CN101561849B - Support apparatus, support method and support program for making file - Google Patents
Support apparatus, support method and support program for making file Download PDFInfo
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- CN101561849B CN101561849B CN200910134818.1A CN200910134818A CN101561849B CN 101561849 B CN101561849 B CN 101561849B CN 200910134818 A CN200910134818 A CN 200910134818A CN 101561849 B CN101561849 B CN 101561849B
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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
Technical field
The term that the present invention relates to from multiple terms to select to wish, and documenting assisting system, documenting support method and the documenting support program of making based on this text.
Background technology
At medical treatment scene in recent years, constantly import various computer systems, for medical to case history or medical report etc. file is 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 recording in patent documentation 1, selectively carries out list demonstration to having carried out associated model literary fame (" fever ", " cough " etc.) with each diagnostic message name such as " symptom of flu ".Then the content (" this morning fever, weak ") that, will carry out corresponding model literary composition with selecteed model literary fame (" fever ") turns the input field of remembering to diagnostic message.By prior preparation model literary composition, can alleviate the burden of doctor's operation input.In addition, carry out list demonstration by the model literary fame to each diagnostic message name, can find out in the short time model literary composition of hope.
In the diagnosis report manufacturing system that patent documentation 2 is recorded, for mutually having carried out associated each inspection area, classification, name of disease, classification of type, (situation of inspection area is " esophagus ", " stomach " to select successively keyword, 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, show that the word list of preparing for the illness being represented by the keyword of selecting is diagnosed is (except " erose more shallow ", " sharply marginated ", " identification depression " etc., also have auxiliary words such as " will ", " and ", word etc. continues), and it is civilian to make diagnosis according to the word of selecting in word list.For the amount of selecting keyword or word, although the burden of doctor's operation input reduces unlike patent documentation 1, diagnose civilian variation to become abundant.
The invention of recording as patent documentation 1,2, selects the terms such as keyword to make in the situation of model literary composition, must consider the balance of following two lime lights.First, in order to reduce the workload of preparing model literary composition or term being classified, pre-stored model literary composition is more few better, and on the other hand, for the hobby corresponding to each doctor or delicate performance, pre-stored model literary composition and term are The more the better.But these two lime lights are relations of mutually accepting or rejecting, so be difficult to meet two aspects simultaneously.
The invention that patent documentation 1,2 is recorded, on this aspect of richness of model literary composition and term, has reached to a certain extent the latter in above-mentioned two lime lights, but previous lime light has not been considered completely.
Summary of the invention
The present invention makes in view of the above problems, and its object is, the workload of preparing model literary composition or term being classified is reduced, 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: operation Input Control Element, from pre-prepd multiple terms, select the term of wishing, and from the model literary composition that generates according to the combination of selecteed term or input candidate, select the object using as text, accept the revision of selecteed text to rewrite and make revision literary composition; Login unit, carries out the combination of the term of being selected by aforesaid operations Input Control Element associated and logins in dictionary with revision literary composition; Retrieval unit, the combination and the revision literary composition consistent with the combination of having been carried out associated term by above-mentioned login unit of the term that retrieval is selected by aforesaid operations Input Control Element from dictionary; And indicative control unit, the revision literary composition of being retrieved by above-mentioned retrieval unit is shown as the input candidate of the text of being selected by aforesaid operations Input Control Element.
In addition, also can, on the basis of the revision literary composition of being retrieved by above-mentioned retrieval unit, also model literary composition be shown as input candidate.
Above-mentioned login unit is for each revision literary composition, using at least some the login to dictionary of the time on date of the civilian revision number of times using as text or use.
In this case, preferably possess: taxon, the number of times based on revision literary composition is used as text or time on date of using at least some, classifies to the revision literary composition of being retrieved by above-mentioned retrieval unit.The order of above-mentioned indicative control unit to be classified by above-mentioned taxon, shows revision literary composition.
Above-mentioned login unit is affiliated at least some for each user or user's, and relation civilian to the combination of term and revision is logined to dictionary.
Preferably possess: comparing unit, compares model literary composition and input candidate's revision literary composition.In this case, the comparative result of above-mentioned indicative control unit based on above-mentioned comparing unit, identifiably shows the part with the civilian different revision literary composition of model.Particularly, at least some the being shown as part of the revision literary composition different from model literary composition, font, character size, text effects or text color is different from the part common with model literary composition by above-mentioned display control means.
Comprise at model literary composition: the model literary composition with the variable part variable by aforesaid operations Input Control Element.Above-mentioned login unit is for the revision literary composition of model literary composition with variable part, by the combination of term with revise civilian variable part beyond carry out associated and login to dictionary.In addition, in variable part, to having the numerical value such as size, number, the direction etc. such as all around.
Above-mentioned retrieval unit, in the time that the term of being selected by aforesaid operations Input Control Element is less than specified quantity, is not carried out retrieval, and in the time that specified quantity is above, carries out retrieval.
Documenting assisting system of the present invention is made up 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 connection.
The text of being selected by aforesaid operations Input Control Element is the text that forms medical file, and term is medical jargons or word; This medical file records medical information.
