CN101561849A - Support apparatus, support method and support program for making file - Google Patents

Support apparatus, support method and support program for making file Download PDF

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Publication number
CN101561849A
CN101561849A CN 200910134818 CN200910134818A CN101561849A CN 101561849 A CN101561849 A CN 101561849A CN 200910134818 CN200910134818 CN 200910134818 CN 200910134818 A CN200910134818 A CN 200910134818A CN 101561849 A CN101561849 A CN 101561849A
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literary composition
revision
term
text
mentioned
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CN 200910134818
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CN101561849B (en
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金田昭治
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Fujifilm Corp
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Fujifilm Corp
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Abstract

The present invention provides a support apparatus, a support method and a support program for making a file, capable of reducing a workload for preparing a templet text or classifying vocabularies, and corresponding with each user penchant or subtile representation fully. A report making terminal (13) is provided with a display (37b) for displaying a report editing picture (44) and an input device (38). In the report editing picture (44), a diagnosis text input region (46) and a vocabulary selection input region (47) equipped with vocabulary selection buttons (51), are all provided. If the vocabulary selection buttons (51) more than a specified quantity are selected, an input provision (53) will be displayed on the lower of the diagnosis text input region (46). The input provision (53) includes that a picture-viewing doctor corrects the templet text to obtain a recension text through a keyboard. The data of the recension text is associated with a combination of the vocabularies selected by the vocabulary selection button (51) through a storage treatment part (58) of a DB server (14), and is logged in a dictionary table (60) of a dictionary DB (22). A search treatment part (59) of the DB server (14) searches the input provision (53) from the dictionary table (60) by using the combination of the vocabulary as a search key point.

Description

Documenting assisting system, documenting support method and documenting support program
Technical field
The present invention relates to from a plurality of terms, select the term of wishing, documenting assisting system, documenting support method and the documenting support program of also making text based on this.
Background technology
On-the-spot in medical treatment in recent years, constantly import various computer systems, be used for medical files such as case history or medical report are treated as electronic data, and make the making of medical file and management become easily (with reference to patent documentation 1,2).
The treatment support system of record in the patent documentation 1 is to waiting each diagnostic message name to carry out related model literary fame (" fever ", " cough " etc.) demonstration of selectively tabulating with " symptom of flu ".Then, will change the input field of remembering to diagnostic message with the content (" this morning fever, weak ") that selecteed model literary fame (" fever ") carried out corresponding model literary composition.By prior preparation model literary composition, can alleviate the burden of doctor's operation input.In addition, by demonstration that the model literary fame of each diagnostic message name is tabulated, can find out the model literary composition of hope in the short time.
In the diagnosis report manufacturing system of patent documentation 2 records, for having carried out related each inspection area, classification, name of disease, classification of type mutually, (situation of inspection area is " esophagus ", " stomach " to select keyword successively, the situation of classification is " benign lesion ", " malignant change ", the situation of name of disease is " late gastric cancer ", " early carcinoma of stomach ", and the situation of classification of type is " IIc type " etc.).Then, the word list that demonstration is prepared for the illness of being represented by the keyword of selecting is diagnosed is (except " erose more shallow ", " sharply marginated ", " the identification depression " etc., also have " will ", " reach " wait auxiliary word, speech etc. continues), and diagnose civilian according to the word making of in word list, selecting.For the amount of selecting keyword or word, though the burden of doctor's operation input reduces unlike patent documentation 1, the variation of diagnosis literary composition becomes abundant.
Patent documentation 1 TOHKEMY 2000-048101 communique
Patent documentation 2 TOHKEMY 2002-123605 communiques
As patent documentation 1,2 inventions of being put down in writing, terms such as selection keyword are made under the situation of model literary composition, must consider the balance of following two lime lights.At first be, in order to reduce the workload of preparing the model literary composition or term being classified, Cun Chu model literary composition is few more good more in advance, and on the other hand, for corresponding to each doctor's hobby or delicate performance, Cun Chu model literary composition and term is The more the better in advance.But these two lime lights are relations of accepting or rejecting mutually, so be difficult to satisfy simultaneously two aspects.
Patent documentation 1,2 inventions of being put down in writing have reached the latter in above-mentioned two lime lights to a certain extent on this aspect of richness of model literary composition and term, but previous lime light is not considered fully.
Summary of the invention
The present invention makes in view of the above problems, and its purpose is, makes the workload minimizing of preparing the model literary composition or term being classified, and fully corresponding to each user's hobby or delicate performance.
In order to achieve the above object, documenting assisting system of the present invention is characterised in that, possess: the operation Input Control Element, from pre-prepd a plurality of terms, select the term of hope, and select the object that uses as text model literary composition that generates from combination or the input candidate according to selecteed term, accept the revision literary composition is rewritten and made in the revision of selecteed text; The login unit, the combination of the term that will be selected by the aforesaid operations Input Control Element is carried out related with the revision literary composition and is logined in dictionary: retrieval unit, from dictionary retrieval by the combination of the term of aforesaid operations Input Control Element selection with the revision literary composition that has carried out the combination unanimity of related term by above-mentioned login unit; And indicative control unit, will show by the civilian input candidate of the revision of above-mentioned retrieval unit retrieval as the text of selecting by the aforesaid operations Input Control Element.
In addition, also can on the basis of the revision literary composition of retrieving by above-mentioned retrieval unit, also the model literary composition be shown as the input candidate.
Above-mentioned login unit is for each revision literary composition, and number of times that the revision literary composition is used as text or the some at least of time on date that uses are logined to dictionary.
In this case, preferably possess: taxon, based on revising the some at least of number of times that literary composition uses as text or the time on date of using, to classifying by the revision literary composition of above-mentioned retrieval unit retrieval.Above-mentioned indicative control unit shows the revision literary composition with the order by above-mentioned taxon classification.
Above-mentioned login unit is affiliated some at least for each user or user's, and the combination and the relation of revision literary composition of term are logined to dictionary.
Preferably possess: comparing unit compares the revision literary composition of model literary composition with the input candidate.In this case, above-mentioned indicative control unit can show the part of the revision literary composition different with the model literary composition based on the comparative result of above-mentioned comparing unit with discerning.Particularly, some at least the being shown as part of the revision literary composition that above-mentioned display control means will be different with model literary composition, font, character size, text effects or text color is different from and part that the model literary composition is common.
In the model literary composition, comprise: have model literary composition by the variable variable part of aforesaid operations Input Control Element.Above-mentioned login unit is for the revision literary composition of the model literary composition with variable part, and the variable part that the combination and the correction of term is civilian carries out related in addition and logins to dictionary.In addition, in variable part, to numerical value such as size, number being arranged, waiting direction etc. all around.
Above-mentioned retrieval unit, is not carried out retrieval, and when specified quantity is above, is carried out retrieval during less than specified quantity at the term of being selected by the aforesaid operations Input Control Element.
Documenting assisting system of the present invention is made of client-server, above-mentioned client computer has aforesaid operations Input Control Element and above-mentioned indicative control unit, and above-mentioned server has storage unit, above-mentioned login unit and the above-mentioned retrieval unit of depositing dictionary.Above-mentioned client-server is carried out network and is connected.
