CN106407642A - Information processing apparatus and information processing method - Google Patents

Abstract

The invention relates to an information processing apparatus and an information processing method. The apparatus and method provide support for medical report creation and include a plurality of sets of information that is the object of diagnosis and association information indicating associations among a plurality of items included in each of the plurality of sets of information, specifying one item out of a plurality of items included in each of a plurality of sets of information included in a previously created medical report, identifying, based on association information by which the specified one item is associated, at least one item of the plurality of items included in the previously created medical report in response to specifying the one item, and displaying the at least one identified item for editing the medical report.

Description

Information processor and information processing method

Technical field

The present invention relates to the device and method for record diagnosis.

Background technology

In medical field, there is situation about being disposed using medical report, wherein medical report is included based on medical figure The title of disease of picture identification, Disposal Strategies etc..Increase to result in for the medical imaging disposed and create this medical report The increase of workload.

Japanese Unexamined Patent Publication 2007-140862 publication discloses following content：With regard to whole existing by data base system Report, based on association sentence combination number of times create the network information, based on the extraction conditions specified by user from network Display portion structure in information, and allow users to case statement from the part-structure of display, thus supporting medical report The establishment accused.

There is the situation of the part replicating and using over the medical report creating when creating new medical report.As Really there is the record associating in logic with record to be replicated, then there is the situation simultaneously replicating this record, therefore user is necessary Confirm the full content of the medical report of establishment in the past.

Content of the invention

According to some embodiments of the present invention, provide a kind of information processor, described information processing meanss include：Create Unit, it is configured to create medical report, and described medical report includes multipacket message and instruction institute as diagnosis object State the related information of the association between multiple projects that each group information of multipacket message includes；Designating unit, its be configured to from Multiple items that each group information of the multipacket message that the storage medical report creating before in the memory unit includes includes A project is specified in mesh；Recognition unit, it is configured to respond to specifying in described designating unit, based on specified one The related information that individual project is associated, to identify at least one of multiple projects that the medical report creating before includes item Mesh；And display control unit, it is configured to show at least one identification on the picture for editing described medical report Project.

By the description to exemplary embodiment referring to the drawings, other features of the present invention will be clear from.

Brief description

Fig. 1 is the figure of the example of construction illustrating medical report creating device.

Fig. 2 is the figure of the example of construction illustrating medical report creating device.

Fig. 3 is the figure illustrating the example of the concept of report that medical report creating device creates.

Fig. 4 A to Fig. 4 C is the figure of the example of database format of the project and related information illustrating and constituting medical report.

Fig. 5 is the figure of the example of function illustrating medical report creating device.

Fig. 6 A and Fig. 6 B is graphic user interface (the graphical user illustrating medical report creating device interface：The figure of example GUI).

Fig. 7 is the example illustrating for automatically determining the process of the process of the type of association between report project Figure.

Fig. 8 is to illustrate for replicating the figure constituting the example of the process of process of the project of report and related information in the past.

Fig. 9 is the figure illustrating for the example of the process of process in reproduction range identifying unit.

Figure 10 A and Figure 10 B is the process illustrating for the process of the scope of project in extension past report to be replicated Example figure.

Figure 11 is the detailed process illustrating the process copying to the reproduction range being determined in the report of new establishment Example figure.

Figure 12 is the figure illustrating the example of corresponding association between the image obtaining in the past and the current image obtaining.

Figure 13 is the example illustrating for the process of the process of corresponding present image when being converted into replicating by past image Figure.

Figure 14 be illustrated in original report in the past in not as the project replicating beyond object between there are the feelings of causalnexus The figure of the example that the picture under condition shows.

Figure 15 is to illustrate for being confirmed whether for causalnexus to be applied in original report in the past having answering of causalnexus The figure of the example that the picture of project processed shows.

Figure 16 A and Figure 16 B is the trust purpose of the report being illustrated in new establishment is optimum/pernicious diagnosis or transfer retrieval In the case of the original in the past example of report figure.

Figure 17 A and Figure 17 B is the figure of the process related to the duplication according to the 7th embodiment for explanation.

Figure 18 A to Figure 18 C2 is the first figure of the process related to the duplication according to the 8th embodiment for explanation.

Figure 19 A and Figure 19 B is the second figure of the process related to the duplication according to the 8th embodiment for explanation.

Figure 20 illustrates the figure of the example of the process of the process for the reproduction range identifying unit according to the 8th embodiment.

Figure 21 is the figure of the example of the function of illustrating the medical report creating device according to the 9th embodiment.

Figure 22 is to be illustrated in calculate, by the fraction according to the 9th embodiment, the shape that identifying unit value already is allocated to project Under the state, figure of the past report example of content.

Figure 23 is the figure of the example of the function of illustrating the medical report creating device according to the tenth embodiment.

Figure 24 A to Figure 24 H is for the operating process being carried out by the reproduction range identifying unit in the tenth embodiment is described Figure example.

Figure 25 is the figure illustrating the example of operating process being carried out by the reproduction range identifying unit in the tenth embodiment.

Figure 26 is the figure of the example of the function of illustrating the medical report creating device according to the 11st embodiment.

Figure 27 is the figure of the example of the function of illustrating the medical report creating device according to the 12nd embodiment.

Figure 28 A and Figure 28 B is project and the related information illustrating for constituting the medical report according to the 12nd embodiment The example of database format figure.

Figure 29 is the figure of the example of concept map that the trust purpose being illustrated in the 12nd embodiment selects to process.

Figure 30 A and Figure 30 B is the figure of the example illustrating basic input pattern picture

Figure 31 is the figure of the example illustrating layout picture.

Figure 32 is to illustrate destructuring to read the example being highlighted in shadow report.

Figure 33 is the figure of the example illustrating time serial message window picture.

Figure 34 is the figure of the example illustrating interaction prediction table.

Figure 35 A and Figure 35 B is to be shown in the mistake that user creates or selects process during diagnostic report project The figure of the example of the flow chart of journey.

Figure 36 is the flow chart illustrating the example according to the process in the reproduction range identifying unit of first embodiment.

Figure 37 is the figure illustrating the example of process in reproduction range identifying unit.

Figure 38 is the figure of the example illustrating the process related to the duplication according to first embodiment.

Figure 39 is the figure of the example illustrating the process related to the duplication according to the 5th embodiment.

Figure 40 is the flow chart of the example illustrating the process according to fourth embodiment.

Figure 41 A and Figure 41 B is the figure of the example illustrating the process according to fourth embodiment.

Figure 42 A and Figure 42 B is the figure of the example illustrating the process according to 3rd embodiment.

Figure 43 A and Figure 43 B is the figure of the example illustrating the process according to 3rd embodiment.

Figure 44 A and Figure 44 B is the figure of the example illustrating the process according to 3rd embodiment.

Specific embodiment

Devices in accordance with embodiments of the present invention is described below.First, will be by Fig. 1 to Fig. 6 B and Figure 30 A to Figure 33 In example mode, to illustrate that the construction of the device common with each embodiment is created with by devices in accordance with embodiments of the present invention The concept of the medical report built.

In the first embodiment, the project specified in the medical report that identification was created with the past is directly or indirectly associated All projects, and these whole projects can be used in the medical report newly creating.In Fig. 8, Figure 11, Figure 36, Figure 37 and Tu An example is provided in 38.

In a second embodiment, related information that can be from the type of specified project between acquisition project.Carry in the figure 7 Supply an example.

In the third embodiment, if there is the project with mutually exclusive association, then corresponding pushing away can be shown Recommend frame.An example is provided in Figure 34, Figure 35 and Figure 42 A to Figure 44 B.

In the fourth embodiment, when replicating and using the content creating in the past described in medical report, with replicate phase The time point that a series of process closed have completed, can make reproducting content and display format optimization for copy.Fig. 7, Figure 12, An example is provided in Figure 13, Figure 40, Figure 41 A and Figure 41 B.

In the 5th embodiment, it is capable of identify that and replicates one of the project being associated with the project that designating unit is specified Point.In addition, identify and replicate this part of when, can easily replicate the part not being replicated after a while, and can The project individually replicating is made to be associated.An example is provided in Fig. 9, Figure 10 A, Figure 10 B, Figure 14, Figure 15 and Figure 39.

In the sixth embodiment, the scope of duplication can be identified according to the type of the project specified.

In the 7th embodiment, can be identified from past wound according to the on commission purpose of the establishment of medical report The scope replicating in the medical record built.An example is provided in Figure 16 A to Figure 17 B.

In the 8th embodiment, according to the newly record situation of the medical report of establishment or with regard to supposing the content recorded, energy Enough identification reproduction range from the report creating in this case.An example is provided in Figure 18 A to Figure 20.

In the 9th embodiment, based on related information, give evaluation of estimate for each report project, and can be according to this Evaluation of estimate is identifying reproduction range.An example is provided in Figure 21 and Figure 22.

In the tenth embodiment, based on related information, give evaluation of estimate for each report project, and can be according to this Evaluation of estimate is identifying reproduction range.An example is provided in Figure 23 to Figure 25.

In the 11st embodiment, allow hand over the technology for identifying reproduction range.Provide one in fig. 26 to show Example.

In the 12nd embodiment, the establishment of the medical report that can be created in the past entrusts purpose to copy to new establishment In medical report, thus identification entrusts the corresponding project of purpose with the establishment of the medical report creating in the past and this project is multiple Make in the medical report of new establishment.An example is provided in Figure 27 to Figure 29.

In detail above-described embodiment is illustrated now.In the medical field, using being obtained by various camera heads Image and various inspection are being disposed.The view data being obtained by camera head will be referred to as " medical imaging ".By figure As the image that data is obtained with obtaining the image being suitable for diagnosing through image procossing etc. is also included within medical imaging.This The example of camera head includes computed tomography (CT：Computed tomography), Magnetic resonance imaging (MRI： Magnetic resonance imaging), radioactive ray device shoot two-dimensional radiation photograph digital radiography (DR： Digital radiography) etc., but it is not limited to this.

Illustrate as a example the example of the view data being obtained by CT device.CT device obtains the phase being referred to as CT value One-dimensional distribution to X-ray absorption coefficient value, as view data.Afterwards, view data is through being referred to as the place of Image Reconstruction Reason, thus obtain 3-D view.These 3-D views are further across maximum intensity projection (MIP：maximum intensity Projection) creating MIP image, or these 3-D views are used for obtaining the two dimensional image of expectation fault plane.These figures As data, 3-D view and the various images obtaining from these 3-D views are included in " medical imaging " entirely.

Diagnosis using medical imaging is referred to as " reading shadow ".Read shadow and observe medical figure by with diagnosing image for professional doctor As come to carry out.When the trust of shooting and reading shadow that the attending doctor diagnosing object sends medical imaging indicates, technician shoots suitable When medical imaging, and provide these medical imagings to be used for reading shadow.Letter based on the medical imaging obtaining with regard to diagnosing object The information ceasing and obtaining and suggestion are passed to attending doctor from specialist.

Note, in the following description, entrust the doctor reading shadow will be referred to as " entrusting doctor ", with diagnosing image as specialty Doctor claimed " read shadow doctor ".Under many circumstances, doctor is entrusted to be clinician, especially attending doctor.Read shadow report By as electronic data management.Read shadow report can described in electronic medical record and management.In single example, read shadow Report is recorded on the medium of such as paper, and is thus managed.

Read shadow report inclusion and be referred to as " discovery " and the information of " diagnosis ", observe the patient of acquisition in " discovery " traditional Chinese physician Medical imaging and describe the event being found and phenomenon, in " diagnosis ", the disease of suspection is described based on the content finding Deng.Additionally, there are the situation including the information (for example, Disposal Strategies etc.) describing to the suggestion entrusting doctor.

And, medical imaging is attached in reading shadow report.Medical imaging can be by the thumbnail image of medical imaging, with reference to this doctor Information with image etc. is replacing.Find and diagnose and the association between them is generally recorded with natural language, or root To record by different way according to the doctor creating this report.Accordingly, there exist trust doctor needs to spend Understanding Time to read shadow report The situation of the content accused.

In recent years it has been proposed that following technology：Create in a structured manner and read shadow report, read shadow report and have expressed with regard to such as Association between multiple projects that the information of the medical imaging finding and diagnosing includes, described information is with regard to reading to remember in shadow report The information of the diagnosis carrying.Each project includes reading the content that shadow doctor has inputted.Thus it is for example possible to clearly shadow is read in expression Associating between the multiple discoveries described in report and diagnosis.Build reading shadow report to decrease to the reading shadow doctor creating this report Live load, and also make entrust doctor be easier to understand content.

When being recorded in reading shadow report, reading shadow physician in view needs to make the project of input to be associated to create association Information, and create structurized reading shadow report.Such structurized reading shadow report can be by according to an embodiment of the invention Read shadow report to create support system to create.

First embodiment

Fig. 1 is the structural map of medical report creating device.Medical report creating device 1 is to check reading shadow for reading shadow doctor Image simultaneously creates the device reading shadow report.Medical report creating device 1 is passed through LAN 9 in institute and is connected with system in institute.Connect To in institute, the example of the other information system of system includes hospital information system (HIS：hospital information System) 2, radiology information system (RIS：Radiology information system) 3, medical image 4 and picture deposit Shelves and communication system (PACS：picture archiving and communication system)5.

HIS 2 is the integrated system including medical office accounting system, disposal register system, disposal information system etc.. HIS 2 includes electronic medical records database 6 and reads shadow report database 7.Electronic medical records database 6 storage record patient Medical history electronic medical record.

RIS 3 be for the inspection being carried out by radiation equipmen and dispose to carry out preengaging, control inspection result, right Material carries out the system of storage controlling etc..There is the situation reading that shadow report database 7 is managed by RIS3.The example of medical image 4 For example include CT device, MRI device, diagnostic ultrasound equipment, positron emission computerized tomography (PET：positron- Emission tomography) device, DR device etc., but not limited to this.PACS 5 is for obtaining to by medical image 4 Medical imaging carries out electronics preservation, the system searched for and communicated.PACS 5 includes medical image data storehouse 8 and cures as preserving Destination with image.

Fig. 2 is exemplified with the specific configuration figure of medical report creating device 1.Input equipment 11 be, for example, mouse, digitizer, Keyboard etc., and input equipment 11 is for inputting user instruction to medical report creating device.Output equipment 12 is e.g. luminous Diode (LED) panel, liquid crystal panel etc., with the state of display device, process content etc..

The program being saved in auxiliary storage device 15 is read main storage by CPU (CPU) 13 14.CPU 13 also executes the program being read, and is calculated, thus Integral control device, also control user interface (UI) display.Main storage 14 is the main storage of random access memory (RAM) etc..Auxiliary storage device 15 Store for operating the medical report of medical report creating device 1 to create program.The example of auxiliary storage device 15 is included such as The storage medium of hard disk and flash memory etc., but not limited to this.

Typically, the capacity of main storage 14 is less than the capacity of auxiliary storage device 15, and auxiliary storage device 15 is deposited Program that storage main storage 14 cannot comprise, data etc..Auxiliary storage device 15 also serves as longer-term storage.Communication interface 16 It is connected to LAN 9 in institute, as the communication with system and HIS 2, RIS 3, medical image 4 and PACS 5 in various institutes Interface.

Fig. 3 is the example of the concept illustrating the report being created by medical report creating device according to an embodiment of the invention Figure.Medical report includes multigroup information to be diagnosed, and each group information including indicating in multipacket message include many The related information of the association between individual project.Diagnostic multipacket message includes such as position, discovery, diagnosis and four kinds disposed The information of type.

