmitted to the subject. As another specific example, in the “establishment of communication”, a message is sent to one examiner terminal from the state in which the examination assistant status using one examiner terminal is monitored using another examiner terminal. Switching to a state in which transmission is possible.

  Furthermore, the communication establishment unit 41 can execute processing for disconnecting established communication. In this embodiment, “disconnection of communication” means, for example, (1) disconnecting communication from a state where unidirectional communication is established, (2) disconnecting communication from a state where bidirectional communication is established, (3) Switching from a state where bidirectional communication is established to one-way communication, (4) Switching from a state where transmission and reception are possible to a state where only reception is possible, and (5) a state where transmission and reception are possible This is a concept including at least one of switching to a state in which only transmission is possible.

  As a specific example, “disconnection of communication” includes only monitoring of an examination from a state in which an external examiner can transmit an instruction to the subject using the external examiner terminal 5 (a state in which transmission and reception are possible). Switching to a possible state (a state in which only reception is possible) may be included. As another specific example, “disconnection of communication” may include switching the communication state between two examiner terminals from bidirectional communication to one-way communication or no communication.

  Each of the ophthalmic examination apparatus 2 and the examiner terminal (internal examiner terminal 3, external examiner terminal 5) can transmit a communication request (call request) for calling another apparatus (the user) to the other apparatus. . Each of the ophthalmic examination apparatus 2 and the examiner terminals (internal examiner terminal 3, external examiner terminal 5) sends a communication request (interrupt request) to interrupt communication between the other two apparatuses. Can be sent. Each of the ophthalmic examination apparatus 2 and the examiner terminal (the internal examiner terminal 3 and the external examiner terminal 5) may be capable of transmitting other types of communication requests. The communication request is transmitted manually or automatically.

  In this example, each of the ophthalmic examination apparatus 2 and the examiner terminals (the internal examiner terminal 3 and the external examiner terminal 5) can transmit a communication request to the management apparatus 4. The management device 4 (communication unit 42) receives the communication request transmitted from the ophthalmic examination apparatus 2 or the examiner terminal, and executes processing according to the communication request.

  In the embodiment, the communication establishment unit 41 may include a selection unit 412. Based on the received communication request, the selection unit 412 selects one or more devices other than the device that transmitted the communication request among the ophthalmic examination apparatus 2, the internal examiner terminal 3, and the external examiner terminal 5.

  For example, when receiving a communication request from the ophthalmic examination apparatus 2, the selection unit 412 selects, for example, either the internal examiner terminal 3 of the facility where the ophthalmic examination apparatus 2 is installed or the external examiner terminal 5. Including two or more examiner terminals are selected. The communication establishment unit 41 establishes communication between the selected two or more examiner terminals and the ophthalmic examination apparatus 2 that has transmitted the communication request. In addition, when bidirectional communication or the like between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 has already been established, the communication establishment unit 41, for example, an examiner terminal other than the internal examiner terminal 3 (the facility concerned) Alternatively, only establishment of communication between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 and the external examiner terminal 5 installed in another facility may be executed. By such communication establishment processing, an examination support can be provided by automatically selecting an examiner in response to a request from the subject of the ophthalmic examination apparatus 2.

  Another example will be described. When receiving a communication request from the examiner terminal (internal examiner terminal 3 or external examiner terminal 5), the selection unit 412 is connected to, for example, the ophthalmic examination apparatus 2 in the facility where the internal examiner terminal 3 is installed. Two or more examiner terminals including any of the external examiner terminals 5 are selected. The communication establishment unit 41 establishes communication between the selected one or more ophthalmologic examination apparatuses 2, one or more examiner terminals, and the examiner terminal that has transmitted the communication request. For example, when bidirectional communication or the like between the examiner terminal that has transmitted the communication request and the ophthalmic examination apparatus 2 has already been established, the communication establishment unit 41 uses the examiner terminal and the ophthalmic examination apparatus other than the examiner terminal. Only the establishment of communication with 2 may be executed. With such communication establishment processing, it is possible to automatically select another examiner or a subject according to the request of the examiner and provide support.

  The selection of the device according to the communication request is executed based on, for example, a preset attribute. Examples of this attribute include the type of examination, the degree of specialization / skilledness required for examination assistance, the type of language, the type of user (eg, whether or not the person is an evaluation person), and the like. In order to realize this example, the communication establishment unit 41 may include a storage unit 411 in which attribute information created in advance is stored.

  In the present embodiment, the attribute information represents information representing the attributes of the internal examiner terminal 3 and / or its user (internal examiner) and the attributes of the external examiner terminal 5 and / or its user (external examiner). Information and information indicating whether or not the user is a person in charge of evaluation (and / or information indicating whether or not an examiner terminal used by the user is used for evaluation) may be included. Here, the examiner is identified by, for example, an examiner ID assigned in advance. The examiner terminal is identified by, for example, a device ID or network address assigned in advance. In a typical example, the attribute information is the attributes of each examiner (each user), the type of examination that can be supported by the examiner, the degree of expertise and skill of the examiner, and the examiner can use Language types. Further, typical attribute information includes information indicating that the user is an evaluation person (and information indicating that the user is not an evaluation person).

  In another example, the attribute information represents information indicating the attributes of the internal examiner terminal 3 and / or its user (internal examiner) and the attributes of the external examiner terminal 5 and / or its user (external examiner). One of the information may be included. Alternatively, the attribute information may include information indicating attributes of a predetermined examiner terminal or a user (examiner) regardless of the type of the examiner terminal. Information (examiner terminal, examiner, attribute, etc.) included in the attribute information can be edited.

  When the selection unit 412 refers to the attribute information, the communication request transmitted from the ophthalmologic examination apparatus 2, the internal examiner terminal 3, or the external examiner terminal 5 may include information regarding the attribute. For example, a communication request (for example, a call request) transmitted from the ophthalmic examination apparatus 2 may include any of the following: (1) Information indicating the type of examination performed by the ophthalmic examination apparatus 2; (2 ) Information indicating the level of difficulty in supporting the test (information indicating that the test is difficult for the eye or the subject, information indicating the progress of the test, etc.); (3) The subject's disease name, age, etc. (4) Information indicating the language used by the subject. The selection unit 412 selects at least one of any of the internal examiner terminals 3 and any of the external examiner terminals 5 based on the received communication request and attribute information. At this time, the selection unit 412 collates the information related to the attribute included in the communication request with the information included in the attribute information. Thereby, the selection unit 412 selects, for example, the internal examiner terminal 3 and / or the external examiner terminal 5 corresponding to any of the following examiners: (1) an examiner capable of supporting the examination type; (2) An examiner who can support the examination of the difficulty level; (3) An examiner who can support the subject of the disease or the age; (4) An examiner who can use the language. Here, the correspondence between the internal examiner and the internal examiner terminal 3 and the correspondence between the external examiner and the external examiner terminal 5 are, for example, an examiner terminal (apparatus ID is given when logging into the system). ).

  In the present embodiment, a group including two or more examiners can be set. The group is set by, for example, an examiner or another person (for example, an evaluation person). The group is set, for example, by prior registration or by registration each time.

  When a plurality of groups can be set, an ID is assigned to each group. Such a group ID is associated with the ID of an examiner included in the group. The selection unit 412 can identify the group by the group ID. The selection unit 412 can recognize a combination of a group and an examiner based on the group ID and the examiner ID. More specifically, the selection unit 412 can recognize the examiner included in the specific group by the group ID and the examiner ID, and can recognize the group to which the specific examiner belongs. . A single user may belong to two or more groups.

<Communication unit 42>
The communication unit 42 performs data communication with other devices (such as the ophthalmic examination apparatus 2, the internal examiner terminal 3, the external examiner terminal 5). The data communication method and encryption may be the same as those of the communication unit 24 of the ophthalmic examination apparatus 2.

<Reproduction processing unit 43>
The reproduction processing unit 43 executes a process for outputting information based on the inspection information described above. As a result, it is possible to reproduce (reproduce, replay) the status of inspections performed in the past. The reproduction processing unit 43 includes a recording processing unit 431, a storage device 432, and a search unit 433.

<Recording processing unit 431 and storage device 432>
The recording processing unit 431 and the storage device 432 store examination information including at least a part of information exchanged between the ophthalmic examination apparatus 2 and the examiner terminal (internal examiner terminal 3, external examiner terminal 5). It is configured to record in association with the device ID of the examiner terminal or the examiner ID of the examiner.

