CN106407642B - Information processing unit and information processing method - Google Patents

Abstract

The present invention relates to information processing unit and information processing methods.The present invention is provided to create the support of medical report, the medical report includes the associated related information between the multiple projects for including in the multipacket message and each group information including indicating the multipacket message for diagnose object.In the multiple projects for including in each group information for the multipacket message for including in the medical report created before being stored in a storage unit, a project is specified.Based on related information relevant to a specified project, to identify at least one project in the project for including in the medical report created before, specified by designating unit, and show that at least one is used to edit the project of the identification of medical report.

Description

Information processing unit and information processing method

Technical field

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

Background technique

In medical field, there is the case where being disposed using medical report, wherein medical report includes being based on medical figure As title, the Disposal Strategies of disease etc. of identification.Increase and results in this medical report of creation for the medical imaging of disposition The increase of workload.

Japanese Unexamined Patent Publication 2007-140862 bulletin discloses the following contents: about existing by the whole of data base system Report, the network information is created based on the number of associated sentence combination, based on the extraction conditions specified by user from network Display portion structure in information, and the case statement from the part-structure of display is allowed users to, to support medical report The creation of announcement.

There is a situation where that a part of the medical report of creation is replicated and used over when creating new medical report.Such as Fruit exists with the record to be replicated associated record in logic, then exists while the case where replicate the record, therefore user is necessary The full content for the medical report that confirmation creates in the past.

Summary of the invention

According to some embodiments of the present invention, a kind of information processing unit is provided, the information processing unit includes: creation Unit, is configured to creation medical report, and the medical report includes the multipacket message and instruction institute as diagnosis object State the associated related information between the multiple projects for including in each group information of multipacket message；Designating unit, be configured to from The multiple items for including in each group information for the multipacket message for including in the medical report created before being stored in a storage unit A project is specified in mesh；Recognition unit, is configured to respond in the specified of the designating unit, based on specified one A associated related information of project, to identify at least one of the multiple projects for including in the medical report created before item Mesh；And display control unit, it is configured to show at least one identification on the picture for editing the medical report Project.

By the way that the description of exemplary embodiment, other features of the invention be will be apparent referring to the drawings.

Detailed description of the invention

Fig. 1 is to illustrate the exemplary figure of the construction of medical report creating device.

Fig. 2 is to illustrate the exemplary figure of the construction of medical report creating device.

Fig. 3 is to illustrate the exemplary figure of the concept of report of medical report creating device creation.

Fig. 4 A to Fig. 4 C is to illustrate the exemplary figure of the database format of the project and related information that constitute medical report.

Fig. 5 is to illustrate the exemplary figure of the function of medical report creating device.

Fig. 6 A and Fig. 6 B are to illustrate graphic user interface (the graphical user of medical report creating device Interface:GUI exemplary figure).

Fig. 7 be illustrate the processing for automatically determining the associated type between report project process it is exemplary Figure.

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

Fig. 9 is to illustrate the exemplary figure of the process for the processing in reproduction range judging unit.

Figure 10 A and Figure 10 B are to illustrate the process of the processing of the range for extending the project in the report of the past to be replicated Exemplary figure.

Figure 11 is to illustrate the detailed processing for the process that the reproduction range that will be determined copies in newly created report Exemplary figure.

Figure 12 is the corresponding associated exemplary figure before illustrated between the image obtained and the image currently obtained.

Figure 13 is the example illustrated for that will pass by the process of the processing of corresponding present image when image is converted into replicating Figure.

Figure 14 is illustrated in original report in the past not as there are the feelings of causalnexus between the project other than duplication object The exemplary figure that picture under condition is shown.

Figure 15 is illustrated for being confirmed whether for causalnexus to be applied to answering with causalnexus in original report in the past The exemplary figure that the picture of project processed is shown.

Figure 16 A and Figure 16 B be illustrated in newly created report commission purpose be benign/pernicious diagnosis or transfer retrieval In the case of it is original in the past report exemplary figure.

Figure 17 A and Figure 17 B are the figures for illustrating processing relevant to the duplication according to the 7th embodiment.

Figure 18 A to Figure 18 C2 is the first figure for illustrating processing relevant to the duplication according to the 8th embodiment.

Figure 19A and Figure 19B is the second figure for illustrating processing relevant to the duplication according to the 8th embodiment.

Figure 20 is illustrated for the exemplary figure according to the process of the processing of the reproduction range judging unit of the 8th embodiment.

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

Figure 22 is illustrated in by calculating the shape that judging unit value already is allocated to project according to the score of the 9th embodiment The exemplary figure of under state, past report content.

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

Figure 24 A to Figure 24 H is the operating process for illustrating to be carried out by the reproduction range judging unit in the tenth embodiment Figure example.

Figure 25 is to illustrate the exemplary figure of the operating process carried out by the reproduction range judging unit in the tenth embodiment.

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

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

Figure 28 A and Figure 28 B are the projects and related information illustrated for constituting the medical report according to the 12nd embodiment Database format exemplary figure.

Figure 29 is the exemplary figure of the concept map for the commission purpose selection processing being illustrated in the 12nd embodiment.

Figure 30 A and Figure 30 B are to illustrate the exemplary figure of basic input pattern picture

Figure 31 is to illustrate the exemplary figure of layout picture.

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

Figure 33 is to illustrate the exemplary figure of time serial message window picture.

Figure 34 is to illustrate the exemplary figure of interaction prediction table.

Figure 35 A and Figure 35 B are the mistakes for showing the processing when user creates or selects diagnostic report project The exemplary figure of the flow chart of journey.

Figure 36 is to illustrate the exemplary flow chart of the processing in reproduction range judging unit according to first embodiment.

Figure 37 is to illustrate the exemplary figure of the processing in reproduction range judging unit.

Figure 38 is to illustrate the exemplary figure of processing relevant to duplication according to first embodiment.

Figure 39 is to illustrate the exemplary figure of processing relevant to the duplication according to the 5th embodiment.

Figure 40 is to illustrate the exemplary flow chart of the processing according to fourth embodiment.

Figure 41 A and Figure 41 B are to illustrate the exemplary figure of the processing according to fourth embodiment.

Figure 42 A and Figure 42 B are to illustrate the exemplary figure of processing according to the third embodiment.

Figure 43 A and Figure 43 B are to illustrate the exemplary figure of processing according to the third embodiment.

Figure 44 A and Figure 44 B are to illustrate the exemplary figure of processing according to the third embodiment.

Specific embodiment

Devices in accordance with embodiments of the present invention is described below.Firstly, Fig. 1 to Fig. 6 B and Figure 30 A to Figure 33 will be passed through In exemplary 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 for the medical report built.

In the first embodiment, it identifies directly or indirectly associated with the project specified in the medical report of creation in the past Whole projects, and these whole projects can be used in newly created medical report.In Fig. 8, Figure 11, Figure 36, Figure 37 and figure An example is provided in 38.

It in a second embodiment, can be from the related information between acquisition project in the type of specified project.It is mentioned in Fig. 7 An example is supplied.

In the third embodiment, if there is with mutually exclusive associated project, then corresponding push 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, duplication and using the past creation medical report in record content when, with duplication phase The time point that a series of processing closed have been completed can be such that reproducting content and display format optimizes 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 can identify and replicate one of project associated with the project that designating unit is specified Point.In addition, can easily replicate the part not being replicated later, and can when identifying and replicating this part Keep the project individually replicated 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 range of duplication can be identified according to the type of specified project.

In the seventh embodiment, the purpose that can be entrusted according to the creation of medical report is created to identify from the past The range replicated in the medical record built.An example is provided in Figure 16 A to Figure 17 B.

In the eighth embodiment, according to the record situation of newly created medical report or about the content for assuming to record, energy It is enough to identify reproduction range from the report created in this case.An example is provided into Figure 20 in Figure 18 A.

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

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

In the 11st embodiment, the technology of reproduction range for identification is allowed hand over.One is provided in Figure 26 to show Example.

In the 12nd embodiment, the creation commission purpose for the medical report that the past creates can be copied to newly created In medical report, thus identification project corresponding with the creation commission purpose of the medical report of creation in the past, and the project is answered It makes in newly created medical report.An example is provided into Figure 29 in Figure 27.

Above-described embodiment is illustrated in detail now.In the medical field, using being obtained by various photographic devices Image and various inspections are to be disposed." medical imaging " will be referred to as by the image data that photographic device obtains.Pass through figure As data are also included in medical imaging by image procossing etc. with the image for obtaining the image for being suitable for diagnosis and obtaining.It is this The example of photographic device include computed tomography (CT:computed tomography), Magnetic resonance imaging (MRI: Magnetic resonance imaging), radioactive ray device shooting two-dimensional radiation photograph digital radiography (DR: Digital radiography) etc., but not limited to this.

It will be illustrated for the example of the image data obtained by CT device.CT device obtains the phase for being referred to as CT value One-dimensional distribution to X-ray absorption coefficient value, as image data.Later, image data passes through the place for being referred to as image reconstruction Reason, to obtain 3-D image.These 3-D images are further across maximum intensity projection (MIP:maximum intensity Projection) it be used to obtain the two dimensional image of desired fault plane to create MIP image or these 3-D images.These figures All it is included in " medical imaging " as data, 3-D image and from the various images obtained in these 3-D images.

It is referred to as " reading shadow " using the diagnosis of medical imaging.Shadow is read by observing medical figure with the doctor that diagnosing image is profession As come carry out.When the attending physician for diagnosing object issues the camera shooting of medical imaging and reads the commission instruction of shadow, technician's shooting is suitable When medical imaging, and provide these medical imagings for reading shadow.Medical imaging based on acquisition and the letter about diagnosis object The information and suggestion for ceasing and obtaining are passed to attending physician from specialist.

Note that in the following description, it is profession with diagnosing image that the doctor that shadow is read in commission, which will be referred to as " commission doctor ", Doctor claimed " read shadow doctor ".Commission doctor is clinician in many cases, especially attending physician.Read shadow report By as electronic data management.Reading shadow report can record and manage in electronic medical record.In individual example, shadow is read Report is recorded on the medium of such as paper, and is thus managed.

Read shadow report include referred to as " it was found that " and " diagnosis " information, " it was found that " traditional Chinese physician observes the patient of acquisition Medical imaging and describe the event and phenomenon being found, the content in " diagnosis " based on discovery describes the disease of suspection Deng.Additionally, there are the information (for example, Disposal Strategies etc.) for including the case where describing the suggestion to commission doctor.

It is read in shadow report moreover, medical imaging is attached to.Medical imaging can by the thumbnail image of medical imaging, referring to the doctor It is replaced with information of image etc..It was found that and diagnosis and the association between them usually recorded with natural language, Huo Zhegen It is recorded in different method according to the doctor of creation this report.It needs that Understanding Time is spent to read shadow report accordingly, there exist commission doctor The case where content of announcement.

In recent years it has been proposed that following technology: shadow report is read in creation in a structured manner, is read shadow report and is expressed about such as It was found that and diagnosis medical imaging information in include multiple projects between association, the information be about read shadow report in remember The information of the diagnosis of load.Each project includes the content reading shadow doctor and having inputted.Thus it is for example possible to which clearly shadow is read in expression Being associated between the multiple discoveries recorded in report and diagnosis.Shadow report is read in building to be reduced to the reading shadow doctor for creating this report Workload, and but also commission doctor be easier to understand content.

When being recorded in reading shadow report, reading shadow doctor is as needed associated the project of input to create association Information, and create the reading shadow report of structuring.The reading shadow report of such structuring can be by embodiment according to the present invention Shadow report creation support system is read 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 for reading shadow report.Medical report creating device 1 is connect by local area network 9 in institute with system in institute.Connection The example of the other information system of system includes hospital information system (HIS:hospital information in institute System) 2, radiology information system (RIS:radiology information system) 3, medical image 4 and picture are deposited Shelves and communication system (PACS:picture archiving and communication system) 5.

HIS 2 is the integrated system for including medical office accounting system, disposition register system, disposition information system etc.. HIS 2 includes electronic medical records database 6 and reading shadow report database 7.The storage record patient of electronic medical records database 6 Medical history electronic medical record.

RIS 3 be for being reserved for the inspection and disposition that are carried out by radiation equipmen, it is control inspection result, right The system that material carries out storage controlling etc..The case where being managed in the presence of reading shadow report database 7 by RIS3.The example of medical image 4 For example including 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 The system that medical imaging carries out electronics preservation, searches for and communicated.PACS 5 includes medical image data library 8 as preservation doctor With the destination of image.

Fig. 2 instantiates 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 used to input user instruction to medical report creating device.Output equipment 12 is, for example, to shine Diode (LED) panel, liquid crystal display panel etc., with the state of display device, process content etc..

The program being stored in auxiliary storage device 15 is read main storage by central processing unit (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 memory of random access memory (RAM) etc..Auxiliary storage device 15 It stores the medical report for operating medical report creating device 1 and creates program.The example of auxiliary storage device 15 includes 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 The procedure, data etc. that storage main storage 14 can not include.Auxiliary storage device 15 also serves as long-term storage.Communication interface 16 Local area network 9 in institute are connected to, as the communication with system and HIS 2, RIS 3, medical image 4 and PACS 5 in various institutes Interface.

Fig. 3 is to illustrate the example of the concept of the report by the medical report creating device creation of embodiment according to the present invention Figure.Medical report includes the multiple groups information to be diagnosed, and more including include in each group information in instruction multipacket message Associated related information between a project.Diagnostic multipacket message includes four kinds of such as position, discovery, diagnosis and disposition The information of type.

Will enable the identified sentence of region and image are input to the report project for including in location information In.One in report project for including in location information is indicated by the frame 71 in Fig. 3.It is input to the image of position report project The soft copy for the image e.g. to be diagnosed, or access the address information for reading the image of shadow.Diagnostic image it is soft Copy can be the thumbnail image of the image.Parameter when checking image for image procossing to be applied etc. such as obtains The inspection information of imaging area and device information when image can also be entered at this time.