The text of being selected by the aforesaid operations Input Control Element is the text that constitutes medical file, and term is a medical jargons or word; This medical file records medical information.
Documenting support method of the present invention is characterised in that, possess: the operation input step, by the operation Input Control Element, from pre-prepd a plurality of terms, select the term of hope, and select the object that uses as text model literary composition that generates from combination or the input candidate according to selecteed term, accept the revision literary composition is rewritten and made in the revision of selecteed text; Login step, the combination of the term that will select in the aforesaid operations input step is carried out related in dictionary and login with the revision literary composition; Searching step, the combination of from dictionary, retrieving the term of in the aforesaid operations input step, selecting by retrieval unit with the revision literary composition of the combination unanimity of in above-mentioned login step, having carried out related term; And step display, the revision that will retrieve in above-mentioned searching step literary composition shows as the input candidate of the text of selecting in the aforesaid operations input step.
Documenting support program of the present invention is characterised in that, make the following function of computer realization: the operation input function, from pre-prepd a plurality of terms, select the term of hope, and select the object that uses as text model literary composition that generates from combination or the input candidate according to selecteed term, accept the revision literary composition is rewritten and made in the revision of selecteed text; Login feature, the combination of the term that will be selected by the aforesaid operations input function and revision literary composition carry out relatedly also logining in dictionary; Search function, the combination of the term that retrieval is selected by the aforesaid operations input function from dictionary with the revision literary composition that has carried out the combination unanimity of related term by above-mentioned login feature; And Presentation Function, will show by the civilian input candidate of the revision of above-mentioned search function retrieval as the text of selecting by the aforesaid operations input function.
According to the present invention, among model literary composition or input candidate, selecteed text has been carried out revision literary composition that revision rewrites to be carried out related with the combination of term and to login to dictionary, revision literary composition that will be consistent with the combination of term shows as the input candidate of text, so prepare the model literary composition or the workload that term is classified is alleviated, and can be fully corresponding to each user's hobby or delicate performance.
Description of drawings
Fig. 1 is the structural drawing of medical information system.
Fig. 2 is the structural drawing of the summary of the expression computing machine that constitutes each terminal and server.
Fig. 3 be expression documenting assisting system of the present invention schematic configuration, and report compile the figure of picture.
Fig. 4 is the key diagram of the data structure of report.
Fig. 5 is the key diagram of the content of expression dictionary table.
Fig. 6 is that the process flow diagram of the flow process of handling is made in the expression report.
Fig. 7 is the process flow diagram of the flow process of depositing processing of expression diagnostic data.
Fig. 8 is the key diagram of structure that expression has the model literary composition of variable part.
Symbol description
2 medical information systems
Terminal is made in 13 reports
14 databases (DB) server
15 networks
18 reports
19 dictionary DB
30 CPU
32 memory devices
34 control desks
36 application programs (AP)
37 displays
38 input equipments
40 control desk control parts
41 DB visit portions
42 compile handling part
Picture is compiled in 44 reports
The civilian input area of 46 diagnosis
Input area selected in 47 terms
51 term selector buttons
53 input candidates
58 deposit handling part
59 retrieval process portions
60 dictionary tables
Embodiment
In Fig. 1, medical information system 2 possesses: diagnosis and treatment section terminal 11, and frame is built in medical facilities such as hospitals, is arranged at diagnosis and treatment section 10; Terminal 13 is made in report, is arranged at radiograph test section (being designated hereinafter simply as inspection section) 12; Database (being designated hereinafter simply as DB) server 14; And the network 15 that can connect these parts communicatedly.Network 15 for example is the LAN (LAN (Local Area Network): LocalArea Network) of laying in institute.
Diagnosis and treatment section terminal 11 is operated by doctor's (hereinafter referred to as seeking medical advice) of the diagnosis and treatment section 10 that requires inspection (comprise and read sheet).Diagnosis and treatment section terminal 11 is also utilized when inspection section 12 is sent the instruction that is used for the requirement inspection except the reading or input of case history 16.Diagnosis and treatment section terminal 11 check image 17 that provides from inspection section 12 is provided or reports 18, for the reading that will seek medical advice.
Report is made terminal 13 by operating to read the doctor that sheet is the inspection section 12 of specialty (hereinafter referred to as readding the sheet doctor).Report is made terminal 13 and is being read sheet doctor affirmation instruction or making report and utilized in 18 o'clock.Terminal 13 display image display frames are made in report or picture 44 (with reference to Fig. 3) is compiled in report, support the making of report 18.
DB server 14 is by a plurality of DB frameworks such as case history DB19, image DB20, report DB21, dictionary DB22.Case history DB19 deposits the data etc. of each patient's case history 16.Image DB20 deposits the data of the check image 17 of being taken by physiotherapy apparatus such as CR device, CT device, MRI device 23.Report DB21 deposits the data of being made the report 18 of terminal 13 making by report.Dictionary DB22 deposits and is used to make 18 o'clock dictionary table 60 (with reference to Fig. 5) of report.
DB server 14 is by network 15, from the data of physiotherapy apparatus 23 receiving check images 17, and with the deposit data of the check image 17 that receives to image DB20.That is, (picture archiving and communication system: Picture Archiving andCommunication Systems) server is carried out function to DB server 14, constitutes PACS with physiotherapy apparatus 23 as so-called PACS.
The data of check image 17 have the image I D that is used to discern each check image 17.The data of check image 17 for example with based on DICOM (medical digital images and communication: document form Digital Imagingand Communication in Medicine), deposit in image DB20.In the file of check image 17, given DICOM label, this DICOM tag record comprise patient ID, check ID, the additional information of projects such as check data, inspection kind.The data of the check image of depositing in image DB20 17 can be retrieved the various projects of DICOM label as the retrieval key.
DB server 14 constitutes the case history system with diagnosis and treatment section terminal 11 and case history DB19.In addition, DB server 14 is made terminal 13, image DB20, is reported that DB21 and dictionary DB22 constitute report generation support system with report.The data of report 18 are identical with the data of check image 17, can retrieve by checking retrieval keys such as ID, patient ID, patient's name.In addition, illustrated in this example each DB19-22 has been constructed in the example of a DB server 14, but also each DB19-22 can have been constructed in dividing other DB server.
The instruction that diagnosis and treatment section terminal 11 is sent has record patient ID, patient's name, requires the date, will ask for help, check kind (CT or MRI etc.), check purpose, whether need to read the various projects of information such as sheet.In the project that will ask for help, information such as affiliated, the name that records that internal medicine, cranial surgery etc. will seek medical advice, doctor ID.In the project of checking purpose, record judgement the information such as transfer retrieval that have or not metastatic lesion are judged, investigated to the result of treatment of the result of treatment of the focus in the treatment.