  As described above, when the eye E is inspected using the ophthalmic examination apparatus 2 under the instruction from the examiner terminal, or after the examination, various types are performed from each of the examiner terminal and the ophthalmic examination apparatus 2. Information is transmitted to the management device 4.

  Further, the management device 4 obtains the device ID of the ophthalmic examination device 2 and the device ID of the examiner terminal or the examiner ID of the examiner for the ophthalmic examination device 2 and the examiner terminal involved in the examination of the eye E to be examined. It has recognized. These identification information (which may be other identification information such as a network address) is supplied from the communication establishment unit 41 to the recording processing unit 431, for example.

  The ophthalmic examination apparatus 2 may be configured to transmit the apparatus ID to the management apparatus 4 together with various information. In this case, the recording processing unit 431 can acquire the device ID of the ophthalmic examination apparatus 2 involved in the examination of the eye E from the ophthalmic examination apparatus 2. Similarly, the examiner terminal may be configured to transmit the device ID or the examiner ID to the management device 4 together with various information. In this case, the recording processing unit 431 can acquire the device ID of the examiner terminal involved in the examination of the eye E or the examiner ID of the examiner from the examiner terminal.

  The recording processing unit 431 collectively stores information related to the examination of the eye E to be stored in the storage device 432. An example of this processing will be described. For the ophthalmic examination apparatus 2 and the examiner terminal involved in the examination of the eye E, the recording processing unit 431 includes information transmitted from the ophthalmic examination apparatus 2, information transmitted from the examiner terminal, and an apparatus of the examiner terminal The ID (or the examiner ID of the examiner) is associated.

  In this association process, or before or after that, the recording processing unit 431 converts the information transmitted from the ophthalmic examination apparatus 2 and the information transmitted from the examiner terminal into examination information according to a preset rule. The included information can be selected. In addition, when the ophthalmic examination apparatus 2 performs the information selection process in advance, it is not necessary to perform selection from information transmitted from the ophthalmic examination apparatus 2. Similarly, when the examiner terminal executes the information selection process in advance, it is not necessary to make a selection from the information transmitted from the examiner terminal.

  Information including information transmitted from the ophthalmic examination apparatus 2 (or information selected from now on) and information transmitted from the examiner terminal (or information selected from now on) is defined as examination information.

  The recording processing unit 431 stores the examination information and the device ID of the examiner terminal (or the examiner ID of the examiner) in a data folder created in the storage device 432. Such a data folder is called an inspection folder. The examination folder is, for example, a data folder in which information related to examination of one eye or one subject (left and right eyes) is stored.

  Or you may store the information regarding the test | inspection of two or more test eyes or two or more subjects in one test | inspection folder. For example, an examination folder can be created for each device ID of an examiner terminal (or an examiner ID of the examiner). In this case, a subfolder may be created in the examination folder. A subfolder is created for each predetermined attribute, for example, for each eye to be examined, for each subject, for each predetermined period, and for each examination type.

  In another example, an examination folder can be created every predetermined period for a device ID (or a single examiner ID) of a single examiner terminal. In this case, a subfolder may be created in the examination folder. The subfolder is created for each predetermined attribute, for example, for each eye to be examined, for each subject, for each examination type.

  In yet another example, an examination folder can be created for each group to which a plurality of examiners belong. In this case, a subfolder may be created in the examination folder. The subfolder is created for each predetermined attribute, for example, for each examiner, for each eye to be examined, for each subject, for each predetermined period, and for each examination type.

  Identification information (inspection ID) is assigned to each inspection folder. When a subfolder is created, identification information is also assigned to the subfolder. Furthermore, identification information indicating the examination type, examination date, examination conditions, and the like can be stored in the examination folder or associated with the examination folder.

  By adopting such a data configuration, it is possible to systematically and integrally manage information related to a plurality of examinations performed in the ophthalmic examination system 1. The configuration for managing examination information and ID is not limited to the above example, and examination information including at least a part of information exchanged between the ophthalmic examination apparatus and the examiner terminal is stored in the examiner terminal. It is only necessary that the information is recorded in association with the identification information or the identification information of the examiner.

<Search unit 433>
When reproducing the status of examinations performed in the past, first, the device ID of the desired examiner terminal, the examiner ID of the desired examiner, or the group ID of the desired group is input to the ophthalmic examination system 1 Is done.

  Typically, the evaluator or examiner inputs the ID. Further, for example, in order to obtain a second opinion, the ophthalmic examination system 1 can be configured so that a person other than these (eg, a subject, an external doctor, an external optometry list) can input the ID. is there.

  Input of ID is typically performed using an examiner terminal. The ID may be input using any device (computer, ophthalmologic device, medical device, etc.) other than the examiner terminal. The input ID is sent to the management device 4. The control unit 40 of the management device 4 sends the ID received via the communication unit 42 to the search unit 433.

  The search unit 433 searches the storage device 432 for examination information associated with the ID input from the control unit 40. When the above-described data configuration is applied, for example, the search unit 433 searches the storage device 432 for the input ID (device ID, examiner ID), and specifies the examination folder including this ID. The examination information stored in the identified examination folder is examination information associated with the input ID. When the input ID does not exist in the storage device 432, the management device 4 notifies the device to which the ID is input that, for example, a search error has occurred.

  The person who has input the ID or another person can specify a person who receives the reproduction of the inspection status or a device that reproduces and outputs the inspection status. This designation may include, for example, any of the following: inputting a group ID; sequentially designating a plurality of examiners, etc. (eg, sequentially inputting or designating a plurality of examiner IDs, etc.) ); Sequentially specifying a plurality of examiner terminals or the like (eg, sequentially inputting or specifying device IDs or the like of a plurality of examiner terminals).

  The designation result of the examiner who receives the reproduction of the examination status is transmitted to the management device 4. The communication establishment unit 41 establishes communication between each of the examiner terminals corresponding to the designated examiner and the management apparatus 4. As a result of the established communication, the examination status can be reproduced using these examiner terminals and the like.

<Usage pattern>
A typical example of the usage pattern of the ophthalmic examination system 1 of the present embodiment will be described.

  First, as an example of a usage pattern of the ophthalmic examination system 1, a process for the subject to request an assist from the examiner will be described. In this example, reference is made to FIG.

(S1: Start of inspection)
Examination of the eye E using the ophthalmologic examination apparatus 2 is one of a plurality of ophthalmologic examination apparatus 2-i _n starts. Note that communication (one-way communication or two-way communication) between the ophthalmic examination apparatus 2 and one or more examiner terminals (internal examiner terminal 3 and / or external examiner terminal 5) is started from this stage. May be. In response to the start of the examination, the control unit 20 of the ophthalmic examination apparatus 2 causes the examination status information generation unit 22a to start generating examination status information.

(S2: Examiner call request)
The examinee calls the examiner using the user interface unit 23 when the examiner needs assistance. Examples of when the examiner's assistance is necessary include when he / she does not understand how to perform the examination, when he / she does not understand the language used, when he / she is tired, or when he / she wants to return to the examination step. In addition, examples of a method of using the user interface unit 23 for inputting a call request include performing a predetermined operation using the operation device 232 and inputting a voice using the voice input device 234.

(S3: Request / information transmission)
The control unit 20 controls the communication unit 24 to transmit the examiner call request (communication request) input in step S2 to the management apparatus 4 together with predetermined information. Examples of information transmitted together with the examiner call request include identification information (device ID) pre-assigned to the ophthalmic examination apparatus 2, identification information pre-assigned to the subject (subject ID), and the ophthalmic examination apparatus 2. Identification information (facility ID) preliminarily assigned to the facility where is installed, at least a part of the examination status information generated up to the present time, the content of the examiner call request, and the like.

(S4: Selection of examiner terminal)
The management apparatus 4 receives the examiner call request and information transmitted from the ophthalmic examination apparatus 2 in step S3 by the communication unit 42. The selection unit 412 selects an examiner who assists the subject. That is, the selection unit 412 includes an internal examiner terminal 3 installed in a facility where the subject is inspecting, an internal examiner terminal 3 installed in another facility, and an external examiner terminal 5. , Select at least one.

  In a typical example, communication is started between the internal examiner terminal 3 and the ophthalmic examination apparatus 2 installed in the facility where the subject is inspecting at the stage of step S1, and at the stage of step S4. One or more examiner terminals (internal examiner terminal 3 and / or external examiner terminal 5 installed in the same facility or another facility) different from the internal examiner terminal 3 are selected.