Documenting support method of the present invention is characterised in that, possess: operation input step, by operation Input Control Element, from pre-prepd multiple terms, select the term of wishing, and from the model literary composition that generates according to the combination of selecteed term or input candidate, select the object using as text, accept the revision of selecteed text to rewrite and make revision literary composition; Login step is carried out associated and login by the combination of the term of selecting in aforesaid operations input step with revision literary composition in dictionary; Searching step is retrieved the combination of the term of selecting in aforesaid operations input step and the revision literary composition consistent with the combination of having carried out associated term in above-mentioned login step from dictionary by retrieval unit; And step display, the revision literary composition of retrieving in above-mentioned searching step is shown as the input candidate of the text of selecting in aforesaid operations input step.
Documenting support program of the present invention is characterised in that, make computer realization following functions: operation input function, from pre-prepd multiple terms, select the term of wishing, and from the model literary composition that generates according to the combination of selecteed term or input candidate, select the object using as text, accept the revision of selecteed text to rewrite and make revision literary composition; Login feature carries out associated and login by the combination of the term of being selected by aforesaid operations input function with revision literary composition in dictionary; Search function, the combination and the revision literary composition consistent with the combination of having been carried out associated term by above-mentioned login feature of the term that retrieval is selected by aforesaid operations input function from dictionary; And Presentation Function, the revision literary composition of being retrieved by above-mentioned search function is shown as the input candidate of the text of being selected by aforesaid operations input function.
According to the present invention, among model literary composition or input candidate, the revision literary composition that selecteed text has been carried out to revision rewriting is carried out associated and is logined to dictionary with the combination of term, input candidate using the revision literary composition consistent with the combination of term as text shows, so the workload of preparing model literary composition or term is classified alleviates, and can be fully corresponding to each user's hobby or delicate performance.
Accompanying drawing explanation
Fig. 1 is the structural drawing of medical information system.
Fig. 2 is the structural drawing that represents the summary of the computing machine that forms each terminal and server.
Fig. 3 represents the schematic configuration of documenting assisting system of the present invention and reports the figure that compiles picture.
Fig. 4 is the key diagram of the data structure of report.
Fig. 5 is the key diagram that represents the content of dictionary table.
Fig. 6 is the process flow diagram that represents the flow process of report making processing.
Fig. 7 is the process flow diagram that represents the flow process of depositing processing of diagnostic data.
Fig. 8 is the key diagram that represents the structure of the model literary composition with 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 access portions
42 compile handling part
Picture is compiled in 44 reports
The civilian input area of 46 diagnosis
Input area selected in 47 terms
Button selected in 51 terms
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 can connect communicatedly the network 15 of these parts.Network 15 is for example the LAN (LAN (Local Area Network): LocalArea Network) laying in institute.
Diagnosis and treatment section terminal 11 is operated by the doctor's (hereinafter referred to as seeking medical advice) who requires the diagnosis and treatment section 10 that checks (comprise and read sheet).Diagnosis and treatment section terminal 11, except the reading or input of case history 16, is also utilized in the time of the instruction of inspection section 12 being sent for requiring to check.The check image 17 or the report 18 that provide from inspection section 12 are provided diagnosis and treatment section terminal 11, for the reading that will seek medical advice.
Report is made terminal 13 by operating as the doctor of professional inspection section 12 (hereinafter referred to as readding sheet doctor) to read sheet.Report is made terminal 13 and is being read sheet doctor confirmation instruction or making report and utilize for 18 o'clock.Report is made terminal 13 and is shown that image display frame or report compile picture 44 (with reference to Fig. 3), supports the making of report 18.
The data of check image 17 have the image I D for identifying each check image 17.The data of check image 17 for example, with the document form based on DICOM (medical digital images and communication: Digital Imagingand Communication in Medicine), are deposited in image DB20.In the file of check image 17, given DICOM label, this DICOM label record comprise patient ID, check the additional information of the projects such as ID, check data, inspection kind.The data of the check image 17 of depositing in image DB20 can be retrieved the various projects of DICOM label as retrieval key.
The instruction that diagnosis and treatment section terminal 11 is sent has record patient ID, patient's name, requires the date, ask for help, check kind (CT or MRI etc.), check object, whether need to read the various projects of the information such as sheet.In the project that will ask for help, the information such as affiliated, the name that records that internal medicine, cranial surgery etc. will seek medical advice, doctor ID.Checking in the project of object, record the information such as result for the treatment of judgement, the transfer retrieval that investigation has or not metastatic lesion that judges the result for the treatment of to the focus in 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 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 from command reception terminal together with finishing receiving notice.The instruction of the staff (laboratory technician) of inspection section 12 based on being received by command reception terminal, carries out the shooting based on physiotherapy apparatus 23.
Need to read in the situation of sheet (whether the needing of instruction read the situation that the project of sheet is needs), be endowed the instruction that checks ID and be sent to report from command reception terminal and make terminal 13.Read sheet doctor and make terminal 13 by report and confirm instruction, and read as the data of check image 17 of object of readding sheet from image DB20.Then, the sheet result of readding of the check image reading 17 is summed up into report 18.
If report 18 complete, reads sheet doctor and makes the terminal 13 transmissions notice that completes for instruction sender's diagnosis and treatment section terminal 11 by report.Completing in notice, comprise the address in the each DB20,21 that has deposited check image 17 or report 18.Seek medical advice and complete and notify the address comprising by 11 access of diagnosis and treatment section terminal, and read check image 17 or report 18.