It was found that report project has the sentence for one or more lesions for being recorded in this input.Diagnosis report project has It is recorded in the sentence of one or more diseases of this input.Disposition report project, which has, is recorded in the one or more of this input The sentence of a disposition.The example of related information is according to the association between report project, including corresponding association, causalnexus, exclusive pass Connection is relevant with the associated progress of instruction time series to be associated with, but not limited to this.

In Fig. 3, corresponding association is indicated that causalnexus is indicated by arrow 73 by line 72, 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 association indicates two report opposition, indicates two The content of report project cannot be set up simultaneously.

Report project expression in exclusive association can not infer that the content of any report project is improper when creating report, But as the process of diagnosis is expected to find that at least one report project is improper, to delete this report project.One report Project can have the related information with other multiple report projects.In other words, the association between report project can be multi-to-multi.

Fig. 5 is the functional block diagram for illustrating the major function of medical report creating device 1.Image viewing unit 101 passes through The image for reading shadow is read from medical image data base 8 by PACS 5, and carries out display image on output equipment 12.Image It checks that unit 101 also responds to read shadow doctor via the operation of input equipment 11, executes and such as change the image of display, at image Various types of processing related with image viewing such as reason.

Report display control unit 109 shows that editing pictures are reported with new creation on output equipment 12, or according to reading shadow The operation of doctor shows past report in output equipment 12.It reports that establishment of item unit 102 creates report project, and assigns 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 and this report project of report, and it is stored in project table shown in Fig. 4 A In 701.

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

Related information saving unit 105 is by the related information saving created by related information creating unit 104 in Fig. 4 B institute In the contingency table 702 shown.In the case where associated type is causalnexus, the item id for the report project for indicating reason is set It is set to report item id 1, sets report item id 2 for the item id for the report project for indicating result, and saved.Request The report project of 114 pairs of given unit selections of label assigns the word or sentence for representing the selection of content for the request for including in commission Son is used as request marks, and result is stored in project table 701.One report project may include multiple request marks.Request Content be from commission doctor request read shadow doctor create read shadow report reception and registration item.The content of commission includes the interior of request Hold, further include the diagnosis name etc. for entrusting doctor to suspect other than the symptom of patient, but not limited to this.

Can be arranged as follows: commission doctor can input the content for being divided into the commission of individual project in advance, this It can make to read shadow doctor for each cuit for reporting item selection request as request marks.Alternatively, may be used To be arranged as follows: the sentence for expressing the content of multiple commissions wherein included being manually or automatically divided into individual item Mesh.Assigning this request marks enables corresponding report project to show for the content of each request.

Past reports the list of the display of selecting unit 108 report (hereinafter referred to as " past report ") of creation in the past, and root According to operation of the shadow doctor on input equipment 11 is read, selection will use in newly created report (hereinafter referred to as " current report ") Report.The list for the report of being extracted over based on the value of the report ID in project table 701.Based on letter corresponding with report ID Breath, display for example can also by the list of the relevant report of all report ID, with currently as the relevant report of the patient of object The list of announcement is formed by specifically reading list of report that shadow doctor created in the past etc..

Report the content that display control unit 109 shows the past report of user's selection.Reproduction range judging unit 110 from In the project (position, discovery, diagnosis, disposition, related information etc.) for constituting the report that report display control unit 109 is shown, come Determine the range to replicate in current report.Reproduction range judging unit 110 is specified when receiving user's operation input The designating unit for the project for including in past report.Reproduction range judging unit 110 be also based on specified project be associated with letter Breath, come the recognition unit for the project for including in the report of identifying over.Reproduction range judging unit 110 also replicates to be known in current report Other project.

Processing relevant to duplication, is the information based on the reproduction range determined in reproduction range judging unit 110, by upper State report establishment of item unit 102, related information creating unit 104, related information saving unit 105, duplication related information wound Unit 106 and duplication related information saving unit 107 is built to implement.Duplication related information creating unit 106 will constituted Go the project of report when copying in newly created report, creation instruction it is original between Copy Info associated information (with It is lower to be known as " duplication related information ").Duplication related information saving unit 107 will replicate what related information creating unit 106 created Duplication related information saving replicates in contingency table 703 shown in Fig. 4 C.It is the pass in contingency table 702 that ID1, which is associated with, with ID2 is associated with Join ID, and is preserved such that association ID1 is original association ID and is associated with the association ID that ID2 is copy.

Related information display unit 111 is after the content of contingency table 702 and duplication contingency table 703, in output equipment 12 The association of upper display report project.Storage unit 112 is reported by the project table 701 read via HIS 2, contingency table 702 and is answered The content of contingency table 703 processed, which is stored in, to be read in shadow report database 7, as data reporting.The format of data reporting is not by special Limitation is equivalent to project table 701, contingency table 702 and the information for replicating contingency table 703 as long as wherein containing.For example, letter Breath can be converted into the reporting data format of the definition such as extensible markup language (XML).

The interim stored items table 701 of storage unit 113, contingency table 702 and duplication contingency table 703.When will report item id, Report ID with when being associated with ID and being stored in project table 701 and contingency table 702, to distribute report project in sequence ID, it reports ID and is associated with ID.

Fig. 6 A and Fig. 6 B are to illustrate the figure of the summary of GUI of medical report creating device 1.Fig. 6 A instantiates report input picture The example in face.The image that shows as diagnosis object for read shadow is checked on picture 131 in medical imaging.Shadow doctor is read to doctor Operation input is carried out with the content shown on image viewing picture 131, to realize the function of image viewing unit 101.Patient's letter Breath display area 132 shows the patient information of subject to be diagnosed, as image.The example of patient information includes unique knowledge The patient ID of other patient, name, age, clinical medical history etc., but not limited to this.

Entrusted information display area 133 show commission department information, such as before entrust inspection and from commission The content of the commission of doctor.Report creation region 134 is divided into the region of position, discovery, diagnosis and disposition, and each region includes For input the content for the report project for including in each information report project input frame 135 and additional input frame input frame it is attached Add button 136.

Report project input frame 135 is related to a report project, and receives the content for editing this report project Operation input.Report that the function of 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 and pressing the operation input of input frame additional buttons 136, to create newly Report project.Meanwhile reporting that project input frame 135 corresponds to the report project of creation and shows.For the type of each project And input frame additional buttons 136 are provided, and create the report project for corresponding to the type for 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 can be with It is created and pressing TAB key by user while the content of editorial discovery report project.Similarly, user can for example lead to It crosses while the content of editorial discovery report project, consecutively presses RETURN key twice and create individually discovery report item Mesh.Report project input frame 135 is selected at input equipment 11.It can be with the multiple input frames of simultaneous selection.

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

In the case where associated type is corresponding associated situation, input frame is shown as connecting by simple line.Associated In the case that type is causalnexus, input frame is shown as through the input frame from the report project as reason to as knot The arrow of the input frame of the report project of fruit connects.In the case where associated type is exclusive associated situation, 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 creation region 134 from medical image viewing picture 131, establishment of item unit is reported The report project for including in the information at 102 function creation position, and show the input frame of this report project.Meanwhile creation with The position report project created has the report project of corresponding associated discovery, and shows the input frame.

In addition, image is dragged and dropped into already existing report project input frame 135 from medical image viewing picture 131 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 display area 133 is dragged and dropped into report project input frame 135, the function of request marks given unit 114 is executed, 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 understand the content for being endowed the request marks of each report project.

Impression input area 139 shows the abstract of report in the form of text.The text is by reading shadow doctor in input equipment It is inputted at 11.The content of impression input area 139 can be automatically created and based on the content in report creation region 134 as text This is inserted into herein.For example, the content of diagnosis and disposition report project can be automatically as text input.

At this point, the report when cursor passes through the part of impression input area 139, corresponding to the content recorded at cursor position Announcement project can be highlighted.It is highlighted the color or input frame of the input frame for example including report project is changed herein Line width is so that different from sundry item, so that the input frame flashing etc. of report project.

When past report button 137 is pressed, the processing for reporting selecting unit 108 in the past is executed, and show over The list of report.It reads shadow doctor and selects report from the list of report at input equipment 11, so that display passes through report display The processing of control unit 109 and select past report.The picture of Fig. 6 B is since report display control unit has been carried out 109 processing and caused by screen transition result example.

Show the content in Fig. 6 A before screen transition below boundary line 144 in Fig. 6 B, display with currently create Report that relevant patient information display area 132, entrusted information display area 133, report creation region 134, report project are defeated Enter frame 135 and input frame additional buttons 136.Reading shadow doctor can be in the picture of the progress and Fig. 6 A of the region below boundary line 144 Identical input operation on face.Although instantiating following example in Fig. 6 B: not shown such as from the viewpoint of picture efficiency By the object of button and input frame etc that number appended drawing reference 138 to appended drawing reference 144 indicates, but they can be by pre- Fixed key operation and it is suitably shown.

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

The information of commission department of the display of entrusted information display area (past report) 146 when creation is reported in the past, it is all The content for the commission that inspection and commission doctor such as commission carry out.Entrusted information display area (past report) 146 is the past Information in the entrusted information display area 133 for the report of being documented in over.Past report project and related information display area 147 It is to show to constitute the associated region between the report project and report project of report in the past.

Input in past report project input frame 148 is to constitute the content of the report project of report in the past.Past report Project input frame 148 is read-only, and its content can not be edited by report contents of a project edit cell 103.With with The report creation identical mode in region 134, past report project and related information display area 147 have be used for position, discovery, The region of diagnosis and disposition is separated and shown layout.The past is reported to project and related information viewing area by reading shadow doctor The expected range of the content shown in domain 147 is replicated and is used in newly created report.

The detailed process of replication processes will be described in detail in the description of the example.Past report button 137 be switching by Button, therefore user can be switched between the display of Fig. 6 B and the display of Fig. 6 A by operating the button.

When input picture the Show Button 140 is pressed substantially, report is created region by report display control unit 109 134 display is switched to basic input pattern.Figure 30 A shows the example of the picture in basic input pattern.Substantially it is inputting Under mode, the content of discovery, diagnosis and disposition report project can be inputted with natural language.When detailed input picture the Show Button 141 when being pressed, and the display in report creation region 134 is switched to detailed input pattern by report display control unit 109.Figure 30B shows the example of the picture in detailed input pattern.It is shown in detailed input pattern so as to report in project Appearance can be inputted in a manner of the correspondence table of value and attribute.The table for selecting the information of instruction attribute can be shown at this time, with Make it possible to associated with other report projects and attribute.This makes it possible to express more detailed associations.

It can be arranged as follows: when being switched to detailed input pattern from basic input pattern, from natural language certainly It is dynamic to extract attribute and value.On the contrary, can be arranged as follows: when being switched to basic input pattern from detailed input pattern, Natural language is automatically generated from the attribute and value corresponded in table.

When layout the Show Button 142 is pressed, the report creation of display control unit 109, which is laid out, simultaneously shows that report creates area The content in domain 134 and impression input area 139.Figure 31 shows the example of layout picture.The project using label is requested, i.e., The report project created as the response to request, is laid out according to high-order mode.In addition, being based on 701 He of project table The content of contingency table 702 creates and shows the associated label between directory entry.

For example, being illustrated in the diagnosis of cancer and with other diagnosis there is also in the case where causalnexus, to this It is that primary carcinoma or metastatic carcinoma are predicted, for each display label.There are the combined feelings of multiple primary carcinoma and metastatic carcinoma Under condition, such as in the case where double cancers, each combination can be distinguished by bookmark name or color.Layout method can be by It checks the commission doctor of this report, equipment for checking etc. and changes.For example, as shown in figure 32, it can be with unstructured The form of shadow reporting format is read to be shown.When doing so, project associated with the project of selection can be highlighted, with Make the corresponding association for being readily appreciated that the project.

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

When time series the Show Button 143 is pressed, report display control unit 109 shows time serial message window Mouthful.For time serial message window according to the sequence of check data, display, which is reported, creates the interior of the report project selected in region 134 Hold.The content shown on time serial message window according to be under basic input pattern or under detailed input pattern and into Row switching.Figure 33 instantiates the example of the picture of the time serial message window under detailed input pattern.

It can show the image of representation position, and it is unrelated with the report project selected in report creation region 134.With not With the report project carried out on the related information and the picture of Fig. 6 B between the report project of check data duplication while assigned It gives.That is, the instruction associated related information of time series is assigned the report project of the past report at original place automatically and is currently reported Report project at copy in announcement.It can also be arranged: in the state of display report in the past and current report, be used as follows Family manually assigns time series association.Report storage unit is executed according to the operation input for pressing report save button 138 112 function.

Therefore, the building of medical report creating device 1 report is so that the report project that is for example connected by line with arrow refers to Show the association between position, discovery, diagnosis and disposition.This makes the stream for indicating the logic of the connection of position, diagnosis and disposition Journey can be expressed in easily understandable manner.

Medical report according to first embodiment is used next, will be described in detail referring to Fig. 8, Figure 11, Figure 36 and Figure 37 The content for passing by report to be copied to the processing in current report by creating device 1.

Fig. 8 is to illustrate to constitute in the past that the report project of report and related information replicate and use the place in current report The flow chart of reason.S801 and S802 reported selecting unit 108 by the past to be handled.In S801, display is reported in the past List.Medical report creating device 1 is connected to HIS 2 via communication interface 16, and obtains and for example read in shadow report database 7 The list for reading shadow report that the accumulative past is recorded.Use such as structured query language (Structured Query ) etc. Language:SQL data base query language, such as pass through specified only obtain and the patient as the current object for reading shadow The condition of relevant report, to obtain and show report.

In S802, the report for the past report that identification is selected by user in the selection that input equipment 11 is reported ID is sent to report display control unit 109.Can be arranged as follows: the past reports selecting unit 108 according to current report Information in announcement to speculate report in the past appropriate, and carries out the processing of S801 and S802 automatically.In S803, based on from The report ID that S802 is sent, the report display of display control unit 109 are constituted in the past between the report project and report project of report Related information.Specifically, the record with the matched report ID of report ID sent, and the mistake are extracted from project table 701 The content for the report project gone in report is displayed on output equipment 12.Meanwhile it extracting from contingency table 702 about in the mistake The associated related information of the report project in report is removed, and the relevant past is shown by related information display unit 111 Related information between report and report project.