  An example of processing for selecting an examiner terminal will be described. The selection unit 412 may have a function of monitoring the operating state (communication establishment information) of each examiner terminal (internal examiner terminal 3, each external examiner terminal 5), for example. With this monitoring function, the selection unit 412 uses an inspector terminal that is not currently in operation (an inspector who is not currently assisting, an inspector who is assisting but has a margin, an inspector who has no reservation for assistance, etc. ) Can be selected. Thereby, an examiner who is not currently assisting another subject can be assigned to the assist of the subject who sent the call request.

  The monitoring function is, for example, a flag indicating the operating state of each examiner terminal based on, for example, information input from the examiner terminal periodically or irregularly, or a response to information transmitted to the examiner terminal. It can be realized by managing with.

  In another example, the selection unit 412 determines whether communication is actually established for an examiner terminal corresponding to a communication request among a plurality of examiner terminals including the internal examiner terminal 3 and the external examiner terminal 5. Can be determined. When communication of the examiner terminal is not established, the selection unit 412 can establish communication between the examiner terminal and the ophthalmic examination apparatus 2. On the other hand, when communication of the examiner terminal has already been established, the selection unit 412 can establish communication between the other examiner terminal and the ophthalmic examination apparatus 2.

  A specific example will be described. When all the internal examiner terminals 3 in the facility are in operation, that is, between each of the internal examiner terminals 3 in the facility and other ophthalmic examination apparatuses 2 and / or external examiner terminals 5 When the communication is established, the selection unit 412 selects, for example, one of the inspector terminals that are not in operation from the internal inspector terminal 3 and / or the external inspector terminal 5 installed in another facility. can do.

  On the other hand, when any one of the internal examiner terminals 3 in the facility is not in operation, the selection unit 412 can select any of the internal examiner terminals 3 that are not in operation.

  According to this example, it is possible to quickly provide assistance to the subject by comprehensively considering the operating states of the plurality of examiner terminals. Note that this example is also realized, for example, by managing the operating state of each examiner terminal using a flag or the like.

(S5: Transmission of control signal for establishing communication)
The communication control unit 401 transmits a control signal for establishing communication between the examiner terminal and the ophthalmic examination apparatus 2 to each examiner terminal selected in step S4. In the example of FIG. 6, the examiner terminal may be the internal examiner terminal 3 or the external examiner terminal 5.

(S6: Start of bidirectional communication)
Bidirectional communication between the examiner terminal and the ophthalmic examination apparatus 2 is established by the control signal transmitted in step S5. At this time, it is also possible to establish communication between two or more examiner terminals. Note that, as described above, communication may be established at an earlier stage.

(S7: Start shooting)
When communication between the ophthalmic examination apparatus 2 and the external examiner terminal 5 is established in step S5, the transfer control unit 402 of the management apparatus 4 uses the information transmitted from the ophthalmic examination apparatus 2 in step S3. To the user terminal 5. The control unit 50 of the external examiner terminal 5 controls the photographing unit 51 to start photographing of the examiner's video. At this time, voice input from the examiner is also started. Frames sequentially acquired by the imaging unit 51 are transferred to the ophthalmic examination apparatus 2 via the management apparatus 4 in real time. This process is executed by the transfer control unit 402.

  Even when communication between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 is established in step S5, the same imaging can be performed. For example, when communication between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 installed in another facility is established, the internal examiner terminal 3 is connected to the imaging unit (the imaging unit 51 shown in FIG. 4). The same processing can be executed when the computer has the same configuration. In a specific example, the transfer control unit 402 of the management apparatus 4 sends the information transmitted from the ophthalmic examination apparatus 2 to the internal examiner terminal 3 in step S3. The control unit 30 of the internal examiner terminal 3 controls an imaging unit (not shown) to start video imaging of the examiner. At this time, voice input from the examiner is also started. Frames sequentially acquired by the imaging unit are transferred to the ophthalmic examination apparatus 2 via the management apparatus 4 in real time. This process is executed by the transfer control unit 402.

  Similar imaging can be performed even when communication between two or more examiner terminals selected in step S4 is established. For example, when communication between the internal examiner terminal 3 installed in the same facility as the ophthalmic examination apparatus 2 and the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) is established, Similar processing can be performed. In a specific example, the control unit 50 of the external examiner terminal 5 controls the photographing unit 51 to start photographing of the examiner's moving image. At this time, voice input from the examiner is also started. The frames sequentially acquired by the imaging unit 51 are transferred to the internal examiner terminal 3 via the management device 4 in real time. This process is executed by the transfer control unit 402.

(S8: Start of video display / audio output)
The ophthalmic examination apparatus 2 receives frames and audio information that are sequentially transmitted from the external examiner terminal 5 (and / or the internal examiner terminal 3). The output control unit 201 displays the sequentially received frames on the LCD 214 in real time. Thereby, the moving image of the examiner is displayed in real time. Further, the output control unit 201 causes the audio output device 233 to output the sequentially received audio information in real time. Thereby, the examiner's voice is output in real time.

  By such a linkage operation, the subject can grasp the examiner's face, gesture gesture and voice in real time. Conversely, the examiner can also grasp the voice and operation of the subject in real time. Such bidirectional information exchange is mainly realized by the transfer control unit 402 of the management apparatus 4.

  Similarly, when communication between two or more examiner terminals selected in step S4 is established, one of the two or more examiner terminals sequentially transmits from another examiner terminal. Received frame and audio information. In a typical example, the internal examiner terminal 3 installed in the same facility as the ophthalmic examination apparatus 2 is “one examiner terminal”, and the internal examiner terminal 3 installed in the external examiner terminal 5 or another facility is “ Other examiner's terminal ". In this case, the control unit 30 of the internal examiner terminal 3 installed in the same facility as the ophthalmic examination apparatus 2 is sequentially received from the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility). The frame is displayed on the display device 311 in real time. Thereby, the moving image of the examiner who uses the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) is displayed in real time. In addition, the control unit 30 causes the audio output device 313 to output the audio information sequentially received from the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) in real time. Thereby, the voice of the examiner who uses the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) is output in real time.

  By such a linkage operation, it is possible to provide support in real time to an examiner who wants to receive support from another examiner. Such bidirectional information exchange is mainly realized by the transfer control unit 402 of the management apparatus 4.

(S9: Information display start)
In order to facilitate the assisting work by the examiner, the control unit (control unit 30, 50, etc.) of the examiner terminal (internal examiner terminal 3, external examiner terminal 5, etc.) uses the above-described screen (GUI etc.). It is displayed on a display device (display devices 311, 521, etc.). Further, the control unit (control unit 30, 50, etc.) of the examiner terminal (internal examiner terminal 3, external examiner terminal 5, etc.) transfers information (particularly examination) from the ophthalmic examination apparatus 2 via the management apparatus 4. Status information) can be displayed on this screen. Upon receiving new examination status information, the control unit (control unit 30, 50, etc.) updates the display content. Thereby, the examiner can grasp the status of the examination performed using the ophthalmic examination apparatus 2 substantially in real time, and uses visual information and audio information to provide appropriate assistance at an appropriate timing. Can be provided.

(S10: Start inputting instructions)
The examiner inputs a desired instruction using an operation device (operation devices 312, 522, etc.) and a GUI. Examples of the contents of the instruction include change of examination, presentation of character string information, presentation of image information, and the like. In addition, as instructions using means other than the GUI, there are instructions by gestures and instructions by voice.

(S11: Information generation start)
The transmission information generation unit 53 of the external examiner terminal 5 generates transmission information for the subject based on the contents (instruction) input in step S10. The generation of the transmission information is executed each time the examiner inputs an instruction, for example.

  Further, the transmission information generating unit 32 of the internal examiner terminal 3 generates transmission information for the subject based on the contents (instruction) input in step S10. The generation of the transmission information is executed each time the examiner inputs an instruction, for example.

  When communication between two or more examiner terminals selected in step S4 is established, the transmission information generation unit 53 of the external examiner terminal 5 may generate transmission information for other examiner terminals. it can. Similarly, the transmission information generating unit 32 of the internal examiner terminal 3 can generate transmission information for other examiner terminals.

(S12: Information transmission start)
The examiner terminal (external examiner terminal 5, internal examiner terminal 3) transmits the transmission information generated in step S11 to the ophthalmic examination apparatus 2 via the management apparatus 4. This process is realized by the transfer control unit 402.

  Similarly, when communication between two or more examiner terminals selected in step S4 is established, one examiner terminal transmits the transmission information generated in step S11 to another tester via the management device 4. To the user terminal. This process is realized by the transfer control unit 402.