The instruction that diagnosis and treatment section terminal 11 is sent is sent to the command reception terminal (not shown) that is arranged at inspection section 12, and is received by inspection section 12.The instruction that the command reception end-on is received is given and is checked ID, the data of supervisory instruction.Check that ID is sent to diagnosis and treatment section terminal 11 with finishing receiving notice from the command reception terminal.The staff of inspection section 12 (checking the technician) based on the instruction that is received by the command reception terminal, carries out the shooting based on physiotherapy apparatus 23.
Read at needs under the situation (whether the needing of instruction read the situation of the project of sheet for needs) of sheet, be endowed the instruction of checking ID and be sent to report making terminal 13 from the command reception terminal.Read sheet doctor and make terminal 13 by report and confirm instruction, and read data as the check image 17 of the object of readding sheet from image DB20.Then, the sheet result that reads with the check image 17 that reads sums up into report 18.
As if completing of report 18, then read the sheet doctor for instructing sender's diagnosis and treatment section terminal 11 to send the notice that completes by report making terminal 13.In the notice that completes, comprise and deposited check image 17 or reported address in each DB20 of 18,21.The address of seeking medical advice and completing and comprising in the notice, and reading check image 17 or report 18 by diagnosis and treatment section terminal 11 visit.
It is application programs such as control program, client program or server program such as basic installing operating system with computing machines such as computing machine, workstations that each terminal 11,13 and DB server 14 constitute with personal computer, server respectively.
In Fig. 2, the computing machine that constitutes each terminal 11,13 and DB server 14 is roughly the same on basic structure, possesses CPU30, storer 31, memory device 32, LAN port 33 and control desk 34 separately.These interconnect by data bus 35.
Memory device 32 for example is a HDD (hard disk drive: Hard Disk Drive).In memory device 32, deposited control program or application program (hereinafter referred to as AP) 36.In addition, in DB server 14, open,, for example be provided with the disk array of many HDD of multi pack as the memory device 32 that DB uses with the HDD branch of depositing program.Disk array can be built in the main body of DB server 14, also can be provided with respectively with main body, is connected to main body by cable or network.
Storer 31 is to be used for CPU to carry out the working storage of handling.The control program biography that CPU30 will leave in the memory device 32 is loaded onto storer 31, and carries out the processing according to program, thus the each several part of overall control computer.
LAN interface 33 be carry out and network 15 between the network interface of transmission control.Control desk 34 comprises input equipments 38 such as display 37, keyboard or mouse.
In diagnosis and treatment section terminal 11, as AP36, installed the case history of carrying out the reading of case history 16 or compiling with software, carry out check image 17 or report the client programs such as viewer software of 18 reading.If client program starts, then on the display 37 of diagnosis and treatment section terminal 11, show based on GUI (graphic user interface: operation screen Graphical User Interface).In operation screen, comprise display frame, this display frame shows case history 16, check image 17, the report 18 of reading respectively from case history DB19, image DB20, report DB21.
In diagnosis and treatment section terminal 11, by input equipment 38, the input operation indication, this operation is designated as the input of case history 16, the indication of compiling, the input of instruction, the indication of sending etc.The deposit data of the case history 16 of input or instruction is in case history DB19.
Make in the terminal 13 in report,, the client program that usefulness is compiled in the report of reporting the making support has been installed as AP36.Report is made terminal 13 and is compiled the client program of usefulness by report, checks the processing of compiling of the display process of picture 17 and report 18.In DB server 14,, installed according to request and carried out the server program of handling and replying result from client computer as AP36.
In Fig. 3, report is made the CPU30 of terminal 13 if start the client program that usefulness is compiled in report, then as control desk control part 40, DB visit portion 41, compile handling part 42, instruction obtaining section 43 is carried out functions.
The structure that terminal 13 is made in report is: be provided with on the terminal body of CPU30, connecting two display 37a, 37b.On a display 37a, output is used for the image display frame of observation and inspection image 17.On another display 37b, output is used to make the report of report 18 and compiles picture 44.
Image display frame and report are compiled picture 44 and are constituted based on GUI (graphic user interface: operation screen Graphical User Interface).Control desk control part 40 exports these operation screens to each display 37a, 37b, by operation screen, receives the input from the operation indication of input equipment 38.
Image display frame and report are compiled picture 44 interlocks and are started.If compiling picture 44 from report has imported the inspection ID that comprises the check image 17 of readding the sheet object, then control desk control part 40 is obtained the data of the check image corresponding with checking ID 17 by DB visit portion 41 from image DB20.When control desk control part 40 exports display 37a in the check image 17 that will obtain, start image display frame.
In image display frame, the faultage image that shows the fluoroscopy images taken by the CR device, takes by CT device or MRI device, the various check image 17 such as 3-D view that generate based on faultage image based on radioactive ray.Image display frame can show a plurality of inspection pictures 17 simultaneously to arrange the mode that shows six lattice faultage images on the picture.In image display frame, be provided with the various operation tools that action button, list box, icon etc. constitute GUI.By such operation tool, input is from the various operation indications of input equipment 38.
Compile in the picture 44 in report, be provided with essential information viewing area 45, the civilian input area 46 of diagnosis, term selection input area 47 and action button zone 48.These each zones are the various operation tools that constitute GUI.By such operation tool, input is from the various operation indications of input equipment 38.In operation indication, comprise: from report DB21 read the data of report 18 indication, to report DB21 preserve the data of report 18 indication, select the civilian input area 46 of diagnosis that it is activated the indication etc. of (state that can import).
In essential information viewing area 45, show the such essential information of shooting date (" 08/4/12 (on April 12nd, 2008) ") of patient's name (" one youth of Fuji "), inspection ID (" CT0803 "), check image 17.These essential informations read from instruction.
In the civilian input area 46 of diagnosis, imported and read sheet doctor observation and inspection image 17 and observed and recordeds such as state that assert, pathology, be i.e. the text of expression diagnosis (hereinafter referred to as the diagnosis literary composition).In the drawings, diagnose civilian input area 46 only to show one, but also can append the civilian input area 46 of diagnosis.When appending the civilian input area 46 of diagnosis, carry out following using method: promptly, exist under a plurality of situations in pathology and will diagnose separately input each pathology, perhaps each is checked that purpose will diagnose separately import etc. checking that purpose exists under a plurality of situation (for example, result of treatment is judged and shifted retrieval etc.).In addition, also following using method can be arranged: promptly, practice doctor and instruct the doctor, once read sheet read the sheet doctor and carry out that secondary reads sheet read sheet doctor etc., a plurality ofly read sheets doctor input diagnosis respectively.
In the civilian input area 46 of diagnosis, the input candidate who has imported among following a plurality of input candidates 53, selected by the clicking operation of mouse.In inputing to the diagnosis literary composition of diagnosis in the civilian input area 46 (comprise following model literary composition and revision literary composition both),, also can revise rewriting by operation keyboard.
Input area 47 selected in term is to be used for diagnosing civilian operation tool by the clicking operation of mouse to civilian input area 46 inputs of diagnosis, is also referred to as masterplate formula operation tool.Term selects input area 47 to have: macrotaxonomy panel 49 and the subclassification panel 50 distinguished with " liver ", " bile duct " such internal organ.Subclassification panel 50 has checkup item, this checkup item with " form of liver ", " neoplastic lesion " such, should classify as the project that diagnosis is charged to each internal organ.Each panel 49,50 can be switched by label to be selected.The internal organ name that is chosen as macrotaxonomy panel 49 is presented at the next door of the civilian input area 46 of diagnosis.In this example, respectively macrotaxonomy panel 49 is chosen as " liver ", subclassification panel 50 is chosen as " form of liver ".