In S804, reproduction range judging unit 110 receives report project by the input at input equipment 11 Selection, and obtain the report item id for identifying selected report project.In S805, reproduction range judging unit 110 is based on Report item id obtained, to identify report project and the related information in current report to be copied to.In S806, The project identified in S805 is shown in the editing pictures of current report by reproduction range judging unit 110, and passes through report Accuse establishment of item unit 102, related information creating unit 104, related information saving unit 105, duplication related information creation list Member 106 and duplication related information saving unit 107 are copied in current report.

Figure 36 is that illustration will be including the process of the processing of the project in reproduction range in the first embodiment for identifying Figure.In S3601, the report item recognition specified in S804 is at least to include in duplication model by reproduction range judging unit 110 Enclose interior project.In other words, the report project selected in step S804 is included in reproduction range.In S3602, reproduction range Judging unit 110 uses the report ID for the report project for including in the reproduction range in S3601 as argument, and Lai Zhihang is in Figure 37 The function SelectItem of middle detailed description.

Referring to Figure 37, function SelectItem identifies project associated with some project, and further identifies and known Other associated project of project.Therefore, it can identify and some project directly or indirectly associated all items.Next It will illustrate the processing in function SelectItem.

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

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

In S3708, the value of variable m is substituted into variable p, and process proceeds to S3709.In S3709, ITEM is determined (p) whether there are no be included in reproduction range.Determining the result is that process proceeds to S3710 in genuine situation.In determination The result is that process proceeds to S3712 in the case where vacation.In the case where the value of p is empty (null), determining result is considered as Vacation, and process proceeds to S3712.

In S3710, ITEM (m) is included in reproduction range, and process proceeds to S3711.In S3711, to make To report the value p of project as argument, Lai Zhihang function SelectItem.In other words, recursive call function SelectItem.? In S3712, addition variable j is incremented by.Determine whether the value of variable j is more than the quantity recorded in contingency table in S3713.In determination The result is that in the case where vacation, process returns to S3703, and repeats the above.In step S3713 determine the result is that true In the case where, function SelectItem terminates.

The processing of the function SelectItem illustrated in Figure 37 includes all to what is saved in contingency table 702 in figure 4b The processing of related information progress S3703 to S3711.In other examples, it contracts in the object of the processing by S3703 into S3711 In small-scale situation, the processing of function SelectItem is carried out.In other words, the related information in contingency table 702 is reduced model It encloses to the related information for belonging to the past report that both report item id 1 and report item id 2 are selected in S804, And the related information only reduced passes through processing of the S3703 into S3711.Processing speed can be improved in this way.

In the processing of the function SelectItem illustrated in Figure 37, the report item id for being designated as the argument of function is known Not to report item id 1 and report that the form of item id 2 includes the related information in contingency table 702.This pass for identification The example of the different disposal of connection information is the processing using graphic structure.In the S803 that Fig. 8 is illustrated, reported in the past based on constituting Project between display project the item id obtained when being associated with and association ID, will constitute past report report project between Graphic structure be stored in main storage 14.Then, the graphic structure, identification and the report item specified in S804 are based on The direct or indirect associated report project of mesh.Specifically, expression is defined by operating the program of medical report creating device 1 " report project " class of report project.Here the class identified 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, multiple in S803 The example (instance) of range judging unit 110 processed creation " reporting project " class corresponding with each report project to be shown.

The example for the report project being directly associated with the report project for corresponding to each example, which is stored in each example, to be had Array (array) in.Therefore, example set is pre-created 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 Referring to array corresponding with the report project being directly associated is stored in, make it possible to the effectively identification and report project in S804 The report project of indirect correlation connection.

Back to Figure 36, in S3603, it is identified as the pass between the report project of reproduction range in S3601 and S3602 Connection information is included in reproduction range.Specifically, from whole records in contingency table 702, report item id 1 and report are extracted Both item ids 2 all the related information of identified report project and have set multiple for the related information in reproduction range Object processed.In the case that the quantity for the report project for including in reproduction range is 1, following related information is set as replicating Related information: report item id 1 is original report item id, report project Id2 is empty (null) and type is empty (null).Report item id 1 is not present in contingency table 702 to be original report item id, reports that item id 2 is empty (null) and type be empty (null) related information in the case where, the new unique association ID of creation simultaneously sets association ID It is set to duplication object.

It will illustrate for Figure 38 by the reproduction range judging unit of medical report creating device 1 according to first embodiment 110 are identified as the concept of the project of reproduction range.For example, in the S804 of the discovery of the project shown in Figure 38 5 in fig. 8 In appointed situation, reproduction range will be position 3, discovery 4, discovery 5, position 4, position 5, diagnosis 4, disposition 5,5 and of diagnosis Disposition 6 and as the related information between them 8 groups of related informations.In the S804 of Fig. 8, the discovery of project shown in Figure 38 5 and in the case that position 6 specified simultaneously, report project is had been designated as first accordingly with discovery 5, and reproduction range will be There are also as the association letter between them for position 3, discovery 4, discovery 5, position 4, position 5, diagnosis 4, disposition 5, diagnosis 5 and disposition 6 8 groups of related informations of breath, are contained in reproduction range.

It is had been assigned with accordingly with position 6, position 6 finds 6, diagnosis 6 and disposition 7 and as the association between them Three groups of related informations of information, are contained in reproduction range.When reproduction range is replicated range judging unit 110 and identifies, Report display control unit 109 is shown in the project identified in the editing pictures of current report.In other words, display control list is reported Member 109 is used as display control unit.

Determine whether that the project that reproduction range judging unit 110 is identified as to reproduction range is answered according to user's operation input It makes in current report.For example, reporting display control list in the case where user selects a project for including in report in the past Member 109 shows the picture that duplication is indicated whether for user in output equipment 12.

If a user indicate that duplication, then reproduction range judging unit 110 receives the item that user's operation inputs and specifies selection Mesh, and reproduction range is identified by above-mentioned processing.The operation input of instruction duplication can be carried out by key operation.

It is identified as the project of reproduction range by reporting that display control unit 109 is shown in the editing pictures of current report On.It reports position of the display control unit 109 also near the project, shows the editor's picture for indicating duplication current report for user The icon of the project shown on face.Operation input is carried out to indicate to replicate, to confirm duplication to icon by user.

For the form for being identified as the project of reproduction range is shown in the editing pictures of current report, in current report In, to show the project otherwise with other report Project Areas created before.For example, by being identified as reproduction range Project input frame transparency or color.Be identified as reproduction range project can with showing as input equipment 11 It is shown at the position of the display linkage of the pointer of the mouse of example.For example, the project that the past reports is dragged to current report Editing pictures.When receiving drag operation input, reproduction range judging unit 110 identifies duplication model by above-mentioned processing It encloses.

Report display control unit 109 shows the item in the editing pictures for being dragged to current report near mouse pointer Mesh, and the project identified by reproduction range judging unit 110.In the editing pictures that these projects are dragged to current report When, this is considered as the instruction of confirmation duplication, therefore replicates this report item existing at or near the position for putting down operation input Mesh.It can also be shown under the case where these examples are combined.

By referring to Fig.1 1 be described in detail it is in the S806 of Fig. 8, about will be identified that the project of reproduction range copies to Processing in current report.Figure 11 is to illustrate the flow chart of replication processes.In S8061, report establishment of item unit 102 will be All report projects for being identified as reproduction range in S805 copy in current report.When being replicated, report project wound It builds unit 102 and creates the project for being used to register the content to be replicated in current report.Type of the project of creation about project It is identical with the project identified in content and S805, but for item id, then numbered by the way that the newly distribution of project table 701 is unique, And report that ID corresponds to the ID of current report.

In S8062, related information creating unit 104 replicates the related association of institute about the project identified in S805 Information, and related information saving unit 105 by the related information saving of duplication in contingency table 702.In contingency table 702, The association ID of the related information of duplication is newly distributed unique number, and reports item id 1 and report item id 2 in S8061 It is replicated and is assigned new report item id.

In S8063, duplication related information creating unit 106 is directed to each note in the contingency table 702 having been copied Record is associated with ID with the correspondence in copy based on the association ID in original, to create Copy Info, then passes through duplication related information The Copy Info is stored in duplication contingency table 703 by storage unit 107.The content replicated in this way passes through related information Display unit 111 is shown in the editing pictures of current report, and the content can be by reporting contents of a project edit cell 103 are edited.

Although the present embodiment is illustrated about following arrangement, wherein in reading shadow report creation discovery, diagnosis and Report project in disposition, they can be obtained from other systems.For example, available and association is stored in electronic medical record In project.It is associated at this point, the symptom and clinical medical history of patient, living environment etc. can also be used as project.

In the present embodiment, although the request content for including in entrusted information is illustrated as imparting request marks, It can also be associated by other methods.For example, request content can be used as the report item for representing discovery, diagnosis, disposition etc. Mesh and create, and in the same way with other report projects it is associated.Furthermore it is possible to be arranged as follows: the commission system in HIS System is associated with the identification information for being used to manage commission for that will read shadow report, such as commission number is related to shadow report is read Connection.

Although having carried out in the present embodiment as described below: object will be replicated and be limited to report the letter in creation region 134 Breath, but other information is also used as duplication object.For example, the information in entrusted information display area 133 is used as Report project.It can be arranged as follows: the project in entrusted information display area 133 is dragged and dropped into entrusted information display area (past report) 146, using the past report in entrusted information project copy to current report as entrusted information project.

Second embodiment

It will illustrate to input based on user's operation referring to Fig. 7 and Figure 34, about in related information creating unit 104, from The second embodiment of the dynamic method for determining the associated type between report project.

Fig. 7 is shown in related information creating unit 104, the automatic processing for determining the associated type between report project The flow chart of process.Note that the flow chart in Fig. 7 only handles the automatic corresponding association determined in 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 by explanation The example of drag and drop about the input frame as the associated operation input between order report project.Assumed as follows: dragging Multiple report projects at source and multiple report projects at drop target are selected.

It can be referring to n-th of report project in one group of report project at drag source by function DRAG (n).Pass through letter Number DROP (n) can be referring to n-th of report project in one group of report project at drop target.N-th in some set Number is for being given in this state included multiple report projects and making it possible to distinguish report item aim sequence number N number.

In S701, variable i is substituted by 0.In S702, the type generation of DRAG (i) the report project obtained will be passed through Enter variable Ki.In S703, variable j is substituted by 0.In S702, the type generation of DROP (i) the report project obtained will be passed through Enter variable Kj.In S705, the type Ki of DRAG (i) is compared with the type Kj of DROP (j).It is identical in the type of project In the case of, process proceeds to S706.Under the type different situations of project, process proceeds to S707.In S706, DRAG (i) It is reason that association between DROP (j), which is judged as DRAG (i), and DROP (j) is result.In S707, it is made regarding whether One in the type Kj of the type Ki and DROP (j) of DRAG (i) be discovery and the other is diagnosis determination.It is hair at one Now and the other is process proceeds to S708 in the case where diagnosis.Otherwise, process proceeds to S709.

In S708, the association of DRAG (i) and DROP (j) are determined.In DRAG (i) and DROP (j), project class Type is that one of discovery is reason, and it is that result is associated as causalnexus that the type of project, which is one of diagnosis,.In S709, into Row about whether one in the type Kj of the type Ki and DROP (j) of DRAG (i) be diagnosis and the other is disposition determination. Be at one diagnosis and the other is disposition in the case where, process proceeds to S710.Otherwise, process proceeds to S711.

In S710, the association of DRAG (i) and DROP (j) are determined.In DRAG (i) and DROP (j), project class Type is that one of diagnosis is reason, and it is that result is associated as causalnexus that the type of project, which is one of disposition,.In S711, into Row about whether one in the type Kj of the type Ki and DROP (j) of DRAG (i) be position and the other is the determination of discovery. At one be position and the other is process proceeds to S712 in the case where discovery.Otherwise, process proceeds to S713.

Determine that the association of DRAG (i) and DROP (j) are corresponding associations in S712.In S713, carry out DRAG (i) with There is no the judgements being directly linked between DROP (j), and do not create related information.In S714, variable j is made to be incremented by 1.? In S715, variable j is compared with the quantity of the report project at drop target.It is equal to or more than drop target in variable j In the case where the quantity of the report project at place, process proceeds to S716.Otherwise, process returns to S704.

Variable i is set to be incremented by 1 in S716.In S717, the quantity of variable i and the report project at drag source is compared Compared with.In the case where the quantity of report project at variable i is equal to or more than drag source, processing terminate.Otherwise, process returns to S702。

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

It opposes in associated situation determining, the associated association letter of creation instruction opposition between DRAG (i) and DROP (j) Breath.In the third embodiment, the interaction prediction table illustrated in Figure 34 will be used, come illustrate determine report project in the presence or absence of pair Found the details of associated processing.Therefore, report can be automatically selected by medical report creating device according to the second embodiment Associated type between announcement project.This reduces the operating procedures for the report for reading shadow doctor creation structuring.

3rd embodiment

It will illustrate referring to Figure 34, Figure 35 and Figure 42 A to Figure 44 B about suggesting inputting necessary report project to user The 3rd embodiment of method.

In medical report creating device 1 according to the third embodiment, when user has created or had been selected report item When mesh, related information creating unit 104 predicts the report project and other report projects inputted of user's creation or selection Between association.In the case where the result of prediction shows and there is diagnosis in opposition association, make to report establishment of item unit 102 creations are recommended for inputting the report project recommended so that user be prompted to input.

Opposition association is the hypothesis of multiple contradiction discoveries or diagnosis.If there is contradiction it is assumed that then these assume temporarily to make It is listed for candidate, the hypothesis for being ultimately determined to diagnosis is determined in subsequent inspection work.Accordingly, there exist read to record in shadow report The case where diagnosis name of the disposition finally to determine disease.In the present embodiment, it is respectively presented in multiple hypothesis different In the case where diagnosis name, the disposition for recommendation is shown in current report finally to determine the item of the diagnosis name of disease Mesh.It is assumed that having been prepared for the association schematically shown in Figure 34 in advance in medical report creating device according to the third embodiment Prediction table 3401.