(S13: Start assist)
The ophthalmic examination apparatus 2 receives the transmission information transmitted from the examiner terminal in step S12. The output control unit 201 displays the examiner's moving image and instruction on the LCD 214 based on the transmission information.

  Similarly, when transmission information is transmitted from one examiner terminal to another examiner terminal in step S12, the other examiner terminal receives the transmission information transmitted from the one examiner terminal, and transmits this transmission. Display messages based on information.

  Next, as an example of a usage pattern of the ophthalmic examination system 1, a process executed when an examination is performed with the assistance of the examiner will be described. In this example, reference is made to FIG.

  By the processing described above, the examiner can assist the examination of the eye E to be examined. First, a specific example of instructions provided from the examiner to the subject will be described. As described above, the examiner uses the examiner terminal (for example, the external examiner terminal 5) to give instructions to the examinee (change of examination, presentation of character string information, presentation of image information, etc.). input. In addition, since the external examiner terminal 5 is provided with the photographing unit 51 and the voice input device 524, the external examiner can give instructions by gestures and voices.

  An example of an ophthalmic examination is an unequal image examination. The unequal image inspection includes a New Anisekonia test and a test using a U-shaped target (a U-shaped test). The New Anisey Konia test is effective for subjects with a possibility of anonymity as to whether the near-inequal vision is beyond an acceptable range, that is, fusion with both eyes is effective. It is done to know if it is done. On the other hand, the U-shaped inspection is performed in order to know whether or not unequal image viewing at a distance is beyond an allowable range. In this example, a case where a U-shaped inspection is performed will be described.

  Examples of information presented to the subject by the ophthalmic examination apparatus 2 in the U-shaped examination are shown in FIGS. 8A and 8B. The ophthalmic examination apparatus 2 can simultaneously present different information to the left eye and the right eye of the subject. As an example of the configuration for that purpose, there is a combination of a single display (for example, LCD 214) and a polarizing member. In another example, the ophthalmic examination apparatus 2 includes a left-eye display 214L and a right-eye display 214R separately.

  In the example shown in FIGS. 8A and 8B, the left-eye target 600L is displayed on the left-eye display 214L, and the right-eye target 600R is displayed on the right-eye display 214R. The left eye target 600L includes a U-shaped target 601L opened to the right and a fusion stimulus 602L. The right-eye target 600R includes a U-shaped target 601R opened to the left and a fusion stimulus 602R.

  An example of a screen displayed on the examiner terminal for assisting the U-shaped inspection using the ophthalmic examination apparatus 2 is shown in FIG. The screen 1000 includes presentation information display areas 1010L and 1010R, a communication content display area 1020, a usage status display area 1030, a user information display area 1040, and a presentation information operation area 1050.

  In the presentation information display areas 1010L and 1010R, information presented to the left eye and the right eye of the subject is displayed, respectively. In this example, the ophthalmic examination apparatus 2 is configured to be able to present information to the left and right eyes of the subject at the same time.

  In the ophthalmic examination apparatus 2, for example, an examination optical system and an information presentation optical system for the left eye and an examination optical system and an information presentation optical system for the right eye are provided independently of each other (for example, for the left eye An optical head and an optical head for the right eye are provided).

  As another example, the ophthalmic examination apparatus 2 may be configured to divide a light beam from a single examination optical system into two parts and guide one to the left eye and the other to the right eye.

  As yet another example, the ophthalmic examination apparatus 2 may be configured to divide a light beam from a single information presentation optical system into two parts and to guide one to the left eye and the other to the right eye. The configuration capable of simultaneously presenting information to both the left and right eyes is not limited to these, and may be any configuration.

  In the presentation information display areas 1010L and 1010R shown in FIG. 9, a target for U-shaped inspection is displayed. These are targets currently presented to the subject by the ophthalmic examination apparatus 2. Information (target information) indicating the currently presented optotype is transmitted from the ophthalmic examination apparatus 2 to the management apparatus 4, and further, the transfer control unit 402 performs an examiner terminal (for example, an external examiner terminal 5, an internal examiner). It may be transferred to the terminal 3).

  The control unit 50 of the external examiner terminal 5 specifies the type of the target currently presented by the ophthalmic examination apparatus 2 based on the target information transferred from the management device 4, and represents the specified target. Images are displayed in the presentation information display areas 1010L and 1010R.

  The image representing the visual target is stored in advance in a storage device (not shown) in the control unit 50 as, for example, a thumbnail. Alternatively, the target information may include an image representing the target.

  When the target presented by the ophthalmic examination apparatus 2 is changed, the transfer process is executed in real time. Thereby, the examiner who uses the external examiner terminal 5 can recognize the visual target presented by the ophthalmic examination apparatus 2 substantially in real time.

  The communication content display area 1020 displays the communication content between the examiner and the subject, in particular, the content of the support provided from the examiner to the subject. In addition, communication contents between examiners can be displayed in the communication content display area 1020.

  The displayed information may include at least one of information provided by an external examiner, information provided by an internal examiner, and information (question content, response content, etc.) from the subject. .

  In addition, information for each user (external examiner, internal examiner, examinee) may be switched and displayed in the communication content display area 1020. It is also possible to display information from one or more users in chronological order.

  In the example shown in FIG. 9, the contents of the question issued by the examiner identified by the examiner ID “0001” (the person who uses the screen 1000) and the contents of the subject's response to the question are communicated. It is displayed in the content display area 1020.

  It is also possible to display voice information generated by the examiner or the subject in a text using a known voice recognition technique. In addition, text information associated in advance with a predetermined operation may be displayed.

  In the usage status display area 1030, names “store A”, “store B”, and the like of a plurality of facilities where the ophthalmic examination apparatus 2 is installed are displayed. Further, identification information “device 1”, “device 2”, etc. of a plurality of ophthalmic examination devices 2 installed in a facility (for example, store B) selected by the examiner or the management device 4 from among these facilities is displayed. Yes.

  In the example shown in FIG. 9, the mark presented on the left side of the name of the facility indicates whether or not it is selected. For example, a white star mark attached to store A and store C indicates that the facility is not selected, and a black star mark attached to store B indicates that the facility is selected. Such a star mark group can be configured as a radio button. In this case, the examiner can select a desired one from these facilities.

  Further, the mark presented on the left side of the identification information of the device installed in the selected store B similarly indicates the presence or absence of selection by the examiner or the management device 4 or the like. In the example shown in FIG. 9, the white circle mark indicates that it is not selected, and the black circle mark indicates that it is selected. In the example illustrated in FIG. 9, the ophthalmic examination apparatus 2 having the identification information “apparatus 1” installed in the store B is selected as the ophthalmic examination apparatus 2 (subject) for which the examiner is in charge of support. Such a circle mark group can be configured as a radio button. In this case, the examiner can select a desired one from these ophthalmic examination apparatuses 2.

  On the right side of the identification information of the ophthalmic examination apparatus 2, time information (for example, the time when support is started, the elapsed time since the start of assistance, etc.) and the communication establishment state (communication mode) related to the ophthalmic examination apparatus 2 are presented. Yes.

  Here, the communication mode will be described. In the present embodiment, four communication modes can be selectively applied. Further, it is possible to arbitrarily change from one communication mode to another communication mode.

  The communication mode 1 indicates a state where the subject is performing the examination by the ophthalmic examination apparatus 2 alone. In communication mode 1, the subject is not receiving support from the internal or external examiner. Further, the ophthalmic examination apparatus 2 has neither communication with the internal examiner terminal 3 nor communication with the external examiner terminal 5 established. As described above, even when the communication mode 1 is applied, information (examination status information, information displayed on the screen 1000, etc.) from the ophthalmic examination apparatus 2 is sent to any examiner terminal. Can be sent. Thereby, the examination by the ophthalmic examination apparatus 2 can be monitored, and the examiner can start a support by issuing a communication request as necessary. In addition, when a subject requests assistance, the request can be quickly handled.

  Communication mode 2 indicates a state in which an examination is performed while receiving support from an external examiner (or an internal examiner in another facility). In the communication mode 2, communication between the ophthalmic examination apparatus 2 and the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility) is established. Note that, as described above, even when the communication mode 2 is applied, information from the ophthalmic examination apparatus 2 is transmitted to the internal examiner terminal 3 installed in the same facility as the ophthalmic examination apparatus 2. Can do. Thereby, the internal examiner in the same facility can quickly respond, for example, when it becomes necessary to assist directly.