In the subclassification panel, further be provided with a plurality of term selector buttons 51.Term selector button 51 will be to checkup item further segmentation, " edge ", " surface ", " enlargement degree ", " enlargement position " or the like each diagnosis key element, alignment arrangements sidewards.For example, in the diagnosis key element at " edge ", there are " sharp keen ", " blunt slightly ", " blunt ", in the diagnosis key element on " surface ", have " smoothly ", " rare concavo-convex ", " concavo-convex " etc.In the term of term selector button 51, used and respectively diagnosed the higher medical jargons or word of frequency of utilization in the key element.
Term selector button 51 can diagnose key element only to select one for each.Therefore, for example selected " edge-sharp keen ", and reselected under the situation at " edge-blunt ", automatically terminated selection " edge-sharp keen ".
Under the state that activates the civilian input area 46 of diagnosis, make indicator 52 aim at the term selector button 51 of wishing, when carrying out clicking operation, be presented at the below of the civilian input area 46 of diagnosis based on the input candidate 53 of the diagnosis literary composition of selecteed term with mouse.
Input candidate 53 does not show when the term selector button of having selected less than specified quantity (for example three) 51, shows when having selected the term selector button 51 more than the specified quantity.Input candidate 53 upgrades when appending selection term selector button 51 at every turn.Input candidate 53 becomes and does not show when having selected wherein some by the clicking operation of mouse.In addition, what is called is appended selection, comprise the term selector button 51 of for example having selected two diagnosis key elements, and select the situation of the term selector button 51 of the 3rd diagnosis key element, and in same diagnosis key element, carry out situation again the selection of term selector button 51.
Input candidate 53 show from the top down according to the high order of following evaluation of estimate.In input candidate 53, exist based on the input candidate of model literary composition with to revise the input candidate of literary composition.The model literary composition is the diagnosis literary composition of standard, and its data (hereinafter referred to as model literary composition data) are carried out related with the combination of term and logined in advance to dictionary table 60 (with reference to Fig. 5).The revision literary composition is to read sheet doctor operation keyboard the model literary composition has been carried out the text that revision is rewritten.In addition, also comprise the text of rewriting further revised in the revision literary composition of selecting from input candidate 53.The data of revision literary composition (hereinafter referred to as the civilian data of revision) are also carried out related with the combination of term and are logged to dictionary table 60 (with reference to Fig. 5).
But be shown as visual identity and the different part of model literary composition based on the input candidate 53 who revises literary composition.Particularly, the part different with model literary composition is shown as and makes font, character size, text effects (runic, italic, underscore, additional shadow etc.) or text color with different with the civilian common part of model.
In this example, selected respectively as term selector button 51: " edge-blunt ", " surface-concavo-convex ", " enlargement degree-slight ", " enlargement position-lobus sinister ", " atrophy degree-highly ", " atrophy position-lobus dexter ", " essence uniformity coefficient-inhomogeneous ", " essence concentration-low concentration " (representing) by oblique line.
In addition, illustrate: input candidate 53 shows that " the liver edge is little by little blunt, concave-convex surface, lobus sinister silght enlargement, the atrophy of lobus dexter height, inhomogeneous in fact and low concentration a little.", " the liver edge is blunt, concave-convex surface, lobus sinister silght enlargement, the atrophy of lobus dexter height, inhomogeneous in fact and unusual low concentration." and " the liver edge is blunt, concave-convex surface, lobus sinister silght enlargement, the atrophy of lobus dexter height, inhomogeneous in fact and low concentration." these three 53a-53c, and select 53a (representing by oblique line) and input to moment of the civilian input area 46 of diagnosis.
Input candidate 53 based on the model literary composition is 53c, is 53a, 53b based on the input candidate 53 who revises literary composition.The evaluation of estimate of decision DISPLAY ORDER is: 53a is the highest, 53b secondly, 53c is minimum.Therefore, DISPLAY ORDER is that 53a goes up most, 53b secondly, 53c is the most following.The part that 53a, 53b are different with 53c is " little by little ", " a little ", " very ", and these change font and show with runic.
In action button zone 48, be provided with various action button 54-57.Diagnosis is appended button 54 and is used to append the civilian input area 46 of diagnosis.When indicator 52 being aimed at that button 54 is appended in diagnosis and mouse being carried out clicking operation, compile to append in the picture 44 in report and show the civilian input area 46 of diagnosis.
The data (hereinafter referred to as diagnostic data) that input to the diagnosis literary composition of diagnosis in the civilian input area 46 have the diagnosis ID to discerning separately.Diagnosis ID is used to obtain check image 17 or reports 18 corresponding with diagnosis literary composition, comprises to diagnose the number of giving in proper order that appends of civilian input area 46.To inputing to the diagnosis literary composition in the civilian input area 46 of N (N is the natural number more than 1) diagnosis, distribute " F-N " diagnosis ID.In this example, expression will be diagnosed literary composition to input to first and diagnose in the civilian input area 46, show diagnosis ID " F-1 " on the top of the civilian input area 46 of diagnosis.
Conclusion button 55 is used for compiling of conclude report 18.If select conclusion button 55, then determine to preserve the data of report 18.The report of determining to preserve 18 is forbidden compiling in order to prevent wrongful distorting.Interrupt button 56 and be used for the temporary transient making of interrupting report 18.If select to interrupt button 56, then temporarily preserve the data of the report 18 in the manufacturing process.Cancel button 57 is selected when compiling picture 44 closing report.
DB visit portion 41 is based on coming control console control part 40 or compile the instruction of handling part 42, carries out the transmission of the processing request of DB server 14 and the reception of result.In the processing request to image B D20, existence will be checked ID or the such information retrieval request crucial as retrieving, that be used to retrieve check image 17 of image I D.In processing request to report DB21, exist the report 18 be used for depositing made data the request of depositing and report 18 data or the retrieval request of the data of the report 18 of manufacturing process.In processing request, there are the retrieval request that is used to retrieve the diagnostic data that shows as input candidate 53, the request of depositing that is used to deposit the diagnostic data that utilizes as input candidate 53 to dictionary DB22.
The retrieval request of the input candidate's 53 of dictionary DB22 diagnostic data is sent when the each term selector button of selecting more than the specified quantity 51.In retrieval request, added the combination of the term of selecting by term selector button 51 as information.The request of depositing of diagnostic data is being selected conclusion button 55, is being sent when determining that 18 data are reported in preservation.In the request of depositing, the time on date (hereinafter referred to as the up-to-date use time on date) when having added selection conclusion button 55 as information.
The data of the object of request are deposited in 41 pairs of conducts of DB visit portion, receive from compiling handling part 42, and send to DB server 14.In addition, to data, receive from DB server 14, and be delivered to control desk control part 40 as the object of retrieval request.