It is possible to so that the identified sentence of region and image are input to the report project that location information includes In.One of report project that location information includes is represented by the frame 71 in Fig. 3.It is input to the image that project is reported at position The soft copy of image e.g. to be diagnosed, or access the address information of the image for reading shadow.Diagnostic image soft Copy can be the thumbnail image of this image.It is used for parameter of image procossing to be applied etc. when checking image, such as obtain The inspection information of camera watch region during image and device information now can also be transfused to.

Find that report project has the sentence of the one or more pathologies being recorded in this input.Diagnosis report project has It is recorded in the sentence of one or more diseases of this input.Dispose report project have be recorded in this input one or more The sentence of individual disposal.The example of related information according to the association between report project, including corresponding association, causalnexus, exclusive pass Connection association related with the progress of instruction time serial correlation etc., but not limited to this.

In figure 3, corresponding association is indicated by line 72, causalnexus is indicated by arrow 73, and exclusive association is by double-headed arrow 74 Instruction.Corresponding association refers to that two report projects are interrelated.Causalnexus refers to that two report projects are closed by causality Connection.The direction instruction of arrow is from reason project to result items purpose direction.Exclusive two report opposition of association instruction, represent two The content of report project can not be set up simultaneously.

When creating report, report project in exclusive association represents cannot infer that the content of arbitrary report project is improper, But the process being as diagnosing is expected to find that at least one report project is improper, thus deleting this report project.One report Project can have the related information with other report projects multiple.In other words, the association between report project can be multi-to-multi.

Fig. 5 is the functional block diagram of the major function for medical report creating device 1 is described.Image viewing unit 101 warp Image for reading shadow is read from medical image data base 8 by PACS 5, and display image is carried out on output equipment 12.Image Check that unit 101 also responds to read the operation via input equipment 11 for the shadow doctor, execution such as changes the image of display, at image The various types of process relevant with image viewing such as reason.

Report display control unit 109 shows that on output equipment 12 editing pictures create report with new, or according to reading shadow The operation of doctor report in the past in output equipment 12 display.Report establishment of item unit 102 creates report project, and gives only The item id of one identification this report ID.Report establishment of item unit 102 is also automatically assigned to belonging to unique identification report project The type of the information of diagnosis belonging to the report ID of report and this report project, and it is saved in the project table shown in Fig. 4 A In 701.

Report contents of a project edit cell 103 is reported via the content that input equipment 11 inputs according to reading shadow doctor The editor of the content of project, and the result of editor is saved in the relevant position in project table 701.Related information creating unit 104 create the related information between selected report project.Related information is by the association ID, logical for unique identification related information Cross the type composition of the associated ID of two report projects of this related information and association.Related information creating unit 104 exists On output equipment 12, display selects the picture of the type of association between report project for user.Related information creating unit 104 obtains Take the type of the association between the report project of user input.

Related information saving unit 105 is by the related information saving being created by related information creating unit 104 in Fig. 4 B institute In the contingency table 702 showing.In the case that the type of association is causalnexus, the item id of the report project of instruction reason is set It is set to report item id 1, the item id of the report project of instruction result is set to report item id 2, and is preserved.Request Mark given unit 114 gives word or the sentence of the selection representing the content entrusting the request including to the report project selecting Son is as request marks, and result is saved in project table 701.One report project can include multiple request marks.Request Content be from entrust doctor request read shadow doctor create read shadow report reception and registration item.The content entrusted includes the interior of request Hold, in addition to the symptom of patient, also include entrusting diagnosis name of doctor's suspection etc., but not limited to this.

Can be arranged as follows：Entrust doctor can input the content of the trust being divided into single project in advance, this Reading shadow doctor can be made to be directed to the cuit of each report item selection request as request marks.Alternatively, may be used To be arranged as follows：The sentence of the content of the multiple trusts manually or automatically wherein comprising expression is divided into single item Mesh.Giving this request marks enables the content that corresponding report project is directed to each request to illustrate.

Past reports the list of select unit 108 report (hereinafter referred to as " past report ") that display creates in the past, and root According to reading operation on input equipment 11 for the shadow doctor, select to use in the new report (hereinafter referred to as " current report ") creating Report.List based on the report of extracting over of the value of the report ID in project table 701.It is based on and the report corresponding letter of ID Breath, display for example can also be by the report related to the list and the current patient as object of all report related reports of ID Accuse list, be made up of list specifically reading the report that shadow doctor created in the past etc..

Report display control unit 109 shows the content of the past report that user selects.Reproduction range identifying unit 110 from Constitute in the project (position, discovery, diagnosis, disposal, related information etc.) of report of report display control unit 109 display, come The scope that judgement will replicate in current report.Reproduction range identifying unit 110 be receive user operation input when it is intended that The designating unit of the project that past report includes.Reproduction range identifying unit 110 is also based on the project specified and associates letter Breath, the recognition unit of the project that the report of identifying over includes.Reproduction range identifying unit 110 also replicates in current report to be known Other project.

The process related to duplication, is the information based on the reproduction range judging in reproduction range identifying unit 110, by upper State report establishment of item unit 102, related information creating unit 104, related information saving unit 105, replicate related information wound Build unit 106 and replicate what related information saving unit 107 to be implemented.Replicate related information creating unit 106 will constitute When going the project reported to copy in the report of new establishment, create indicate original association and Copy Info between information (with Down referred to as " duplication related information ").Replicate related information saving unit 107 and will replicate what related information creating unit 106 created Replicate in duplication contingency table 703 shown in Fig. 4 C for the related information saving.Associate ID1 and associate the pass that ID2 is in contingency table 702 Connection ID, and it is preserved such that association ID1 is original association ID and associates the association ID that ID2 is copy.

Related information display unit 111 in contingency table 702 and replicate contingency table 703 content after, in output equipment 12 The association of upper display report project.Report storage unit 112 by the project table 701 reading via HIS 2, contingency table 702 and is answered The content of contingency table 703 processed is saved in reading shadow report database 7, as data reporting.The form of data reporting is not subject to especially Limit, as long as wherein contain being equivalent to project table 701, contingency table 702 and the information replicating contingency table 703.For example, believe Breath can be converted into the reporting data format of the definition such as extensible markup language (XML).

Memory cell 113 interim storage project table 701, contingency table 702 and duplication contingency table 703.When will report item id, Report ID, with when associating ID and being saved in project table 701 and contingency table 702, to distribute report project in the way of in order ID, report ID and associate ID.

Fig. 6 A and Fig. 6 B is the figure of the summary of GUI illustrating medical report creating device 1.Fig. 6 A is exemplified with report input picture The example in face.The image showing as the diagnosis object for reading shadow is checked in medical imaging on picture 131.Read shadow doctor to doctor Carry out operation input with the content of display on image viewing picture 131, to realize the function of image viewing unit 101.Patient believes The display of breath viewing area 132 to be to be diagnosed, as image subject patient information.The example of patient information includes uniquely knowing The patient ID of other patient, name, age, clinical medical history etc., but not limited to this.

Entrusted information viewing area 133 show trust department information, such as before entrust inspection and from entrust The content of the trust of doctor.Report creates region 134 and is divided into position, discovery, diagnosis and the region disposed, and regional includes Input frame for inputting the report project input frame 135 of content of the report project that each information includes and additional input frame is attached Plus button 136.

Report project input frame 135 is related to a report project, and accepts the content for editing this report project Operation input.The function of report contents of a project edit cell 103 is realized via the operation of report project input frame 135.Report The function of accusing establishment of item unit 102 is realized by pressing the operation input of input frame additional buttons 136, thus creating new Report project.Meanwhile, report project input frame 135 corresponds to the report project creating and shows.Type for each project And provide input frame additional buttons 136, and create the report project of the type corresponding to the button being pressed.

The additional of input frame can be carried out by the key operation on input equipment 11.For example, diagnosis report project is permissible Created by TAB key being pressed by user while the content of editorial discovery report project.Similarly, user can be for example logical Cross while editorial discovery reports the content of project, be consecutively pressed RETURN key and create individually discovery report item twice Mesh.Report project input frame 135 is selected at input equipment 11.Multiple input frames can be selected simultaneously.

When the input frame of selection is dragged and dropped into another input frame, related information creating unit 104 determines that this is that instruction is right Should in the report project of drag source input frame and corresponding to drag purpose input frame report project between the operation associating defeated Enter.Related information creating unit 104, according to the operation input of instruction association, to show the dialog box of the type selecting association.? Report creates in region 134, and it is defeated that the association between report project is shown as connection report project by related information display unit 111 Enter the line of frame 135.

In the case that the type of association is corresponding association, input frame is shown as connecting by simple line.In association In the case that type is causalnexus, input frame is shown as by the input frame from the report project as reason to as knot The arrow of the input frame of report project of fruit connects.In the case that the type of association is exclusive association, two or more rows The input frame of his report project is shown as connecting by four-headed arrow.

When image is dragged and dropped into report and creates region 134 from medical image viewing picture 131, report establishment of item unit 102 function creates the report project comprising in the information at position, and shows the input frame of this report project.Meanwhile, create with The report project of the discovery that project has corresponding association is reported at the position having created, and shows this input frame.

Additionally, image is being dragged and dropped into, from medical image viewing picture 131, the report project input frame 135 having existed In the case of, the soft copy of image is registered as the content of the report project at drop target.By request marks from entrusted information In the case that viewing area 133 is dragged and dropped into report project input frame 135, the function of execution request marks given unit 114, and The request marks of drag source are endowed the report project at drop target.Below in an example, request marks be shown in On upper each report project input frame 135, so as to understanding the content of the request marks being endowed each report project.

Impression input area 139 to show the summary of report in the form of text.The text is by reading shadow doctor in input equipment Input at 11.The content of impression input area 139 can be automatically created based on the content that report creates region 134 and as literary composition This here is inserted.For example, diagnose and the content of disposal report project can be automatically as text input.

Now, when cursor is through the part of impression input area 139, corresponding to the report of the content recorded at cursor position Announcement project can be highlighted.It is highlighted herein and for example include changing the color of input frame of report project or input frame Live width is so that different from sundry item, so that input frame flicker of report project etc..

When past report button 137 is pressed, the process of select unit 108 is reported in execution in the past, and shows in the past The list of report.Read shadow doctor and select report from the list of report at input equipment 11, thus display is shown by report The process of control unit 109 and select past report.The picture of Fig. 6 B is due to having been carried out reporting display control unit 109 process and the example of the result of screen transition that causes.

The content in Fig. 6 A before the lower section display picture transformation of boundary line 144 in Fig. 6 B, shows and currently creates The related patient information viewing area 132 of report, entrusted information viewing area 133, report create region 134, report that project is defeated Enter frame 135 and input frame additional buttons 136.Read shadow doctor and can carry out the picture with Fig. 6 A in the region below boundary line 144 Middle identical input operation on face.Although exemplified with following example in Fig. 6 B：Do not show such as from the viewpoint of picture efficiency The object of the button being represented by numbering reference 138 to reference 144 and input frame etc, but they can be by pre- Fixed key operation and suitably shown.

The content of past report is shown in the region of boundary line 144 top by reporting display control unit 109.Suffer from Person information display area (past report) 145 shows the letter reading the patient as object in shadow report of having been chosen by over Breath.Patient information viewing area (past report) 145 is in the patient information viewing area 132 of the report of being documented in in the past Information.

Entrusted information viewing area (past report) 146 display is when the information of the trust department creating when reporting in the past, all The content of the trust that inspection and the trust doctor as trust is carried out.Entrusted information viewing area (past report) 146 is in the past Information in the entrusted information viewing area 133 of the report of being documented in over.Past report project and related information viewing area 147 It is to show the region constituting the association between the report project of report and report project in the past.

Input in past report project input frame 148 is the content constituting the report project of report in the past.Past reports Project input frame 148 is read-only, and its content cannot enter edlin by report contents of a project edit cell 103.With with Report creates region 134 identical mode, past report project and related information viewing area 147 have for position, discovery, Diagnosis and the region disposed are separated and shown layout.By reading shadow doctor, the past was reported project and related information viewing area In domain 147, the expected range of the content of display replicates and uses in the report of new establishment.

The detailed process of replication processes will describe in detail in the explanation of embodiment.Past report button 137 be switch by Button, therefore user can be switched between the display and the display of Fig. 6 A of Fig. 6 B by operating this button.

When basic input picture the Show Button 140 is pressed, report display control unit 109 will report establishment region 134 display is switched to basic input pattern.Figure 30 A shows the example of the picture in basic input pattern.Input basic Under pattern, can find, diagnose and dispose the content of report project with natural language input.When detailed input picture the Show Button 141 when being pressed, and report display control unit 109 will report that the display creating region 134 is switched to detailed input pattern.Figure 30B shows the example of the picture in detailed input pattern.Detailed input pattern is shown so that being reported in project Appearance can be inputted in the way of the corresponding table of value and attribute.The table of the information for selecting instruction attribute now can be shown, with Make it possible to be associated with other report projects and attribute.This makes it possible to express more detailed associations.

Can be arranged as follows：When being switched to detailed input pattern from basic input pattern, from natural language certainly Dynamic extraction attribute value preset.On the contrary, can be arranged as follows：When being switched to basic input pattern from detailed input pattern, Natural language is automatically generated in attribute value preset from corresponding table.

When layout the Show Button 142 is pressed, report display control unit 109 creates layout and shows that report creates area Domain 134 and the content of impression input area 139.Figure 31 shows the example of layout picture.Request the project of application mark, that is, The report project creating as the response to request, is laid out according to high-order mode.In addition, being based on project table 701 He The content of contingency table 702, creates and shows the label of the association between directory entry.

For example, in the case of illustrating in the diagnosis of cancer and also there is causalnexus with other diagnosis, to this It is primary carcinoma or metastatic carcinoma is predicted, for each display label.Feelings in the combination that there are multiple primary carcinoma and metastatic carcinoma Under condition, such as in the case of double cancers, each combination can be distinguished by bookmark name or color.Layout method can be by Check entrusting doctor, changing for equipment of checking etc. of this report.For example, as shown in figure 32, can be with unstructured The form reading shadow reporting format is being shown.During do so, the project being associated with the project selecting can be highlighted, with Make the corresponding association of this project easy to understand.

For mobile terminal, for example, report project can show in the state of switching successively.Here, substantially inputting picture Face the Show Button 140, in detail input picture the Show Button 141 and layout the Show Button 142 are as radio button exclusively work Make, and operated in image switching.Can be arranged as follows：Multiple buttons can be pressed, to show simultaneously simultaneously Multiple pictures.

When time series the Show Button 143 is pressed, report display control unit 109 display time serial message window Mouthful.Time serial message window creates the interior of the report project selecting in region 134 according to the order of check data, display report Hold.On time serial message window, the content of display is according to being to enter under basic input pattern or under detailed input pattern Row switching.The example of the picture exemplified with the time serial message window under detailed input pattern for the Figure 33.

The image of representation position can be shown, and unrelated with the report project that report creates selection in region 134.Have not Assigned while the duplication of the report project carrying out on the related information between with the report project of check data and the picture of Fig. 6 B Give.That is, the related information of instruction time serial correlation is given the report project of past report at original place and current report automatically Report project at copy in announcement.Can also be arranged as follows：In the state of display report in the past and current report, use Family manually gives time series association.Operation according to pressing report save button 138 inputs and to execute report storage unit 112 function.

Therefore, medical report creating device 1 is built report and makes for example to be referred to by the report project that line and arrow connect Association between showing position, discovery, diagnosis and disposing.This makes to indicate the stream of the logic of connection of position, diagnosis and disposal Journey can be expressed in easily understandable manner.

Next, will describe in detail using the medical report according to first embodiment with reference to Fig. 8, Figure 11, Figure 36 and Figure 37 The content that creating device 1 was reported with the past copies to the process in current report.