Interaction prediction table 3401 is combined (hereinafter referred to as with relevant way in two for wherein saving two kinds of word " group of words "), the associated type between word and associated probability.In the case where associated type is causalnexus, Group of words 1 is saved as reason, and group of words 2 is saved as result.It can be based on the project table 701 and contingency table that the past reports 702 content, the content of Lai Gengxin interaction prediction table 3401.

Figure 35 A and Figure 35 B are the processes of processing of the schematic illustration when user creates or has selected report project Flow chart.The contents of n-th of report project in project table 701 can be obtained by function Obj (n).In S3501 In, in the case where by user, to carry out operation input with the content for the report project for selecting report project specified be sentence, Related information creating unit 104 analyzes its content to extract the word word, such as the title of diagnosis etc. that include in the sentence.Make The sentence is analyzed with known morphological analysis, Medical Dictionary etc..The multiple single contaminations extracted herein are by as group of words A Processing.

In S3502, referring to interaction prediction table 3401, group of words corresponding with group of words A, associated type and generally are extracted Rate.A possibility that in the presence of the multipacket message for corresponding to group of words A.Making the group of extracted information group becomes list, and should Information group is as list L processing.The nth elements in multiple elements for including in list L can be used as L (n) and be accessed.? In S503, variable i is substituted by 0.Hereinafter, by variable i come referring to all report projects recorded in project table 701, and mention Take the project for meeting the following conditions.

In the processing of S3504 to S3506, in the report of the report project comprising selection, extract selected by user The report project of diagnosis other than report project.In S3504, carry out whether being different from selected report item about Obj (i) Purpose determines.If Obj (i) is different from selected report project, process proceeds to S3505.Otherwise, process proceeds to S3515。

In S3505, whether be different from corresponding to the report ID of Obj (i) corresponding to selected report project Report the determination of ID.From the column report ID in project table 701, identification corresponds to the ID of each report project.If corresponding to Obj (i) report ID is different from the report ID corresponding to selected report project, then process proceeds to S3506.Otherwise, process into Row arrives S3515.

In S3506, carry out about Obj (i) whether being the determination diagnosed.If Obj (i) is diagnosis, process is carried out To S3507.Otherwise, process proceeds to S3515.In the case where the content of Obj (i) is sentence, in S3507, analyze in it Hold to extract the word for including in sentence, such as the title and the title of diagnosis etc. of discovery.The group of the multiple words extracted herein It closes by as group of words B processing.In S3508, variable j is substituted by 0.Hereinafter, by variable j come referring to recording in list L All report projects, and be made regarding whether to meet the determination of the following conditions.

In the processing of S3509 to S3011, be made regarding whether exist include in group of words B and be also predicted There is the determination for the associated list L that opposes with the probability of user's license.In S3509, carry out about the list in the element of L (j) Phrase and the whether identical determination of group of words B.Under group of words and the identical situation of group of words B in L (j), process proceeds to S3510.Otherwise, process proceeds to S3515.

In S3510, the value of the probability of L (j) is compared with threshold value Rt.It has been set the value of threshold value Rt in advance.In L (j) in the case that probability is not less than threshold value Rt, process proceeds to S3511.Otherwise, 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 that opposition is closed Connection, then process proceeds to S3512.Otherwise, process proceeds to S3513.In S3512, it is automatically generated for the report with selection The input frame of the relevant promotion and conversion project of project, and be highlighted the input frame and make it possible to understand the report item with Obj (i) Purpose association.It can be according to the probability value in interaction prediction table 3401, to change the mode for carrying out this display.

In addition, in S3512, related information creating unit 104, related information saving unit 105 and related information are in Existing unit 111 can automatically create the report project selected and Obj (i) for the associated related information that opposes, by the related information It is stored in contingency table 702, and the related information is shown on picture.In other examples of S3512, on the display unit Display designates whether to create the picture of promotion and conversion project related with selected report project for user.Pass through behaviour in user In the case where making the specified creation promotion and conversion project of input, promotion and conversion project is created in current report.

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 all words for including in list L are referenced, therefore process carries out To S3515.Otherwise, process proceeds to S3509.

In S3515, variable i is made to be incremented by 1.In S3516, the report project that will include in variable i and project table 701 Quantity is compared.If variable i is equal to or more than the quantity of report project, processing terminate.Otherwise, process returns to S3504。

Figure 42 A to Figure 44 B is the example illustrated for the display on processing 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. It was found that project 4205 is associated with image 4201 and image 4202.It was found that 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 display list in the case where will be by processing creation treatment 4209 shown in Figure 35 A and Figure 35 B The example of display in member.Diagnosis 4207 and diagnosis 4208 are in exclusive association.Treatment 4209 passes through report establishment of item Unit 102 creates, and reports 109 display high-brightness frame 4210 of display control unit to show project 4209 so that with sundry item phase region Not.

Figure 43 A to Figure 43 B instantiates other of the display in the processing illustrated in Figure 35 A and Figure 35 B on display unit Exemplary figure.As Figure 35 A and Figure 35 B, the case where opposing an associated project, is being in by the selection of input equipment 11 Under, it can show in the associated sundry item that opposes to be distinguished with sundry item.It is set to about user used as input Standby 11 exemplary mouse on checkup item 4207 the case where clicking or the mouse pointer of the operating position of indication mouse is aobvious Show and is illustrated in the case where project 4207.Report display control unit 109 utilizes the highlight box that can be distinguished with sundry item 4302, it include the checkup item 4208 that the associated record that opposes is in checkup item 4207 to show.

Figure 44 A to Figure 44 B also illustrates its of the display in the processing illustrated in Figure 35 A and Figure 35 B on display unit His exemplary figure.Report the display of display control unit 109 instruction in oppose associated checkup item 4401 and project 4301 it Between the associated arrow 4402 of opposition.Therefore, user can easily understand that in the associated project that opposes.It may be performed simultaneously The method illustrated in Figure 42 A to Figure 44 B.

Reproduction range judging unit 110 is used as recognition unit, and the recognition unit is worked as from the multiple projects read in shadow report In, identify it is including in the diagnostic message about diagnosis object, in exclusive associated at least two project.Report display control Unit 109 be used as disposition display unit, it is described disposition display unit for create read shadow report picture, show with by knowing The project of other unit identification is associated and including the project in the information of instruction disposition.From another point of view, report display Control unit 109 is used as disposition display unit, and the disposition display unit display reminding user designates whether creation for project Input frame picture, the project it is associated with the project identified by recognition unit and including instruction disposition information In.

Therefore, in medical report creating device according to the third embodiment, exist and selected diagnosis report item In the case that mesh is in the associated diagnosis report project of opposition, automatically creates the input frame for promotion and conversion project and be presented to User.This can prevent from ignoring filling recommendation.In other words, there are multiple projects about the diagnosis for needing to consider later to examine In the case where, treatment is shown on reading shadow report creation picture, supports the reading shadow so that shadow report is read in creation to provide Doctor can record the disposition of recommendation, check that the commission doctor for reading shadow report is able to confirm that the disposition.

Although the above-mentioned associated aspect of prediction concentrates on diagnosis report project in Figure 35 A and Figure 35 B, includes and examine Relevant discovery report project of breaking can also carry out identical processing inside.Therefore, the association between the project that can calculate to a nicety. Moreover, carrying out the association identical processing makes it possible to predict project to all report projects and being presented to the user.

Although concentrating on selected diagnosis report item in terms of above-mentioned interaction prediction in the explanation of Figure 35 A and Figure 35 B Report project in purpose report, but this can extend to the report project for belonging to other reports recorded in the past.For example, closing The aspect of connection prediction can extend to the report project in the past report about patient, and the patient is selected diagnosis report The record object for the report that announcement project has been described.In this case, can automatically detect over record diagnosis with work as Association between the content of the diagnosis of preceding record, to actively prevent the mistake for reading shadow doctor from recording.

Although having been described that referring to Figure 35 A and Figure 35 B using associated between 3401 predictive diagnosis of interaction prediction table Type, but other methods can also be used.For example, can be from the content of discovery and to carry out the mode for finding and diagnosing connection pre- Survey the association between diagnosis.For example, having single diagnosis name probability high if lesion is tubercle or tumor mass.Exist In the case where multiple diagnosis report projects associated with the discovery report project of tubercle or tumor mass is recorded, it can be determined that these Diagnosis is in opposition association.

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

Above-mentioned arrangement can be used for limiting the association from discovery to diagnosis.For example, if it find that record tubercle or tumor mass, Then associated diagnosis can be set to one.

Fourth embodiment

In the fourth embodiment, when the content recorded in replicating and being reported using the past, in a system relevant to duplication At the end of column processing, reproducting content and display format can be made to be in the state for being suitable for duplication.For example, in being reported from the past When project including image is copied in current report, replaced simultaneously using the image for the request content for corresponding to current report The image is shown, with the image obtained when replacing and creating and report in the past.In other examples, the copy package in being reported from the past When including the project of the size of lesion, since the size of the lesion when creating current report is high by the probability of change, emphasize to show Show the explanation of the size including lesion.

According to the medical report creating device of the present embodiment effectively support will to report from the past in the expectation content that replicates Confirm and is adapted in current report.Confirmation and modified object are, for example, check image, the measured value about lesion, diagnosis name Title, volume of organ etc..Although will be explained in several objects, confirmation below and modified object are only examples Property, confirmation and with modified object example not limited to the following.Will referring to Fig.1 2, Figure 13, Figure 40, Figure 41 A and Figure 41 B come into Row exemplary illustration.

The case where by the project identified to reproduction range judging unit 110 as reproduction range including image, is shown Example is illustrated.The soft copy of the medical imaging shown in report in the past, and the soft copy are obtained when creation is reported in the past The probability different from the image that should be shown in the current report edited is high.Therefore, even if being identified as in reproduction range Project in include image, which will not be copied 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 the medical imaging.

Report establishment of item unit 102, which obtains, is having taken the image for the past report being identified as in reproduction range In the case of the information that checks.This is about the acquisition region to the patient as diagnosis object and the device for shooting the image Information.It reports that establishment of item unit 102 is based on the inspection information, corresponding medical figure is obtained 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 image Under condition, the attribute information of available slice position etc..Duplication includes the project of image in the processing of S8061 in Figure 11 In the case where, obtain the image of imaging area corresponding to current report, corresponding with the image.That is, obtaining by scheming with the past Pair in creation obtained as identical photographic device and belonging to identical imaging area, in current report as observation The image of elephant.Then the soft copy of acquired image is used as report project to carry out replication processes.To 2 He referring to Fig.1 Figure 13 come illustrate replace image processing.

In Figure 12, appended drawing reference 71d indicates the medical imaging obtained in the past checks using single medical image One group of slice of data (slice data).Appended drawing reference 71a indicates a sectioning image in 71d.Appended drawing reference 71e is indicated One group of slice of data of the medical imaging obtained in current check using single medical image.Appended drawing reference 71b indicates that 71e works as In a sectioning image.71e and 71a is the image group of identical imaging area, and is obtained by identical medical image It takes.Appended drawing reference 71c indicates to constitute pair between the single sectioning image 71a of 71d and the single sectioning image 71b of composition 71e The concept line answered corresponds to association as shown in table 71f.Table 71f is instantiated for example, with belonging to the n-th+2 of image data 71d in the past A corresponding present image 71b of image 71a in the past, is the third medical imaging in current image date 71e.

Figure 13 is to show the soft copy that the content in the report project to be replicated is image in the past, and by the content of duplication The flow chart for the case where replacing with the soft copy of present image.In S131, report establishment of item unit 102 via PACS 5 from Medical image data library 8 obtains information related with image data 71d in the past, wherein serves as the base for the past image to be replicated The past image 71a of plinth belongs to image data 71d in the past.For example, obtaining the information of the inspection when obtaining image in the past.The inspection Looking into information includes for example imaging starting position, camera shooting end position, slice thickness, being imaged position, medical image medical image Information.The information makes it possible to infer the camera position of each slice in image in the past.

It is medical by identical medical image from the image obtained by the inspection than past image update in S132 Image identifies the current image date 71e at identical camera shooting position, and from camera shooting starting position and images end position and slice thick It spends to hold the information of the camera position of each slice.Together with the information obtained in S131, creation table is used the information to 71f, and extract the camera position with (or nearest) identical as the medical imaging 71a on basis of the soft copy as past image Present image 71b.The method for extracting present image 71b is without being limited thereto, and image analysis etc. can be used.

In S133, by the image of being attached to over annotation, be applied to applied to the Image Processing parameter of past image Extracted present image.That is, in the case where the annotation information of 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 for reading shadow report this reduces creation The step that in the report project being just shown in current report or parameter must be changed etc..

Report establishment of item unit 102 by the soft copy of the present image 71b obtained and the processing to S133, as The content of the report project copied in current report is stored in project table 701.It is not present and past image in S132 In the case where corresponding present image, report project input frame is only created, reads shadow doctor manual application image appropriate.That is, report Display control unit 109 is accused on current report creation picture, mode associated with the project to identify in reproduction range Show the region for showing image corresponding with the image in report in the past.It can be arranged as follows: report establishment of item The project at the creation of unit 102 position associated with the project of duplication, and image is manually applied to the position by user Project.

In S8062 in Figure 11, related information creating unit 104 replicates all in the reproduction range determined in S805 Related information, and related information saving unit 105 by all related information savings in contingency table 702.When being replicated, Association ID is uniquely to number in contingency table 702 by newly distributing.When replicating each report project, item id 1 and report are reported It accuses item id 2 and replaces with newly assigned item id.

In S8063, duplication related information creating unit 106 is associated with ID with the correspondence of copy based on original association ID, comes Copy Info is created, and replicates related information saving unit 107 and they is stored in duplication contingency table 703.As described above The content of duplication is shown in current report by related information display unit 111, and report contents of a project edit cell 103 can Edit the content.