Compiling handling part 42 receives by control desk control part 40 and is input to report and compiles the diagnostic data of diagnosis literary composition input area 46 of picture 44 and the combination of the term selected by term selector button 51.Compiling handling part 42 diagnoses the diagnostic data that receives civilian input area 46 differences and carries out modularization by each.
As shown in Figure 4, compile the diagnosis ID such as additional " F-1 ", " F-2 " separately of 42 pairs of modular diagnostic datas of handling part, and it is recorded in the data of report 18.Compile handling part 42 except diagnostic data, also to reporting information such as 18 data additional up-to-date use time on date (" 08/4/12 "), the inspection ID (" CT0803 "), the patient ID that from instruction, read, patient's name.
Compile handling part 42 on the basis of diagnosis ID, for each diagnostic data, the additional doctor ID (" D-11 ", " D-12 ") that reads the sheet doctor that is used to discern this diagnosis literary composition of input.Wait by readding sheet doctor input in the authentification of user of doctor ID when terminal 13 startups are made in report.Diagnostic data can be retrieved by diagnosis ID or doctor ID.In addition, compile the information that 42 pairs of diagnostic datas of handling part are attached to the combination of the term of the term selector button 51 of selection when importing this diagnosis literary composition.
Return Fig. 3, instruction obtaining section 43 gets instruction by network 15 from the command reception terminal.The instruction list of reporting in the memory device 32 of making terminal 13 to being located at (not shown) is for example logined in the instruction that obtains.
The CPU30 of DB server 14 is by carrying out server program, as the data of check image 17, report 18 and diagnostic data deposit handling part 58 and retrieval process portion 59 carries out functions.Deposit handling part 58 the request of depositing, carry out the processing of depositing to the data of each DB20-22 according to each data of making the such client computer of terminal 13 or physiotherapy apparatus 23 from report.59 pairs of dispense request from each data of diagnosis and treatment section terminal 11, report making terminal 13 of retrieval process portion respond, and retrieve requested data from each DB20-22, and data retrieved is distributed to the requesting party.
Be described in detail based on depositing of the diagnostic data of depositing handling part 58, retrieval process portion 59 and handle and retrieval process.Deposit handling part 58 and accept the request of depositing of diagnostic data, and receive the data of report 18 from the DB visit portion 41 that terminal 13 is made in report.Deposit handling part 58 from reporting in 18 the data, extract the combination and the information of up-to-date use time on date of diagnostic data, doctor ID, term.
In Fig. 5, in the dictionary table 60 in dictionary DB22, diagnostic data is with the form storage of tables of data.Dictionary table 60 is by the civilian data of each doctor ID storage revision.In addition, dictionary table 60 is on same doctor ID, by the civilian data of combination storage revision of each term.Dictionary table 60 is taked following continuous a kind of hierarchy, that is: be root with doctor ID, and the combination of term is the level under the doctor ID, revises the level under the combination that civilian data are terms.On the other hand, model literary composition data and doctor ID are irrelevant, only store one in advance for the combination of term.Dictionary table 60 is pressed each diagnostic data, the number of times (" 18 ", " 10 " etc. are hereinafter referred to as access times) of storage conduct diagnosis literary composition use and up-to-date use time on date (" 08/4/11 " etc.).In addition, in this hurdle of combination of term, in fact storing and each term corresponding codes.
Deposit 58 pairs of handling parts by the diagnostic data of the data extract of report 18 be logged to the diagnostic data of dictionary table 60 and compare.Under the diagnostic data that extracts and the inconsistent situation of diagnostic data of dictionary table 60, deposit handling part 58 is newly established the diagnostic data of extraction in dictionary table 60 hurdle, in the hurdle of newly establishing, login the diagnostic data that is extracted.When newly establishing the hurdle of diagnostic data, its access times are made as " 1 ".Deposit handling part 58 when the hurdle of the combination that does not have the doctor ID of extraction, term, append and login the hurdle that is used for these too.
On the other hand, deposit handling part 58 under the diagnostic data that the extracts situation consistent,, and its up-to-date use time on date is updated to the up-to-date use time on date of being extracted the access times increase of this diagnostic data with the diagnostic data of dictionary table 60.The diagnostic data that is extracted is not logined to dictionary table 60 and is abandoned.
When beginning to utilize report to make terminal 13, model literary composition data in dictionary table 60, have only been logined.By utilizing report to make terminal 13, the combination of each doctor ID and term, the accumulation gradually in dictionary table 60 of the civilian data of revision, access times, up-to-date time on use date also upgrade gradually.
The DB visit portion 41 that retrieval process portion 59 makes terminal 13 from report accepts the retrieval request that candidate 53 diagnostic data is imported in conduct.Retrieval process portion 59 accepts the retrieval request of diagnostic data, and the consistent diagnostic data of combination of the term that adds in retrieval and the retrieval request from the hurdle of this doctor ID of dictionary table 60.
The evaluation of estimate Ix of the diagnostic data that retrieval process portion 59 calculates the result of retrieval, extract from dictionary table 60.Evaluation of estimate Ix obtains with following formula (1) by computing.
Ix=α×(1/Dx)/∑(1/Di)+β×Tx/∑Ti ……(1)
At this, D is the fate till making day from the up-to-date use time on date to report 18, and T is to use number of times, and α, β are coefficient (0≤α, β≤1), additional symbol x is the identifier as the diagnostic data of object, and additional symbol i is 1 number to the diagnostic data that extracts.Therefore, ∑ (1/Di), ∑ Ti refer to the whole diagnostic data that extracts from dictionary table 60 1/D, T's and.
Consider following situation: made report 18 on April 12nd, 2008, extract Fig. 5 from the revision literary composition data of last beginning first row (be made as access times " 18 ", up-to-date use time on date " 08/4/11 ", add symbol 1), second row (be made as access times " 10 ", up-to-date use time on date " 08/4/1 ", add symbol 2) and from the model literary composition data that begin the third line down (be made as access times " 2 ", up-to-date uses time on date " 08/3/14 ", add accord with 3) as input candidate's 53 diagnostic data.For simply, α, β are made as 1 respectively.The evaluation of estimate I1 of the revision literary composition data of first row is:
Figure A20091013481800181
Figure A20091013481800182
(three of radix point are cast out later on)
Equally, evaluation of estimate I2, the I3 of the revision literary composition data of second row and model literary composition data are:
Figure A20091013481800183
Figure A20091013481800184
Figure A20091013481800185
Retrieval process portion 59 begins successively the diagnostic data that extracts to be classified from the high data of evaluation of estimate Ix.In above-mentioned example, evaluation of estimate Ix is 1.41 are the highest, Fig. 5 from the revision literary composition data of last beginning first row to be first, evaluation of estimate Ix is 0.47 to be that revision literary composition data second high, second row are the second, evaluation of estimate Ix be 0.12 be minimum, be the 3rd from the model literary composition data that begin the third line down.