Fig. 8 is to illustrate to replicate constituting the report project of report and related information in the past and use the place in current report The flow chart of reason.By the past, S801 and S802 reported that select unit 108 was processed.In S801, display is reported in the past List.Medical report creating device 1 connects to HIS 2 via communication interface 16, and obtains in such as reading shadow report database 7 The list reading shadow report that the accumulative past is recorded.Using such as SQL (Structured Query Language：) etc. SQL data base query language, such as by specifying the patient only obtaining with the object as current reading shadow The condition of related report, to obtain and to show report.

In S802, selection that identification is reported in input equipment 11 by user and the report of past report that selects ID is sent to report display control unit 109.Can be arranged as follows：Past report select unit 108 is reported according to current Information in announcement, to speculate suitable past report, and automatically to carry out the process of S801 and S802.In S803, based on from The report ID that S802 sends, report display control unit 109 display is constituted in the past between the report project of report and report project Related information.Specifically, the record of the report ID mating with the report ID having sent is extracted from project table 701, and this mistake The content of the report project in going to report is displayed on output equipment 12.Meanwhile, extract with regard in this mistake from contingency table 702 The related information of the association of report project in going to report, and the past of correlation is shown by related information display unit 111 Related information between report and report project.

In S804, reproduction range identifying unit 110 accepts report project by the input at input equipment 11 Select, and obtain the report item id identifying selected report project.In S805, reproduction range identifying unit 110 is based on The report item id being obtained, to identify report project and the related information in current report to be copied to.In S806, In S805, the project of identification is passed through in the editing pictures of the currently displayed report of reproduction range identifying unit 110, and by report Accuse establishment of item unit 102, related information creating unit 104, related information saving unit 105, replicate related information establishment list Unit 106 and duplication related information saving unit 107 are copied in current report.

Figure 36 is to illustrate for identifying the flow process of the process of the project in the reproduction range that will include in the first embodiment Figure.In S3601, the report specified in S804 item recognition is at least will to include replicating model by reproduction range identifying unit 110 Project in enclosing.In other words, the report project selecting in step S804 is included in reproduction range.In S3602, reproduction range Identifying unit 110 is used the report ID of the report project that the reproduction range in S3601 includes as argument, to execute in Figure 37 The function SelectItem of middle detailed description.

The project being associated with certain project with reference to Figure 37, function SelectItem identification, and identify further and known The project that other project is associated.Therefore, it is possible to identify all items being directly or indirectly associated with certain project.Next By the process in explanation function SelectItem.

By function ITEM (x), can be the report project of x with reference to report ID.And, by function RELATION (x), Can be the related information of x with reference to association ID.In S3701, by value (i.e. the argument of the function SelectItem) generation of report ID Enter variable i.In S3702,1 is substituted into variable j.In S3703, the related information that will be obtained by RELATION (j) Report item id 1 substitutes into variable m.In S3704, the report item id 2 of the related information that will be obtained by RELATION (j) Substitute into variable n.In S3705, the value of variable i and variable m is compared.

If these values are identical, flow process proceeds to S3706, if these values are different, flow process proceeds to S3707.? In S3706, the value of variable n is substituted into variable p, and flow process proceeds to S3709.In S3707, by the value of variable i and variable n It is compared.If these values are identical, flow process proceeds to S3708, if these values are different, flow process proceeds to S3712.

In S3708, the value of variable m is substituted into variable p, and flow process proceeds to S3709.In S3709, determine ITEM P whether () be also not included in reproduction range.In the case of the result determining is genuine, flow process proceeds to S3710.Determining Result be vacation in the case of, flow process proceeds to S3712.In the case that the value of p is empty (null), the result of determination is considered as Vacation, and flow process proceeds to S3712.

In S3710, ITEM (m) is included in reproduction range, and flow process proceeds to S3711.In S3711, to make For report project value p as argument, to execute function SelectItem.In other words, recursive call function SelectItem.? In S3712, add variable j and be incremented by.Determine whether the value of variable j exceedes the quantity of record in contingency table in S3713.Determining Result be vacation in the case of, flow process returns to S3703, and repeats the above.The result determining in step S3713 is true In the case of, function SelectItem terminates.

The process of the function SelectItem illustrating in Figure 37 includes all to preserve in contingency table 702 in figure 4b Related information carries out the process of S3703 to S3711.In other examples, contract in the object by the process in S3703 to S3711 In the case of small range, enter the process of line function SelectItem.In other words, the reduced model of related information in contingency table 702 Enclose to the related information belonging to the past report that report item id 1 is selected in S804 with report both item ids 2, And the only related information that the reduces process in S3703 to S3711.Processing speed so can be improved.

In the process of function SelectItem illustrating in Figure 37, the report item id being designated as the argument of function is known In the form of reporting item id 1 and report item id 2, do not include the related information in contingency table 702.For identifying this pass The example of the different disposal of connection information is the process using graphic structure.In the S803 that Fig. 8 illustrates, reported in the past based on constituting Project and the item id obtaining when associating between display project and association ID, will be constituted this in the past between the report project of report Graphic structure be stored in main storage 14.Then, based on this graphic structure, identification and the report item specified in S804 The report project that mesh is directly or indirectly associated.Specifically, the program by operating medical report creating device 1 defines expression " report project " class of report project.Here the class identifying is the concept according to general Object-oriented Programming Design.Definition " report project " class has the array of the example of storage " report project " class as its member variable.In other words, in S803, multiple Scope identifying unit 110 processed creates the example (instance) with each report project corresponding " report project " class to be shown.

The example of the report project being directly associated with the report project corresponding to each example is stored in each example have Array (array) in.Therefore, it is pre-created example set as graphic structure, therefore, when specifying report project in S804, It is referred to the array of example correspondingly, and the report project being directly associated can be efficiently identified.In addition, recurrence Reference is stored in and the corresponding array of report project being directly associated, enabling effectively identify in S804 and report project The report project of indirect correlation connection.

Return to Figure 36, in S3603, S3601 and S3602 is identified as the pass between the report project of reproduction range Connection information is included in reproduction range.Specifically, in the whole records from contingency table 702, report item id 1 and report are extracted This related information is simultaneously set to multiple by the related information of report project that both item ids 2 have all been identified in reproduction range Object processed.In the case that the quantity of the report project that reproduction range includes is 1, following related information is set to replicate Related information：Report item id 1 is original report item id, report project Id2 is empty (null) and type is empty (null).Contingency table 702 does not exist report item id 1 be original report item id, report item id 2 be empty (null) and in the case that type is the related information of empty (null), new create unique ID that associates and simultaneously this association ID is set It is set to duplication object.

To illustrate for Figure 38 by the reproduction range identifying unit of the medical report creating device 1 according to first embodiment The concept of 110 projects being identified as reproduction range.For example, the project shown in Figure 38 finds in 5 S804 in fig. 8 In the case of appointed, reproduction range will be position 3, discovery 4, discovery 5, position 4, position 5, diagnosis 4, dispose 5, diagnosis 5 and Dispose 6 and 8 groups of related informations as the related information between them.In the S804 of Fig. 8, the project shown in Figure 38 finds 5 and in the case that position 6 specified simultaneously, and find that 5 have been designated as report project accordingly first, reproduction range will be Position 3, discovery 4, discovery 5, position 4, position 5, diagnosis 4, disposal 5, diagnosis 5 and disposal 6 are also as the association letter between them 8 groups of related informations of breath, are contained in reproduction range.

Have been assigned with accordingly with position 6, position 6, find 6, diagnosis 6 and dispose 7 and as the association between them Three groups of related informations of information, are contained in reproduction range.When reproduction range is replicated scope identifying unit 110 identification, The project of identification in the editing pictures of the report currently displayed report of display control unit 109.In other words, report display control list Unit 109 is used as display control unit.

Inputted multiple to determine whether the project that reproduction range identifying unit 110 is identified as reproduction range according to user operation Make in current report.For example, in the case that user selects to report the project including in the past, report display control list Unit 109 shows the picture indicating whether duplication for user in output equipment 12.

If a user indicate that replicating, then reproduction range identifying unit 110 accepts the item that user operation inputs and specifies selection Mesh, and reproduction range is identified by above-mentioned process.Can carry out by key operation indicating the operation input replicating.

The project being identified as reproduction range is passed through to report the editing pictures of the currently displayed report of display control unit 109 On.Report position also near this project for the display control unit 109, display replicates editor's picture of current report for user's instruction The icon of the project of display on face.Operation input is carried out by user to icon and indicates duplication, to confirm to replicate.

It is identified as the form of the project of reproduction range for display in the editing pictures of current report, in current report In, to show this project otherwise with other report Project Areas creating before.For example, by being identified as reproduction range The transparency of the input frame of project or color.Be identified as reproduction range project can with showing as input equipment 11 Show at the position of display linkage of the pointer of mouse of example.For example, the project that the past is reported drags to current report Editing pictures.When receiving drag operation input, reproduction range identifying unit 110 identifies duplication model by above-mentioned process Enclose.

Report display control unit 109 shows the item in the editing pictures being dragged to current report near mouse pointer Mesh, and the project being identified by reproduction range identifying unit 110.In the editing pictures that these projects are dragged to current report When, this is considered the instruction confirming to replicate, therefore exist at the position putting down operation input or near replicating this report item Mesh.Can also be shown in the case that these examples are combined.

By with reference to Figure 11 describe in detail in the S806 of Fig. 8, with regard to will be identified that the project of reproduction range copies to Process in current report.Figure 11 is the flow chart illustrating replication processes.In S8061, report establishment of item unit 102 will be The all report projects being identified as reproduction range in S805 copy in current report.When being replicated, report project wound Build unit 102 and create the project for registering content to be replicated in current report.The project creating is with regard to the type of project Identical with the project of identification in S805 with content, but for item id, then newly distribute unique numbering by project table 701, And report that ID corresponds to the ID of current report.

In S8062, related information creating unit 104 replicates the related association of institute with regard to the project of identification in S805 Information, and related information saving unit 105 by replicate related information saving in contingency table 702.In contingency table 702, The association ID of the related information replicating newly is distributed unique number, and reports item id 1 and report item id 2 in S8061 It is replicated and is allocated new report item id.

In S8063, replicate related information creating unit 106 and be directed to each note in the contingency table 702 having been copied for Record, associates ID based on the association ID in original with the correspondence in copy, to create Copy Info, then pass through to replicate related information This Copy Info is saved in duplication contingency table 703 storage unit 107.The content replicating by this way passes through related information In the editing pictures of the currently displayed report of display unit 111, and this content can be by reporting contents of a project edit cell 103 enter edlin.

Although being illustrated to the present embodiment with regard to following arrangement, wherein, create in reading shadow report find, diagnosis and Report project in disposal, they can obtain from other system.For example, it is possible to obtain and associate be saved in electronic medical record In project.Now, the symptom of patient and clinical medical history, living environment etc. can also be associated as project.

In the present embodiment although the request content that entrusted information includes is illustrated as imparting request marks, but Can also be associated by additive method.For example, request content can be used as the report item representing discovery, diagnosis, disposal etc. Mesh and create, and in the same fashion with other report projects be associated.Furthermore it is possible to be arranged as follows：Trust system in HIS Unite for being associated the identification information reading shadow report be used for managing trust, for example related to reading shadow report by entrusting numbering Connection.

Although having carried out as described below in the present embodiment：It is limited to report the letter creating in region 134 by replicating object Breath, but other information is also used as replicating object.For example, the information in entrusted information viewing area 133 is used as Report project.Can be arranged as follows：Project in entrusted information viewing area 133 is dragged and dropped into entrusted information viewing area (past report) 146, the entrusted information project during the past is reported copies to current report as entrusted information project.

Second embodiment

To illustrate with reference to Fig. 7 and Figure 34 to input based on user operation, with regard in related information creating unit 104, from The dynamic second embodiment judging the method for the type of association between report project.

Fig. 7 is to illustrate in related information creating unit 104, the process of the type of association between automatic judgement report project The flow chart of process.Note, the flow chart in Fig. 7 only processes the automatic corresponding association judging in the middle of association type and cause and effect is closed Connection.Opposition association is specified manually by user, and time series is associated in above-mentioned time serial message window and is designated.Here will explanation Example with regard to the drag and drop of the input frame of the operation input of the association between as order report project.Supposed as follows：Drag Multiple report projects at source and the multiple report projects at drop target have been chosen.

Can be with reference to n-th report project in one group of report project at drag source by function DRAG (n).By letter Number DROP (n) can be with reference to n-th report project in one group of report project at drop target.In certain set n-th Numbering, is to be given multiple report projects included in this state to make it possible to distinguish the of report item aim sequence number N numbering.

In S701,0 is substituted into variable i.In S702, the type generation of the report project that will be obtained by DRAG (i) Enter variable Ki.In S703,0 is substituted into variable j.In S702, the type generation of the report project that will be obtained by DROP (i) Enter variable Kj.In S705, type Kj of type Ki of DRAG (i) and DROP (j) is compared.Identical in the type of project In the case of, flow process proceeds to S706.Under the type different situations of project, flow process proceeds to S707.In S706, DRAG (i) It is reason that association and DROP (j) between is judged as DRAG (i), and DROP (j) is result.In S707, it is made regarding whether One of type Kj of type Ki of DRAG (i) and DROP (j) be find and another be diagnosis determination.It is to send out at one Existing and in the case that another is diagnosis, flow process proceeds to S708.Otherwise, flow process proceeds to S709.

In S708, judge the association of DRAG (i) and DROP (j).In the middle of DRAG (i) and DROP (j), project class Type is finding is reason, the type of project be one of diagnosis be result be associated as causalnexus.In S709, enter Row is diagnosis about whether one of type Kj of type Ki of DRAG (i) and DROP (j) and another is the determination disposed. One be diagnosis and another be dispose in the case of, flow process proceeds to S710.Otherwise, flow process proceeds to S711.

In S710, judge the association of DRAG (i) and DROP (j).In the middle of DRAG (i) and DROP (j), project class It is reason that type is one of diagnosis, the type of project be disposing be result be associated as causalnexus.In S711, enter Row is position about whether one of type Kj of type Ki of DRAG (i) and DROP (j) and another is the determination finding. Be position at one and another be find in the case of, flow process proceeds to S712.Otherwise, flow process proceeds to S713.

Judge that DRAG (i) is that correspondence associates with the association of DROP (j) in S712.In S713, carry out DRAG (i) with There is not the judgement of direct correlation between DROP (j), and do not create related information.In S714, variable j is made to be incremented by 1.? In S715, the quantity of the report project at variable j and drop target is compared.It is equal to or more than drop target in variable j In the case of the quantity of report project at place, flow process proceeds to S716.Otherwise, flow process returns to S704.

Variable i is made to be incremented by 1 in S716.In S717, the quantity of the report project at variable i and drag source is compared Relatively.In the case that variable i is equal to or more than the quantity of the report project at drag source, process terminates.Otherwise, flow process returns to S702.

According to above-mentioned example, can be by the new related information creating instruction opposition association of user operation input.And, Can be inputted by user operation, by the corresponding association of the instruction being automatically created by the flow process illustrating in Fig. 7 or causalnexus Related information is modified to the related information of instruction opposition association.In other examples, the establishment of opposition association can also automate. For example, in the case that in S706, the type of Ki and Kj is diagnosis, come using known morphological analysis, Medical Dictionary etc. The content described in report project that analysis is obtained by DRAG (i) and DROP (j).Based on the such as Figure 34 being provided previously by The comparative result of the analysis of interaction prediction table 3401 illustrating, to determine whether for opposition association.

In the case of determining opposition association, create the association letter that instruction opposition associates between DRAG (i) and DROP (j) Breath.In the third embodiment, will using the interaction prediction table illustrating in Figure 34, illustrate to judge in report project with the presence or absence of right The details of the process of vertical association.Therefore, it is possible to report is automatically selected by the medical report creating device according to second embodiment The type of the association between announcement project.This reduces the operating procedure reading that shadow doctor creates structurized report.