  The communication mode 3 indicates a state in which an examination is performed while receiving support from an internal examiner who is in the same facility as the ophthalmic examination apparatus 2. In the communication mode 3, communication between the ophthalmic examination apparatus 2 and the internal examiner terminal 3 installed in the same facility is established. As described above, even when the communication mode 3 is applied, information from the ophthalmic examination apparatus 2 is sent to the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility). Can be sent. Thereby, an external examiner (or an internal examiner in another facility) responds quickly when a situation occurs that an internal examiner in the same facility as the ophthalmic examination apparatus 2 cannot handle. be able to.

  The communication mode 4 indicates a state in which an examination is performed while receiving support from both an internal examiner located in the same facility as the ophthalmic examination apparatus 2 and an external examiner (or an internal examiner located in another facility). In the communication mode 4, communication is established between three or more apparatuses including the ophthalmic examination apparatus 2 and two or more examiner terminals. In a typical example, the ophthalmic examination apparatus 2, the internal examiner terminal 3 installed in the same facility as the ophthalmic examination apparatus 2, and the external examiner terminal 5 (or the internal examiner terminal 3 installed in another facility). Communication between the three parties is established.

  The communication mode 4 is applied, for example, when two or more examiners need to discuss or when one examiner provides education to other examiners. Note that the transfer control unit 402 of the management device 4 can perform control so that the communication contents between the examiners are not transmitted to the ophthalmic examination device 2. For example, the transfer control unit 402 can perform the following control: Transfers information from the internal examiner in the facility where the ophthalmic examination apparatus 2 is installed to the external examiner only to the external examiner terminal 5. Transfer information directed from the external examiner to the internal examiner only to the internal examiner terminal 3; transfer information directed from the internal examiner to the subject to the external examiner terminal 5 and the ophthalmic examination apparatus 2; external Information directed from the examiner to the subject is transferred to the internal examiner terminal 3 and the ophthalmic examination apparatus 2; information output from the ophthalmic examination apparatus 2 is transferred to the external examiner terminal 5 and the internal examiner terminal 3.

  The switching of the communication mode is executed, for example, by the management apparatus 4 that has received a communication request (call request, interrupt request) from the subject or the examiner. In a specific example, when a call request from the subject is generated in the communication mode 1, the communication mode is switched to the communication mode 2, 3 or 4. The communication mode to be switched is determined in accordance with, for example, designation by the subject or the examiner, the contents of the examination status information, the above-described attributes, and the like.

  When an interrupt request from an internal examiner in the same facility occurs in the communication mode 1, the mode is switched to the communication mode 3 or 4. Similarly, when an interrupt request from an external examiner (or an internal examiner at another facility) occurs in the communication mode 1, the mode is switched to the communication mode 2 or 4. The disconnection of communication (withdrawal from the established communication state) is performed according to, for example, the selection of the person, the selection of the subject, the end of the examination, or the like.

  In the user information display area 1040, information related to the user (examinee, examiner) of the ophthalmic examination system 1 is presented. In the example shown in FIG. 9, a measurement data display unit 1041, a face image display unit 1042, and eye image display units 1043L and 1043R to be examined are provided in the user information display area 1040.

  The measurement data display unit 1041 displays various measurement data such as measurement values (refraction degree, astigmatism degree, astigmatism axis angle, addition power, visual acuity value, etc.) of each eye of the subject.

  The eye image display unit 1042 displays the examiner's face image acquired by the imaging unit 51, the examinee's face image acquired by the ophthalmic examination apparatus 2, and the like.

  The anterior eye image of the left eye is displayed on the eye image display unit 1043L, and the anterior eye image of the right eye is displayed on the eye image display unit 1043R.

  Furthermore, it is also possible to present arbitrary information about the user such as name, age, sex, disease name, language used, and examination difficulty level in the user information display area 1040.

  The presentation information operation area 1050 is provided with a GUI (software key or the like) for operating information presented to the subject. In the example illustrated in FIG. 9, a target selection operation unit 1051, a selection target presentation unit 1052, an operation dial 1053, and an operation button unit 1054 are provided.

  The target selection operation unit 1051 is a GUI for selecting a target to be presented to the subject. The target selection operation unit 1051 of this example presents target options (eg, list, thumbnail, etc.). In the selected target presentation unit 1052, the currently selected target is presented.

  The operation dial 1053 is used for selecting a target, setting parameters such as frequency, and the like. The operation button unit 1054 is provided with various operation buttons. The operation button unit 1054 of this example includes a button for switching between positive and negative parameters (plus, minus) such as frequency, a print button, an export button, a button for shifting to a confirmation inspection, and a button for ending the inspection. Is provided.

  An examiner who uses the external examiner terminal 5 operates a software key or the like provided in the presentation information operation area 1050 by using the operation device 522. Similarly, an examiner using the internal examiner terminal 3 operates a software key or the like provided in the presentation information operation area 1050 by using the operation device 312.

  Based on the above preparation, the process shown in FIG. 7 will be described.

(S20: Start recording)
The management device 4 starts a process for recording the inspection information at a predetermined timing. This timing is, for example, the timing of transmitting a control signal for establishing communication between the ophthalmic examination apparatus 2 and the external examiner terminal 5 (step S5 in FIG. 6), or the ophthalmic examination apparatus 2 and the external examiner. It may be the timing (step S6) when the bidirectional communication with the terminal 5 is started.

  Alternatively, the recording process can be started in response to the start of inspection (step S1). In this case, when the process does not shift to the examiner's assistance, the information recorded up to that stage may be discarded.

  In step S20, the recording processing unit 431 can create an examination folder corresponding to the examination. Hereinafter, information is recorded in this examination folder.

  The recording processing unit 431 may have a time measuring function (timer). For example, the timer starts measuring time based on the recording start timing. Alternatively, the recording processing unit 431 may have a clock function. Information obtained by the timer or clock function is called time information.

  Hereinafter, the recording processing unit 431 can associate time information corresponding to at least information recorded in the storage device 432 among the information processed in the ophthalmic examination system 1. Thereby, the time when the information is generated, the time when the information is processed, the time when the information is recorded, and the like can be recorded.

  The ophthalmic examination apparatus 2 and / or the examiner terminal may generate time information. In that case, the ophthalmic examination apparatus 2 may include a function of generating time information and a function of associating time information with information. These functions are realized by, for example, the control unit 20 or the inspection status information generation unit 22a. The ophthalmic examination apparatus 2 transmits information associated with time information to the management apparatus 4.

  Similarly, the external examiner terminal 5 may include a function for generating time information and a function for associating time information with information. These functions are realized by the control unit 50 or the transmission information generation unit 53, for example. The external examiner terminal 5 transmits information associated with the time information to the management device 4. The internal examiner terminal 3 may have the same configuration.

  When the timer and clock functions are not used, the recording processing unit 431 may be configured to record information in order. For example, when information is inputted in real time from the ophthalmic examination apparatus 2 and / or examination terminal at the time of examination, the recording processing unit 431 can associate the order information indicating the input order with the recorded information. The time information may be such order information.

(S21: Input of instructions, etc.)
The external examiner inputs instructions directed to the subject, such as instructions for controlling the ophthalmic examination apparatus 2, using the screen 1000, the user interface unit 52, the imaging unit 51, and the like. The input instruction or the like is sent to the management device 4. In addition, the management device 4 transfers this instruction or the like to the ophthalmic examination device 2.

(S22: Record of instruction content, etc.)
The recording processing unit 431 can record at least a part of an instruction or the like transmitted from the external examiner terminal 5 in the storage device 432. At this time, the recording processing unit 431 can check whether the instruction or the like is recorded by collating the instruction or the like with a predetermined rule.

(S23: Control according to instructions)
The control unit 20 of the ophthalmic examination apparatus 2 controls the examination unit 21, the user interface unit 23, and the like based on an instruction or the like transmitted from the external examiner terminal 5 and transferred by the management device 4. Typically, the control unit 20 executes control for inspection change, target change, audio output, display output, and the like.

(S24: Advance inspection)
The inspection proceeds according to the control in step S23. The ophthalmic examination apparatus 2 sends the control contents, the response contents of the subject, the acquired data, and the like to the management apparatus 4. The management device 4 transfers at least part of the information received from the ophthalmic examination device 2 to the external examiner terminal 5.

  A specific example will be described. When the examiner inputs a question by voice or the like in the step S21, “How is the right and left size (for the currently presented U-shaped target)?”, The ophthalmic examination apparatus 2 The question is output by voice or display. The subject responds to the output question by voice or operation.