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

The example of processing in the case where having been previously identified as in reproduction range as the image reported in the past, can be with It is arranged as follows: not obtaining present image, and only creation report project input frame is used to show image.It in other words, can be with Prompt the reading shadow doctor as user that manually all images to be shown are attached in report.These settings can be fitted by user Work as change.

Next, including that may change to about when from the past, report was replicated into current report The processing of duplication in the case that the information of attribute is documented in the project of duplication is illustrated.

Figure 40 is the record illustrated from that may be changed when the past, report was replicated into current report for identification And show the exemplary flow chart of the processing of the input frame inputted for user.In step S4001, the report contents of a project are compiled Unit 103 is collected to analyze the content of report project that is identified by reproduction range judging unit 110, being replicated.Example Such as, there is the big of lesion of include in the report project comprising the information found the, expression as the objective fact about lesion The case where small or measured value text string.Moreover, in the presence of including in the report project of the information comprising diagnosis, expression diagnosis The case where text string of title.

In step S4002, report contents of a project edit cell 103 is based on the analysis carried out in S4001 as a result, come really Fixed whether there is includes text string related with the size of lesion 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 process proceeds to step S4004.

In step S4003, if there is expression lesion size, measured value or diagnosis in the report project to be replicated The text string of title then reports that contents of a project edit cell 103 carries out text string processing so that text string is not copied 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 lesion and the position of measured value at, carry out text string processing with provide be used for input be suitable for working as The input frame of the text string of the content of preceding report.Report establishment of item unit 102 creates report project in current report.Report Display control unit 109 will pass through text string processing by reporting that contents of a project edit cell 103 is shown on the display unit Project.

In step S4004, report contents of a project edit cell 103 is based on the analysis carried out in S4001 as a result, come really The fixed text string with the presence or absence of expression diagnosis name.If it is determined that include the text string of diagnosis name, then process carries out To step S4005.If it is determined that not including the text string of diagnosis name, then the process illustrated 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 diagnosis title position at, carry out text string processing and to provide be suitable for current report for inputting 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 by reporting that contents of a project edit cell 103 shows the project to handle by text string on the display unit.

In the S8061 of Figure 11, using Medical Dictionary and Language Processing etc., to be mentioned automatically from the natural language to be replicated Replace the size of table lesion and the text string of measured value and the title of diagnosis, is replaced with the input interval of blank, at random Carry out replication processes.User can be by the name as the size of the lesion for the attribute that may be changed and measured value and diagnosis Title is set as scheduled attribute.The size of true lesion and measured value and the title of diagnosis when creation is reported in the past, can It can be not identical as when creation current report.Therefore, user can be supported so as to not ignore the text string that may change.Note that The processing of determination in step S4002 and the determination in step S4004 can carry out simultaneously, in this case, step S4004 Text string processing with step S4005 can carry out simultaneously.In addition, the processing of step S4004 and step S4005 can carry out It is carried out before the processing of step S4002 and S4003.

Figure 41 A to Figure 41 B instantiates the example of the display in the processing of Figure 40 on display unit.It will be described below showing Example: reproduction range judging unit 110 identifies position project 4101, discovery project 4102 and checkup item 4103.It was found that item Mesh 4102 includes the record about the size as " size is 15mm to 20mm ".As the processing in Figure 40 as a result, duplication Discovery project 4105 into current report has the text string 4107 Jing Guo text-processing, and with reading, " size is * * to * * mm " (asterisk " * " represents the blank spaces for input).Project 4103 further includes diagnosis name " lymphadenoma ".As in Figure 40 Processing as a result, copying to checkup item 4106 in current report has text string 4108 Jing Guo text-processing, with reading “*****”。

After a copy has been made, user is manually entered the text string for being suitable for current report at blank input interval.Including The information of the attribute of the size of such as lesion can be the measured value measured based on the image to be diagnosed.For example, in chest X In ray image or CT image find tubercle in the case where, can according to by compared with past image and size change in a manner of come It is diagnosed.That is, the past report in include such as lesion size attribute information, recording in current report may change Become.

In other examples, the information of the attributes such as the degree of progress including lesion may be reported from creation in the past When changed.The example of information including 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, the information of the attribute of the volume with such as organ, it is also possible to From create over report when changed.The example of information including such attribute includes lung capacity.Lung capacity Change the sign for being considered as certain diseases, such as agnogenic diffusivity tuberculosis.Through observing change after a period of time, exist A possibility that having the record of such as information of the attribute of organ volume may change.Even if change is not observed, It can be used as sign to suggest to user.User, which can be set, tends to ignored information so that the information is shown by this method.

In the present embodiment, user, which can preset which kind of text string in project, should not be copied to current report In.For example, can by information relevant to the size of lesion, with the relevant information of progress of lesion and with the body of organ The relevant information of product is set as predetermined attribute.Report display control unit 109 with otherwise, display includes with sundry item area The project of information containing predetermined attribute.Example in the form shown otherwise with sundry item area, in addition to above-mentioned It is replaced other than text string with blank spaces, further includes recording the color or word that change the information containing predetermined attribute compared to other Body is highlighted using label.Alternatively, it can show and choose whether for user to the information including predetermined attribute Record input change, or unchanged using in the past report in record picture.

In other examples, the record of the information with predetermined attribute can be replaced by automatically by system is suitable for working as The text string of preceding report.In addition, report display control unit 109 is replicating current report Shi Yiyu sundry item area otherwise Display include predetermined attribute project, with whether with predetermined attribute information be replaced by blank spaces or other text strings without It closes.The project that user can be confirmed to show otherwise with sundry item area, and change as needed with predetermined attribute The record of project.

Report display control unit 109 is shown also in the editing pictures of report for inputting instruction with the wound of completion report The icon built.In the case where there is the operation input for completing the current report that creation is being edited, display control unit is reported The dialog box of 109 display instruction warnings.Therefore, user can be easy the record that confirmation changes, and ignore progress to reduce Change.

It is illustrated in the examples described above to about the example handled as follows: preventing from being only identified as in reproduction range Project record in range duplication.However, the present embodiment is not limited to above-mentioned record, and can be arranged as follows: Any one of the report project being identified as in reproduction range is not replicated, only replicates the logical construction of report project.It changes Yan Zhi copies to new blank entry box and related information in current report.

In S8061 in Figure 11, report establishment of item unit 102 only be will be identified that in the reproduction range in S805 The input frame of report project copy to current report.When being replicated, only the type of project is arranged to know with S805 Other reproduction range is identical, and it is unique new number, the ID quilt corresponding to current report that item id, which is dispensed in project table 701, For reporting ID.Independently with the content of original item, here in the content of project without recording any content.

In S8062, related information creating unit 104 is replicated in the relevant letter of institute to be replicated determined in S805 Breath, then related information saving unit 105 is by all related information savings in contingency table 702.When being replicated, it is associated with ID Being dispensed in contingency table 702 is unique new number, and report item id 1 and report item id 2 are replaced by and are carrying out By newly assigned item id when duplication.Although above to all the elements in the report project to be replicated replace with blank and so The case where carrying out replication processes afterwards is illustrated, but can be arranged as follows: one of the report project that will be replicated Divide and replace with blank, then carries out replication processes.It, can be by the content of the project with specific information by being configured in advance It replaces with blank and then replicates the content.

5th embodiment

In the 5th embodiment by explanation by being replicated from first embodiment to the different processing of fourth embodiment to identify The example of range.In S805 in Fig. 8 it is specific processing be and difference in above-described embodiment.Will referring to Fig. 9 to Figure 10 B, Figure 14, Figure 15 and Figure 39 are illustrated.

Fig. 9 shows the flow chart of the reproduction range determination processing according to the present embodiment.The processing is identified and is specified first Project there is the project of related information, that is, the project that identification is directly associated with specified project.In addition, also identification and finger The associated project of each project in the project that fixed project is directly associated.Note that however, unidentified and specified project It is directly associated and the project unrelated to specified project has the project of logical relation.It will be referring to Figure 39 to by according to this reality The example for applying the project of the reproduction range determination processing identification of example is illustrated.

In the S804 of Fig. 8, in the case that the position 4 illustrated in Figure 39 is selected, position 4, discovery 5, diagnosis 4, place The five groups of related informations set between 5, diagnosis 5, disposition 6 and these report projects are identified as reproduction range.In the letter from position Breath export discovery exports diagnosis from the information of discovery and from the logic association of the information of diagnosis export disposition, and as finger Determine the position 3 of 4 indirect correlation of the position connection of project and finds that 4 project is unrelated with position 4.Therefore, according to the present embodiment In reproduction range determination processing, identification and direct or indirect all or part of the associated project of project specified.

In S901, the report project selected in step S804 is identified as reproduction range.In S902, using in S901 Report ID including the report project in reproduction range executes the function of Figure 10 A illustration as argument SelectLeftItem.Function SelectLeftItem identifies and serves as the project of argument in the upstream side of above-mentioned logic association Associated argument.As illustrated in Figure 10 A, it will illustrate the processing of function SelectLeftItem.Function ITEM (x) can be passed through It is the report project of x referring to report ID.In the case where the value of x is blank (null), ITEM (x) is not present, in this case The type of ITEM (x) is defined as " no type ".Moreover, can be the association of x referring to association ID by function RELATION (x) Information.

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

In S1006, carry out being the type Km of the report project of m about item id whether being position and item id is n Report project type Kn whether be discovery determination.If it is determined that value is very, then process proceeds to S1007, if it is determined that Value is vacation, then process proceeds to S1009.

In S1009, carry out about item id be m report project type Km whether be find and also item id be n Report project type Kn whether be diagnosis determination.If it is determined that value is very, then process proceeds to S1007, if it is determined that Value is vacation, then process proceeds to S1010.

In S1010, carry out about item id be m report project type Km whether be diagnose and also item id be n Report project type Kn whether be disposition determination.If it is determined that value is very, then process proceeds to S1007, if it is determined that Value is vacation, then process proceeds to S1011.

In S1007, ITEM (m) is included in reproduction range, and process proceeds to S1008.In S1008, utilize M as item id value executes function SelectLeftItem as argument.That is, recursive call function SelectLeftItem.In S1011, addition is incremented by variable j.In S1012, whether be greater than about the value of variable j The determination of amount recorded in function table.In the case that definitive result is vacation in S1012, process returns to S1003 and repetition Above-mentioned processing.Definitive result is in genuine situation in step S1012, and function SelectLeftItem terminates.That is, function SelectLeftItem only identifies the project of associated with specific project and still logic association upstream.

It identifies and the associated position project of discovery project, discovery project relevant with checkup item and and treatment Relevant checkup item.From another point of view, function SelectLeftItem carries out the first processing, according to position, discovery, diagnosis And the forward sequence of disposition, to identify the project associated with specific project in reverse direction.By first processing come identify with By the associated project of project of the first processing identification.

Back to Fig. 9, in S903, use include in S901 report project in reproduction range report ID as drawing Number, the function SelectRightItem that Lai Zhihang Figure 10 B is illustrated.Function SelectRightItem is under above-mentioned logic association Side is swum, identifies argument associated with the project for serving as argument.As illustrated in Figure 10 B, it will illustrate function SelectRightItem Processing.

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

In S1106, carry out being the type Km of the report project of m about item id whether being position and item id is n Report project type Kn whether be discovery determination.If it is determined that value is very, then process proceeds to S1107, if it is determined that Value is vacation, then process proceeds to S1109.

In S1109, carry out about item id be m report project type Km whether be find and also item id be n Report project type Kn whether be diagnosis determination.If it is determined that value is very, then process proceeds to S1107, if it is determined that Value is vacation, then process proceeds to S1110.

In S1110, carry out about item id be m report project type Km whether be diagnose and also item id be n Report project type Kn whether be disposition determination.If it is determined that value is very, then process proceeds to S1107, if it is determined that Value is vacation, then process proceeds to S1111.

In S1107, ITEM (n) is included in reproduction range, and process proceeds to S1108.In S1108, utilize M as item id value executes function SelectRightItem as argument.In other words, recursive call function SelectRightItem.In S1111, addition is incremented by variable j.In S1112, whether be greater than about the value of variable j The determination of amount recorded in function table.In the case that definitive result is vacation in S1112, process is returned in S1103 and repetition State processing.Definitive result is in genuine situation in step S1112, and function SelectRightItem terminates.That is, function SelectRightItem only identifies the project in associated with specific project and still logic association downstream.

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

Function of all related informations all by being illustrated using Figure 10 A and Figure 10 B being stored in the contingency table 702 of Fig. 4 B The processing of SelectLeftItem and function SelectRightItem.To all related informations carry out S1003 to S1008 with The processing of S1103 to S1108.However, can be arranged as follows in actual implementation from the viewpoint of processing speed: pre- First reduce the range of the object of this processing.For example, the related information in contingency table 702 is made to reduce the scope to belonging to about report The related information for the past report that both item id 1 and report item id 2 have been selected in S804.It then can be to only The related information to reduce the scope carries out the processing of S1003 to S1008 and S1103 to S1108.Alternatively, as first is real It applies and illustrates in example, can be used graphic structure.

Back to Fig. 9, in S904, by the report item by being identified as reproduction range in processing of the S901 into S903 Related information between mesh includes in reproduction range.Specifically, from whole records in contingency table 702, extraction falls in report item Mesh ID1 and report item id 2 have both included the related information of the report project in reproduction range and have believed the association Breath is set as reproduction range.

The project identified by above-mentioned reproduction range judging unit 110 will be illustrated referring to Figure 39.In the S804 of Fig. 8 In, such as in the case that position 4 in Figure 39 is selected, reproduction range is position 4, discovery 5, diagnosis 4, disposition 5, diagnosis 5, five related informations between disposition 6 and these report projects, as reproduction range.5 Hes of diagnosis are had selected in user It was found that 6 in the case where the two, had been assigned with accordingly with diagnosis 5, position 4, position 5,6 quilts of discovery 5, diagnosis 5 and disposition It is identified as reproduction range.In addition, having been assigned with accordingly with discovery 6, position 6, discovery 6, diagnosis 6 and disposition 7 are identified as Reproduction range.Eight related informations comprising the causalnexus between diagnosis 5 and diagnosis 6 are also used as being associated with for these report projects Information and included.