3rd embodiment

To illustrate with reference to Figure 34, Figure 35 and Figure 42 A to Figure 44 B with regard to advising inputting necessary report project to user The 3rd embodiment of method.

In the medical report creating device 1 according to 3rd embodiment, when user has created or has selected to report item During mesh, related information creating unit 104 predicts the report project that user creates or the report project that selects has been inputted with other Between association.In the case that the result of prediction shows presence diagnosis in opposition association, make report establishment of item unit 102 create the report project recommended for input, thus pointing out user input to recommend.

Opposition association is the hypothesis that multiple contradictions find or diagnose.If there is contradiction it is assumed that then these assume temporarily to make List for candidate, subsequent inspection work judges the hypothesis being ultimately determined to diagnose.Accordingly, there exist described in reading shadow report Dispose the situation in order to the final diagnosis name determining disease.In the present embodiment, each present in multiple hypothesis different In the case of diagnosis name, show in current report for the disposal recommended with the item of the final diagnosis name determining disease Mesh.It is assumed that having been prepared for the association schematically showing in Figure 34 in the medical report creating device according to 3rd embodiment in advance Prediction table 3401.

Interaction prediction table 3401 is combined (hereinafter referred to as with two that relevant way saves two kinds of word wherein " group of words "), the probability of the type of association between word and association.In the case that the type of association is causalnexus, Group of words 1 is saved as reason, and group of words 2 is saved as result.Can based on the past report project table 701 and contingency table 702 content, to update the content of interaction prediction table 3401.

Figure 35 A and Figure 35 B is the process of the process when user creates or have selected report project for the schematic illustration Flow chart.The contents of n-th in project table 701 report project can be obtained by function Obj (n).In S3501 In, in the case that the content of the report project carrying out by user operating input to select report project and specifying is sentence, Related information creating unit 104 analyzes its content to extract the word word comprising in this sentence, such as title of diagnosis etc..Make To analyze this sentence with known morphological analysis, Medical Dictionary etc..Multiple single contamination that here is extracted is by as group of words A Process.

In S3502, with reference to interaction prediction table 3401, extract group of words corresponding with group of words A, the type of association and generally Rate.There is the multipacket message corresponding to group of words A.Make extracted information group consists of list, and should Information group is as list L process.Nth elements in the multiple elements comprising in list L can be accessed as L (n).? In S503,0 is substituted into variable i.Hereinafter, by variable i Lai all report projects described in reference project table 701, and carry Take the project meeting following condition.

In the process of S3504 to S3506, in the report of report project comprising selection, extraction is selected by user The report project of the diagnosis beyond report project.In S3504, carry out whether being different from selected report item with regard to Obj (i) Purpose determines.If Obj (i) is different from selected report project, flow process proceeds to S3505.Otherwise, flow process proceeds to S3515.

In S3505, carry out whether being different from corresponding to selected report project corresponding to the report ID of Obj (i) The determination of report ID.In report ID hurdle from project table 701, identification is corresponding to the ID of each report project.If corresponding to Obj I the report ID of () is different from the report ID corresponding to selected report project, then flow process proceeds to S3506.Otherwise, flow process is entered Row arrives S3515.

Whether in S3506, carrying out with regard to Obj (i) is the determination diagnosing.If Obj (i) is diagnosis, flow process is carried out To S3507.Otherwise, flow process proceeds to S3515.In the case that the content of Obj (i) is sentence, in S3507, analyze in it Hold to extract the word comprising in sentence, such as title of the title of discovery and diagnosis etc..The group of multiple words that here is extracted Close by as the process of group of words B.In S3508,0 is substituted into variable j.Hereinafter, by variable j Lai described in list L All report projects, and be made regarding whether to meet the determination of following condition.

In the process of S3509 to S3011, it is made regarding whether to exist being included in group of words B and also predicted There is the determination of the list L that opposition associates with the probability of user's license.In S3509, carry out with regard to the list in the element of L (j) Whether identical determines for phrase and group of words B.In the case of the group of words in L (j) and group of words B identical, flow process proceeds to S3510.Otherwise, flow process proceeds to S3515.

In S3510, the value of the probability of L (j) and threshold value Rt are compared.The value of threshold value Rt has been set in advance.In L J the probability of () is not less than threshold value Rt in the case that, flow process proceeds to S3511.Otherwise, flow process proceeds to S3513.

In S3511, check whether the association type of L (j) is opposition association.If the association type of L (j) is opposition closed Connection, then flow process proceeds to S3512.Otherwise, flow process proceeds to S3513.In S3512, the report that is automatically generated for and selects The input frame of the related promotion and conversion project of project, and it is highlighted the report item that this input frame makes it possible to understanding and Obj (i) Purpose associates.The mode carrying out this display can be changed according to the probable value in interaction prediction table 3401.

In addition, in S3512, related information creating unit 104, related information saving unit 105 and related information are in It is the related information that opposition associates that existing unit 111 can automatically create the report project of selection and Obj (i), by this related information It is saved in contingency table 702, and this related information is shown on picture.In other examples of S3512, on the display unit Display designates whether to create the picture of the promotion and conversion project relevant with selected report project for user.Pass through behaviour in user In the case of making input specified establishment promotion and conversion project, current report creates promotion and conversion project.

In S3513, variable j is made to be incremented by 1.In S3514, J and list L number of elements are compared.If variable j Equal to or more than the quantity of the element in list L, then by reference, therefore flow process is carried out all words comprising in list L To S3515.Otherwise, flow process proceeds to S3509.

In S3515, variable i is made to be incremented by 1.In S3516, by the report project comprising in variable i and project table 701 Quantity is compared.If variable i is equal to or more than the quantity of report project, process terminates.Otherwise, flow process returns to S3504.

Figure 42 A to Figure 44 B is the example illustrating for the display processing on display unit shown in Figure 35 A and Figure 35 B Figure.In Figure 42 A and Figure 42 B, image 4201, image 4202, image 4203 and image 4204 are shown as position project. Discovery project 4205 is associated with image 4201 and image 4202.Discovery project 4206 is related to image 4203 and image 4204 Connection.Checkup item 4207 is associated with discovery project 4205.Checkup item 4208 is associated with discovery project 4206.

Figure 42 B is to create the display list in the case for the treatment of 4209 by the process shown in Figure 35 A and Figure 35 B The example of the display in unit.Diagnosis 4207 and diagnosis 4208 are in exclusive association.Treatment 4209 passes through to report establishment of item Unit 102 creates, report display control unit 109 display high-brightness frame 4210 come to show project 4209 so that with sundry item phase region Not.

Figure 43 A to Figure 43 B exemplified with the process illustrating in Figure 35 A and Figure 35 B the display on display unit other The figure of example.As Figure 35 A and Figure 35 B, selecting by input equipment 11 to be in the situation of a project of opposition association Under, the sundry item being in opposition association can be shown to distinguish with sundry item.Set as input to being used with regard to user The situation that the mouse of standby 11 example is clicked on checkup item 4207, or the mouse pointer of the operating position of indication mouse is aobvious Show that the situation in project 4207 illustrates.Report display control unit 109 is using the highlight box that can distinguish with sundry item 4302, to show the checkup item 4208 comprising to be in the record that opposition associates with checkup item 4207.

Figure 44 A to Figure 44 B also illustrates that its of the display on display unit in the process illustrating in Figure 35 A and Figure 35 B The figure of his example.Report display control unit 109 display instruction being in opposition association checkup item 4401 and project 4301 it Between opposition association arrow 4402.Therefore, user can easily understand that the project being in opposition association.Can execute simultaneously The method illustrating in Figure 42 A to Figure 44 B.

Reproduction range identifying unit 110 is used as recognition unit, and multiple projects from read shadow and report for the described recognition unit are worked as In, at least two projects that identification includes with regard to the diagnostic message diagnosing object, being in exclusive association.Report display control Unit 109 is used as to dispose display unit, described disposal display unit for creating the picture reading shadow report, display with by knowing That the project of other unit identification is associated and include the project in the information that instruction is disposed.From another point of view, report display Control unit 109 is used as to dispose display unit, and described disposal display unit display reminding user designates whether to create and is used for project Input frame picture, described project be associated with the project being identified by recognition unit and include instruction dispose information In.

Therefore, in the medical report creating device according to 3rd embodiment, exist and selected diagnosis report item In the case that mesh is in the diagnosis report project of opposition association, automatically creates the input frame for promotion and conversion project and present to User.This can prevent from ignoring inserting recommendation.In other words, there are the multiple projects with regard to needing the diagnosis considering inspection after a while In the case of, show treatment on reading shadow report establishment picture, thus provide to support to make to create the reading shadow reading that shadow is reported Doctor can record the disposal of recommendation, checks that the trust doctor reading shadow report is able to confirm that this disposal.

Although the aspect that above-mentioned prediction associates in Figure 35 A with Figure 35 B concentrates on diagnosis report project, include and examine Disconnected related discovery report project can also carry out identical process interior.Therefore, it can the association between the project of calculating to a nicety. And, all report projects are carried out with identical process and makes it possible to associating between prediction project and present to user.

Although in the explanation of Figure 35 A and Figure 35 B, the aspect of above-mentioned interaction prediction concentrates on selected diagnosis report item Report project in purpose report, but this can expand to the report project belonging to other reports recorded in the past.For example, close The aspect of connection prediction can expand to regard to the report project in the past report of patient, and described patient is selected diagnosis report The record object of the report that announcement project has been described.In this case, it is capable of the diagnosis of automatic detection past record and work as Association between the content of the diagnosis of front record, thus actively prevent from reading the mistake record of shadow doctor.

Although reference picture 35A and Figure 35 B have been described that using interaction prediction table 3401 predictive diagnosis between association Type, but additive method can also be used.For example, it is possible to from the content finding and make discovery and the mode of diagnosis connection come in advance Survey the association between diagnosis.For example, if pathology is tubercle or tumor mass, there is single diagnosis name probability high.Exist With record the discovery report project associated plurality of diagnosis report project of tubercle or tumor mass in the case of it can be determined that these Diagnosis is in opposition association.

On the other hand, in the case of being the discovery that local anomaly, diffusing sexual abnormality or whole body exception, there are multiple diagnosis , therefore there are multiple diagnosis report projects in the possibility of title.In this case, using the method for explanation in Figure 35 A and 35B Carry out the type of the association between predictive diagnosis.

Above-mentioned arrangement can be used for limiting from the association being found to diagnosis.For example, if it find that recording tubercle or tumor mass, The diagnosis being then associated can be configured so that one.

Fourth embodiment

In the fourth embodiment, when replicating and use the content described in report in the past, related to duplication one it is At the end of column processing, reproducting content and display format can be made to be in the state being suitable for replicating.For example, in reporting from the past When the project including image is copied in current report, the image using the request content corresponding to current report is replaced simultaneously Show this image, with the image obtaining when replacing and creating and report in the past.In other examples, copy package in reporting from the past During the project of the size including pathology, the size due to the pathology when creating current report will be high for the probability changing, and therefore emphasizes to show Show the explanation of the size including pathology.

The expectation content replicating in effectively supporting to report from the past according to the medical report creating device of the present embodiment Confirm and be adapted in current report.The object confirming and revising is, for example, check image, the measured value with regard to pathology, diagnosis name Title, volume of organ etc..Although will be explained in several objects, the object of following confirmation and correction is only example Property, confirm and be not limited to example below with the object revised.To enter with reference to Figure 12, Figure 13, Figure 40, Figure 41 A and Figure 41 B Row exemplary illustration.

Using showing to the situation that the project identifying as reproduction range with regard to reproduction range identifying unit 110 comprises image Example illustrates.Obtain the soft copy of the medical imaging of display in reporting in the past when creating and reporting in the past, and this soft copy The probability different from the image that should show in the current report edited is high.Therefore, even if being identified as in reproduction range Project in comprise image, also will not be by this copying image in current report.By the medical imaging pair with the report of being attached to over The medical imaging answered is attached in current report, and shows the soft copy of this medical imaging.

Report establishment of item unit 102 obtains in the image that have taken the past report being identified as in reproduction range In the case of check information.This is with regard to the acquisition region to the patient as diagnosis object and the device for shooting this image Information.Report establishment of item unit 102 is based on this inspection information, to obtain corresponding medical figure from medical image data base 8 Picture.That is, report establishment of item unit 102 is used as image acquisition unit.

Image (hereinafter referred to as " past image ") in the report of being attached to over is the feelings of the cross sectional image of 3-D view The attribute information of slice position etc. under condition, can be obtained.The project including image is replicated in fig. 11 in the process of S8061 In the case of, obtain the image corresponding to current report camera watch region corresponding with this image.That is, obtain and schemed by with the past Obtaining as identical camera head and belonging to identical camera watch region, right as observe in the establishment of current report The image of elephant.Then the soft copy that acquired image is used carries out replication processes as report project.Will with reference to Figure 12 and Figure 13 come to illustrate replace image process.

In fig. 12, reference 71d represents the medical imaging in the past checks using single medical image acquisition One group of slice of data (slice data).Reference 71a represents that 71d one of works as sectioning image.Reference 71e represents One group of slice of data of the medical imaging of single medical image acquisition is utilized in current check.Reference 71b represents that 71e works as One of sectioning image.71e and 71a is the image sets of identical camera watch region, and is obtained by identical medical image Take.Reference 71c represents right between the single sectioning image 71a constituting 71d and the single sectioning image 71b constituting 71e The concept line answered, its corresponding association is as shown in table 71f.Table 71f exemplified with for example, and belongs to the n-th+2 of view data 71d in the past Individual image 71a corresponding present image 71b in the past, is the 3rd medical imaging in current image date 71e.

Figure 13 be shown in report project to be replicated content be in the past image soft copy, and the content that will replicate The flow chart replacing with the situation of the soft copy of present image.In S131, report establishment of item unit 102 via PACS 5 from Medical image data storehouse 8 obtains the information relevant with view data 71d in the past, wherein, serves as the base of past image to be replicated The past image 71a of plinth belongs to view data 71d in the past.For example, obtain the information of the inspection when obtaining image in the past.This inspection The information of looking into includes for example imaging starting position, shooting end position, slice thickness, is imaged position, medical image medical image Information.This information makes it possible to infer camera position of each section in past image.

In S132, from the image being obtained by the inspection than past image update, medical by identical medical image Image identifies current image date 71e at identical shooting position, and from shooting starting position and shooting end position and slice thick Spend the information of the camera position to hold each section.Together with the information obtaining in S131, use the information to establishment table 71f, and extract the camera position having with the medical imaging 71a identical (or nearest) as the basis of the soft copy of image in the past Present image 71b.Extract the method not limited to this of present image 71b, it is possible to use graphical analysis etc..

In S133, the Image Processing parameter of the annotation on the image of being attached to over, the image of being applied to over is applied to Extracted present image.That is, in the case that the annotation information in instruction annotation is attached to identified past image, annotation Information is also attached on present image and is shown.Annotation must be attached to by the reading shadow doctor that this reduces establishment reading shadow report In report project in just currently displayed report or step that parameter etc. must be changed.

Report establishment of item unit 102 by the soft copy of the present image being obtained by the process to S133 71b, as The content of the report project in current report to be copied to is saved in project table 701.S132 does not exist and image in the past In the case of corresponding present image, only create report project input frame, read the suitable image of shadow doctor's manual application.That is, report Accuse display control unit 109 to create on picture in current report, the mode being associated with the project that will identify in reproduction range Show the region with the corresponding image of image in report in the past for display.Can be arranged as follows：Report establishment of item Unit 102 creates the project at the position being associated with the project replicating, and image is manually applied to this position by user Project.