(S25: Record of control contents)
The recording processing unit 431 can record at least a part of the information transmitted from the ophthalmic examination apparatus 2 in the storage device 432. At this time, the recording processing unit 431 can collate the information transmitted from the ophthalmic examination apparatus 2 with a predetermined rule and determine whether to record this information.

(S26: Inspection status output)
The control unit 50 of the external examiner terminal 5 controls the user interface unit 52 and the like based on the information transmitted from the ophthalmic examination apparatus 2 and transferred by the management apparatus 4. Typically, the control unit 50 outputs information indicating the examination status based on the response contents of the subject, the contents of the control executed by the ophthalmic examination apparatus 2 without depending on the examiner's instruction.

  A specific example will be described. When the subject responds to the question “How are the right and left sizes?” In the U-shaped test, the control unit 50 sends a character string corresponding to the response content. It can be displayed in the communication content display area 1020. The state of the screen 1000 at this time is shown in FIG. Moreover, the control part 50 can output the subject's response content with the subject's voice or synthesized voice.

(S27: Recording end?)
The processing in steps S21 to S26 is repeated until an instruction to complete recording (S27: No).

  When there is an instruction to complete recording (S27: Yes), the process proceeds to step S28. An instruction to complete recording is input automatically or manually. For example, the examiner, the subject, another examiner (evaluator, etc.) can input an instruction to complete the recording. In another example, when the examination of the subject is completed, a recording completion instruction is input to the management apparatus 4 from the ophthalmic examination apparatus 2 or the examiner terminal. Still another example is when the assist by the examiner ends (when communication is interrupted, when there is an interruption by another examiner, etc.), the ophthalmic examination apparatus 2, the examiner terminal, another examiner. The terminal or the management device 4 can generate a recording completion instruction.

(S28: Storage of examination information)
Upon receiving an instruction to complete recording (S27: Yes), the recording processing unit 431 creates and stores inspection information regarding the current inspection. At this time, the recording processing unit 431 performs examination information based on the information recorded (provisionally) in steps S22 and S25, information transmitted from the ophthalmic examination apparatus 2 or the external examiner terminal 5 at a predetermined timing, and the like. Can be created.

  The ophthalmic examination system 1 can record examination information as described above. Next, an example of information reproduction processing based on inspection information will be described. In this example, reference is made to FIG.

(S40: Input of reproduction request)
First, an examiner or the like who desires to reproduce the examination status performed in the past inputs a request using the examiner terminals (internal examiner terminal 3 and external examiner terminal 5). Note that a computer other than the examiner terminal may be used to input a reproduction request and reproduce the examination status.

  The reproduction request includes at least identification information (examiner ID or device ID) of an examiner or an examiner terminal involved in an examination for which reproduction is desired. Alternatively, the reproduction request may include a group ID. It is also possible to arbitrarily specify one or more inspection terminals (computers) on which the inspection status is reproduced.

  In another example, a query for searching for a desired examination may be input. Typically, an arbitrary query such as examination type, examination date, examiner's attribute, disease name, and the like can be input.

  In yet another example, a GUI for reproducing the inspection status can be used. In this GUI, for example, an examination list, examination type list, examiner list, examination date list, group list, and the like are presented. The examiner can specify a desired option from the presented list. The reproduction request includes information indicating the designated option.

  The reproduction request input to the examiner terminal is transmitted to the management device 4. The management device 4 establishes communication with this examiner terminal.

(S41: Search for inspection information)
The management device 4 receives the reproduction request sent from the examiner terminal in step S40. The search unit 433 searches the storage device 432 for examination information associated with the examiner ID or device ID (or group ID) included in the reproduction request.

(S42: Start of reproduction control)
The inspection information retrieved in step S41 is sent to the output control unit 403. The output control unit 403 starts control of reproduction processing based on this inspection information.

  As described above, the reproduction process is controlled by at least one of the output control unit 403 of the management apparatus 4 and the output control units (301, 501) of the examiner terminal.

(S43: Transmission of inspection information)
The output control unit 403 controls the communication unit 42 so as to transmit the examination information retrieved in step S41 to the examiner terminal or the like.

  The transmission destination of the inspection information includes, for example, the inspection terminal to which the examiner inputs a reproduction request in step S40.

  When another inspection terminal (computer) is designated in step S40, the management apparatus 4 establishes communication with each designated examination terminal and transmits examination information to each of these examiner terminals. At this time, it is possible to transmit a reproduction processing execution instruction and the like together with the inspection information.

(S44: Start of reproduction control)
The examiner terminal or the like (internal examiner terminal 3, external examiner terminal 5 or the like) receives the examination information or the like transmitted in step S43. The output control unit (301, 501 etc.) causes the display device (231, 521 etc.) and / or the audio output device (233, 523 etc.) to output information based on the received examination information. The reproduction process based on the inspection information will be described later.

(S45: Playback end?)
Until the examiner or the like gives an instruction to end the reproduction process (S45: No), the reproduction process is continued. When the examiner or the like instructs the end of the reproduction process (S45: Yes), the process proceeds to step S46.

(S46: End of playback control)
When the examiner or the like uses the examiner terminal to instruct the end of the reproduction process (S45: Yes), a signal corresponding to this is sent to the management device 4. The output control unit 403 of the management device 4 ends the reproduction control started in step S42.

  Reproduction control executed using an examiner terminal will be described. In a typical example, the reproduction of the inspection state can be executed while reproducing at least a part of the information actually perceived by the user during the inspection. For example, the screen actually viewed by the examiner, the voice actually heard by the examiner, the information actually seen by the examinee, the voice actually heard by the examinee, and the like can be reproduced.

  Here, the output mode at the time of inspection and the output mode at the time of reproduction may not be the same. For example, visual information can be converted into audio information and reproduced, or audio information can be converted into visual information and reproduced.

  When the examiner terminal includes a user interface (eg, screen 1000) for assisting the examination, the output control unit (301, 501 etc.) displays the examination information together with user interface information representing at least a part of the user interface. The information based on the information can be displayed on the display device (311 521, etc.). The user interface information may include arbitrary information, and includes, for example, a display screen, display information, software keys, hardware key images, and the like.

  When the user interface information is displayed, the output control unit (301, 501, etc.) controls the display of the user interface information and the inspection information so that the key being operated and the information being input can be identified in the currently playing phase. The display control of information based on can be executed synchronously.

  Hereinafter, as an example, a case where a part of the screen 1000 of FIG. 9 is displayed as user interface information will be described. The screen 1000 is a screen displayed on the examiner terminal for assisting the U-shaped inspection.

  A screen 2000 shown in FIG. 11 is provided with a display area similar to a part of the screen 1000. Specifically, as a display area that is the same as or similar to the screen 1000, the screen 2000 includes one of the presentation information display areas 2010L and 2010R, the communication content display area 2020, the user information display area 2040, and the presentation information operation area 2050. Part.

  Furthermore, as a display area different from the screen 1000, the screen 2000 includes a test information display area 2025, a support status display area 2030, and a part of the presentation information operation area 2050.

  In the presentation information display areas 2010L and 2010R, the information presented to the left eye and the right eye of the subject in the currently playing phase is displayed, respectively. The influence of the refractive power applied to the eye to be examined (the refractive power displayed in the user information display area 2040) can be reflected in the visual target displayed in the presentation information display areas 2010L and 2010R. For example, a blurred target can be displayed according to the refractive power and the like.

  When the information presented to the subject is changed in the phase currently being reproduced, the display mode of the presentation information display areas 2010L and 2010R can be changed. For example, the color of the frames of the presentation information display areas 2010L and 2010R can be switched.

  In the communication content display area 2020, the content exchanged between the examiner and the subject in the phase currently being reproduced or the phase immediately before is displayed. Further, the contents exchanged between the examiners in the phase currently being reproduced or in the immediately preceding phase can be displayed in the communication content display area 2020.

  When the examiner and the examinee are exchanging in the currently replaying phase, the display mode of the communication content display area 2020 can be changed. For example, the frame color of the communication content display area 2020 can be switched.

  In the test information display area 2025, information exchanged between the examiner and the examiner during the reproduction of the examination status is displayed. Typically, a question directed to an examiner who uses the examiner terminal from an evaluation staff in a remote place, and an examiner's answer to the question are displayed in the test information display area 2025. For example, in the example shown in FIG. 11, the actual response of the subject is displayed in the communication content display area 2020 (“is the same size”), but the person in charge of evaluation when a response different from this is made Asked (“What if the left is big?”). The examiner can answer this question using the user interface unit (31, 52, etc.).