Each terminal 11,13 and DB server 14 be configured to respectively take personal computer, for server the computing machine such as computing machine, workstation as application programs such as the control programs such as basic installing operating system, client program or server programs.
In Fig. 2, the computing machine that forms each terminal 11,13 and DB server 14 is roughly the same in basic structure, possesses separately CPU30, storer 31, memory device 32, LAN port 33 and control desk 34.These interconnect by data bus 35.
In diagnosis and treatment section terminal 11, as AP36, the client program such as viewer software that carries out the reading of case history 16 or the software for case history of compiling, carries out the reading of check image 17 or report 18 is installed.If client program starts,, on the display 37 of diagnosis and treatment section terminal 11, show the operation screen based on GUI (graphic user interface: 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, 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 case history 16 of input or the deposit data of instruction are in case history DB19.
Make in terminal 13 in report, as AP36, installed and report that the report of making support compiles the client program of use.Report making terminal 13 is compiled the client program of use by report, check the Graphics Processing of picture 17 and report 18 the processing of compiling.In DB server 14, as AP36, the server program of carrying out processing reply process result according to the request from client computer is installed.
In Fig. 3, start report and compile the client program of use if the CPU30 of terminal 13 is made in report, as control desk control part 40, DB access portion 41, compile handling part 42, instruction obtaining section 43 is carried out function.
The structure that terminal 13 is made in report is: in the terminal body that is provided with CPU30, connect two display 37a, 37b.On a display 37a, output is for observing the image display frame of check image 17.On another display 37b, output is compiled picture 44 for the report of making report 18.
Image display frame and report are compiled picture 44 and are formed the operation screen based on GUI (graphic user interface: 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 and are linked and start.Inputted if compile picture 44 from report the inspection ID that comprises the check image 17 of readding sheet object, control desk control part 40, by DB access portion 41, is obtained the data of the check image corresponding with checking ID 17 from image DB20.Control desk control part 40, in the time exporting the check image obtaining 17 to display 37a, starts image display frame.
In image display frame, the various check image 17 such as the 3-D view that show the fluoroscopy images based on radioactive ray of being taken by CR device, the faultage image of being taken by CT device or MRI device, generates based on faultage image.Image display frame can, to show the mode of six lattice faultage images on a picture, show multiple inspection pictures 17 simultaneously.In image display frame, be provided with the various operation tools of the formation GUI such as action button, list box, icon.By such operation tool, input is from the various operation indications of input equipment 38.
Compile in picture 44 in report, be provided with essential information viewing area 45, diagnose civilian input area 46, term selects input area 47 and action button region 48.These each regions are the various operation tools that form GUI.By such operation tool, input is from the various operation indications of input equipment 38.Comprise in operation indication: from report DB21 read the indication of the data of report 18, to report DB21 preserve the data of report 18 indication, select the civilian input area 46 of diagnosis to be activated the indication etc. of (state that can input).
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, input and read sheet doctor observation check image 17 and the observed and recordeds such as state that assert, pathology, represent the text (civilian hereinafter referred to as diagnosis) of diagnosis.In the drawings, diagnose civilian input area 46 only to show one, but also can append the civilian input area 46 of diagnosis.In the time appending the civilian input area 46 of diagnosis, carry out following using method:, exist multiple in the situation that and will diagnose separately input to each pathology in pathology, or for example, input etc. checking that object exists in multiple situation (, result for the treatment of judgement and shift retrieval etc.) each inspection object will diagnose to separate.In addition, also can have following using method:, practice doctor and instruct doctor, once read sheet read sheet doctor and carry out that secondary reads sheet read sheet doctor etc., multiplely read sheets doctor input diagnosis respectively.
In the civilian input area 46 of diagnosis, the input candidate who inputted among following multiple input candidates 53, is selected by the clicking operation of mouse.Inputing in the diagnosis literary composition of diagnosis in civilian input area 46 (comprise following model literary composition and revision literary composition both), by operation keyboard, also can revise rewriting.
In subclassification panel, be further provided with multiple terms and select button 51.Term selects button 51 by further each diagnostic element segmentation, " edge ", " surface ", " enlargement degree ", " enlargement position " etc. of checkup item, alignment arrangements sidewards.For example, in the diagnostic element at " edge ", there is " sharp keen ", " slightly blunt ", " blunt ", in the diagnostic element on " surface ", have " smoothly ", " rare concavo-convex ", " concavo-convex " etc.Select, in the term of button 51, to have used the higher medical jargons or word of frequency of utilization in each diagnostic element at term.
Term selects button 51 only to select one for each diagnostic element.Therefore, for example, selected " edge-sharp keen ", and reselected in the situation at " edge-blunt ", automatically terminated the selection to " edge-sharp keen ".
Activating under the state of the civilian input area 46 of diagnosis, making indicator 52 aim at the term of wishing and select button 51, while carrying out clicking operation with mouse, the input candidate 53 of the diagnosis literary composition based on selecteed term is presented at the below of the civilian input area 46 of diagnosis.
Take revise literary composition as basic input candidate 53 is shown as can visual identity the part different from model literary composition.Particularly, the part different from 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, select button 51 to select respectively as term: " 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 " (being represented by oblique line).