In S8062 in fig. 11, related information creating unit 104 replicates all in the reproduction range judging in S805 Related information, and related information saving unit 105 by all related information saving in contingency table 702.When being replicated, It is unique numbering that association ID is newly distributed in contingency table 702.When replicating each report project, report item id 1 and report Accuse item id 2 and replace with newly assigned item id.

In S8063, replicate related information creating unit 106 and ID is associated with the correspondence of copy based on original association ID, come Create Copy Info, and replicate related information saving unit 107 and they are saved in duplication contingency table 703.As mentioned above The content replicating is passed through in the currently displayed report of related information display unit 111, and report contents of a project edit cell 103 can Edit this content.

Using the medical report creating device according to the present embodiment, can easily past image and present image be carried out Relatively.For example, by the use of the double mouse click present image of the example as input equipment 11, make image viewing unit 101 medical Present image and past image are displayed side by side on image viewing picture 131.That is, by the past image being identified by recognition unit and by The present image that image acquisition unit obtains is shown on picture.

The example of the process in the case of having been previously identified as in reproduction range as the image reported in the past is permissible Arranged as follows：Do not obtain present image, and only create report project input frame and be used for display image.In other words, permissible The all images that manually will show as the reading shadow doctor of user are pointed out to be attached in report.These settings can be fitted by user Work as change.

Next, to regard to from the past report replicate in current report when, include it may happen that change The process of duplication in the case that the information of attribute is documented in the project of duplication illustrates.

Figure 40 be illustrate from the past report replicated current report when, for identification it may happen that change record And the flow chart showing the example of the process of the input frame being inputted for user.In step S4001, the report contents of a project are compiled Collect unit 103 to be analyzed to by the content of identified, the to be replicated report project of reproduction range identifying unit 110.Example As, exist comprise find information report project includes, express as the objective fact with regard to pathology pathology big The situation of the text string of little or measured value.And, exist comprise diagnose information report project includes, expression diagnose The situation of the text string of title.

In step S4002, report the result based on the analysis carrying out in S4001 for the contents of a project edit cell 103, come really The fixed text string relevant with the presence or absence of the size including with pathology or measured value.If it is determined that including size or measured value, then flow Journey proceeds to step S4003.If it is determined that not including size or measured value, then flow process proceeds to step S4004.

In step S4003, if there is expression pathology size, measured value or diagnosis in report project to be replicated The text string of title, then report that contents of a project edit cell 103 carries out text string manipulation so that text string is not duplicated to currently In report.In step S4003, report contents of a project edit cell 103 is in the past report being identified as in reproduction range Report project in the size of pathology and the position of measured value at, carry out text string manipulation with provide for input be suitable for work as The input frame of the text string of the content of front report.Report establishment of item unit 102 creates report project in current report.Report Display control unit 109 is shown on the display unit by report contents of a project edit cell 103 will be through text string manipulation Project.

In step S4004, report the result based on the analysis carrying out in S4001 for the contents of a project edit cell 103, come really The fixed text string that whether there is expression diagnosis name.If it is determined that the text string including diagnosis name will be comprised, then flow process is carried out To step S4005.If it is determined that not comprising the text string including diagnosis name, then the flow process illustrating in Figure 40 terminates.

In step S4005, report contents of a project edit cell 103 is in the past report being identified as in reproduction range Report project in the position of the title of diagnosis at, carry out text string manipulation with provide for input be suitable for current report The input frame of the text string of content.Report establishment of item unit 102 creates report project in current report.Report display control Unit 109 is shown on the display unit by report contents of a project edit cell 103 will be through the project of text string manipulation.

In the S8061 of Figure 11, using Medical Dictionary and Language Processing etc., automatically to carry from natural language to be replicated Replace the size of table pathology and the text string of the title of measured value and diagnosis, be replaced with the input interval of blank, at random Carry out replication processes.User can be using as it may happen that the size of pathology of attribute that changes and the name of measured value and diagnosis Claim to be set to predetermined attribute.The size of real pathology and the title of measured value and diagnosis when creating report in the past, can Can be with differing during establishment current report.Therefore, it can support user so that not ignoring the text string that may change.Note, The process of the determination in determination and step S4004 in step S4002 can be carried out simultaneously, in this case, step S4004 Text string manipulation with step S4005 can be carried out simultaneously.In addition, the process of step S4004 and step S4005 can carried out Carry out before the process of step S4002 and S4003.

Figure 41 A to Figure 41 B is exemplified with the example of the display on display unit in the process of Figure 40.Will be described below showing Example：Reproduction range identifying unit 110 identifies position project 4101, discovery project 4102 and checkup item 4103.Find item Mesh 4102 includes the record with regard to the size as " size is 15mm to 20mm ".As the result of the process in Figure 40, replicate Discovery project 4105 in current report has the text string 4107 through text-processing, to read " size is for * * to * * mm " (asterisk " * " represents the blank spaces for input).Project 4103 also includes diagnosis name " lymphadenoma ".As in Figure 40 The result processing, copies to the checkup item 4106 in current report and has text string 4108 through text-processing, to read “*****”.

After a copy has been made, user is manually entered, at blank input interval, the text string being suitable for current report.Including The information of the attribute of the size of such as pathology, can be the measured value being measured based on image to be diagnosed.For example, in chest X In the case of finding tubercle in ray image or CT image, can be to come in the way of being changed with size compared with past image Diagnosed.That is, in the past, report includes the information of the attribute of the size of such as pathology, may change described in current report Become.

In other examples, including the information of the attribute such as degree of carrying out of pathology, may report in the past from creating When there occurs change.Example including the information of such attribute includes such as " being in progress " and the expression of " healing " and Stage Classification Attribute, but not limited to this.In addition, in other examples, there is the information of the attribute of the volume of such as organ it is also possible to When creating over and report, there occurs change.Example including the information of such attribute includes lung capacity.Lung capacity Change the sign being considered as some diseases, such as agnogenic diffusivity tuberculosis.In the case of through observing change after a while, exist Have the such as information of the attribute of organ volume records the possibility that may change.Even if change is not observed, Can advise to user as sign.User can arrange and tend to ignored information so that this information shows in this way.

In the present embodiment, which kind of text string that user can pre-set in project should not be copied to current report In.For example, it is possible to be in progress related information and the body with organ by the information related to the size of pathology and pathology Long-pending related information is set to predetermined attribute.Report display control unit 109 is so that with sundry item area otherwise, display includes The project of the information containing predetermined attribute.Example in the form of being shown otherwise with sundry item area, except above-mentioned Beyond replacing text string with blank spaces, also include comparing color or the word that other record the information containing predetermined attribute of change Body, it is highlighted using mark.Alternatively, can show and choose whether to the information including predetermined attribute for user Record input change, or unchanged using the past report in record picture.

In other examples, have the information of predetermined attribute record automatically can be replaced by by system be suitable for work as The text string of front report.In addition, report display control unit 109 replicate current report when with sundry item area otherwise Display includes the project of predetermined attribute, is replaced by blank spaces or other text strings no with the information whether with predetermined attribute Close.User can confirm that the project to show otherwise with sundry item area, and change has predetermined attribute as needed The record of project.

Report display control unit 109 also shows the wound with completion report for input instruction in the editing pictures of report The icon built.In the case of existing and completing to create the operation input of the current report edited, report display control unit The dialog box of 109 display instruction warnings.Therefore, user can easily confirm the record changing, thus reduce to ignore carrying out Change.

It is illustrated to regard to the following example processing in the examples described above：Prevent only being identified as in reproduction range The record of project in scope replicate.However, the present embodiment is not limited to above-mentioned record, and can be arranged as follows： Do not replicate any one being identified as in the report project in reproduction range, only replicate the logical construction of report project.Change Yan Zhi, new blank entry box and related information are copied in current report.

In S8061 in fig. 11, report establishment of item unit 102 only will be identified that in the reproduction range in S805 The input frame of report project copy to current report.When being replicated, the type of only project is arranged to and knowledge in S805 Other reproduction range is identical, and it is uniquely newly to number that item id is dispensed in project table 701, corresponding to the ID quilt of current report For reporting ID.With the content of original item independently, it is silent on any content here in the content of project.

In S8062, related information creating unit 104 is replicated in the relevant letter of institute to be replicated having judged in S805 Breath, then related information saving unit 105 by all related information saving in contingency table 702.When being replicated, associate ID Being dispensed in contingency table 702 is uniquely newly to number, and report item id 1 and report item id 2 are replaced by and are carrying out By newly assigned item id during duplication.Although above blank and so that all the elements in report project to be replicated are replaced with The situation carrying out replication processes afterwards is illustrated, but can be arranged as follows：One of the report project that will replicate Divide and replace with blank, then carry out replication processes.By being configured in advance, can will have the content of the project of customizing messages Replace with blank and then replicate this content.

5th embodiment

By explanation by identifying duplication from first embodiment to the different process of fourth embodiment in the 5th embodiment The example of scope.Concrete process in S805 in Fig. 8 is and difference in above-described embodiment.Will with reference to Fig. 9 to Figure 10 B, Figure 14, Figure 15 and Figure 39 are illustrating.

The flow chart that Fig. 9 shows the reproduction range determination processing according to the present embodiment.This process identification with specified first Project there is the project of related information, i.e. the project that the project identifying and specifying is directly associated.In addition, also identifying and referring to The project that each project in the project that fixed project is directly associated is associated.Note, however, unidentified and project that is specifying It is directly associated and the project unconnected to specified project has the project of logical relation.Will be with reference to Figure 39 to by according to this reality The example applying the project of reproduction range determination processing identification of example illustrates.

In the S804 of Fig. 8, in the case of in Figure 39, the position 4 of illustration is selected, position 4, discovery 5, diagnosis 4, place Put 5, diagnosis 5, the five groups of related informations disposed between 6 and these report projects are identified as reproduction range.In the letter from position Breath is derived and is found, derives diagnosis from the information finding and derive the logic association disposed from the information of diagnosis, and as finger The position 3 of position 4 indirect correlation connection determining project and the project finding 4 are unrelated with position 4.Therefore, according to the present embodiment In reproduction range determination processing, identify all or part of project being directly or indirectly associated with the project specified.

In S901, the report project selecting in step S804 is identified as reproduction range.In S902, using in S901 Report ID including the report project in reproduction range to execute the function of Figure 10 A illustration as argument SelectLeftItem.Function SelectLeftItem, in the upstream side of above-mentioned logic association, identifies and the project serving as argument Associated argument.As illustrated in Figure 10 A, the process of function SelectLeftItem will be described.Function ITEM (x) can be passed through It is the report project of x with reference to report ID.In the case that the value of x is blank (null), there is not ITEM (x), in this case The type of ITEM (x) is defined as " no type ".And, can be the association of x with reference to association ID by function RELATION (x) Information.

In S1001, the type of ITEM (i) is substituted into variable Ki.Note, variable i is function SelectLeftItem Argument, and be the value of report ID.In S1002,1 is substituted into variable j.In S1003, by the report item of RELATION (j) Mesh ID1 substitutes into variable m, additionally, the type of ITEM (m) is substituted into variable Km.In S1004, by the report item of RELATION (j) Mesh ID2 substitutes into variable n, additionally, the type of ITEM (n) is substituted into variable Kn.In S1005, the value of variable n and variable i is entered Row compares.If these values are identical, flow process proceeds to S1006, if these values are different, flow process proceeds to S1011.

In S1006, carry out whether type Km of report project with regard to item id is m is position and item id is n Type Kn of report project be whether the determination finding.If it is determined that it is true for being worth, then flow process proceed to S1007 if it is determined that Value is false, then flow process proceeds to S1009.

In S1009, whether type Km of report project carrying out with regard to item id is m is to find and item id is n Report project type Kn be whether diagnosis determination.If it is determined that it is true for being worth, then flow process proceed to S1007 if it is determined that Value is false, then flow process proceeds to S1010.

In S1010, carry out type Km of report project with regard to item id is m and be whether diagnosis and item id is n Type Kn of report project be whether the determination disposed.If it is determined that it is true for being worth, then flow process proceed to S1007 if it is determined that Value is false, then flow process proceeds to S1011.

In S1007, ITEM (m) is included in reproduction range, and flow process proceeds to S1008.In S1008, utilize M as item id value to execute function SelectLeftItem as argument.That is, recursive call function SelectLeftItem.In S1011, add and so that variable j is incremented by.In S1012, carry out whether being more than with regard to the value of variable j The determination of amount of record in function table.In the case of determining that in S1012 result is vacation, flow process returns to S1003 and repeats Above-mentioned process.In the case of determining that in step S1012 result is genuine, function SelectLeftItem terminates.That is, function SelectLeftItem only identifies the project of upstream that is being associated and also being logic association with specific project.

The identification position project associated to the project of the discovery discovery project related with checkup item and and treatment Related checkup item.From another point of view, function SelectLeftItem carries out the first process, with according to position, discovery, disconnected And the forward order disposed, the project being associated with specific project to be identified on reverse direction.By first process to identify with The project being associated by the first project processing identification.

Return to Fig. 9, in S903, be used S901 to include the report ID of the report project in reproduction range as drawing Number, to execute the function SelectRightItem of Figure 10 B illustration.Function SelectRightItem is under above-mentioned logic association Trip side, identifies the argument being associated with the project serving as argument.As illustrated in Figure 10 B, function SelectRightItem will be described Process.

In S1101, the type of ITEM (i) is substituted into variable Ki.Note, variable i is function SelectRightItem Argument, and be the value of report ID.In S1102,1 is substituted into variable j.In S1103, by the report item of RELATION (j) Mesh ID1 substitutes into variable m, additionally, the type of ITEM (m) is substituted into variable Km.In S1104, by the report item of RELATION (j) Mesh ID2 substitutes into variable n, additionally, the type of ITEM (n) is substituted into variable Kn.In S1105, the value of variable n and variable i is entered Row compares.If these values are identical, flow process proceeds to S1106, if these values are different, flow process proceeds to S1111.

In S1106, carry out whether type Km of report project with regard to item id is m is position and item id is n Type Kn of report project be whether the determination finding.If it is determined that it is true for being worth, then flow process proceed to S1107 if it is determined that Value is false, then flow process proceeds to S1109.

In S1109, whether type Km of report project carrying out with regard to item id is m is to find and item id is n Report project type Kn be whether diagnosis determination.If it is determined that it is true for being worth, then flow process proceed to S1107 if it is determined that Value is false, then flow process proceeds to S1110.

In S1110, carry out type Km of report project with regard to item id is m and be whether diagnosis and item id is n Type Kn of report project be whether the determination disposed.If it is determined that it is true for being worth, then flow process proceed to S1107 if it is determined that Value is false, then flow process proceeds to S1111.

In S1107, ITEM (n) is included in reproduction range, and flow process proceeds to S1108.In S1108, utilize M as item id value to execute function SelectRightItem as argument.In other words, recursive call function SelectRightItem.In S1111, add and so that variable j is incremented by.In S1112, carry out whether being more than with regard to the value of variable j The determination of amount of record in function table.In the case of determining that result is vacation in S1112, on flow process returns S1103 and repeats State process.In the case of determining that in step S1112 result is genuine, function SelectRightItem terminates.That is, function SelectRightItem only identifies the project in downstream that is being associated and also being logic association with specific project.

Identify checkup item that the treatment that is associated with checkup item is associated with discovery project and with position item The discovery project that mesh is associated.From another point of view, function SelectRightItem carries out second processing, with according to position, send out Existing, disconnected and dispose forward sequentially, to identify the project being associated with specific project.Identified by second processing with by The project that the project of second processing identification is associated.