  When the examination status is reproduced in parallel by two or more examiner terminals (computers), the ophthalmic examination system 1 can cause these examiner terminals to output information synchronously. This synchronization control is realized by, for example, centrally controlling the output control units (301, 501, etc.) of two or more examiner terminals by the output control unit 403 of the management apparatus 4. Such functions can be used for distance teaching, distance education, conferences, and the like.

  When an exchange is made between the examiner and the examiner, the display mode of the test information display area 2025 can be changed. For example, the color of the frame of the test information display area 2025 can be switched.

  In the support status display area 2030, information related to the examiner involved in the examination being reproduced and the ophthalmic examination apparatus 2 is displayed. In the example illustrated in FIG. 11, the information regarding the examiner includes an examiner ID “0001”, identification information “C” of the store where the examiner terminal is installed, and identification information “1” of the examiner terminal. Furthermore, the information regarding the ophthalmic examination apparatus 2 includes identification information “B” of the store where the ophthalmic examination apparatus 2 is installed and identification information “2” of the ophthalmic examination apparatus 2.

  The support status display area 2030 is provided with software keys for performing various operations. In the example shown in FIG. 11, a menu button 2031, a replay button 2032, and a Q & A button 2033 are provided. The menu button 2031 is operated to select various menus that can be provided on the screen 2000. The replay button 2032 is operated to start the reproduction of the inspection status. The Q & A button 2033 is operated to display a window for inputting a question, an answer, and a message.

  In the user information display area 2040, information related to the user (examinee, examiner) involved in the examination being reproduced is presented. Similar to the screen 1000, the user information display area 2040 includes a measurement data display unit 2041, a face image display unit 2042, and eye image display units 2043L and 2043R to be examined.

  The measurement data display unit 2041 displays the power (refractive index, astigmatism, astigmatism axis angle, addition power, visual acuity value, etc.) and the like applied to the eye to be examined in the phase currently being reproduced. The face image display unit 2042 displays the face image of the examiner acquired by the photographing unit 51 in the currently playing phase. In the eye image display units 2043L and 2043R, the anterior ocular segment image acquired by the ophthalmologic examination apparatus 2 in the currently reproduced phase is displayed.

  When user information changes in the phase currently being reproduced, the display mode of the user information display area 2040 can be changed. For example, when the frequency applied to the eye to be examined is changed, the color of the frequency column in the measurement data display unit 2041 can be changed.

  In the presentation information operation area 2050, similarly to the screen 1000, a target selection operation unit 2051, a selected target presentation unit 2052, and an operation dial 2053 are provided.

  The target selection operation unit 2051 displays the target group presented to the target selection operation unit 1051 in the currently reproduced phase. The selected visual target presenting unit 2052 presents the visual target selected in the phase currently being reproduced. The operation dial 2053 presents the state of the operation dial 1053 in the currently playing phase. The display mode of the operation dial 2053 can be changed depending on whether the operation dial 1053 is operated or not operated in the phase currently being reproduced.

  Further, a reproduction operation unit 2054 is provided in the presentation information operation area 2050. The playback operation unit 2054 is a software key having the same configuration as an interface for operating video data. Specifically, the reproduction operation unit 2054 includes a bar indicating a reproduction phase, a reproduction button, a stop button, a fast forward button, a rewind button, and the like.

  An example of the inspection information used for reproducing the inspection status using the screen 2000 is shown in FIG. The inspection information 3000 is information in which a plurality of pieces of information corresponding to a plurality of events that have occurred in the inspection are recorded in association with time information.

More specifically, the examination information 3000 includes a plurality of pieces of information corresponding to a plurality of events that have occurred with respect to the examiner terminal in an examination performed in a state where communication between the examiner terminal and the ophthalmic examination apparatus 2 is established. Lα (α = 1, 2,..., A) and a plurality of information Mβ (β = 1, 2,..., B) corresponding to a plurality of events that have occurred with respect to the ophthalmic examination apparatus 2 are expressed as time. Information associated with information t. The association between the information Lα and the time information t = t _α is expressed as “Lα (t _α )”. Similarly, that the information Emubeta and time information t = t _beta associated represented as "Mβ (t _β)".

  The event may be any event related to the inspection, and includes, for example, a message (instruction or the like) from the user to another user, control of the apparatus, preparation before the inspection, post-processing after the inspection, and the like. Further, as described above, an event recorded in the inspection information 3000 can be selected according to a preset rule.

  The output control unit (403, 301, 501, etc.) controls the user interface unit (31, 52, etc.) based on the plurality of information corresponding to these events according to the time order of the plurality of events recorded in the examination information 3000. Can be executed sequentially. Thereby, the display state of the screen 2000 can be switched, information displayed together with the screen 2000 can be changed, and audio information can be output according to the occurrence order and generation timing of a plurality of events.

  The user can specify the inspection phase. For example, a desired inspection phase can be designated by operating a bar or button provided in the reproduction operation unit 2054. For example, the output control unit may display information corresponding to an event that has occurred in a specified inspection phase (time information t), or information corresponding to an event that has occurred immediately before or immediately after the specified inspection phase. it can. Alternatively, the output control unit can start the reproduction of the inspection status from information corresponding to an event that has occurred in the designated inspection phase.

  When the event and the inspection phase are associated as shown in FIG. 12, the inspection phase designation and the event designation are substantially the same.

  The output control unit can display information (examination outline information) that represents an outline of the examination flow. The examination summary information may be, for example, a list, a flow diagram, an index, or the like in which information indicating a plurality of events (which may include examination items, examination phases, etc.) is arranged in time series. The examination summary information is displayed along with the screen 2000, for example.

  By displaying the inspection summary information, it is possible to easily grasp that an unnecessary instruction or the like has been given in the inspection and that items to be instructed have been missed. In addition, it is possible to easily grasp where the currently reproduced inspection phase is located in the entire inspection.

  When the inspection summary information is displayed, the user can specify a desired event (inspection item, inspection phase, etc.) from the inspection summary information by using the user interface unit. For example, the output control unit can specify information corresponding to the specified event from the examination information and display the specified information. Alternatively, the output control unit can start the reproduction of the inspection status from information corresponding to the designated event.

<Action and effect>
The operation and effect of the embodiment will be described.

  The ophthalmic examination system according to the embodiment includes a plurality of ophthalmic examination apparatuses (2) and a plurality of examiner terminals (3, 5). Furthermore, the ophthalmic examination system includes a recording unit, a search unit, and an output control unit.

  The recording means stores the examination information including at least a part of the information exchanged between the ophthalmic examination apparatus and the examiner terminal, the identification information (apparatus ID) of the examiner terminal, or the identification information of the examiner (examiner) ID) and record. In the above embodiment, the combination of the recording processing unit 431 and the storage device 432 provided in the management device 4 functions as a recording unit.

  The search means receives the input of the identification information (apparatus ID) of the examiner terminal or the identification information of the examiner (examiner ID), and searches the recording means for the examination information associated with the identification information. In the above embodiment, the search unit 433 functions as search means.

  The output control means causes the output means to output information based on the examination information searched by the search means. In the above embodiment, any one or a combination of any two or more of the output control units 301, 403, and 501 functions as an output control unit.

  The output means may or may not be included in the ophthalmic examination system. At least some of the plurality of examiner terminals may include output means. Moreover, the output means may be connected to at least some of the plurality of examiner terminals.

  According to such an embodiment, the examination information including information exchanged between the ophthalmic examination apparatus and the examiner terminal at the time of examination is recorded for each examiner (or for each examiner terminal), and the examiner's instructions, etc. Can be reproduced later. Therefore, the ability and habit of the examiner can be grasped relatively easily and in detail. Thereby, the quality of inspection can be secured and improved. In particular, the quality of remote inspection can be secured and improved.

  In the embodiment, each of the plurality of examiner terminals may include a user interface. Further, the output means may include display means. In addition, the output control means may be configured to cause the display means to display information based on the examination information together with user interface information representing at least a part of the user interface. In the above embodiment, the user interface units 31 and 52 function as a user interface. Further, the display devices 311 and 521 function as display means.

  According to such an embodiment, the examination status can be reproduced using the screen and information that the examiner actually viewed at the time of the examination. Therefore, it is easy to grasp the condition of the examiner at the time of the inspection. Thereby, the ability and habit of the examiner can be grasped relatively easily and in detail.

  In the embodiment, the output control means may be configured to synchronously execute display control of user interface information and display control of information based on examination information.