Retrieval process portion 59 compares model literary composition data and the civilian data of revision, changes font, character size, text effects or the text color etc. of the part of the revision literary composition different with the model literary composition.Retrieval process portion 59 is sent to the DB visit portion 41 that terminal 13 is made in report with the diagnostic data of extraction and the information of classification results.As the information of classification results, can be evaluation of estimate Ix self, also can be the number of expression order.
DB visit portion 41 will be delivered to control desk control part 40 from the diagnostic data of retrieval handling part 59 and the information of classification results.Control desk control part 40 is arranged diagnostic data according to the information of classification results, and it is presented at report as input candidate 53 compiles on the picture 44.
Below, with reference to the effect of the process description of Figure 6 and Figure 7 based on said structure.Seek medical advice and use diagnosis and treatment section terminal 11, send instruction.The instruction that terminal 13 is sent from diagnosis and treatment section terminal 11 via the command reception terminal reception of inspection section 12 is made in report.
Read sheet doctor mission report and make terminal 13 and confirm instruction, begin to report 18 making.If report is compiled picture 44 and is presented on the display 37b, then interlock therewith, image display frame is presented on the display 37a.Read sheet doctor observation and inspection image 17 in image display frame on one side, in report compile in the diagnosis literary composition input area 46 of picture 44 on one side, the diagnosis literary composition of distinguishing with internal organs imported respectively.
The input of diagnosis literary composition is undertaken by selecting term selector button 51.If select in the above term selector button 51 of regulation number (step (below, economize slightly S) 10 to being), then import the retrieval request (S11) of candidates 53 diagnostic data to 14 transmissions of DB server from the DB visit portion 41 that terminal 13 is made in report.In retrieval request,, add the information of the combination of the term of selecting by term selector button 51 by compiling handling part 42.
If make the retrieval request (S20) that terminal 13 receives diagnostic data from report, then in DB server 14, by retrieval process portion 59, the consistent diagnostic data (S21) of combination of retrieval and the term that in retrieval request, adds from the hurdle of this doctor ID of dictionary table 60.
In S22, calculate the evaluation of estimate of the diagnostic data that from dictionary table 60, extracts by retrieval process portion 59.Then, diagnostic data is classified,, be appointed as different with other parts (S23) such as font, character size, text effects or text colors for the part of the revision literary composition different with the model literary composition by the order that evaluation of estimate is high.The information of diagnostic data and classification results as result for retrieval to diagnosis request, be sent to DB visit portion 41 (S24) that report make terminal 13 thereafter.
If receive the result for retrieval (S12) of retrieval process portion 59 by DB visit portion 41, then make in the terminal 13 in report, by control desk control part 40, below the civilian input area 46 of diagnosis, show input candidate 53 from the top down according to the information of classification results.At this moment, show (S13) based on the input candidate 53 who revises literary composition in the modes such as part change font different with the model literary composition.
Read sheet doctor selects input to the civilian input area 46 of diagnosis from the input candidate 53 who shows diagnosis literary composition (among the S14 for being).Be input to diagnosis civilian input area 46 (S15) by the input candidate 53 who reads sheet doctor selection.Read sheet and cure operation keyboard as required, revision is input to the diagnosis literary composition of the civilian input area 46 of diagnosis.Like this, select term selector button 51 Yi Bian read the sheet doctor, and select the input candidate 53 of demonstration, Yi Bian diagnose the input of literary composition.
Non-selected input candidate 53 (being not among the S14), and do not append (being not among the S16) when selecting term selector button 51, proceed the demonstration of S13.When appending term selector button 51 (among the S16 for being), be back to the processing of S11, the retrieval request of diagnostic data is carried out in term selector button 51 by former selection and the combination of term of appending the term selector button 51 of selection once more.
Read sheet doctor if finish the input of diagnosis literary composition, then select conclusion button 55 (among the S17 for being).If select conclusion button 55,, the request of depositing of diagnostic data is sent to DB server 14 (S18) from DB visit portion 41 then with the request of depositing of the data of report 18.In the request of depositing, by compiling handling part 42, the information of additional up-to-date use time on date.
Receive the request of depositing (S25) if make terminal 13 from report, then in DB server 14, by depositing handling part 58, the data of reports on the implementation 18 deposit processing.The data of report 18 are stored to report DB21.
In addition, as shown in Figure 7, by depositing handling part 58, from reporting in 18 the data combination and the up-to-date use time on date (S30) of extracting diagnostic data, doctor ID, term.Then, relatively from the diagnostic data of reporting 18 extracting data be logged diagnostic data (S31) to dictionary table 60.
(being not among the S32) by depositing handling part 58, newly established the hurdle (S33) of the diagnostic data that is extracted when the diagnostic data that extracts and the diagnostic data of dictionary table 60 were inconsistent in dictionary table 60.Then, the diagnostic data (S34) that login is extracted in the hurdle of newly establishing.When newly establishing the hurdle of diagnostic data, its access times are set as " 1 ".
On the other hand, when the diagnostic data of extraction is consistent with the diagnostic data of dictionary table 60 (among the S32 for being), increase the access times of this diagnostic data, and its up-to-date use time on date is updated to the up-to-date use time on date (S35) of extraction.At this moment, the diagnostic data of extraction is not logined and is dropped (S36) to dictionary table 60.By above step, report that once 18 making processing finishes.
If finish the making of report 18, then the diagnosis and treatment section terminal 11 that will seek medical advice from 13 pairs at terminal of report making sends the notice that completes.Seek medical advice by diagnosis and treatment section terminal 11 mission report DB21,, read report 18 based on the address of the report 18 that comprises in the notice that completes.On the display 37 of diagnosis and treatment section terminal 11, output image display frame, this image display frame show report display frame and with report 18 check image that are associated 17.These pictures of reading of seeking medical advice, and confirm the content of report 18.
As above illustrated, the present invention will read the dictionary table 60 of the revision literary composition data entry of sheet doctor revision to dictionary DB22, and show the input candidate 53 that diagnosis is civilian based on this, and so preparing bottom line, model literary composition or term get final product, need not be from just preparing at first a large amount of dictionaries.Therefore, prepare model literary composition or the workload that term is classified alleviated.In addition, also can be corresponding to hobby of readding the sheet doctor or delicate performance.
Based on access times and time on up-to-date use date, to classifying as input candidate's 53 diagnostic data, and the order video data candidate 53 to classify, so the near diagnosis literary compositions of probability height, access times many, up-to-date uses time on date that use as text show to lean on last order.Therefore, can save the workload of seeking the input candidate 53 who wishes, improve convenience.
Wherein, learn in the explanation as the formula (1) of evaluation of estimate Ix that also can have factor alpha, β is 0 situation.That is, also can be only by access times or only obtain evaluation of estimate Ix by the up-to-date use time on date.In addition, factor alpha, β are decided by numerical value in that access times, in the time on up-to-date use date which are paid attention to.For example, pay attention to being made as α=0.8, β=0.2 etc. under the situation of access times.Also can constitute can these coefficients of setting changing numerical value.
Classification as the diagnostic data of importing candidate 53 is not limited to the high order of evaluation of estimate Ix, also can arrange replacement in proper order with 50 sounds.In addition, also can the order difference.