The all related informations being saved in the contingency table 702 of Fig. 4 B all pass through the function illustrating using Figure 10 A and Figure 10 B SelectLeftItem and the process of function SelectRightItem.All related informations are carried out S1003 to S1008 with The process of S1103 to S1108.However, from the viewpoint of processing speed, can be arranged as follows in actual enforcement：In advance First reduce the scope of the object of this process.For example, make the related information in contingency table 702 reduce the scope to belong to regard to report Item id 1 and the related information of report both item ids 2 all selected report in the past in S804.Then can be to only The related information reducing the scope carries out the process of S1003 to S1008 and S1103 to S1108.Alternatively, as first is real Apply explanation in example, it is possible to use graphic structure.

Return to Fig. 9, in S904, the report item of reproduction range will be identified as by the process in S901 to S903 Related information between mesh is included in reproduction range.Specifically, in the whole records from contingency table 702, extract in report item Mesh ID1 and report item id 2 both of which have included the related information of report project in reproduction range and have believed this association Breath is set to reproduction range.

To illustrate to by the project that above-mentioned reproduction range identifying unit 110 identifies with reference to Figure 39.S804 in Fig. 8 In, such as in the case of the position 4 in Figure 39 is selected, reproduction range is position 4, finds 5, diagnoses 4, disposes 5, diagnoses 5th, five related informations between 6 and these report projects are disposed, as reproduction range.Have selected for diagnosing 5 Hes in user In the case of discovery 6 this two, have been assigned with accordingly with diagnosis 5, position 4, position 5, discovery 5, diagnosis 5 and disposal 6 quilts It is identified as reproduction range.In addition, having been assigned with accordingly with discovery 6, position 6, discovery 6, diagnosis 6 and disposal 7 are identified as Reproduction range.Eight related informations comprising to diagnose the causalnexus between 5 with diagnosis 6 also serve as associating of these report projects Information and be included.

Different from the process that the reproduction range described in first embodiment judges, the reproduction range according to the present embodiment judges Process, all report projects being not directly or indirectly associated with the report project selecting in S804 both are set to replicate Scope.Reproduction range by being limited to understand the project necessary to report project selecting in S804 and can need in S804 The project report of middle selection is used for the report project that understood, and associated by upstream and downstream to judge reproduction range and It is determined.In the reproduction range determination processing illustrating in the present embodiment, it is in opposition pass with the report project in reproduction range The report project of connection is excluded from this reproduction range.Even so, but can be arranged as follows in actual enforcement： Under certain judgment standard, the report project being in opposition association can include in reproduction range as desired.

Below by the case of identifying and replicating the part of the project being associated with the project specified, make into The editing that after row replication processes, user is carried out method more efficiently illustrates.Between can be by using report project Related information realize efficiency.For example, during the report project that display is replicated by related information display unit 111 on picture, Report display control unit 109 is shown, points out there is the project being associated with the project specified not yet being replicated.Can To extract item that is being associated but not being replicated with the project identifying by referring to duplication contingency table 703 and contingency table 702 Mesh.

Figure 14 is the concept map of the content in report establishment region 134 in the case of illustrating as follows, as illustrated in Figure 39, mistake Position 4 in going to report has been assigned with, and position 4, discovery 5, diagnosis 5 and disposal 6 have been duplicated in current report.In figure In 39 illustrate past report in, find 4 and find 5 between, diagnosis 5 and diagnosis 6 between there is causalnexus.Void as Figure 14 Like that, there is the mark of causalnexus in display instruction to line arrow L141, serves as and implies the presence of and find that 4 be associated and are not still answered The display of the discovery 5 of project of system.

After replicating position 4, finding 5, diagnosis 5 and dispose 6, if read shadow doctor to judge also to replicate as diagnosis 5 The diagnosis 6 on basis, then can be carried out by double-clicking the operation of the dotted arrow L141 making diagnosis 6 be associated with diagnosis 5 and inputting This operation.In other words, by position 6, find that 6, diagnosis 6 and disposal 7 copy in current report.Answered by this operation In the case of having made position 6, discovery 6, diagnosis 6 i.e. disposal 7, causalnexus is automatically applied to the diagnosis 5 replicating and diagnoses 6 In.

Can provide is to preset multiple from past report respectively using other input support methods replicating contingency table 703 Projects of system are so that any association in reporting in the past is understood that.It can be assumed for instance that following situation：Exist such as Figure 39 past report, selection part 4 come to replicate position 4, position 5, diagnosis 5 and dispose 6, selection part 6 is come the portion of replicating thereafter Position 6, discovery 6, diagnosis 6, disposal 7.Now, diagnosis 5 and diagnosis 6 are in causalnexus in past report, therefore report current Make diagnosis 5 and the associated probability of diagnosis 6 high in announcement.Therefore, the message that Figure 15 illustrates is shown by related information display unit 111 151, press "Yes" button by reading shadow doctor, causalnexus can be applied between diagnosis 5 and diagnosis 6.Therefore, it is possible to prevent Ignore the application of association.

Sixth embodiment

To illustrate according to the sixth embodiment of the invention.In the present embodiment, reproduction range identifying unit 110 is based on and specifies Project type, a part for the project that identification is directly or indirectly associated with the project specified in reproduction range.

For example, in the middle of position, the logic association of discovery, diagnosis and the flow process disposed, reproduction range is identified as from portion The report project that position is specified in the S804 of Fig. 8.In other words, identify from specified project upper in above-mentioned logic association The project of trip.Specifically, reproduction range identifying unit 110 does not carry out the process of S903 in Fig. 9, but be by S901, S902 and The process of S904, thus identify such project.

By to regard in the case of the report project of the type having specified that diagnosis, reproduction range identifying unit 110 Identification reproduction range illustrates.There is the basis served as according to the different diagnosis finding based on some discoveries in reading shadow report Situation.When diagnosis is presented to consigner by reading shadow doctor, it is also important for assume diagnosis being reached which kind of basis.Therefore, exist In the present embodiment, in the case of selecting the report project of type diagnosing in S804, reproduction range identifying unit 110 is filled When the different report projects on the basis of specified report project are included in the process in reproduction range.

Specifically, reproduction range identifying unit 110 is with reference to contingency table 702H, and to the diagnosis report serving as selection in S902 Other of the basis of announcement project report project, using function SelectLeftItem process.Be not necessarily intended to including with other The report project of the disposal that diagnosis report project is associated.Therefore, do not carry out in S903 using function SelectRightIrem Process.Next, the reproduction range in the case of the report project of the type in disposal is selected by explanation.

Such as " request shoots " or " please evaluating further ", Ji Huneng may have been described from the CT of other angles Enough explanations being associated with any diagnosis content.Therefore, in the case that user have selected checkup item in S804, with this The content of the report project that the information at position, discovery and diagnosis that diagnosis report project is associated includes is not duplicated to currently In report；The content of only disposal is copied in current report.

In the case that the type of the report project specified in S804 is disposal, only selected report project is identified. Specifically, do not execute the process using function SelectLeftItem in S902, identify reproduction range by carrying out S901, S903 and S904 is processed using function SelectRightItem, thus identifying reproduction range.S804 selects Report project type be position or find in the case of, as described in the first embodiment, using according to first embodiment Reproduction range decision method.

According to above-mentioned process, for example, in the case of specifying discovery 2 in the past report of Figure 39, position 2, find 2, Diagnosis 2 and disposal 2 are identified as reproduction range.In the case of specifying discovery 2 in the past report in Figure 39, except position 2nd, outside finding 2, diagnosis 2 and disposing 2, diagnosis 1, discovery 1 and position 1 are identified as reproduction range.If the mistake in Figure 39 Go to have selected disposal 2 in report, then only dispose 2 and be selected as reproduction range.

7th embodiment

To illustrate according to the seventh embodiment of the invention.In the present embodiment, reproduction range identifying unit 110 is based on conduct Trust purpose copy, creating current report, to identify one of the project being directly or indirectly associated with the project specified Point, as reproduction range.As described in the second embodiment, the present embodiment is also applied and is replaced the soft copy of the medical imaging at original place It is changed to the process of the soft copy of medical imaging at copy.In other words, the type replicating in S8061 is position and its content Be medical imaging soft copy in the case of, medical imaging is replaced with the corresponding medical imaging of current shooting, then carries out multiple System is processed.For create read shadow report trust purpose include, transfer detection, dispose efficiency evaluation, scrutinize, optimum/pernicious Diagnosis (examination), follow-up etc..Reference picture 16A and Figure 17 B to be illustrated.

First, the trust purpose in current report is the reproduction range in the case of transfer detection or optimum/pernicious diagnosis. Transfer detection to as if detection tumour transfer.The object of optimum/pernicious diagnosis is to determine that tumour is optimum or pernicious.Deposit It is to shift in detection or the reading shadow of optimum/pernicious diagnosis in purpose, entered based on the discovery derived from CT image and PET image The situation of row diagnosis.With regard to transfer detection, there is following situation：Except in addition to the relevant record of transfer finding, also with because Fruit association describes and together as primary Cancer-Related record the reason transfer.Therefore, in the trust purpose of current report In the case of being transfer detection or optimum/pernicious diagnosis, one or the other of CT image and PET image are identified as multiple In the range of system, associated another is also contained in reproduction range.In an identical manner, in one of primary carcinoma and transfer Or in the case that another is identified as in reproduction range, another project is also included within reproduction range.Figure 16 A exemplified with work as Create when entrusting current report that purpose is optimum/pernicious diagnosis, be shown in over report project and related information viewing area The content of the past report in 147.For example, in the case of selecting the CT image in Figure 16 A in S804, by Fig. 9 S901, S902 and S903, CT, discovery 1, diagnosis 1 and disposal 1 are included in reproduction range.Exist from also scheming as with CT One of picture or the image from the derivation of CT image image, the report item derived in the PET image of the project with related information In the case of purpose, the item recognition by PET image with from the derivation of this PET image for the reproduction range identifying unit 110 is to replicate model In enclosing.In Figure 16 A, the project of PET and discovery 2 is also included within reproduction range.Figure 16 B exemplified with when create entrust purpose be During the current report of transfer detection, it is interior that the past being shown in in report project and related information viewing area 147 reports Hold.For example, in the case of selecting the metastatic carcinoma image in Figure 16 B in S804, by S901, S902 and S903 in Fig. 9, turn Move cancer, find that 1, diagnosis 1 and disposal 1 are included in reproduction range.Exist from also leading as with from metastatic carcinoma and primary carcinoma One of discovery 1, diagnosis 1 and disposal 1 of going out, have a case that in the primary carcinoma of project of related information to derive report project Under, the report project of the project of primary carcinoma and the project derivation from primary carcinoma is identified as in reproduction range.In fig. 16b, The project of primary carcinoma, discovery 2 and diagnosis 2 is included in reproduction range.

Although being explained above using the diagnostic example of CT and PET, the present embodiment not limited to this.Permissible Pre-set the group of the type of the check image often simultaneously using, for example transfer detection and optimum/pernicious diagnosis and above-mentioned The process implemented.

Next, by the purpose with regard to the trust in current report be follow-up or disposal validity evaluation situation Under reproduction range illustrate.The evaluations both of which of follow-up and the validity disposed by the state at position during former inspection with The state at position during current check is compared.Therefore, current report may comprise the medical imaging obtaining from current check The medical imaging (in past report) checking with the past serving as comparison other.It is follow-up or place in the trust purpose of current report In the case that the image evaluated and report in the past of the validity put has been previously identified as in reproduction range, reproduction range is sentenced Order unit 110 obtains the information of the obtained inspection of image in the past report first.Report establishment of item unit 102 and then base In the information of this inspection, to obtain the image of current check.Report display control unit 109 is in the editing pictures of current report Show the image in report in the past and the image from current check in tandem.Show in tandem in report in the past The correspondence image of image and current report is so that entrust the doctor being capable of easily movement images.Figure 17 A be in the past report project and The concept map of the content of past report of display in related information viewing area 147.Figure 17 B is exemplified with the trust in current report Purpose is evaluating and having specified that current in the case of report project 170 in S804 of the validity of follow-up or disposal Duplication result in report.Report project 171 is the soft copy illustrating with the medical imaging of report project 170 identical content.Report The soft copy of the medical imaging that announcement project 172 is corresponding with the position of report project 170, shoot in current check.Report Project 172 creates via the process in S131, S132 and S133 in Figure 13.So, additional in tandem in the past shoot The soft copy of the medical imaging of the soft copy of medical imaging and current shooting can omit additional current shooting so that reading shadow doctor Medical imaging operation.Note, it is also possible to such as be indicated by reference 173 and reference 174, automatically showing bat Take the photograph the date of medical imaging, enabling easily distinguish which additional medical imaging be in the past, which be present.

8th embodiment

8th embodiment will be described.In the present embodiment, reproduction range identifying unit 110 is according to the current report as copy Accuse record situation or expect the content recorded wherein after a while, the project being directly or indirectly associated with specified project In a part be identified as in reproduction range.As described in second embodiment, the present embodiment is also applied will be medical at original place The soft copy of image replaces with the process of the soft copy of the medical imaging at copy.In other words, the type replicating in S8061 It is position and in the case that its content is the soft copy of medical imaging, will be medical for correspondence that medical imaging replaces with current shooting Image, then carries out replication processes.Reference picture 18A to Figure 20 to be illustrated.

Figure 18 A and Figure 18 B is exemplified with the example of the present embodiment.Figure 18 A is past report project and related information viewing area The content of the past report of display in domain 147.Figure 18 B is that report creates the current report edited in region 134.Report item Mesh 180 is the soft copy of image in the past, and report project 181 is the soft copy of corresponding present image.Table 71f as Figure 12 Middle illustration, so that report project 180 and report project 181 is associated.Find that 2 is related to the report project in report project 181 Connection.Assume that user have selected report project 180 in S804 in this state.In the present embodiment, in the report replicating Describe position 1 and found 2, therefore reproduction range has been simply set to diagnose 1 and has disposed 1.Figure 18 C1 and Figure 18 C2 The report being after the copying process creates the content in region 134.As shown in Figure 18 C1, as diagnosis 1 He replicating object Dispose 1 with and correspond to the discovery 2 that is associated of report project 181 of report project 180 and be automatically associated.Alternatively, Reproduction range is set to find 1, diagnosis 1 and disposes 1, will be contained in the discovery 1 in reproduction range, diagnosis 1 and dispose with right Should be 2-in-1 simultaneously in the associated discovery of the report project 181 of report project 180.Although here with regard to having selected for portion The report project of the type of position is illustrated as in case of replicating object, but is selecting other kinds of report item Mesh also can carry out replication processes based on identical thought as in the case of replicating object.

