JP2007041684A - Report creating system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To reduce response mistakes such as delay of diagnosis of a confirming person and treatment of a patient or forgetting about reading the finding of the patient requiring urgent diagnosis, by informing the confirming person who confirms the finding of the existence of the important finding by displaying the existence of the important finding and its content during list display. <P>SOLUTION: This report creating system comprises a medical image diagnosis device for acquiring medical image every patient, a report creating terminal device 6 having a report information creating means for creating report information including the finding information divided with respect to level for the medical image, a report server 5 having a list information creating means for classifying the created report information every patient or inspection item and creating list information where quantity of the finding information included in each of classified report information is associated with each report information, and a report confirmation terminal device 8 that receives the list information from the report server 5 and displays the list information on the display means. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a report creation system for creating report information for medical images collected by a medical image diagnostic apparatus.

  2. Description of the Related Art In recent years, a medical image diagnostic apparatus that collects information inside a human body and generates and displays a medical image representing a state of a structure or function inside the human body based on the collected information is used. As this medical image diagnostic apparatus, an X-ray diagnostic apparatus, an X-ray CT apparatus, an MRI apparatus (nuclear magnetic resonance image diagnostic apparatus), an ultrasonic image diagnostic apparatus, a nuclear medicine diagnostic apparatus, and the like are known. In addition, a medical image storage device (PACS) for storing medical images collected by these medical image diagnostic devices, a medical image viewer device for performing various image processing on the medical images, and a medical finding for the medical images, etc. There are known medical information systems such as medical report devices for inputting.

  Generally, medical images collected by a medical image diagnostic apparatus are sent to a medical image storage apparatus via a network and stored in a recording medium such as a magnetic storage device or an optical disk. The interpretation doctor displays the medical image collected using the medical image viewer device, and creates report information for the medical image using the medical report device. A doctor in each department (request department) displays this report information on the terminal of the department and performs medical care. For example, Patent Document 1 is known as such a medical information system.

JP 2004-290428 A

  A conventional medical report device is configured to create report information by associating a plurality of medical images with findings. The generated report information is sequentially displayed as list information for each patient or examination as report information that has been interpreted.

  However, the report information displayed in the list information is merely information such as “what examination was performed for which patient” and whether it was determined as “normal” or “abnormal” for each report. It was not possible to confirm how much “abnormality” the interpretation doctor determined about the information (see FIG. 3 of Patent Document 1).

  In this way, in the list information display of report information, in the situation where the importance of the findings of the interpretation doctor is unknown, the interpretation doctor asks the interpretation doctor to create the report information (findings) as a result of the interpretation. There is a problem that the doctor in charge who confirms the report information has not taken measures such as when the interpretation doctor wants to re-diagnose as soon as possible, delay of diagnosis of the confirmer and treatment of the patient, There is a risk that it may lead to a mistake in handling such as forgetting to read the patient's findings that must be diagnosed urgently.

  In particular, when interpreting a large amount of medical images such as group screening, it is necessary to interpret 100 or more images per hour, and even if the report information of that amount is displayed in the list information, the doctor in charge is one by one There is a limit to the confirmation, and there has been a demand for a system in which the doctor in charge can efficiently confirm the findings contained in the report information.

  The present invention has been made in view of the above problems, and its purpose is to confirm the report information (for example, for example, by displaying the presence or absence of important findings and the contents thereof when displaying the list information. This is to inform the doctor in charge of the presence of important findings, and to reduce errors in response such as delays in diagnosis of the confirmer and treatment of the patient, and forgetting to read the findings of the patient who must be diagnosed urgently.

  In order to solve the above-mentioned problem, a report creation system according to the invention described in claim 1 includes a medical image diagnostic apparatus for acquiring a medical image for each patient, and finding information classified into levels for the medical image A report creation terminal device comprising report information creation means for creating report information including the report information, and classifying the created report information for each patient or examination item, and the finding information included in each of the classified report information A report server comprising list information creating means for creating list information in which the quantity of each is associated with each report information, and a report confirmation terminal device for receiving the list information from the report server and displaying the list information on the display means It is characterized by comprising.

  With this configuration, the list information can be displayed by associating the findings information classified into levels in the report information as supplementary information by the report information creation means, and the presence / absence of important findings and the contents thereof can be displayed. Since the preparation means prepares, the confirmer (for example, the doctor in charge) confirming the findings is notified of the existence of the important findings, and the delay of diagnosis of the confirmer and the treatment of the patient, or the patient who must be diagnosed urgently Response errors such as forgetting to read the findings can be reduced.

  In order to solve the above-mentioned problem, the report creation system according to the invention described in claim 2 is the report creation system according to claim 1, wherein the report information to which the finding information belongs is color-coded according to the degree of the level. It is characterized by being displayed on a display means.

  In order to solve the above-described problem, the report creation system according to the invention described in claim 3 is the report creation system according to claim 1, wherein the report server determines whether the finding information has been confirmed. Judgment means is provided, and notification means for notifying until all of the finding information is confirmed by the confirmer by the report confirmation terminal device based on the determination means is provided.