The processing determined from the reproduction range recorded in first embodiment is different, is determined according to the reproduction range of the present embodiment Processing not both is set to replicate with the direct or indirect associated all report projects of the report project selected in S804 Range.Reproduction range can be by being limited to project necessary to understanding the report project selected in S804 and needing in S804 The project report of middle selection is used for the report project understood, and determines reproduction range by upstream and downstream association It is determined.In the reproduction range determination processing illustrated in the present embodiment, opposition is in the report project in reproduction range and is closed The report project of connection is excluded from the reproduction range.Nevertheless, can still be arranged as follows in actual implementation: In the case where certain judges benchmark, it can according to need and be included in reproduction range in the associated report project that opposes.

Below by the case where identifying and replicating a part of project associated with the project specified, make into The method of the editing that user carries out after row replication processes more efficiently is illustrated.It can be by using between report project Related information realize efficiency.For example, in the report project that display is replicated by related information display unit 111 on picture, Report display control unit 109 is shown, prompts the presence of project being not yet replicated, associated with specified project.It can To extract item that is associated with the project of identification but not being replicated by referring to duplication contingency table 703 and contingency table 702 Mesh.

Figure 14 is to illustrate the concept map of the content in the report creation region 134 in following situation, as illustrated in Figure 39, mistake The position 4 in report is gone to have been assigned with, position 4, discovery 5, diagnosis 5 and disposition 6 have been duplicated into current report.Scheming In the past report illustrated in 39, between discovery 4 and discovery 5, there are causalnexus between diagnosis 5 and diagnosis 6.Such as the void of Figure 14 Line arrow L141 is such, and display instruction serves as there are the mark of causalnexus and implies the presence of associated with discovery 4 but do not answered The display of the discovery 5 of the project of system.

After duplication position 4, discovery 5, diagnosis 5 and disposition 6, determine also to replicate as diagnosis 5 if reading shadow doctor The diagnosis 6 on basis then can be such that diagnosis 6 carries out with the operation input of 5 associated dotted arrow L141 of diagnosis by double-clicking This operation.In other words, position 6, discovery 6, diagnosis 6 and disposition 7 are copied in current report.It has been answered by the operation In the case where having made position 6, discovery 6, diagnosis 6 i.e. disposition 7, causalnexus is automatically applied to the diagnosis 5 and diagnosis 6 of duplication In.

Other input support methods for the use duplication contingency table 703 that can be provided are to preset and reported again from the past respectively Projects of system, so that any association in report is understood that in the past.It can be assumed for instance that following situation: existing such as Past of Figure 39 reports, selection part 4 replicates position 4, position 5, diagnosis 5 and disposition 6, and selection part 6 is thereafter come the portion of replicating Position 6, discovery 6, diagnosis 6, disposition 7.Now, diagnosis 5 and diagnosis 6 are in causalnexus in past report, therefore report currently Make diagnosis 5 and the associated probability of diagnosis 6 high in announcement.Therefore, the message of Figure 15 illustration is shown by related information display unit 111 151, "Yes" button is pressed by reading shadow doctor, causalnexus can be applied between diagnosis 5 and diagnosis 6.Therefore, it can prevent Ignore associated application.

Sixth embodiment

It will illustrate sixth embodiment according to the present invention.In the present embodiment, reproduction range judging unit 110 is based on specified Project type, a part of the direct or indirect project associated with the specified project in reproduction range of identification.

For example, reproduction range is identified as from portion in the logic association of the process of position, discovery, diagnosis and disposition Position is until report project specified in the S804 of Fig. 8.In other words, upper in above-mentioned logic association from being identified in specified project The project of trip.Specifically, processing of the reproduction range judging unit 110 without S903 in Fig. 9, but carry out S901, S902 and The processing of S904, to identify such project.

By to about in the case where having specified that the report project of the type of diagnosis, reproduction range judging unit 110 Identification reproduction range is illustrated.There is the basis that the diagnosis according to different discoveries is served as based on certain discoveries in reading shadow report The case where.When diagnosis is presented to consigner by reading shadow doctor, diagnosis is presented and reaches which kind of basis is also important.Therefore, exist In the present embodiment, in the case where the report project of the type of diagnosis is selected in S804, reproduction range judging unit 110 is filled When the different report projects on the basis of specified report project include the processing in reproduction range.

Specifically, reproduction range judging unit 110 is referring to contingency table 702H, and to the diagnosis report for serving as selection in S902 Other report projects on the basis of announcement project, are handled using function SelectLeftItem.Be not necessarily intended to include and other The report project of the associated disposition of diagnosis report project.Therefore, without using function SelectRightIrem in S903 Processing.Next, the reproduction range by explanation in the case where the report project of the type of disposition is selected.

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

In the case that the type for the report project specified in S804 is disposition, only selected report project is identified. Specifically, the processing for using function SelectLeftItem in S902 is not executed, identifies reproduction range by carrying out S901, It is handled in S903 and S904 using function SelectRightItem, to identify reproduction range.It is selected in S804 Report project type be position or discovery in the case where, as described in the first embodiment, using according to first embodiment Reproduction range determination method.

According to above-mentioned processing, for example, Figure 39 past report in specify discovery 2 in the case where, position 2, discovery 2, Diagnosis 2 and disposition 2 are identified as reproduction range.In the case where specifying discovery 2 in past report in Figure 39, in addition to position 2, except discovery 2, diagnosis 2 and disposition 2, diagnosis 1, discovery 1 and position 1 are identified as reproduction range.If the mistake in Figure 39 It goes in report to have selected disposition 2, then only disposition 2 is selected as reproduction range.

7th embodiment

It will illustrate seventh embodiment according to the present invention.In the present embodiment, reproduction range judging unit 110 is based on conduct Copy, creation current report commission purpose, to identify one of direct or indirect project associated with specified project Point, as reproduction range.As described in the second embodiment, the soft copy of the medical imaging at original place is replaced in the present embodiment also application It is changed to the processing of the soft copy of the medical imaging at copy.In other words, the type replicated in S8061 is position and its content Be medical imaging soft copy in the case where, medical imaging is replaced with to the correspondence medical imaging of current shooting, is then answered System processing.It include that transfer detection, is scrutinized, is benign/pernicious disposition efficiency evaluation for creating the purpose of commission for reading shadow report Diagnose (screening), follow-up etc..6A and Figure 17 B it will be illustrated referring to Fig.1.

Firstly, the reproduction range in the case where the purpose of commission of current report is transfer detection or benign/pernicious diagnosis. The object of transfer detection is the transfer for detecting tumour.The object of benign/pernicious diagnosis is that determining tumour is benign or pernicious.It deposits Purpose be shift detection or benign/pernicious diagnosis reading shadow in, based on derived from CT image and PET image find come into The case where row diagnosis.About transfer detect, there are following situations: other than record related with the transfer of discovery, also with because Fruit association describes the primary Cancer-Related record of the reason of with as transfer together.Therefore, in the commission purpose of current report In the case where being transfer detection or benign/pernicious diagnosis, one or the other in CT image and PET image is identified as multiple In range processed, associated another is also contained in reproduction range.In an identical manner, one in primary carcinoma and transfer Or another in the case where be identified as in reproduction range, another project is also included in reproduction range.Figure 16 A, which is instantiated, to be worked as Creation commission purpose is when being the current report of benign/pernicious diagnosis, is shown in over report project and related information display area The content of past report in 147.For example, in the case where selecting the CT image in Figure 16 A in S804, by Fig. 9 S901, S902 and S903, CT, discovery 1, diagnosis 1 and disposition 1 are included in reproduction range.Exist from also scheming as with CT As or from an image derived from CT image in image, there is derived report item in the PET image of the project of related information In the case of purpose, by PET image and derived from the PET image, item recognition is in duplication model to reproduction range judging unit 110 In enclosing.In Figure 16 A, the project of PET and discovery 2 is also included in reproduction range.Figure 16 B is instantiated when creation commission purpose is When shifting the current report of detection, the past being shown in in report project and related information display area 147 reports interior Hold.For example, by S901, S902 and S903 in Fig. 9, turning in the case where selecting the metastatic carcinoma image in Figure 16 B in S804 Cancer, discovery 1, diagnosis 1 and disposition 1 is moved to be included in reproduction range.Exist from also being led as with from metastatic carcinoma and primary carcinoma One in discovery 1, diagnosis 1 and disposition 1 out, has the case where report project is exported in the primary carcinoma of the project of related information Under, the project of primary carcinoma and derived from the project of primary carcinoma report project be 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 both CT and PET, the present embodiment is without being limited thereto.It can be with Preset the group of the type of check image often while used, such as transfer detection and benign/pernicious diagnosis and above-mentioned The processing of implementation.

Next, the case where by being the evaluation of validity of follow-up or disposition to the purpose of the commission in current report Under reproduction range be illustrated.The evaluation of the validity of follow-up and disposition both by former checked when position state and The state at position when current check is compared.Therefore, current report may include the medical imaging obtained from current check The medical imaging checked with the past for serving as comparison other (in past report).It is follow-up or place in the purpose of commission of current report In the case that the image of the validity set evaluated and reported in the past is had been previously identified as in reproduction range, reproduction range is sentenced Order member 110 obtains the information of the obtained inspection of the image in report in the past first.Report the then base of establishment of item unit 102 In the information of the inspection, to obtain the image of current check.Report display control unit 109 in the editing pictures of current report Image in the report of showing in tandem and the image from current check.In the report of showing in tandem The correspondence image of image and current report enables and entrusts doctor's easily movement images.Figure 17 A be in the past report project and The concept map of the content of the past report shown in related information display area 147.Figure 17 B instantiates the commission in current report It is current in the case that purpose is the evaluation of the validity of follow-up or disposition and has specified that report project 170 in S804 Duplication result in report.Report project 171 is to show the soft copy of the medical imaging of content identical as report project 170.Report Announcement project 172 is the soft copy of medical imaging that is corresponding with the position of report project 170, shooting in current check.Report Project 172 is created via the processing in S131, S132 and S133 in Figure 13.In this way, adding shooting in the past in tandem The soft copy of the medical imaging of the soft copy and current shooting of medical imaging enables reading shadow doctor to omit additional current shooting Medical imaging operation.Note that can also such as be indicated by appended drawing reference 173 and appended drawing reference 174, to show bat automatically The date for taking the photograph medical imaging, make it possible to be easy distinguish which additional medical imaging be it is past, which be present.

8th embodiment

It will illustrate the 8th embodiment.In the present embodiment, reproduction range judging unit 110 is according to the current report as copy The record situation of announcement is expected later in the content wherein recorded, by with the direct or indirect associated project of specified project In a part be identified as in reproduction range.As described in second embodiment, the present embodiment is also applied will be in the medical of original place The soft copy of image replaces with the processing of the soft copy of the medical imaging at copy.In other words, the type replicated in S8061 Position and its content be medical imaging soft copy in the case where, the correspondence that medical imaging is replaced with current shooting is medical Then image carries out replication processes.It 8A to Figure 20 will be illustrated referring to Fig.1.

Figure 18 A and Figure 18 B instantiate the example of the present embodiment.Figure 18 A is past report project and related information viewing area The content of the past report shown in domain 147.Figure 18 B is the current report edited in report creation 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.Such as the table 71f of Figure 12 Middle illustration, keep report project 180 and report project 181 associated.It was found that 2 is related to the report project in report project 181 Connection.Assuming that in this state, user has selected report project 180 in S804.In the present embodiment, in the report of duplication Position 1 and discovery 2 are described, therefore reproduction range is simply set to diagnosis 1 and disposition 1.Both Figure 18 C1 and Figure 18 C2 It is the content in report creation region 134 after the copying process.1 He of diagnosis as shown in Figure 18 C1, as duplication object Disposition 1 with and corresponding to report project 180 report project 181 it is associated discovery 2 automatically it is associated.Alternatively, Set discovery 1, diagnosis 1 and disposition 1 for reproduction range, will include discovery 1 in reproduction range, diagnosis 1 and dispose with it is right It should merge in the associated discovery 2 of report project 181 of report project 180.Although here with about having selected for portion The report project of the type of position is illustrated in case where being used as duplication object, but is selecting other kinds of report item Mesh also can carry out replication processes based on identical thought in the case where being used as duplication object.