In addition, illustrate: input candidate 53 shows that " 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.", " 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 " 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 (being represented by oblique line) and input to the moment of diagnosing civilian input area 46.
53c take model literary composition as basic input candidate 53, take revise literary composition as basic input candidate 53 be 53a, 53b.The evaluation of estimate that determines DISPLAY ORDER is: 53a is the highest, and secondly, 53c is minimum for 53b.Therefore, DISPLAY ORDER is that 53a goes up most, 53b secondly, 53c under.The part that 53a, 53b are different from 53c is " little by little ", " a little ", " very ", and these change font and show with runic.
In action button region 48, be provided with various action button 54-57.Diagnosis is appended button 54 for appending the civilian input area 46 of diagnosis.Indicator 52 is aimed to diagnosis when appending button 54 and mouse being carried out to clicking operation, compile in picture 44 and append and show the civilian input area 46 of diagnosis in report.
The data (hereinafter referred to as diagnostic data) that input to the diagnosis literary composition in the civilian input area 46 of diagnosis have the diagnosis ID to identifying separately.Diagnosis ID is civilian corresponding with diagnosis for obtaining check image 17 or report 18, comprises diagnosing the number of sequentially giving that appends of civilian input area 46.Diagnose the diagnosis literary composition in civilian input area 46 to inputing to N (N is more than 1 natural number), distribute " F-N " diagnosis ID.In this example, represent that diagnosis literary composition is inputed to first to be diagnosed in civilian input area 46, shows and diagnoses ID " F-1 " on the top of the civilian input area 46 of diagnosis.
The retrieval request of the diagnostic data of the input candidate 53 to dictionary DB22 is sent in the time of each term selection button 51 of selecting more than specified quantity.In retrieval request, add the combination of the term of being selected by term selection button 51 as information.The request of depositing of diagnostic data is sent in the time selecting conclusion button 55, definite data of preserving report 18.In the request of depositing, the time on date (hereinafter referred to as the up-to-date use time on date) while having added selection conclusion button 55 as information.
The data of DB access portion 41 to the object as the request of depositing, receive from compiling handling part 42, and send to DB server 14.In addition, to the data of the object as retrieval request, receive from DB server 14, and be delivered to control desk control part 40.
Compile handling part 42 and receive the combination that is input to the term of reporting the diagnostic data of the diagnosis literary composition input area 46 of compiling picture 44 and selected by term selection button 51 by control desk control part 40.Compiling handling part 42 distinguishes the diagnostic data of reception and carries out modularization by the civilian input area 46 of each diagnosis.
As shown in Figure 4, compile the diagnosis ID such as separately additional " F-1 ", " F-2 " of handling part 42 to modular diagnostic data, and be recorded in the data of report 18.Compile handling part 42 except diagnostic data, also to report 18 the additional up-to-date use of data time on date (" 08/4/12 "), the information such as inspection ID (" CT0803 "), patient ID, patient's name reading from instruction.
Compile handling part 42 on the basis of diagnosis ID, for each diagnostic data, add the doctor ID (" D-11 ", " D-12 ") that reads sheet doctor for identifying this diagnosis literary composition of input.In authenticating, the user of doctor ID in the time that report making terminal 13 starts wait by readding sheet doctor input.Diagnostic data can be retrieved by diagnosis ID or doctor ID.In addition, compile the information of the combination of the term of the term selection button 51 of selecting when handling part 42 is attached to this diagnosis literary composition of input to diagnostic data.
Return to Fig. 3, instruction obtaining section 43 gets instruction by network 15 from command reception terminal.The instruction list (not shown) of reporting in the memory device 32 of making terminal 13 to being located at is for example logined in the instruction obtaining.
The CPU30 of DB server 14 is by carrying out server program, as check image 17, report 18 data and diagnostic data deposit handling part 58 and retrieval process portion 59 carries out function.Deposit handling part 58 according to the request of depositing of each data of making the such client computer of terminal 13 or physiotherapy apparatus 23 from report, carry out the processing of depositing to the data of each DB20-22.Retrieval process portion 59 responds the dispense request of each data of making terminal 13 from diagnosis and treatment section terminal 11, report, retrieves requested data from each DB20-22, and by the Data dissemination of retrieval to requesting party.
The depositing of diagnostic data describing in detail based on depositing handling part 58, retrieval process portion 59 processed and retrieval process.Deposit handling part 58 and accept the request of depositing of diagnostic data from the DB access portion 41 of report making terminal 13, and receive the data of report 18.Deposit handling part 58 from reporting in 18 data, extract 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 connected a kind of hierarchy, that is:, take doctor ID as root, the combination of term is the level under doctor ID, revises the level under the combination that civilian data are terms.On the other hand, model literary composition data have nothing to do with doctor ID, for only pre-stored one of the combination of term.Dictionary table 60 is pressed each diagnostic data, the number of times (" 18 ", " 10 " etc., 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 the coding corresponding with each term.
On the other hand, deposit handling part 58 in the case of the diagnostic data of the diagnostic data and the dictionary table 60 that extract is consistent, by the access times increase of this diagnostic data, and its up-to-date use time on date is updated to the extracted up-to-date use time on date.The diagnostic data extracting is not logined to dictionary table 60 and is abandoned.