Figure 19 A and Figure 19 B is exemplified with second example of the present embodiment.Figure 19 A reported project exemplified with the past and associates letter The content of the past report of display in breath viewing area 147.Figure 19 B is exemplified with working as of editing in report establishment region 134 The content of front report, and be specify Figure 19 A in discovery 1 and replicate the reproduction range specified result example.Figure 20 It is the example of the reproduction range determination flow being carried out by reproduction range identifying unit 110 in the second example be illustrated in the present embodiment Figure.S901 to S904 with identical in Fig. 9, with the addition of S905 and S906.For example it is assumed that be used for multiple positions of follow-up etc. Progression is to read the purpose of shadow.This example suppose as shown in figure 19, in the first follow-up observation, to regard to position 1, In the discovery 1 of effect that position 2 and position 3 have " not changing " at all, blanket record has been carried out, with regard to the second follow-up Observe and creating current report.When specifying the discovery 1 in Figure 19 A in S804, by the process of S901 to S904, Figure 19 A In position 1, position 2, position 3, find 1, diagnosis 1, dispose 1 and the related information between them be identified as replicate model Enclose.In S905, past image to position 1, position 2 and position 3 with regard to the soft copy as past image and and it Corresponding present image, graphical analysis is carried out by computer-aided diagnosis (CAD).It is assumed that as the result of graphical analysis, For example, for position 1 and position 2, change is not observed between past image and present image, but the disease at position 3 Situation about becoming substantially deteriorates.In this case, if position 3 is copied in current report, the content being associated will not It is as high in found the probability " not changed " in the of 2 at all.Therefore, operated in S906 so that in S905 Object finding, should not keeping and report in the past identical related information, is not recognized as in reproduction range.Above-mentioned In example, the position 3 as Figure 19 A is not recognized as in reproduction range with the related information 191 associating between discovery 1. The report project at position 3 is still duplication object.If judging that the duplication object judging in stream is answered in the reproduction range of Figure 20 Make in current report, then result for example will as shown in Figure 19 B.By the process of the S806 according to first embodiment, based on figure Position 1 in 19A, position 2, discovery 1, diagnosis 1, disposal 1 and the related information between them, have replicated in Figure 19 B Position 1, position 2, find 1, diagnosis 1, dispose 1 and the related information between them.Position 3 in Figure 19 B is also to pass through Process according to the S806 of first embodiment and the position 3 in replicated Figure 19 A.On the other hand, report project 192 and report Related information between announcement project 192 and position 3 automatically creates after S806.Note, report project 192 is in project table The state that hurdle " content " in 701 is not registered, i.e. report project input frame 135 is blank.Read shadow doctor in report project With regard to the discovery at position 3 described in 192, and it is added as needed on diagnosing and disposes.With identical with the second case in the present embodiment Mode, according to after the replication will in current report described in content, can by pre-adjust reproduction range, to reduce The work that doctor is operated after the replication.Although here illustrates to exclude the example of unwanted related information, this Embodiment is not limited to exclude unwanted related information, can exclude report project as needed.Although right in the above examples It is described with regard to reproduction range is adjusted by the unwanted duplication project of deletion, but necessary duplication can also be added Project is being adjusted.

9th embodiment

9th embodiment will be described.In the present embodiment by regard to having the evaluation that each report project is given with evaluate The example of unit illustrates, and, further, identifies that according to result the reproduction range identifying unit 110 of reproduction range will The evaluation of estimate of each project and predetermined threshold are compared.Exemplary illustration by referring to Figure 21 and Figure 22 to illustrate.

Figure 21 is the functional block diagram of the major function for explanation according to the medical report creating device 1 of the present embodiment.Figure In 21 illustrate functional block 101 to functional block 112 with identical in Fig. 5.In S805, fraction calculates identifying unit 115 and obtains The project specified in S804 and the evaluation of estimate of the project being directly or indirectly associated with the project specified in S804.In reproduction range Identifying unit 110 determines whether each item recognition when being in reproduction range, threshold determination unit 116 judge as with by The threshold value of the value that the evaluation of estimate that fraction calculating identifying unit 115 gives compares.Reproduction range in S805, in the present embodiment Identifying unit 110 is compared calculating, by fraction, the evaluation of estimate that identifying unit 115 gives with threshold value, and identifies have less than threshold The project of the evaluation of estimate of value, for example, be identified as in reproduction range.Exemplified with the past, Figure 22 reported that project and related information showed The content of the past report of display in region 147.In the case of showing that the project specified in S804 is discovery 1, by dividing Number calculates identifying unit 115 and gives dividing of each project.In the example of Figure 22, directly related with the project specified in S804 The evaluation of estimate of project is little, and association is more indirect, and evaluation of estimate is bigger；However, evaluating value-acquiring method not limited to this.By threshold determination In the case that the threshold value that unit 116 judges is 2, reproduction range identifying unit 110 recognition site 1, discovery 1 and diagnosis 1 are conduct Replicate the project of object.In the case that the threshold value being judged by threshold determination unit 116 is 3, reproduction range identifying unit 110 is known Other position 1, discovery 1, diagnosis 1, disposal 1 and discovery 2 are as the project replicating object.

Example by explanation threshold determination unit 116 decision threshold.In the first example, according to trust purpose come decision threshold Value, this is illustrated in the 7th embodiment.It is transfer detection in the trust purpose of current report or optimum/pernicious examine In the case of disconnected, can discovery based on CT and PET being diagnosed.Consider following situation：For example, select in S804 Project be position, its content is the soft copy of medical imaging, and this medical imaging is CT image.In this case, such as Fruit exists diagnostic together with the CT medical imaging selecting in past report project and related information viewing area 147 The image that PET image is associated, then the size expanding threshold value makes this project be included in reproduction range.In follow-up and disposal Both evaluations of validity in, often the state at position during previous inspection and position during current check is compared. Therefore, the size expanding threshold value makes and at least one of the position that is directly or indirectly associated of project selecting in S804 quilt Including in reproduction range.

In the second example, according to the type of pathology, position, medical image or their types of combining come decision threshold. In this case, in addition to the functional block listed in Figure 21, also provide difference unit, described difference unit is distinguished in S804 In the type of the pathology described in the content of project, position or the medical image pointed out or their types of combining.For example, exist In the case of there is the word relevant with the pathology needing complicated research in the content of the project specified in S804, generally in report Studied based on the information being made up of bulk items in announcement.Therefore, relevant in the pathology existing with need complicated research In the case of word, compared with non-existent situation, in order to be in reproduction range by substantial amounts of item recognition, threshold value is set Obtain bigger.

Tenth embodiment

Tenth embodiment will be described.In the present embodiment, execute successively to calculate by fraction at each project and judge list Evaluation of estimate is distributed to the process of project and is judged the evaluation of estimate of each project with by threshold determination unit 116 by unit 115 The process that is compared of threshold value.According to its comparative result, judge successively to include the project in reproduction range.Will be by ginseng Exemplary illustration according to Figure 23 to Figure 25 to illustrate.

Figure 23 is the functional block diagram of the major function for explanation according to the medical report creating device 1 of the present embodiment.Work( Can block 101 to functional block 116 with identical in Figure 21.Fraction according to the present embodiment calculates identifying unit 115 and is based on and each The evaluation of estimate of the project that project is directly associated, to obtain the evaluation of estimate of this project.Determine object item identifying unit 117 by point Number calculates identifying unit 115 allocation evaluation value, and judges the project will being compared with threshold value.Will be exemplary with reference to coming in Figure 25 The flow process of process being carried out by reproduction range identifying unit 110 is described.In Figure 24 A to Figure 24 H exemplified with the past report project and The content of related information viewing area 147.Here as example, fraction calculates the evaluation of estimate that identifying unit 115 obtains projects, As the value being obtained by the evaluation of estimate interpolation 1 to the project being directly associated with each project.S2501 in fig. 25 In, threshold determination unit 116 decision threshold.In this example, threshold value is arranged to 4.In S2502, fraction calculates and judges list Unit 115 is to the allocation of items value specified in S804.If the project specified in S804 is the project of the discovery 2 illustrating in Figure 24 A, Then for example to 1 point of discovery 2 distribution.In step S2503, the evaluation of estimate of the project specified in S804 and threshold value are compared, And it is made regarding whether that by the item recognition specified in S804 be the determination in reproduction range.Discovery 2 in Figure 24 A is distributed 1 point be less than threshold value 4, therefore, reproduction range identifying unit 110 will be seen that 2 are identified as in reproduction range.Note, in Figure 24 A To Figure 24 H, the project with thick boundary line is the project that evaluation of estimate has been compared with threshold value, grey project by It is identified to belong to reproduction range.In S2504, carry out with regard to being directed to and the direct phase of each project being identified as in reproduction range The all items of association, if carried out the acquisition of evaluation of estimate and the determination of the comparison of evaluation of estimate and threshold value.Having been directed towards In the case that all items perform this determination, flow process proceeds to S2508, and flow process terminates.If being directed to all items Not yet carry out this determination, then flow process proceeds to S2505.In the case of Figure 24 A, identifying unit 115 is calculated by fraction and is directed to With find 2 acquisitions at positions 2, position 3 and DE value 2 being directly associated, and evaluation of estimate and threshold value relatively all not yet Complete, therefore flow process proceeds to S2505.In S2505, determine that object item identifying unit 117 judges for determining next About whether being identified as the project in reproduction range.Determine that object item identifying unit 117 selects and is identified as replicating model That project in enclosing is directly associated and not yet allocation evaluation value and not yet carry out the project with the comparison of threshold value.In Figure 24 A In, by determining object item identifying unit 117 come one of selection part 2, position 3 and diagnosis 2.Here will consider to select The situation of diagnosis 2.In S2506, identifying unit 115 is calculated by fraction and obtains in S2505 by determination object item judgement The evaluation of estimate of the project that unit 117 selects.In the present embodiment, as shown in fig. 24b, by 1 point of interpolation distributing to discovery 2 1 and obtain DE value 2, be 2 by this evaluation of estimate.In step S2507, the value obtaining in S2506 is compared with threshold value Relatively, and be made regarding whether the project selecting in S2505 includes the determination in reproduction range.In Figure 24 B, to diagnosis 2 2 points of the value of distribution is less than threshold value 4, and therefore, diagnosis 2 is identified as in reproduction range.After the process of S2507, flow process is returned Return to S2504, and repeat above-mentioned process.In Figure 24 C, obtain evaluation of estimate 3 for the project disposing 2, because it is little In threshold value 4, therefore dispose 2 and be identified as in reproduction range.In Figure 24 D, obtain evaluation of estimate 3 for the project disposing 1, by It is less than threshold value 4 in it, therefore diagnosis 1 is identified as in reproduction range.In Figure 24 E, obtain for the project disposing 1 and evaluate Value 4, because it is not less than threshold value 4, therefore disposes 1 and is not recognized as in reproduction range.In Figure 24 F, for the item finding 1 Mesh obtains evaluation of estimate 4, because it is not less than threshold value 4, consequently found that 1 is not recognized as in reproduction range.Note, find 1 not Including in reproduction range, determine the non-selected position 1 of object item identifying unit 117 therefore in S2505.In Figure 24 G, pin Evaluation of estimate 2 is obtained to the project at position 2, because it is less than threshold value 4, therefore position 2 is identified as in reproduction range.In figure In 24H, the project for position 3 obtains evaluation of estimate 2, and because it is less than threshold value 4, therefore position 3 is identified as in reproduction range Interior.Now, each project having been directed towards being identified as in reproduction range and all items being directly associated, complete The acquisition of evaluation of estimate and the comparison of evaluation of estimate and threshold value are become.Therefore, reproduction range identifying unit 110 identification discovery 2, diagnosis 2nd, disposing 2, diagnosis 1, position 2 and position 3 is to replicate object.

Although reference picture 24A to Figure 24 H is illustrated to above-mentioned example, distribute to this project value be allocated to The value of its project being directly associated adds 1 value, but can also obtain this value by other means.For example, it is possible to root According to the type of the project specified in S804, to judge value to be added.Alternatively, can be calculated according to fraction and judge list The type of the association between the project of first 115 apportioning costs and the project being directly associated, to change value to be added as one sees fit. In addition, as described in regard to the 9th embodiment, threshold determination unit 116 can decision threshold in every way.

11st embodiment

11st embodiment will be described.In the present embodiment, reproduction range identifying unit 110 can select for identifying again The technology of scope processed.Figure 26 is the functional block of the major function for explanation according to the medical report creating device 1 of the present embodiment Figure.Construction is identical with Fig. 7 explanatory illustration, wherein with the addition of mode selecting unit 118.Mode selecting unit 118 provides one Plant and select which kind of method following to identify the approach of reproduction range for reproduction range identifying unit 110.

The example of the decision method that reproduction range is followed includes following method.

(1) one at a time manually selects to read the project that shadow doctor wants to replicate, and reproduction range identifying unit 110 is only by institute The method that the item selecting is visually reproduction range.

(2) method according to first embodiment, wherein, will read project that shadow doctor selects and directly or indirect correlation The every other project of connection is as reproduction range.

(3) method according to the 5th embodiment, wherein, will read project that shadow doctor selects and directly or indirect correlation A part for the sundry item of connection is as reproduction range.

(4) method according to sixth embodiment, wherein, judges to replicate model based on the type reading the project that shadow doctor selects Enclose.

(5) method according to the 7th embodiment, wherein, judges reproduction range based on the trust purpose at copy.

(6) method according to the 8th embodiment, wherein, judges reproduction range based on the state recorded at copy.

For example, in the S804 than Fig. 8, timing earlier is operated mode selecting unit 118, and displaying duplication scope is sentenced Determine the list of the operation to (6) for the method (1).Read the project that shadow doctor implies selection via input equipment 11, thus which kind of selects Reproduction range decision method to be selected.According to selected reproduction range decision method, judge to replicate model in the S805 of Fig. 8 Enclose.

Can be constructed as below：Mode selecting unit 118 is added to the figure of explanation in the 9th and the tenth embodiment In function described in 21 and Figure 23.In this case, mode selecting unit 118 judges that fraction calculates identifying unit 115 He Threshold determination unit 116 is operated according to which kind of algorithm.

12nd embodiment

12nd embodiment will be described.In the present embodiment, had selected in the S804 of Fig. 8 in the first embodiment In the case of going the trust purpose described in reporting, reproduction range identifying unit 110 is based on and is selected by reproduction range identifying unit 110 The trust purpose selected is judging reproduction range.To illustrate with reference to the exemplary illustration in Figure 27 to Figure 29.

Figure 27 is the functional block diagram of the major function for explanation according to the medical report creating device 1 of the present embodiment.Structure Make same as shown in Figure 5, wherein with the addition of request items creating unit 119 and request items given unit 120.Request Establishment of item unit 119 will read the related request purpose of shadow task to from trust doctor to read shadow doctor reception and registration, as in report Described in announcement, constitute the project (hereinafter referred to as " request items ") of entrusted information and create.In addition, request items creating unit 119 give the ID for unique identification from the request items that trend is created, and save it in the required list shown in Figure 28 A In 2801.Multiple request items can be documented in single report, in this case, in required list 2801, create multiple asking Ask item record.The content of required list 2801 is saved in memory cell 113.Request items given unit 120 to request The report project that request items described in table 2801 are associated is marked, to be associated.For example, as shown in Figure 28 B, please ID hurdle is asked to be added to project table 701, the ID of corresponding request items is saved in each and reports item as request ID hurdle value In purpose record.Certainty factor hurdle and request marks hurdle is eliminated from the illustration of Figure 28 B.Request items and report associated there The judgement of announcement project can input to carry out by user operation, or can be by language analysis to request items and report item Purpose content is analyzed and is automatically determined.

The following is to the reproduction range decision method by being carried out according to the reproduction range identifying unit 110 of the present embodiment Explanation.In the present embodiment, in S804, as be designated as over the project reported request items past report in A part of when, to judge reproduction range by the following method.First, the project table that reference picture 28B illustrates, with regard to selecting in S804 The request items selected, in the request ID hurdle in project table, have the report project of request ID in identification required list 2801.Example As it is assumed that following situation：(it is request (1) and asks to there are two request purposes in the entrusted information viewing area 146 of Figure 29 Ask (2)), and user will ask (2) to be dragged and dropped into report establishment region 134.If the content of request (2) is in Figure 28 A Request ID=1, i.e. request (2) is " left renal carcinoma, postoperative process confirms ", then extract the item id pair in the project table in Figure 28 B Should be in 3 and 6 report project.In the S805 of the present embodiment, the report project that these are extracted is as in first embodiment The item specified in S804 and be identified as reproduction range.By according to first embodiment to the 7th embodiment described in method in Any one, to judge the identification of reproduction range.

Although newly introducing and illustrate request items creating unit 119, request items given unit in the present embodiment 120th, required list 2801 and request ID hurdle, but can be using " the request in request marks given unit 114 and project table 701 Mark " hurdle is implementing process same as described above.