Press the combination of each doctor ID storage term and the relation of the civilian data of revision, reflect diagnostic data hobby, conduct input candidate of readding the sheet doctor more so can retrieve.
Wherein, also can substitute doctor ID, or on its basis, by the combination of storing term under each doctor with revise the relation of civilian data.At above-mentioned embodiment, carried out illustration with the sheet doctor that reads who belongs to inspection section 12 as the user, but also can become the user beyond readding the sheet doctor.Therefore, if press the combination and the relation of revising civilian data of each doctor's affiliated storage term, just can in input candidate 53, further reflect user's hobby.In more detail, can be not limited to the expression of user's hobby, and the civilian data of the wieldy revision of a plurality of users under the accumulation.
Make among font, character size, text effects or the text color of part of the revision literary composition different with model literary composition some at least with and model literary composition common different demonstration of part, so can tell different with the model literary composition, improve the convenience when selecting input candidate 53 at a glance.Wherein, the method as the part that can show the revision literary composition different with model literary composition is not limited to above-mentioned illustrative method with discerning, the demonstration of for example also can glimmering, or point out by CG role etc.
Term selector button 51 during number, is not carried out retrieval less than regulation, is regulation number when above, carries out retrieval, so carry out retrieval in the stage that the selection of term proceeds to a certain degree, shows the input candidate.The selection of term is not necessarily always carried out smoothly, also can expect reselecting or cancelling the situation of selection, even do not show the situation of not selecting and being wasted is also arranged the input candidate from this input candidate so when selecting substantially, carry out retrieval more.Therefore, if when the regulation number is above, carry out retrieval, just can save the waste of retrieval or display process at term selector button 51.
Because adopted the client service type infosystem that comprises client computer (terminal 13 is made in report) and server (DB server 14), so be not limited to a user, a plurality of users can enjoy the effect that documenting is supported.
In the above-described embodiment, when the diagnosis literary composition of input report 18, be suitable for documenting assisting system of the present invention.The diagnosis literary composition or the medical jargons or word that use in report 18 roughly determine, so be applicable to the mode of selecting a plurality of terms to make text.In addition, alleviate correspondingly with preparation model literary composition or to the workload that term is classified, the manufacturing cost of device more cheaply gets final product, also can import simply and hobby of oneself or the delicate corresponding diagnosis literary composition of performance the doctor, so also relaxed adding barrier, can expect the universal promotion of device for medical facilities passive in the importing of electronic information system.
Wherein, as the model literary composition, also can use model literary composition with variable part shown in Figure 8.In Fig. 8, " position ", " size ", " number " of diagnosis key element are respectively the variable parts of model literary composition, and other diagnosis key elements are identical with above-mentioned embodiment, selected by term selector button 51.On " position ", can import the word at the position of expression neoplastic lesions such as " lobus dexter ", " lobus sinister ", " S1 "-" S8 " by keyboard operation; On " size ", " number ", can import numerical value such as " 15 ", " 10 ", " 3 " by keyboard operation.Import " position-lobus dexter ", " size-major diameter 15mm, minor axis 10mm ", " number-3 " respectively, selected under the illustrated state of " border-clear ", " edge-irregular ", " concentration-high concentration " (shown in oblique line), the model literary composition becomes " recognizes neoplastic lesion 3 size 15 * 10mm, irregular, the high concentration of sharpness of border, edge at right lobe of liver.”。
At this moment, carry out related and storage beyond the variable part of the combination of 60 pairs of terms of dictionary table and revision literary composition.Particularly, in above-mentioned illustrative model literary composition, " ... the edge is irregular, the center neoplastic lesion of high concentration preferentially ... " like this revision rewrite under the situation of " center is preferential ", storage " recognize liver 00 * individual big or small * △ mm, irregular, the center of sharpness of border, the edge neoplastic lesion of high concentration preferentially." such revision literary composition data.At the word of the position of representing neoplastic lesion or the variable part of numerical value, what is imported all be stored as predetermined data.Therefore, " recognize neoplastic lesion 2 size 20 * 15mm, irregular, the high concentration of sharpness of border, edge at left lobe of liver." such diagnosis literary composition is in the word of the position of expression neoplastic lesion or the variable part difference of numerical value, but in dictionary table 60 as identical model literary composition data processing.
In addition, at this moment, retrieval process portion 59 is identical with above-mentioned embodiment, only the combination of term is retrieved as crucial execution of retrieval.Then, when selecting input input candidate,, make the diagnosis literary composition by variable part is distributed word or the numerical value that is transfused to.Like this, there is not the mixed and disorderly situation about occurring of same input candidate in other identical revisions literary composition data conditions if the revision that variable part is different literary composition data as same data processing, just can prevent to store a plurality of only variable parts differences.
In the above-described embodiment, (appointments such as classification or font) are handled in the change of importing candidate 53 display format with the retrieval process portion 59 by DB server 14 be that example is illustrated, but also can be made change processing that terminal 13 takes on display format part or all by report.
In the above-described embodiment, the information of the combination of additional term on the diagnostic data in the data of report 18, and it is extracted by retrieval process portion 59, but also can with report 18 data dividually, the information of the combination of diagnostic data and term is carried out related, and it directly is delivered to retrieval process portion 59.
In the above-described embodiment, the combination and the model literary composition of term carried out related and be stored to dictionary table 60, but also can store the model literary composition dividually, also can not store the model literary composition, and generate the model literary composition automatically by other algorithms with dictionary table 60.In addition, though in the input candidate, also comprise the model literary composition, also can be only that revision is civilian as the input candidate.
And then, in order to prevent the dictionary DB22 off-capacity that becomes, also can delete the low revision literary composition data of using as text of possibility automatically.At this moment, for example select and delete access times less than stipulated number, time on the up-to-date use date revision literary composition data before time fixed date.
In the above-described embodiment, when determining to preserve the data of report 18, send the request of depositing of diagnostic data, but also can be temporary transient when preserving the data of report 18 or in the civilian input area 46 of diagnosis, import candidate 53 some the time, the request of depositing of sending diagnostic data.
In the above-described embodiment,, be that example is illustrated with keyboard or mouse, but also can use microphone, accept the selection of term selector button 51 or input candidate's 53 selection by sound as input equipment as input equipment.
In the above-described embodiment, for example understand the inspection of in inspection section 12, implementing, but checking that kind is not limited thereto, also can be PET (positron emission tomography: Positron EmissionTomography) check ultrasonic inspection, endoscopy etc.In addition, as report 18, illustration sum up the report of readding the sheet result of check image 17, but also can be the report of summing up to the diagnosis of the inspection data beyond the check image.As the inspection data beyond the check image, for example there are oscillograms such as the numeric data that obtains by such sample inspection of pathologic finding or physiology inspection etc. or cardiogram.In addition, also can be the report of having charged to the diagnosis relevant with the various data such as inspection data of different inspection kinds.