In the time starting to utilize report to make terminal 13, model literary composition data in dictionary table 60, are only logined.By utilization report make terminal 13, the combination of each doctor ID and term, revise civilian data in dictionary table 60 gradually accumulation, access times, up-to-date time on use date also gradually upgrade.
The DB access portion 41 that retrieval process portion 59 makes terminal 13 from report accepts the retrieval request as input candidate's 53 diagnostic data.Retrieval process portion 59 accepts the retrieval request of diagnostic data, and from the hurdle of this doctor ID of dictionary table 60 the retrieval diagnostic data consistent with the combination of term additional in retrieval request.
The evaluation of estimate Ix of the result of retrieving, the diagnostic data extracting from dictionary table 60 calculates in retrieval process portion 59.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 from the up-to-date use time on date till the number of days of the making day of report 18, and T is access 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 extracting.Therefore, ∑ (1/Di), ∑ Ti refer to the whole diagnostic data extracting from dictionary table 60 1/D, T's and.
Consider following situation: make report 18 on April 12nd, 2008, extract Fig. 5 from the revision literary composition data of upper beginning the first row (be made as access times " 18 ", up-to-date use time on date " 08/4/11 ", add symbol 1), the 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 of lower beginning the third line (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 respectively 1.The evaluation of estimate I1 of the revision literary composition data of the first row is:
Equally, evaluation of estimate I2, the I3 of the revision of the second row literary composition data and model literary composition data are:
Below, the effect based on said structure with reference to the process description shown in Fig. 6 and Fig. 7.Seek medical advice and use diagnosis and treatment section terminal 11, send instruction.Report is made terminal 13 and is received the instruction of sending from diagnosis and treatment section terminal 11 via the command reception terminal of inspection section 12.
Read sheet doctor mission report and make terminal 13 and confirm instruction, start to report 18 making.If report is compiled picture 44 and is presented at display 37b above, interlock therewith, image display frame is presented on display 37a.Read sheet doctor and in image display frame, observe check image 17 on one side, compile in the diagnosis literary composition input area 46 of picture 44 in report on one side, input respectively the diagnosis literary composition of distinguishing with internal organs.
Diagnose civilian input by selecting term to select button 51 to carry out.If (step is (following to select the above term of regulation number to select button 51, economize slightly S) be yes in 10), the DB access portion 41 that makes terminal 13 from report sends the retrieval request (S11) of input candidates' 53 diagnostic data to DB server 14.In retrieval request, by compiling handling part 42, the information of the combination of the additional term of being selected by term selection button 51.
If receive the retrieval request (S20) of diagnostic data from report making terminal 13, in DB server 14, by retrieval process portion 59, the retrieval diagnostic data (S21) consistent with the combination of term additional in retrieval request from the hurdle of this doctor ID of dictionary table 60.
In S22, calculated the evaluation of estimate of the diagnostic data extracting by retrieval process portion 59 from dictionary table 60.Then, by the order that evaluation of estimate is high, diagnostic data is classified, for the part of the revision literary composition different from model literary composition, be appointed as different from other parts (S23) such as font, character size, text effects or text colors.,, using the information of diagnostic data and classification results as the result for retrieval to diagnosis request, be sent to the DB access portion 41 (S24) of report making terminal 13 thereafter.
If received the result for retrieval (S12) of retrieval process portion 59 by DB access portion 41, make in terminal 13 in report, by control desk control part 40, below the civilian input area 46 of diagnosis, show from the top down input candidate 53 according to the information of classification results.At this moment, as changing the modes such as font with the part different from model literary composition, basic input candidate 53 shows (S13) to revise literary composition.
Read the diagnosis literary composition (being yes in S14) that sheet doctor selects input to the civilian input area 46 of diagnosis from the input candidate 53 who shows.Be input to the civilian input area 46 of diagnosis (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, read sheet doctor and select term to select button 51 on one side, and select the input candidate 53 who shows, diagnose civilian input on one side.
Non-selected input candidate 53 (being no in S14), and do not append while selecting term to select button 51 (being no in S16), proceed the demonstration of S13.In the time appending term selection button 51 (being yes in S16), be back to the processing of S11, select button 51 and the term that appends selection to select the combination of the term of button 51 by the term of former selection, again carry out the retrieval request of diagnostic data.
Finish the civilian input of diagnosis if read sheet doctor, select conclusion button 55 (being yes in S17).If select conclusion button 55,, with together with the request of depositing of report 18 data, the request of depositing of diagnostic data is sent to DB server 14 (S18) from DB access portion 41.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, 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 data, extract combination and the up-to-date use time on date (S30) of diagnostic data, doctor ID, term.Then, relatively from reporting the diagnostic data of 18 extracting data and being logged the diagnostic data (S31) to dictionary table 60.
When the diagnostic data extracting and the diagnostic data of dictionary table 60 are inconsistent (being no in S32), by depositing handling part 58, in dictionary table 60, newly establish the hurdle (S33) of the diagnostic data being extracted.Then the diagnostic data (S34) that, login is extracted in the hurdle of newly establishing.While newly establishing the hurdle of diagnostic data, its access times are set as " 1 ".