According to the reproduction range decision method of the present embodiment, simple operations can be passed through, replicate in current report and make With relevant with entrusting purpose reading shadow content described in past report, create medical report therefore, it is possible to effective.

Variation

As first embodiment to the 12nd embodiment described in structured report in, report contents of a project edit cell Template can be applied to the content of project that created by report establishment of item unit 102 by 103.Report display control unit 109 exists The record of the template applied by related information saving unit 105 is shown on display unit.In other words, report contents of a project editor is single Unit 103 is used as scavenging valve, and described scavenging valve read the content of shadow report based on the past, and presumption will be in the new reading shadow creating The information described in project of report.In addition, report display control unit 109 is used as display control unit, described display control Unit shows the record being estimated by the report display control unit 109 serving as scavenging valve on the display unit.For example, in the past When report project in report is copied in current report, report contents of a project edit cell 103 is by based on original project Described in the template of content be applied to the project in copy.Template can apply to be replicated scope identifying unit 110 and identifies For all items of reproduction range, or user can specify from the project being identified as reproduction range will should to which project Use template.

For example, it is assumed that the discovery project 4102 of the past report as illustrated in Figure 41 A and Figure 41 B, state " right lymphonodi renales Multiple enlargement.Size be 15mm to 20mm it is believed that being significant size " to be copied in current report.To report current In the case of carrying out for the diagnostic imaging of follow-up in announcement, the discovery project in current report generally carries out similar note Carry.Therefore, report contents of a project edit cell 103 in current report at copy the content of edit item 4105 to read " the multiple enlargement of right lymphonodi renales.Size is * * mm to * * mm it is believed that being significant size." by reporting display control unit 109 show the project having applied at the copy of template on the display unit.This be application template in order to user input with The example of the change in the size of pathology visited.Therefore, the example described in fourth embodiment is the template in terms of different viewpoints Example.

The application of template is not limited to the situation of follow-up.Can be arranged as follows：Report contents of a project edit cell 103 base In the entrusted information reading shadow report, application template makes it easier to read shadow doctor input project to be recorded, and reports display control Unit 109 is shown on the display unit.For example, asking to be the situation of the request of the phases diagnostic with regard to primary lung cancer Under, application template is in the discovery project being associated with FDG (fluorodeoxyglucose) (FDG)-PET image In, " invasion to the wall of the chest and big blood vessel is * * * * * for statement." therefore, the content that user can more easily enter and ask The record joined.Report contents of a project edit cell 103 can also condition based on such as shooting image or trust content, by mould Plate is applied to be easy to read shadow doctor's cuit to record the project being associated with image, and report display control unit 109 is aobvious Show that unit is shown.Alternatively, template can be applied to be easy to input still by report contents of a project edit cell 103 Not inputting, information in the project will be recorded, and shown on the display unit in report display control unit 109.Example As it is assumed that following situation：Read shadow doctor and create the discovery project being associated with FDG-PET image and checkup item, and input pass The record of the bone in discovery project.Report contents of a project edit cell 103 is that the checkup item being associated with this discovery is accurate Standby statement " is transferred to bone * * * * *." template.In addition, the project of report contents of a project edit cell 103 application template is not limited to The report project being pre-created, can create new project by control report establishment of item unit 102.For example, it is assumed that such as Lower situation：" doubtful it is transferred to bone." have been enter into the checkup item that is associated with FDG-PET image.Report establishment of item The recommended project that unit 102 establishment is associated with this checkup item.Report contents of a project edit cell 103 will " consideration be lived Inspection." template be applied to by the report recommended project that creates of establishment of item unit 102.In other words, report contents of a project editor Unit 103 is used as recommendation unit, described recommendation unit based on be input to read the information of project that shadow report includes it is recommended that with this The information described in project that project is associated.Report establishment of item unit 102 also serves as creating unit, described creating unit base In being input to the information reading the project that shadow report includes, to create report project.Report display control unit 109 is used as display Control unit, described display control unit shows on the display unit by the report contents of a project edit cell serving as scavenging valve The record of 103 presumptions, and the project being created by report establishment of item unit 102.

First embodiment to the 12nd embodiment described in structured report in, certain have selected by input equipment 11 In the case of individual project, report display control unit 109 can show related to selected project with other areas otherwise The project of connection.The project that the project being associated with selected project is comprised in being not limited to be reported with this project identical.From mistake In the case of going to have replicated this project in report, the project that is associated with this project in past report, can be with inclusion It is being highlighted together with the project in the report of this project identical.In addition, have been duplicated into newly creating in this project When in project, including replicate report in project it is also possible to include with this project identical report in project together with It is highlighted.Accordingly, with respect to be compared in such as time series useful, be included in report including this project with Project in outer report, is understood that the project being associated with certain project.Except position, discovery, diagnosis and place Outside the project put, associated project can also include indicating the request marks of the project of entrusted information.Therefore, it is possible to easy Understanding is associated with the content from the trust entrusting doctor.

First embodiment to the 12nd embodiment described in structured report in, can apply using big data point Analysis, and this result can be used.

Note, be not limited to support to create medical report according to the device in first embodiment to 3rd embodiment.The present invention Can be used for supporting the work that test contradiction is assumed in the various Structure Report for logic documenting analysis or the basis of research Industry.The system that can include for sharing information for the example of the information system of office etc., such as accounting, product inventory pipe Reason, document management and search etc..Also exist and coordinate collect money, pay the bill, placing an order and the program such as back order, delivery, sale point The individually operated more multisystems such as analysis.Exist and such information system is used based on advanced knowledge and experience, and create note Carry the situation of the report of result of analysis and research measurement.These reports etc. generally include additional electronic data, digital photograph And image.In order to prove the validity of the result analyzing and surveying quantifier elimination, logic is needed to record for this analysis and study Basis.Can be used for processing this problem for the support creating structurized report according to the present invention.

Therefore, a part for the project described in when the medical report that the past is created is using in the new report creating When, can easily identify will referring concurrently to project.Therefore, it can reduce the fiber crops of the medical report that user confirms to create in the past Tired.

The present invention can be realized by processing：By realize the program of one or more functions of above-described embodiment via Network or storage medium and be supplied to system or device, and one or more processors of the computer in system or device Read and execute this program.The present invention also can be by realizing circuit (for example, the special IC of one or more functions (ASIC)) realizing.

Can be realized as self-contained unit according to the medical report creating device of above-described embodiment, or can be combination Multiple information processors are communicated with allowing to and execute the arrangement of above-mentioned process.Above-mentioned process can be by altogether Enjoy server apparatus or server group and be performed.Composition medical report creating device and medical report is made to create support system Multiple devices can be communicated with predetermined traffic rate, without positioned in identical facility or country.

The software program realizing the function of above-described embodiment is provided to system or device, and the calculating of system or device Machine-readable go out and the arrangement of provided program code be provided be also included within embodiments of the invention.

Therefore, it is installed to computer to realize the program code itself of the process according to embodiment on computers, be also Embodiments of the invention.In addition, the instruction being included based on the program being read by computer, the operation system running on computers System (OS) etc. can carry out part or all of actual treatment, and the function of above-described embodiment can be realized by this process.

The arrangement that above-described embodiment is suitably combined is also included within embodiments of the invention.

(also can also more completely be referred to as that " non-transitory computer can by reading and executing record in storage medium Read storage medium ") on computer executable instructions (for example, one or more programs) to execute in above-described embodiment Individual or more function and/or include the function for executing one or more of above-described embodiment one Or the system of more circuit (for example, special IC (ASIC)) or the computer of device, to realize the enforcement of the present invention Example, and it is possible to can using the computer by for example being read and executed from storage medium by the computer of system or device Execute instruction is to execute the function of one or more of above-described embodiment and/or to control one or more circuit Method to execute the function of one or more of above-described embodiment, to realize embodiments of the invention.Computer is permissible Including one or more processors (for example, CPU (CPU), microprocessing unit (MPU)), and can include point The computer opened or the network of separate processor, to read and to execute computer executable instructions.Computer executable instructions For example computer can be provided to from network or storage medium.Storage medium can include such as hard disk, random access memory Device (RAM), read-only storage (ROM), the memory of distributed computing system, CD (such as compact disk (CD), digital universal CD (DVD) or Blu-ray Disc (BD)^TM), one of flash memory device and storage card etc. or more.

Embodiments of the invention can also be realized by following method, i.e. by network or various storage medium The software (program) of function of execution above-described embodiment is supplied to system or device, the computer of this system or device or in The method that Central Processing Unit (CPU), microprocessing unit (MPU) read simultaneously configuration processor.

Although with reference to exemplary embodiment, invention has been described but it is to be understood that it is public to the invention is not restricted to institute The exemplary embodiment opened.Explanation the widest should be given to scope of the following claims, so that it covers all these changes Type example and equivalent 26S Proteasome Structure and Function.

Claims (21)

1. a kind of information processor, described information processing meanss include：

Creating unit, its be configured to create medical report, described medical report include as diagnosis object multipacket message with And indicate the related information of the association between multiple projects that each group information of described multipacket message includes；

Designating unit, it is configured to the multipacket message that the medical report creating before in the memory unit includes from storage Multiple projects of including of each group information in specify a project；

Recognition unit, it is configured to respond to specifying in described designating unit, is associated based on a specified project Related information, to identify at least one of multiple projects that the medical report creating before includes project；And

Display control unit, it is configured to show the item of at least one identification on the picture for editing described medical report Mesh.

2. information processor according to claim 1,

Wherein, in diacritic mode, display has bag in the project being identified by described recognition unit to described display control unit The information of the predetermined attribute including and the information without described predetermined attribute.

3. information processor according to claim 2,

Wherein, described predetermined attribute includes following at least one of work as：

The information related to the size of the pathology as described diagnosis object,

The information related to the volume of the organ as described diagnosis object,

The information related to the progress extent of the pathology as described diagnosis object, or

Stage Classification as described diagnosis object.

4. information processor according to claim 2,

Wherein, described display control unit also shows the operation input that the establishment carrying out indicating described medical report has completed Icon,

Wherein, described display control unit not yet changes in the information with described predetermined attribute and described icon is carried out In the case of input operation, display warning.

5. information processor according to claim 1, described information processing meanss also include：

Image acquisition unit, the image that the medical report that it is configured to create before described recognition unit identifies includes In the case of, obtain and shoot the information of the inspection of image having identified, and the information based on described inspection, obtain with knowledge The image of the described diagnosis object shooting in the corresponding region of other image.

6. information processor according to claim 5,

Wherein, entrusted the establishment of described medical report in the follow-up for described diagnosis object and described recognition unit has been known In the case of also including the image of medical report creating before in other project, described image acquiring unit has it based on acquisition The information of the inspection of the image in the medical report of front establishment and be based on described trust, to obtain image,

Wherein, described display control unit, in the picture for editing described medical report, shows described knowledge in tandem The image of other unit identification and the image of described image acquiring unit acquisition.

7. information processor according to claim 5,

Wherein, the image that includes of medical report that created before described recognition unit identifies and can obtain and identify Image corresponding described diagnosis object image in the case of, described display control unit is for editing described medical report Picture on, according to for as with identification image corresponding described diagnosis object image operation input, to show knowledge Other image and the image of described image acquiring unit acquisition,

Wherein, the image that the medical report creating before described recognition unit identifies includes still cannot obtain and identify Image corresponding described diagnosis object image in the case of, described display control unit is for editing described medical report Picture on, the project that is associated of project that display is identified with described recognition unit, as the project for display image.

8. information processor according to claim 1,

Wherein, the multipacket message as described diagnosis object includes：

Comprise the information at the position of image as described diagnosis object,

The information finding,

The information of diagnosis, and

The information disposed.

9. information processor according to claim 1,

Wherein, in the case of the information that described designating unit specifies for the medical report creating before entrusting establishment, institute State the recognition unit identification project that the medical report of establishment includes before corresponding with the information for entrusting.

10. information processor according to claim 1,

Wherein, in the medical report creating before, including the image being identified and in response to the image identical being identified In the case of the image entrusted and obtain, the image being identified and the image recognition obtaining are identified by described recognition unit Image.

11. information processors according to claim 1,

Wherein, described recognition unit is carried out：

First process, with according to position, discoverys, diagnosis and dispose information forward sequentially, to identify in reverse direction with specific The project that project is associated,

Second processing, to identify, on the direction of described forward order, the project being associated with specific project,

Process identification by described first and process, with by described first, the project that the project identifying is associated, and

The project being associated with by the project that described second processing identifies by the identification of described second processing.

12. information processors according to claim 1,

Wherein, described recognition unit carries out the first process, according to position, discovery, diagnosis and the forward order disposed, to identify The project being associated with specific project in reverse direction,

Wherein, in the case of described designating unit specifies any one of position project, discovery project or checkup item purpose, Described recognition unit carries out the first process with regard to specified project, and by described first process identification with by described first The project that the project of reason identification is associated.

13. information processors according to claim 1,

Wherein, described recognition unit is based on the project recorded before in described medical report, to identify to be copied to described doctor With the project in report.

14. information processors according to claim 1, described information processing meanss also include：

Evaluation unit, it is configured to based on described related information, to evaluate each in the project being associated with certain project Association intensity,

Wherein, the evaluation of estimate that described recognition unit identification is provided by described evaluation unit project within a predetermined range.

15. information processors according to claim 1,

Wherein, described display control unit is copied in described medical report by the project identifying described recognition unit, comes Show this project.

16. information processors according to claim 1,

Wherein, described recognition unit identifies the information of the predetermined attribute including being included by the project that described designating unit is specified,

Wherein, described display control unit is in the picture for editing medical report, with diacritic mode show including by The information of predetermined attribute of described recognition unit identification and not having by making a reservation for that the project that described designating unit is specified includes The information of attribute.

17. information processors according to claim 16,

Wherein, described recognition unit identify in the plurality of project, as bag in the diagnostic message with regard to described diagnosis object The project including and at least two projects being in exclusive association.

A kind of 18. information processors, described information processing meanss include：

Creating unit, it is configured to create medical report, and described medical report includes：

As the information of the image of diagnosis object,

For the information of the discovery of described image,

For the information of the diagnosis of described diagnosis object, and

The information of the disposal to described diagnosis for the indicator,

And described medical report also includes indicating the related information of the association between multiple projects that each information includes；

Recognition unit, it is configured to identify in the plurality of project, as in the diagnostic message with regard to described diagnosis object Including project and be at least two projects of exclusive association；And disposal display unit, it is configured to display reminding User designates whether the picture of the input frame that the information creating instruction disposal includes, and the information of described instruction treatment is and by institute State the project that the project of recognition unit identification is associated.

19. information processors according to claim 18, described information processing meanss also include：

Processing unit, it is directed at least one of multiple checkup items, and it is exclusive that imparting indicates that the plurality of checkup item is in The related information of association；

Wherein, described dispose the imparting of described related information that display unit is carried out according to described processing unit, show for Each associated, input is related to described association information region of the plurality of diagnostic message.

A kind of 20. information processing methods, described information processing method comprises the steps：

Each group information of the multipacket message that the medical report creating before being stored in memory cell includes includes A project is specified in multiple projects；

Based on the related information being associated with a specified project, to identify the institute that the medical report creating before includes State at least one of multiple projects project；And

Identified project is shown on the picture for editing medical report.

A kind of 21. information processing methods, described information processing method comprises the steps：

Each group information of the multipacket message that the identification storage medical report creating before in the memory unit includes includes Multiple projects in, as with regard to diagnosing the project that includes of diagnostic message of object and being at least the two of exclusive association Individual project；And

Display reminding user designates whether the picture of the input frame that the information creating instruction disposal includes, described instruction treatment Information is the project being associated with the project of identification.