Figure 19A and Figure 19B instantiates second example of the present embodiment.Figure 19 A instantiate over report project be associated with letter The content of the past report shown in breath display area 147.Figure 19 B, which is instantiated, reports that is editing in creation region 134 works as The content of preceding report, and be discovery 1 in specified Figure 19 A and replicate specified reproduction range result example.Figure 20 It is the example of the reproduction range determination flow carried out in the second example for be illustrated in the present embodiment by reproduction range judging unit 110 Figure.S901 to S904 is identical as in Fig. 9, is added to 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 assume as shown in figure 19, in the first follow-up observation, to about position 1, In the discovery 1 for the effect that position 2 and position 3 have " not changing " at all, blanket record has been carried out, about the second follow-up Observation is creating current report.When specifying the discovery 1 in Figure 19 A in S804, pass through the processing of S901 to S904, Figure 19 A In position 1, position 2, position 3, discovery 1, diagnosis 1, disposition 1 and the related information between them be identified as replicate model It encloses.In S905, to about the position 1 of the soft copy as past image, position 2 and position 3 past image and and it Corresponding present image, pass through computer-aided diagnosis (CAD) carry out image analysis.It is assumed that as image analysis as a result, For example, for position 1 and position 2, it is not observed change between past image and present image, but the disease at position 3 The case where change, obviously deteriorates.In this case, if position 3 is copied in current report, associated content will not It is the probability height " not changed at all " as discovery 2.Therefore, it is operated in S906, so that in S905 It was found that, should not keep and report the object of identical related information in the past, be not identified as in reproduction range.Above-mentioned In example, it is not identified as in reproduction range as the associated related information 191 between the position 3 and discovery 1 of Figure 19 A. The report project at position 3 is still duplication object.If determining that the duplication object determined in stream is answered in the reproduction range of Figure 20 It makes in current report, then result for example will be as shown in Figure 19 B.By the processing of S806 according to first embodiment, based on figure Position 1, position 2, discovery 1, diagnosis 1, disposition 1 in 19A and the related information between them, have replicated in Figure 19 B Position 1, position 2, discovery 1, diagnosis 1, the disposition 1 and related information between them.Position 3 in Figure 19 B is also to pass through The processing of S806 according to first embodiment and the position 3 in replicated Figure 19 A.On the other hand, project 192 and report are reported Related information between announcement project 192 and position 3 automatically creates after S806.Note that report project 192 is in project table The state that column " content " in 701 is not registered, that is, report project input frame 135 is blank.Shadow doctor is read in report project The discovery about position 3 is recorded in 192, and diagnosis and disposition is added as needed.With identical as the second case in the present embodiment Mode can be by pre-adjusting reproduction range, to reduce according to the content that recorded in current report after the replication The work that doctor is operated after the replication.Although illustrating to exclude the example of unwanted related information herein, this Embodiment is not limited to exclude unwanted related information, can according to need and excludes report project.Although right in the above examples It is described about by deleting unwanted duplication project to adjust reproduction range, but necessary duplication can also be added Project is adjusted.

9th embodiment

It will illustrate the 9th embodiment.It in the present embodiment will be to about with the evaluation for giving evaluation to each report project The example of unit is illustrated, moreover identifying that the reproduction range judging unit 110 of reproduction range will according to result The evaluation of estimate of each project is compared with predetermined threshold.It is illustrated by referring to the exemplary illustration of Figure 21 and Figure 22.

Figure 21 is the functional block diagram for illustrating the major function of the medical report creating device 1 according to the present embodiment.Figure The functional block 101 illustrated in 21 is identical as in Fig. 5 to functional block 112.In S805, score calculates judging unit 115 and obtains The project specified in S804 and with the evaluation of estimate for the direct or indirect associated project of project specified in S804.In reproduction range Judging unit 110 determine whether by each item recognition be in reproduction range when, threshold determination unit 116 determine as with by Score calculates the threshold value for the value that the evaluation of estimate that judging unit 115 is given compares.Reproduction range in S805, in the present embodiment Judging unit 110 will calculate the evaluation of estimate that judging unit 115 is given by score and be compared with threshold value, and identifies to have and be less than threshold The project of the evaluation of estimate of value, such as be identified as in reproduction range.Figure 22 instantiates over report project and related information is shown The content of the past report shown in region 147.Showing the project specified in S804 is in the case where finding 1, by dividing Number calculates point that judging unit 115 gives each project.It is directly related with the project specified in S804 in the example of Figure 22 The evaluation of estimate of project is small, and association is more indirect, and evaluation of estimate is bigger；However, evaluation value-acquiring method is without being limited thereto.By threshold determination In the case that the threshold value that unit 116 determines is 2,110 recognition site 1 of reproduction range judging unit, discovery 1 and diagnosis 1 are conduct Replicate the project of object.In the case where the threshold value determined by threshold determination unit 116 is 3, reproduction range judging unit 110 is known Other position 1, discovery 1, diagnosis 1, disposition 1 and discovery 2 are the project as duplication object.

It will illustrate the example of 116 decision threshold of threshold determination unit.In the first example, according to commission purpose come decision threshold Value, this is illustrated in the seventh embodiment.It is transfer detection in the purpose of commission of current report or benign/pernicious examines In the case where disconnected, it can be diagnosed based on the discovery of both CT and PET.Consider following situation: for example, selecting in S804 Project be position, content is the soft copy of medical imaging, and the medical imaging is CT image.In this case, such as Fruit was reported in project and related information display area 147 in the past in the presence of diagnostic together with the CT medical imaging of selection The associated image of PET image, the then size for expanding threshold value are included in the project in reproduction range.In follow-up and disposition Validity evaluation the two in, often by previous inspection when position and the state at position when current check be compared. Therefore, the size for expanding threshold value makes and direct or indirect at least one of the associated position quilt of the project that selects in S804 It is included in reproduction range.

In the second example, according to the type of lesion, position, medical image or the type of their combinations come decision threshold. In this case, other than the functional block listed in Figure 21, difference unit is also provided, the difference unit difference is in S804 In type, position or the medical image of lesion recorded in the content of project pointed out or type that they are combined.For example, In the case where there is word related with the complicated lesion of research is needed in the content for the project specified in S804, usually reporting It is studied in announcement based on the information being made of bulk items.Therefore, related in the lesion for existing with needing complexity to study In the case where word, with there is no the case where compared with, in order to by a large amount of item recognition be in reproduction range, threshold value is set It obtains bigger.

Tenth embodiment

It will illustrate the tenth embodiment.In the present embodiment, it successively executes to calculate by score at each project and determines list Evaluation of estimate is distributed to the processing of project and determines the evaluation of estimate of each project with by threshold determination unit 116 by member 115 The processing that is compared of threshold value.According to its comparison result, successively determine to include the project in reproduction range.Ginseng will be passed through It is illustrated according to the exemplary illustration of Figure 23 to Figure 25.

Figure 23 is the functional block diagram for illustrating the major function of the medical report creating device 1 according to the present embodiment.Function Energy block 101 is identical as in Figure 21 to functional block 116.According to the score of the present embodiment calculate judging unit 115 be based on it is each The evaluation of estimate for the project that project is directly associated, to obtain the evaluation of estimate of the project.Determine object item judging unit 117 by dividing Number calculates 115 allocation evaluation value of judging unit, and determines the project to be compared with threshold value.It will be exemplary referring to coming in Figure 25 Illustrate the process of the processing carried out by reproduction range judging unit 110.Instantiate in Figure 24 A to Figure 24 H report project and The content of related information display area 147.Here as example, score calculate the evaluation of estimate that judging unit 115 obtains projects, As the value obtained by the evaluation of estimate addition 1 to the project being directly associated with each project.S2501 in Figure 25 In, 116 decision threshold of threshold determination unit.In this example, threshold value is arranged to 4.In S2502, score, which calculates, determines list The allocation of items value specified in 115 couples of S804 of member.If the project specified in S804 is the project of the discovery 2 illustrated in Figure 24 A, Then 1 point for example is distributed to discovery 2.In step S2503, the evaluation of estimate for the project specified in S804 is compared with threshold value, And it is made regarding whether the item recognition specified in S804 to 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 judging unit 110 will be seen that 2 are identified as in reproduction range.Note that in Figure 24 A Into Figure 24 H, the project with thick boundary line is 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 about the direct phase of each project for being directed to being identified as in reproduction range Associated all items, if carried out the determination of the acquisition of evaluation of estimate and the comparison of evaluation of estimate and threshold value.It is being directed to In the case that all items perform this determination, process proceeds to S2508, and process terminates.If being directed to all items This determination is not yet carried out, then process proceeds to S2505.In the case where Figure 24 A, judging unit 115 is calculated by score and is directed to The acquisition at the position 2, position 3 and diagnostic evaluation value 2 that are directly associated with discovery 2 and evaluation of estimate compared with threshold value not yet It completes, therefore process proceeds to S2505.In S2505, it is following for determining to determine that object item judging unit 117 determines About whether being identified as the project in reproduction range.It determines the selection of object item judging unit 117 and is identified as in duplication model That project in enclosing is directly associated and not yet allocation evaluation value and not yet project of the progress compared with threshold value.In Figure 24 A In, by determining object item judging unit 117 come one in selection part 2, position 3 and diagnosis 2.Here will consider to select The case where diagnosis 2.In S2506, judging unit 115 is calculated by score and is obtained in S2505 by determining that object item determines The evaluation of estimate for the project that unit 117 selects.In the present embodiment, as shown in fig. 24b, by being added to 1 point that distributes to discovery 2 1 and obtain diagnostic evaluation value 2, thus evaluation of estimate is 2.In step S2507, the value obtained in S2506 and threshold value are compared Compared with, and it is made regarding whether that the project that will be selected in S2505 includes the determination into reproduction range.In Figure 24 B, to diagnosis 2 The value 2 of distribution is divided less than threshold value 4, and therefore, diagnosis 2 is identified as in reproduction range.After the processing of S2507, process is returned S2504 is returned to, and repeats above-mentioned processing.In Figure 24 C, evaluation of estimate 3 is obtained for the project of disposition 2, since its is small In threshold value 4, therefore disposes 2 and be identified as in reproduction range.In Figure 24 D, evaluation of estimate 3 is obtained for the project of disposition 1, by It is less than threshold value 4 in it, therefore diagnoses 1 and be identified as in reproduction range.In Figure 24 E, evaluation is obtained for the project of disposition 1 Value 4, since it is not less than threshold value 4, disposition 1 is not identified as in reproduction range.In Figure 24 F, for the item of discovery 1 Mesh obtains evaluation of estimate 4, since it is not less than threshold value 4, consequently found that 1 is not identified as in reproduction range.Note that discovery 1 is not It is included in reproduction range, therefore determines the non-selected position 1 of object item judging unit 117 in S2505.In Figure 24 G, needle Evaluation of estimate 2 is obtained to the project at position 2, since it is less than threshold value 4, position 2 is identified as in reproduction range.Scheming In 24H, evaluation of estimate 2 is obtained for the project at position 3, since it is less than threshold value 4, position 3 is identified as in reproduction range It is interior.At this point, it has been directed to each project being identified as in reproduction range and directly associated all items, it is complete At the acquisition of evaluation of estimate and the comparison of evaluation of estimate and threshold value.Therefore, the identification of reproduction range judging unit 110 discovery 2, diagnosis 2, disposition 2, diagnosis 1, position 2 and position 3 are duplication object.

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

11st embodiment

It will illustrate the 11st embodiment.In the present embodiment, reproduction range judging unit 110 can select multiple for identification The technology of range processed.Figure 26 is the functional block for illustrating the major function of the medical report creating device 1 according to the present embodiment Figure.Construction is identical as Fig. 7 explanatory illustration, wherein being added to mode selecting unit 118.Mode selecting unit 118 provides one Kind selects which kind of following method for reproduction range judging unit 110 to identify the approach of reproduction range.

The example for the determination method that reproduction range follows includes following method.

(1) project that shadow doctor wants duplication is read in manually selection one at a time, and reproduction range judging unit 110 is only by institute The method that the item of selection is visually reproduction range.

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

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

(4) according to the method for sixth embodiment, wherein determine to replicate model based on the type for the project for reading shadow doctor selection It encloses.

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

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

For example, mode selecting unit 118 is operated in the timing of the S804 than Fig. 8 earlier, and displaying duplication range is sentenced Determine the list of the operation of method (1) to (6).It reads shadow doctor and implies the project of selection via input equipment 11, so which kind of be selected Reproduction range determination method to be selected.According to selected reproduction range determination method, duplication model is determined in the S805 of Fig. 8 It encloses.

It can be constructed as follows: mode selecting unit 118 is added to the figure illustrated in the 9th and the tenth embodiment In the function of being recorded in 21 and Figure 23.In this case, mode selecting unit 118 determines that score calculates 115 He of judging unit Threshold determination unit 116 is operated according to which kind of algorithm.

12nd embodiment

It will illustrate the 12nd embodiment.In the present embodiment, it was had selected in the S804 of Fig. 8 in the first embodiment In the case where going the commission purpose recorded in report, reproduction range judging unit 110 is based on being selected by reproduction range judging unit 110 The commission purpose selected determines reproduction range.It will be illustrated referring to exemplary illustration of the Figure 27 into Figure 29.

Figure 27 is the functional block diagram for illustrating the major function of the medical report creating device 1 according to the present embodiment.Structure Make it is same as shown in Figure 5, wherein being added to request items creating unit 119 and request items given unit 120.Request Establishment of item unit 119 by from commission doctor to the relevant request purpose of reading shadow task reading shadow doctor and conveying, as reporting It is being recorded in announcement, constitute entrusted information project (hereinafter referred to as " request items ") 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 required list shown in Figure 28 A In 2801.Multiple request items can be documented in single report, in this case, multiple ask be created in required list 2801 Ask item record.The content of required list 2801 is stored in storage unit 113.Request items given unit 120 to request The associated report project of the request items recorded in table 2801 is marked, to be associated.For example, as shown in Figure 28 B, asking The column ID is asked to be added to project table 701, the ID of corresponding request items is stored in each report item as the request column ID value In purpose record.Certainty factor column and request marks column are omitted from the illustration of Figure 28 B.Request items and report associated there The judgement of announcement project can be carried out by user's operation input, or can be by language analysis to request items and report item Purpose content is analyzed and is determined automatically.

It is to the reproduction range determination method by being carried out according to the reproduction range judging unit 110 of the present embodiment below Explanation.In the present embodiment, in S804, in the past report of the request items of the project as the report of being designated as over A part when, determine reproduction range by the following method.Firstly, referring to the project table that Figure 28 B is illustrated, about being selected in S804 The request items selected, in the column request ID in project table, identifying has the report project of request ID in required list 2801.Example Such as, it is assumed that following situation: there are two request purposes, (it is request (1) and asks in the entrusted information display area 146 of Figure 29 Ask (2)), and request (2) is dragged and dropped into report creation region 134 by user.If the content for requesting (2) is in Figure 28 A Request ID=1, that is, request (2) is " left renal carcinoma, postoperative by confirmation ", then extracts the item id pair in the project table in Figure 28 B It 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 In S804 specify item and be identified as reproduction range.By in the method recorded according to first embodiment into the 7th embodiment Any one, to determine the identification of reproduction range.

Although newly introducing and illustrating request items creating unit 119, request items given unit in the present embodiment 120, required list 2801 and the request column ID, but " the request in request marks given unit 114 and project table 701 can be used Implement processing same as described above in label " column.