On the other hand, when the diagnostic data extracting is consistent with the diagnostic data of dictionary table 60 (being yes in S32), increase the access times of this diagnostic data, and be updated to the up-to-date use time on date (S35) of extraction its up-to-date use time on date.At this moment, the diagnostic data of extraction is not logined and is dropped (S36) to dictionary table 60.By above step, once report that 18 making processing finishes.
If complete the making of report 18, make terminal 13 from report the diagnosis and treatment section terminal 11 that will seek medical advice is sent to the notice that completes.Seek medical advice by diagnosis and treatment section terminal 11 mission report DB21, the address of the report 18 comprising based on the notice that completes, reads report 18.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 report 18 content.
Bright as noted earlier, the present invention will read the revision literary composition data entry of sheet doctor revision to the dictionary table 60 of dictionary DB22, and show based on this input candidate 53 that diagnosis is civilian, and so bottom line prepared in model literary composition or term, need not be from just preparing at first a large amount of dictionaries.Therefore, preparing model workload civilian or that term is classified alleviates.In addition, also can be corresponding to readding sheet doctor's hobby 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 show data candidate 53 with the order of classification, so the diagnosis literary composition that the probability using as text is high, access times are many, the up-to-date use time on date is near shows with top order.Therefore, can save the workload of finding the input candidate 53 who wishes, improve convenience.
Wherein, in the explanation as the formula (1) of evaluation of estimate Ix, learn, also can have the situation that factor alpha, β are 0., also can be only by access times or only obtain evaluation of estimate Ix by up-to-date with the time on date.In addition, factor alpha, β, access times, which in the time on up-to-date use date are paid attention to, are decided by numerical value.For example, pay attention to, in the situation of access times, being made as α=0.8, β=0.2 etc.Also can be configured to can these coefficients of setting changing numerical value.
Classification as the diagnostic data of inputting candidate 53 is not limited to the order that evaluation of estimate Ix is high, also can arrange replacement with 50 sounds orders.In addition, also can order difference.
Relation by the combination of each doctor ID storage term with the civilian data of revision, reflects so can retrieve diagnostic data hobby, conduct input candidate of readding sheet doctor more.
Wherein, also can substitute doctor ID, or on its basis, by storing the combination of term under each doctor and revising the relation of civilian data.At above-mentioned embodiment, illustrate as user using the sheet doctor that reads who belongs to inspection section 12, but also can become user beyond readding sheet doctor.Therefore,, if by the combination of each doctor's affiliated storage term and the relation of revising civilian data, 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 multiple users under accumulation.
Make among font, character size, text effects or the text color of part of the revision literary composition different from model literary composition at least some with and common different demonstration of part of model literary composition, so can separate different from model literary composition, improve the convenience in the time selecting input candidate 53 at a glance.Wherein, as identifiably showing and the method for the part of the civilian different revision literary composition of model, be not limited to above-mentioned illustrative method, for example, also can carry out flickering display, or pointed out by CG role etc.
Term selects button 51 while being less than regulation number, does not carry out retrieval, for regulation number is when above, carries out retrieval, so the stage proceeding to a certain degree in the selection of term is carried out retrieval, shows and inputs candidate.The selection of term is not necessarily always carried out smoothly, also can expect reselecting or cancelling the situation of selection, even show input candidate also have situation about not selecting and be wasted from this input candidate so do not carry out retrieval in the time substantially selecting more.Therefore,, if select button 51 to carry out retrieval in the time that regulation number is above at term, just can save the waste of retrieval or Graphics Processing.
Owing to having 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, multiple users can enjoy the effect that documenting is supported.
In the above-described embodiment, in the time of 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 in report 18, use roughly determine, so be applicable to select multiple terms to make the mode of text.In addition, alleviate correspondingly with the workload of preparing model literary composition or term is classified, the manufacturing cost of device more cheaply, also can input simply and oneself hobby or diagnosis literary composition corresponding to delicate performance doctor, so also relaxed the barrier that adds for medical facilities passive in the importing of electronic information system, can expect the universal promotion of device.
Wherein, as model literary composition, also can use the model literary composition with the variable part shown in Fig. 8.In Fig. 8, " position " of diagnostic element, " size ", " number " are respectively the variable parts of model literary composition, and other diagnostic elements are identical with above-mentioned embodiment, select button 51 to select by term.Upper at " position ", can input by keyboard operation the word that " lobus dexter ", " lobus sinister ", " S1 "-" S8 " etc. represent the position of neoplastic lesion; In " size ", " number " above, can input the numerical value such as " 15 ", " 10 ", " 3 " by keyboard operation.Input respectively " position-lobus dexter ", " size-major diameter 15mm, minor axis 10mm ", " number-3 ", selected under the illustrated state of " border-clear ", " edge-irregular ", " concentration-high concentration " (shown in oblique line), 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, dictionary table 60 carries out associated beyond civilian variable part and stores with revising the combination of term.Particularly, in above-mentioned illustrative model literary composition, " ... edge is irregular, the preferentially neoplastic lesion of high concentration of center ... " like this revision rewrite in the situation of " center is preferential ", storage " recognize liver 00 × individual big or small × △ mm, irregular, the preferentially neoplastic lesion of high concentration of center of sharpness of border, edge." such revision literary composition data.Represent the word of position or the variable part of numerical value of neoplastic lesion, what is inputted be all stored as the data of regulation.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 representing the word of position or the variable part difference of numerical value of neoplastic lesion, 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,, in the time selecting input input candidate, by variable part being distributed to the word or the numerical value that are transfused to, make diagnosis literary composition.Like this, if using revision literary composition data different variable part as same data processing, just can prevent from storing multiple only variable parts differences and the situation of other identical revisions literary composition data, not have the situation of the mixed and disorderly appearance of same input candidate.