In addition, also can not the report relevant with inspection, get final product so long as sum up the report of the diagnosis relevant with patient's diagnosis and treatment.For the wright of report, also be not limited to and read the sheet doctor, and then be not limited to the doctor.For example, the report for made as the report of the Physical Therapist making relevant with the guidance of rehabilitation, beyond the doctor also can be suitable for the present invention.And then the making that is not limited to the diagnosis literary composition of medical report is supported, and also can be that the making of the text charged in case history is supported, and in addition, supports for the making of the various texts beyond the medical field, can be suitable for the present invention.
In the above-described embodiment, with will constitute documenting assisting system of the present invention, report make terminal and DB server respectively one constitute example and be illustrated, make terminals and DB server but also can constitute many reports.In addition, also can in a computing machine, consolidated return make the function of terminal and the function of DB server.Under the latter's the situation, the function that the server program of installing in the function of the client program of installing in the terminal and the DB server is made in report is carried out comprehensive program and is mounted in the computing machine.
In addition, as above-mentioned embodiment, comprise under the situation of infosystem of client service type of client computer (report make terminal) and server (DB server), the client program that usefulness is compiled in report can use special-purpose program, also can use HTTP (HTML (Hypertext Markup Language): Hyper TextTransfer Protocol) such, with WWW (WWW: the corresponding general browser of agreement World Wide Web).
Under the situation of using specific program, report is compiled picture and is generated based on the picture data that the program by special use defines.Under the situation of using general browser, for example in Web server, deposit in advance the data that picture is compiled in report, the client access Web server, and the data of picture are compiled in the report of downloading the form that is processed into the Web page.The browser of client computer is understood and is generated report to the source code of the Web page of reception and compiles picture.Web server can double as DB server 14, can be other server of branch with the DB server also.Under the situation of using general browser, the CPU of Web server and the CPU of client computer interlock perhaps constitute handling part, the retrieval process portion etc. of depositing individually.
In addition, as framework the deposit data device of DB, Network Attached Storage), SAN (storage area network: such memory device that connects via network Storage Area Network) also can be beyond the DB server, for example also can use NAS (network attached storage:.Like this, the physical arrangement of computer system can be carried out appropriate change.
In the above-described embodiment, be that example is illustrated with LAN as network, but be scattered under the such situation in a plurality of places, also can be used in combination LAN and WAN (wide area network: Wide Area Network) as network in diagnosis and treatment section and inspection section.
In addition, shown in above-mentioned embodiment, the present invention is by the mode of program, and then to reach by stored program storage medium be conspicuous.

Claims (12)

1, a kind of documenting assisting system is characterized in that possessing:
The operation Input Control Element, from pre-prepd a plurality of terms, select the term of hope, and select the object that uses as text model literary composition that generates from combination or the input candidate according to selecteed term, accept the revision of selecteed text is rewritten and as the revision literary composition;
Login unit, the combination of the term that will be selected by the aforesaid operations Input Control Element and revision literary composition carry out related, and login in dictionary;
Retrieval unit, the combination of the term that retrieval is selected by the aforesaid operations Input Control Element from dictionary with the revision literary composition that has carried out the combination unanimity of related term by above-mentioned login unit; And
Indicative control unit will be shown by the civilian input candidate as the text of being selected by the aforesaid operations Input Control Element of the revision of above-mentioned retrieval unit retrieval.
2, as the documenting assisting system of claim 1 record, it is characterized in that,
The some at least of number of times that literary composition uses as text or the time on date of using will be revised in above-mentioned login unit, record to dictionary by each revision Wendeng City.
3, as the documenting assisting system of claim 2 record, it is characterized in that possessing:
Taxon is according to revising the some at least of number of times that literary composition uses as text or the time on date of using, to being classified by the revision literary composition of above-mentioned retrieval unit retrieval;
Above-mentioned indicative control unit shows the revision literary composition with the order by above-mentioned taxon classification.
4, as the documenting assisting system of any record in the claim 1~3, it is characterized in that,
Above-mentioned login unit is affiliated some at least by each user or user's, and the combination and the relation of revision literary composition of term are logined to dictionary.
5, as the documenting assisting system of any record in the claim 1~4, it is characterized in that possessing:
Comparing unit compares the revision literary composition of model literary composition with the input candidate;
Above-mentioned indicative control unit can show the part of the revision literary composition different with the model literary composition according to the comparative result of above-mentioned comparing unit with discerning.
6, as the documenting assisting system of claim 5 record, it is characterized in that,
Above-mentioned display control means will be different with model literary composition the revision literary composition part, font, character size, text effects or text color some at least, be different from the common part of model literary composition and show.
7, as the documenting assisting system of any record in the claim 1~6, it is characterized in that,
In the model literary composition, comprise: model literary composition with the variable part that can pass through the change of aforesaid operations Input Control Element;
Above-mentioned login unit is for the revision literary composition of the model literary composition with variable part, and the variable part that the combination and the correction of term is civilian carries out related in addition and logins to dictionary.
8, as the documenting assisting system of any record in the claim 1~7, it is characterized in that,
Above-mentioned retrieval unit, is not carried out retrieval, and when specified quantity is above, is carried out retrieval during less than specified quantity at the term of being selected by the aforesaid operations Input Control Element.
9, as the documenting assisting system of any record in the claim 1~8, it is characterized in that,
Constitute by client-server,
Above-mentioned client computer has aforesaid operations Input Control Element and above-mentioned indicative control unit,
Above-mentioned server carries out network with above-mentioned client computer and is connected, and has storage unit, above-mentioned login unit and the above-mentioned retrieval unit of depositing dictionary.
10, as the documenting assisting system of any record in the claim 1~9, it is characterized in that,
The text of being selected by the aforesaid operations Input Control Element is the text that constitutes medical file, and term is a medical jargons or word; This medical file records medical information.
11, a kind of documenting support method is characterized in that possessing:
The operation input step, by the operation Input Control Element, from pre-prepd a plurality of terms, select the term of hope, and from model literary composition or input candidate that the combination according to selecteed term generates, the object that selection is used as text is accepted the revision of selecteed text is rewritten and conduct revision literary composition;
Login step, the combination of the term that will select in the aforesaid operations input step is carried out related in dictionary and login with the revision literary composition;
Searching step, the combination of from dictionary, retrieving the term of in the aforesaid operations input step, selecting by retrieval unit with the revision literary composition of the combination unanimity of in above-mentioned login step, having carried out related term; And
Step display, the revision that will retrieve in above-mentioned searching step literary composition shows as the input candidate of the text of selecting in the aforesaid operations input step.
12, a kind of documenting support program is characterized in that, makes the following function of computer realization:
The operation input function, from pre-prepd a plurality of terms, select the term of hope, and model literary composition that generates from combination or the input candidate, select the object that uses as text according to selecteed term, accept the revision of selecteed text is rewritten and as the revision literary composition;
Login feature, the combination of the term that will be selected by the aforesaid operations input function and revision literary composition carry out relatedly also logining in dictionary;
Search function, the combination of the term that retrieval is selected by the aforesaid operations input function from dictionary with the revision literary composition that has carried out the combination unanimity of related term by above-mentioned login feature; And
Presentation Function will be shown by the civilian input candidate as the text of being selected by the aforesaid operations input function of the revision of above-mentioned search function retrieval.
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