  According to such an embodiment, it is possible to easily grasp the key being operated and the information being input in the currently reproduced inspection phase. As a result, it is possible to facilitate the work of evaluating the ability and habit of the examiner.

  In the embodiment, the output means may include display means. Further, the output control means may be configured to display, on the display means, event information indicating a plurality of events in the examination in chronological order based on the examination information. The examination summary information in the above embodiment is an example of event information.

  According to such an embodiment, the outline of the inspection flow can be easily grasped. Thereby, it is possible to easily grasp that an unnecessary instruction or the like has been given in the inspection and that an item to be instructed has been lost. In addition, it is possible to easily grasp where the currently reproduced inspection phase is located in the entire inspection.

  The ophthalmic examination system according to the embodiment may further include first operation means for designating any one of a plurality of events indicated in the event information. The output control means may be configured to specify information corresponding to the event designated using the first operation means from the examination information and control the output means based on the specified information. In the above embodiment, the operation devices 312 and 522 function as the first operation means.

  According to such an embodiment, the inspection status can be reproduced by designating a desired phase for the displayed event information. Here, only the designated inspection phase may be reproduced, or reproduction may be started from there.

  In the embodiment, the output control means may be configured to output information based on the inspection information to a plurality of output means synchronously. In the above embodiment, the output control units (301, 501, etc.) of the plurality of examiner terminals are controlled by the output control unit 403 of the management apparatus 4 to synchronize the operations of the plurality of output means. .

  According to such an embodiment, the inspection status can be reproduced simultaneously by a plurality of output means. Therefore, this embodiment can be effectively used in, for example, remote instruction, education, and conference.

  In the embodiment, the recording means may be configured to generate examination information by recording a plurality of information corresponding to a plurality of events in an examination using an ophthalmic examination apparatus in association with time information. The inspection information 3000 in the above embodiment is an example of such inspection information.

  According to such an embodiment, information can be recorded in time series according to the flow of inspection. Thereby, it is possible to grasp the event in the inspection and the timing of its occurrence.

  In the embodiment, the output control means may be configured to sequentially execute the control of the output means based on the plurality of information according to the temporal order of the plurality of events by referring to the time information.

  According to such an embodiment, it is possible to grasp not only the contents of a plurality of events that occurred during the inspection, but also the temporal flow of these events.

  The ophthalmic examination system of the embodiment may further include a second operation unit for designating any one of a plurality of events. The output control means may be configured to specify information corresponding to the event designated using the second operation means from among a plurality of information, and to control the output means based on the specified information. In the above embodiment, the operation devices 312 and 522 function as the second operation means.

  According to such an embodiment, the inspection status can be reproduced by designating a desired event from among a plurality of events that occurred during the inspection. Here, only the designated inspection phase may be reproduced, or reproduction may be started from there.

  The ophthalmic examination system according to the embodiment may have a function of deleting personal information and similar information so that a subject to be reproduced is not specified. The information item to be deleted is set in advance, for example.

<Ophthalmic examination management device>

  The ophthalmic examination management apparatus of the embodiment can communicate with each of a plurality of ophthalmic examination apparatuses and each of a plurality of examiner terminals. Further, the ophthalmic examination management apparatus includes a recording unit, a search unit, and an output control unit. In the above embodiment, the management device 4 functions as an ophthalmic examination management device.

  The recording means records the examination information including at least a part of information exchanged between the ophthalmic examination apparatus and the examiner terminal in association with the identification information of the examiner terminal or the identification information of the examiner. In the above embodiment, the combination of the recording processing unit 431 and the storage device 432 functions as a recording unit.

  The search means receives input of the identification information of the examiner terminal or the identification information of the examiner, and searches the recording means for examination information associated with the identification information. In the above embodiment, the search unit 433 functions as search means.

  The output control means causes the output means to output information based on the examination information searched by the search means. In the above embodiment, the output control unit 403 functions as an output control unit. Note that the output control unit 403 may be configured to operate in conjunction with the output control units 301 and 501.

  The output unit may or may not be included in the ophthalmic examination management apparatus. At least some of the plurality of examiner terminals may include output means. Moreover, the output means may be connected to at least some of the plurality of examiner terminals.

  According to such an embodiment, the examination information including information exchanged between the ophthalmic examination apparatus and the examiner terminal at the time of examination is recorded for each examiner (or for each examiner terminal), and the examiner's instructions, etc. Can be reproduced later. Therefore, the ability and habit of the examiner can be grasped relatively easily and in detail. Thereby, the quality of inspection can be secured and improved. In particular, the quality of remote inspection can be secured and improved.

  The ophthalmic examination management apparatus according to the embodiment may include any feature (configuration, operation, action, etc.) of the ophthalmic examination system according to the embodiment. For example, the ophthalmic examination management apparatus according to the embodiment may include any feature included in the management apparatus 4 according to the above-described embodiment.

  The embodiment described above is merely a typical example of the present invention. Therefore, arbitrary modifications (omitted, replacement, addition, etc.) within the scope of the present invention can be made as appropriate.

DESCRIPTION OF SYMBOLS 1 Ophthalmic examination system 2 Ophthalmic examination apparatus 21 Examination part 20 Control part 22a Examination condition information generation part 22b Communication request generation part 23 User interface part 24 Communication part 3 Internal examiner terminal 30 Control part 301 Output control part 31 User interface part 32 Transmission Information generation unit 33 Communication unit 4 Management device 40 Control unit 401 Output control unit 401 Communication control unit 402 Transfer control unit 41 Communication establishment unit 411 Storage unit 412 Selection unit 42 Communication unit 43 Playback processing unit 431 Recording processing unit 432 Storage device 433 Search Unit 5 External examiner terminal 50 Control unit 51 Imaging unit 52 User interface unit 53 Transmission information generation unit 54 Communication unit 1000, 2000 Screen 3000 Inspection information

Claims (11)

A plurality of ophthalmic examination devices;
Multiple examiner terminals,
Recording means for recording examination information including at least a part of information exchanged between the ophthalmic examination apparatus and the examiner terminal in association with the identification information of the examiner terminal or the identification information of the examiner;
Retrieval means for receiving the identification information of the examiner terminal or the identification information of the examiner, and retrieving the examination information associated with the identification information from the recording means;
An ophthalmic examination system comprising: output control means for causing the output means to output information based on the examination information retrieved by the retrieval means. Each of the plurality of examiner terminals includes a user interface;
The output means includes display means,
The ophthalmic examination system according to claim 1, wherein the output control means causes the display means to display information based on the examination information together with user interface information representing at least a part of the user interface. The ophthalmic examination system according to claim 2, wherein the output control unit synchronously executes display control of the user interface information and information display control based on the examination information. The output means includes display means,
The ophthalmic examination system according to claim 1, wherein the output control means causes the display means to display event information indicating a plurality of events in the examination in chronological order based on the examination information. Further comprising first operating means,
When any one of the plurality of events indicated in the event information is designated using the first operation means, the output control means specifies information corresponding to the designated event from the examination information, The ophthalmic examination system according to claim 4, wherein the output unit is controlled based on the specified information. The ophthalmic examination system according to claim 1, wherein at least a part of the plurality of examiner terminals includes the output unit. The ophthalmic examination system according to any one of claims 1 to 6, wherein the output control unit causes a plurality of the output units to output information based on the examination information synchronously. The said recording means produces | generates the said test | inspection information by associating and recording the some information corresponding to the some event in the test | inspection using the said ophthalmic examination apparatus with time information. The ophthalmic examination system described in any one. The output control means sequentially executes control of the output means based on the plurality of information according to a temporal order of the plurality of events by referring to the time information. The described ophthalmic examination system. A second operation means;
When any one of the plurality of events is designated using the second operation means, the output control means identifies information corresponding to the designated event from the plurality of information, and the identified The ophthalmic examination system according to claim 8 or 9, wherein the output unit is controlled based on information. An ophthalmic examination management apparatus capable of communicating with each of a plurality of ophthalmic examination apparatuses and each of a plurality of examiner terminals,
Recording means for recording examination information including at least a part of information exchanged between the ophthalmic examination apparatus and the examiner terminal in association with the identification information of the examiner terminal or the identification information of the examiner;
Retrieval means for receiving the identification information of the examiner terminal or the identification information of the examiner, and retrieving the examination information associated with the identification information from the recording means;
An ophthalmic examination management apparatus comprising: output control means for causing the output means to output information based on the examination information retrieved by the retrieval means.

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