In the above-described embodiment, change processing appointments such as (classification or) fonts of inputting candidate 53 display format take the retrieval process portion 59 by DB server 14 is illustrated for example, but also can be taken on by report making terminal 13 part or all of change processing of display format.
In the above-described embodiment, the information of the combination of additional term on diagnostic data in the data of report 18, and by retrieval process portion 59, it is extracted, but also can with report 18 data dividually, the information of the combination of diagnostic data and term is carried out associated, and it is directly delivered to retrieval process portion 59.
In the above-described embodiment, the combination of term and model literary composition carried out associated and be stored to dictionary table 60, but also can store dividually model literary composition with dictionary table 60, also can not store model literary composition, and automatically generate model literary composition by other algorithms.In addition, although in input candidate, also comprise model literary composition, also can be only using revision literary composition as input candidate.
And then, in order to prevent that dictionary DB22 from becoming off-capacity, also can automatically delete the low revision literary composition data of possibility that use as text.At this moment, for example select and delete access times and be less than stipulated number, up-to-date time on the use date revision literary composition data before time fixed date.
In the above-described embodiment, in the time determining the data of preserving report 18, send the request of depositing of diagnostic data, but also can input candidate 53 some in the time of temporary transient data of preserving report 18 or in the civilian input area 46 of diagnosis time, the request of depositing of sending diagnostic data.
In the above-described embodiment, as input equipment, be illustrated as an example of keyboard or mouse example, but also can use microphone as input equipment, accept term by sound and select the selection of button 51 or input candidate's 53 selection.
In the above-described embodiment, for example understand the inspection of implementing in inspection section 12, but checking that kind is not limited thereto, can be also that PET (positron emission tomography: Positron EmissionTomography) checks, ultrasonic inspection, endoscopy etc.In addition, as report 18, exemplified with the report of readding sheet result of summing up check image 17, but can be also the report of summing up the diagnosis to the inspection data beyond check image.As the inspection data beyond check image, for example, there is the oscillogram such as numeric data or cardiogram obtaining by pathologic finding such sample inspection or physiology inspection etc.In addition, can be also the report of having charged to the diagnosis that the various data such as the inspection data from different inspection kinds are relevant.
In addition, can not also and check relevant report, as long as summing up the report of the diagnosis relevant to patient's diagnosis and treatment.For the wright of report, be also not limited to and read sheet doctor, and then be not limited to doctor.For example, for the report of made as the report of the Physical Therapist making relevant to the guidance of rehabilitation, beyond 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, can be also that the making of the text charged in case history is supported, in addition, support for the making of the various texts beyond medical field, can be suitable for the present invention.
In the above-described embodiment, with by form documenting assisting system of the present invention, report make terminal and DB server respectively one be configured to example and be illustrated, make terminals and DB server but also can be configured to many reports.In addition, also can in a computing machine, consolidated return make the function of terminal and the function of DB server.In the latter's situation, the function of the server program of installing in the function of the client program of installing in report making terminal and DB server is carried out to comprehensive program and be mounted in a computing machine.
In addition, as above-mentioned embodiment, comprise in the situation of infosystem of the client service type of client computer (terminal is made in report) and server (DB server), the client program that use is compiled in report can use special program, also can use such, corresponding with the agreement of WWW (WWW: the World Wide Web) general browser of HTTP (HTML (Hypertext Markup Language): Hyper TextTransfer Protocol).
In the situation that using specific program, report is compiled the picture data of picture based on being defined by special program and is generated.In the case of using general browser, for example in Web server, deposit in advance report and compile the data of picture, 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 receiving and compiles picture.Web server can double as DB server 14, can be also point other server with DB server.In the case of using general browser, the CPU of Web server and the CPU of client computer interlock, or formation is deposited handling part, retrieval process portion etc. individually.
In addition, as framework the deposit data device of DB, also can be beyond DB server, for example, also can use the such memory device connecting via network of NAS (network attached storage: Network Attached Storage), SAN (storage area network: Storage Area Network).Like this, the physical arrangement of computer system can be carried out appropriate change.
In the above-described embodiment, be illustrated as an example of LAN example as network, but be scattered in multiple places such in the situation that in diagnosis and treatment section and inspection section, also can be used in combination LAN and WAN (wide area network: Wide Area Network) as network.
In addition, as shown in above-mentioned embodiment, the present invention is by the mode of program, and then to reach by stored program storage medium be apparent.