According to the reproduction range determination method of the present embodiment, it can replicate and make in current report by simple operations With the past report in record therefore can effectively create medical report with the related reading shadow content of commission purpose.

Variation

In the structured report that such as first embodiment is recorded into the 12nd embodiment, contents of a project edit cell is reported 103 can be applied to template the content of the project created by report establishment of item unit 102.Report display control unit 109 exists The record for 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 Member 103 is used as scavenging valve, and the scavenging valve read the content of shadow report based on the past, and presumption will be just in newly created reading shadow The information recorded in the project of report.In addition, report display control unit 109 is used as display control unit, the display control Unit shows the record estimated by the report display control unit 109 for 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 will be based on original project The template of the content of middle record is applied to the project in copy.Template can be applied to be replicated the identification of range judging unit 110 It can specify and which project is answered from the project for be identified as reproduction range for all items of reproduction range or user Use template.

For example, it is assumed that the discovery project 4102 that the past as illustrated in Figure 41 A and Figure 41 B reports, states " right lymphonodi renales Multiple enlargement.Size is 15mm to 20mm, it is believed that is significant size " it is to be copied into current report.It to be reported currently In the case where carrying out the diagnostic imaging for follow-up in announcement, similar note is usually carried out in the discovery project in current report It carries.Therefore, report the content of the edit item 4105 at copy in current report of contents of a project edit cell 103 to read " the right multiple enlargement of lymphonodi renales.Size is * * mm to * * mm, it is believed that is significant size." pass through report display control unit 109 show the project at the copy for having applied template on the display unit.This be application template in order to user's input with The example of change in the size of the lesion of visit.Therefore, the example recorded in fourth embodiment is from the template in terms of different viewpoints Example.

The case where application of template is not limited to follow-up.It can be arranged as follows: report 103 base of contents of a project edit cell In the entrusted information for reading shadow report, application template makes it easier to read the project to be recorded of shadow doctor input, reports display control Unit 109 is shown on the display unit.For example, the case where request is the request of phases diagnostic of primary lung cancer Under, application template is in discovery project associated with fluorodeoxyglucose (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 request The record matched.Report that contents of a project edit cell 103 can also be based on the condition of image or the content of commission be such as shot, by mould Plate is applied to convenient for reading shadow doctor cuit to record project associated with image, and report display control unit 109 is aobvious Show that unit is shown.Alternatively, template can be applied to convenient for input still by report contents of a project edit cell 103 It is not inputting, to record information in the project, and shown on the display unit in report display control unit 109.Example Such as, it is assumed that following situation: reading shadow doctor and create discovery project associated with FDG-PET image and checkup item, and input pass The record of bone in discovery project.Report that contents of a project edit cell 103 is that checkup item associated with the discovery is quasi- Standby statement " is transferred to bone * * * * *." template.In addition, the project of report 103 application template of contents of a project edit cell 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 to be transferred to bone." have been enter into checkup item associated with FDG-PET image.Report establishment of item Unit 102 creates recommended project associated with the checkup item.Report that contents of a project edit cell 103 will " consideration be lived Inspection." template be applied in the recommended project created by report establishment of item unit 102.In other words, contents of a project editor is reported Unit 103 reads the information for the project for including in shadow report based on being input to as recommendation unit, the recommendation unit, recommends and is somebody's turn to do The information recorded in the associated project of project.Report establishment of item unit 102 also serves as creating unit, the creating unit base In being input to the information for reading the project for including in shadow report, to create report project.Report that display control unit 109 is used as display Control unit, the display control unit show the report contents of a project edit cell by serving as scavenging valve on the display unit The record of 103 presumptions, and the project created by report establishment of item unit 102.

In the structured report that first embodiment is recorded into the 12nd embodiment, certain is being selected by input equipment 11 In the case where a project, report display control unit 109 can be shown related to selected project with other areas otherwise The project of connection.Project associated with selected project is not limited to the project in report identical with the project included.From mistake Go report in replicated the project in the case where, the past report in project associated with the project, can with include Project in report identical with the project is highlighted together.In addition, being had been duplicated into the project newly created When in project, including duplication report in project, can also with include in the project in report identical with the project together with It is highlighted.Accordingly, with respect to be compared in such as time series it is upper it is useful, included in include the project report with Project in outer report is understood that project associated with some project.In addition to position, discovery, diagnosis and place Except the project set, associated project can also include the request marks of the project of instruction entrusted information.Therefore, it can be easy Understanding is associated with the content of the commission from commission doctor.

It, can be using point of big data in the structured report that first embodiment is recorded into the 12nd embodiment Analysis, and the result can be used.

Note that the device into 3rd embodiment is not limited to support creation medical report according to first embodiment.The present invention It can be used in the various works for supporting test contradiction to assume in logic documenting analysis or the Structure Report on the basis of research Industry.The example of information system for office etc. may include the system for sharing information, such as accounting, product inventory pipe Reason, document management and search etc..There is also coordinations to collect money, pay the bill, place an order and the programs such as back order, delivery, sale divide The individually operated more multisystems such as analysis.Such information system is used in the presence of based on advanced knowledge and experience, and creates note The case where carrying the report of the result of analysis and research measurement.These reports etc. generally include additional electronic data, digital photograph And image.In order to prove the validity for the result for analyzing and surveying quantifier elimination, logic is needed to record for this analysis and research Basis.The support of report according to the present invention for creating structuring can be used for handling this problem.

Therefore, when a part of use for the project that will be recorded in the medical report for passing by creation is in newly created report When, can easily identify will referring concurrently to project.Therefore, it is possible to reduce user confirms the fiber crops of the medical report of creation in the past It is tired.

The present invention can be realized by handling: will realize the programs of one or more functions of above-described embodiment via Network or storage media and be supplied to system or device, and one or more processors of the computer in system or device Read and execute the program.The present invention also can be by realizing the circuit of one or more functions (for example, specific integrated circuit (ASIC)) Lai Shixian.

It can be used as self-contained unit according to the medical report creating device of above-described embodiment and realize, or can be combination Multiple information processing units are so as to the arrangement of above-mentioned processing can be communicated with each other and be executed.Above-mentioned processing can be by altogether It enjoys server apparatus or server group and is performed.Make to constitute medical report creating device and medical report creates support system Multiple devices can be communicated with predetermined traffic rate, without being located in identical facility or country.

Realize that the software program of the function of above-described embodiment is provided to system or device, and the calculating of system or device The arrangement that machine reads and executes provided program code is also included in the embodiment of the present invention.

Therefore, computer is installed to realize the program code itself of processing according to the embodiment on computers, and The embodiment of the present invention.In addition, based on the instruction for including in the program read by computer, the operation system that runs on computers System (OS) etc. can carry out part or all of actual treatment, and the function of above-described embodiment can be realized through this process.

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

It can also be recorded in storage medium by reading and executing and (can also more completely be known as that " non-transitory computer can Read storage medium ") on computer executable instructions (for example, one or more programs) to execute one in above-described embodiment A or more function and/or include one for executing one or more functions in above-described embodiment Or more the system of circuit (for example, specific integrated circuit (ASIC)) or the computer of device, to realize implementation of the invention Example, and it is possible to can using computer from storage media is for example read and executed by the computer by system or device It executes instruction to execute one or more functions and/or one or more circuits of control in above-described embodiment Method to execute one or more functions in above-described embodiment, Lai Shixian the embodiment of the present invention.Computer can be with It including one or more processors (for example, central processing unit (CPU), microprocessing unit (MPU)), and may include point The network of the computer or separated processor opened, to read and execute computer executable instructions.Computer executable instructions It can for example be provided to the computer from the network or storage media.Storage medium may include such as hard disk, random access memory Device (RAM), read-only memory (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.

The embodiment of the present invention can also be realized by following method, that is, pass through network or various storage mediums The software (program) for executing the function of above-described embodiment is supplied to system or device, the computer of the system or device or in The method that Central Processing Unit (CPU), microprocessing unit (MPU) read and execute program.

Although referring to exemplary embodiments describe the present invention, but it is to be understood that the present invention is not limited to institute is public The exemplary embodiment opened.Scope of the appended claims should be given with widest explanation, so that it covers all these changes Type example and equivalent structure and function.

Claims (21)

1. a kind of information processing unit, the information processing unit include:

Creating unit, be configured to creation medical report, the medical report include as diagnosis object multipacket message with And the associated related information between the multiple projects in each group information of the instruction multipacket message including；

Designating unit is configured to the multipacket message in the medical report created before being stored in a storage unit included Each group information in include multiple projects in specify a project；

Recognition unit is configured to respond in the specified of the designating unit, based on associated with a specified project Related information, come include in the medical report that creates before identifying multiple projects at least one project；And

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

2. information processing unit according to claim 1,

Wherein, the display control unit is shown to have in the project identified by the recognition unit and be wrapped in a manner of diacritic The information of the predetermined attribute included and information without the predetermined attribute.

3. information processing unit according to claim 2,

Wherein, the predetermined attribute include below when at least one of:

To as the relevant information of the diagnosis size of lesion of object,

To as the relevant information of the diagnosis volume of organ of object,

To as the relevant information of the diagnosis progress extent of lesion of object, or

Stage Classification as the diagnosis object.

4. information processing unit according to claim 2,

Wherein, the display control unit also shows the operation input for indicate that the creation of the medical report has been completed Icon,

Wherein, the display control unit not yet changes in the information with the predetermined attribute and carries out to the icon In the case where input operation, display warning.

5. information processing unit according to claim 1, the information processing unit further include:

Image acquisition unit is configured to the image in the medical report created before the recognition unit identifies included In the case where, obtain the information for the inspection of image that shooting is identified, and the information based on the inspection, obtain with knowledge The image of the diagnosis object shot in the corresponding region of other image.

6. information processing unit according to claim 5,

Wherein, the creation of the medical report has been entrusted in the follow-up for the diagnosis object and the recognition unit is known In the case where the image of the medical report created before further including in other project, described image acquiring unit, which is based on obtaining, it The information of the inspection of image in the medical report of preceding creation and be based on the commission, to obtain image,

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

7. information processing unit according to claim 5,

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

Wherein, the image for including in the medical report created before the recognition unit identifies still can not be obtained and be identified The corresponding diagnosis object of image image in the case where, the display control unit is for editing the medical report Picture on, associated with the project that the recognition unit identifies project is shown, as project for displaying images.

8. information processing unit according to claim 1,

Wherein, the multipacket message as the diagnosis object includes:

The information at the position comprising the image as the diagnosis object,

It was found that information,

The information of diagnosis, and

The information of disposition.

9. information processing unit according to claim 1,

Wherein, in the case where the designating unit specifies the information of the medical report for creating before entrusting creation, institute State the project for including in the medical report that recognition unit identification creates before corresponding with the information for commission.

10. information processing unit according to claim 1,

Wherein, in the medical report created before, including the image identified and in response to identical with the image identified It entrusts in the case where the image of acquisition, the recognition unit is identified the image recognition of the image identified and acquisition Image.

11. information processing unit according to claim 1,

Wherein, the recognition unit carries out:

First processing, with according to position, discovery, diagnosis and disposition information forward sequence, come identify in reverse direction with it is specific The associated project of project,

Second processing, to identify project associated with specific project on the direction of the forward sequence,

By the first processing identification project associated with the project by the first processing identification, and

Project associated with the project identified by the second processing is identified by the second processing.

12. information processing unit according to claim 1,

Wherein, the recognition unit carries out the first processing, with according to the forward sequence of position, discovery, diagnosis and disposition, to identify The project associated with specific project in reverse direction,

Wherein, when the designating unit specifies any one of position project, discovery project or checkup item purpose, First processing of the recognition unit progress about specified project, and by the first processing identification and by described first Manage the associated project of project of identification.

13. information processing unit according to claim 1,

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

14. information processing unit according to claim 1, the information processing unit further include:

Evaluation unit is configured to based on the related information, each in project associated with some project to evaluate Associated intensity,

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

15. information processing unit according to claim 1,

Wherein, the display control unit is copied in the medical report by the project for identifying the recognition unit, is come Show the project.

16. information processing unit according to claim 1,

Wherein, the recognition unit identification includes the information for the predetermined attribute for including in the project specified by the designating unit,

Wherein, the display control unit is in the picture for editing medical report, shown in a manner of diacritic including by The information of the predetermined attribute of recognition unit identification and predetermined without include in the project specified by the designating unit The information of attribute.

17. information processing unit according to claim 16,

Wherein, the recognition unit identify it is in the multiple project, as about it is described diagnosis object diagnostic message in wrap The project that includes and in exclusive associated at least two project.

18. a kind of information processing unit, the information processing unit include:

Creating unit, is configured to creation medical report, and the medical report includes:

The information of image as diagnosis object,

For the information of the discovery of described image,

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

Indicate the information of the disposition for the diagnosis,

And the medical report further includes the associated related information between the multiple projects for indicating to include in each information；

Recognition unit, be configured to identify it is in the multiple project, as in the diagnostic message about the diagnosis object Including project and be in exclusive associated at least two project；And disposition display unit, it is configured to display reminding User designate whether creation instruction disposition information in include input frame picture, it is described instruction disposition information for by institute State the associated project of project of recognition unit identification.

19. information processing unit according to claim 18, the information processing unit further include:

Processing unit assigns at least one of multiple checkup items and indicates that the multiple checkup item is in exclusive Associated related information；

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

20. a kind of information processing method, the information processing method includes the following steps:

Include in each group information for the multipacket message for including in the medical report created before being stored in storage unit A project is specified in multiple projects；

Based on related information associated with a specified project, to identify the institute for including in the medical report created before State at least one project in multiple projects；And

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

21. a kind of information processing method, the information processing method includes the following steps:

It identifies in each group information for the multipacket message for including in the medical report created before being stored in a storage unit and includes Multiple projects in, as the project for including in the diagnostic message about diagnosis object and in exclusive associated at least two A project；And

Display reminding user designates whether that creation indicates the picture for the input frame for including in the information disposed, the instruction disposition Information is project associated with the project of identification.