Claims (9)
1. a documenting assisting system, is characterized in that, possesses:
Operation Input Control Element, from pre-prepd multiple terms, select the term of wishing, and from the model literary composition that generates according to the combination of selecteed term or input candidate, select the object using as text, accept the revision of selecteed text to rewrite and as revision literary composition;
Login unit, by the combination of the term of being selected by aforesaid operations Input Control Element with revision literary composition carry out associated, and login in dictionary;
Retrieval unit, retrieval revision literary composition from dictionary, described revision literary composition is the combination and the revision literary composition consistent with the combination of having been carried out associated term by above-mentioned login unit of the term selected by aforesaid operations Input Control Element;
Indicative control unit, shows the revision literary composition of being retrieved by above-mentioned retrieval unit as the input candidate of the text of being selected by aforesaid operations Input Control Element, and
Comparing unit, compares to model literary composition with as input candidate's revision literary composition;
Above-mentioned indicative control unit, according to the comparative result of above-mentioned comparing unit, identifiably shows as parts different from model literary composition in input candidate's revision literary composition.
2. the documenting assisting system of recording as claim 1, is characterized in that,
Above-mentioned login unit is at least some using the time on date of the civilian revision number of times using as text or use, and by each revision, record to dictionary Wendeng City.
3. the documenting assisting system of recording as claim 2, is characterized in that possessing:
Taxon, at least some according to the number of times using revision literary composition as text or time on date of using, classifies to the revision literary composition of being retrieved by above-mentioned retrieval unit;
The order of above-mentioned indicative control unit to be classified by above-mentioned taxon, shows revision literary composition.
4. the documenting assisting system of recording as any one in claim 1～3, is characterized in that,
Above-mentioned login unit is affiliated at least some by each user or user's, and relation civilian to the combination of term and revision is logined to dictionary.
5. the documenting assisting system of recording as claim 1, is characterized in that,
Above-mentioned indicative control unit is at least some by font, character size, text effects or the text color of the part different from model literary composition, is different from the part common with model literary composition and shows.
6. the documenting assisting system of recording as any one in claim 1～3,5, is characterized in that,
Comprise at model literary composition: the model literary composition with the variable part that can change by aforesaid operations Input Control Element;
Above-mentioned login unit, for the revision literary composition of model literary composition with variable part, carries out the combination of term associated and logins to dictionary with beyond the civilian variable part of revision.
7. the documenting assisting system of recording as any one in claim 1～3,5, is characterized in that,
Above-mentioned retrieval unit, in the time that the term of being selected by aforesaid operations Input Control Element is less than specified quantity, is not carried out retrieval, and in the time that specified quantity is above, carries out retrieval.
8. the documenting assisting system of recording as any one in claim 1～3,5, is characterized in that,
The text of being selected by aforesaid operations Input Control Element is the text that forms medical file, and term is medical jargons or word; This medical file records medical information.
9. a documenting support method, is characterized in that, possesses:
Operation input step, by operation Input Control Element, from pre-prepd multiple terms, select the term of wishing, and from the model literary composition or input candidate that generate according to the combination of selecteed term, select the object using as text, accept the revision of selecteed text to rewrite and conduct revision literary composition;
Login step is carried out associated and login by the combination of the term of selecting in aforesaid operations input step with revision literary composition in dictionary;
Searching step is retrieved revision literary composition from dictionary by retrieval unit, above-mentioned revision literary composition is the combination and the revision literary composition consistent with the combination of having carried out associated term in above-mentioned login step of the term selected in aforesaid operations input step;
Step display, shows the revision literary composition of retrieving in above-mentioned searching step as the input candidate of the text of selecting in aforesaid operations input step, and
Comparison step, compares model literary composition and input candidate's revision literary composition;
At above-mentioned step display, according to the comparative result of above-mentioned comparison step, identifiably show as parts different from model literary composition in input candidate's revision literary composition.
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| JP2012118939A (en) * | 2010-12-03 | 2012-06-21 | Fuji Electric Co Ltd | Risk assessment support system, and client terminal and server device therefor |
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| WO2015004787A1 (en) * | 2013-07-11 | 2015-01-15 | Tanaka Shunichi | Input assistance device |
| JP6525527B2 (en) * | 2014-08-07 | 2019-06-05 | キヤノン株式会社 | Diagnostic reading report creation support device, diagnostic reading report creation support method and program |
| JP6510196B2 (en) * | 2014-08-12 | 2019-05-08 | キヤノンメディカルシステムズ株式会社 | Image interpretation report creation support device |
| WO2016125053A1 (en) * | 2015-02-05 | 2016-08-11 | Koninklijke Philips N.V. | Contextual creation of report content for radiology reporting |
| JP6596879B2 (en) * | 2015-03-31 | 2019-10-30 | 富士通株式会社 | Data format creation support program for clinical trials, data format creation support method for clinical trials, and information processing apparatus |
| WO2019167404A1 (en) * | 2018-02-27 | 2019-09-06 | コニカミノルタ株式会社 | Central processing device, control method, and program |
| JP2019153250A (en) * | 2018-03-06 | 2019-09-12 | 富士フイルム株式会社 | Device, method, and program for supporting preparation of medical document |
| JPWO2021157718A1 (en) | 2020-02-07 | 2021-08-12 | ||
| JP7436628B2 (en) | 2020-03-03 | 2024-02-21 | 富士フイルム株式会社 | Information storage device, method and program, and analysis record generation device, method and program |
| JP2021190017A (en) * | 2020-06-04 | 2021-12-13 | キヤノンメディカルシステムズ株式会社 | Report creation support device and report creation support program |
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| JP2009259000A (en) | 2009-11-05 |
| JP5288866B2 (en) | 2013-09-11 |
| CN101561849A (en) | 2009-10-21 |
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