  To solve the above problem, the report creation system according to the invention described in claim 4 is the report creation system according to claim 3, wherein the notification is based on a change in the number of important findings by confirming the finding information. It is characterized by being.

  In order to solve the above-mentioned problem, the report creation system according to the invention described in claim 5 is the report creation system according to claim 3 or 4, wherein the notification is performed by confirming the finding information, so that the finding information is obtained. It is characterized in that the color of the character string constituting the report information to which it belongs is changed.

  In order to solve the above-mentioned problem, the report creation system according to the invention described in claim 6 is the report creation system according to claim 1, wherein the level is color-coded or associated when the level is associated with the finding information. Further, the report creation terminal device is provided with level setting means for input support for inputting the numerical value of the finding information.

  In order to solve the above-mentioned problem, a report creation system according to an invention described in claim 7 is the report creation system according to claim 1, further comprising a table in which importance levels and character data indicating findings are associated with each other. The report creation terminal device is provided with level setting means for setting the level from the character data of the finding information to the corresponding finding information with reference to the table.

  According to the present invention, for each created report information, the level setting is made to the finding information included in the report information, and the contents of the level setting are displayed in the list information on the report terminal device of the doctor in charge. The doctor in charge can confirm the findings intended by the person (interpretation doctor) without omission.

  In addition, since the report information with the level set is notified until the report information is confirmed, the confirmer (the doctor in charge) is surely confirmed the important (level set) report information. Can do.

  Embodiments of the present invention will be described below with reference to the drawings. In the following description, components having substantially the same function and configuration are denoted by the same reference numerals, and redundant description will be given only when necessary.

  FIG. 1 is a block diagram showing a configuration in an embodiment of a report creation system according to the present invention. FIG. 1 shows a report creation system provided in a hospital. An X-ray CT apparatus 1, a magnetic resonance imaging apparatus (MRI apparatus) 2, an X-ray diagnostic apparatus 3 as a medical image diagnostic apparatus, and a medical information system. Image storage communication device 4, report server 5, report creation terminal device 6, medical image viewer device (medical image observation device) 7, and report confirmation terminal device 8.

  These devices are connected by a hospital LAN (local area network) 9 and configured to be able to communicate with each other. The report server 5 stores (saves) and manages report information, and reports information management means 51 that manages and creates list information based on the report information stored in the report information management means 51 and manages the list information management means 52. The list information management unit 52 includes a list information creation unit 511 that creates list information, a determination unit 512 that determines whether or not a predetermined list information has been confirmed by the report confirmation terminal device 8 described later, It has notification means 513 that prompts the report confirmation terminal device 8 to confirm until all the finding information is confirmed by the determination means 512.

  The report creation terminal device 6 and the medical image viewer device (medical image observation device) 7 are installed side by side in the interpretation room. Report information can be created by operating the creation terminal device 6. Here, “report information” in the present invention is character information created by a radiogram interpreter with respect to a medical image obtained by the medical image diagnostic apparatus, and “finding information” refers to the “report information”. The character information is at least a part of the character information to be configured, and is character information selected by any of the image interpretation doctors or “level setting means” described later.

  The report confirmation terminal device 8 is a terminal device that is installed in a medical department and is used by a patient doctor (confirmer) to browse report information as necessary. A combination of these devices or a single device is called a report creation system. The “in-charge doctor” is, for example, a doctor who is in a position to request an examination by the medical image diagnostic apparatus and request the interpretation doctor to interpret a medical image. Further, the report creation terminal device 6 and the report confirmation terminal device 8 are different in whether or not they have a function of creating report information (“report creation means” in the present invention). Both report confirmation terminal devices 8 have a function of displaying the generated report information. In other words, in the present embodiment, the report terminal device 6 is only functionally classified into the report creation terminal device 6 and the report confirmation terminal device 8. Therefore, the report confirmation terminal device 8 may have both the report creation function and the report confirmation function in each report creation terminal device 6.

  FIG. 2 is a block diagram showing the configuration of the report creation terminal device 6 and the medical image viewer device 7. As shown in FIG. 2, the report creation terminal device 6 and the medical image viewer device 7 are configured based on a personal computer and a workstation, and perform processing according to a bus 10 for data transmission between circuits and a program. A microprocessor (CPU) 11 to be executed, a semiconductor memory (RAM) 12 for storing programs and data to be processed by the microprocessor 11, and a magnetic storage device (hard disk drive) 13 as mass storage means for storing programs and data. A communication circuit 14 for connecting to a hospital LAN, a monitor 15 for displaying an image, an image display circuit 16 for generating a signal for displaying an image on the monitor 15, and a keyboard 17 for inputting characters. And mouse to move the pointer and click 18, and an interface circuit 19 for connecting the input device as a keyboard 17 and a mouse. The magnetic storage device 13 stores a control program for performing report processing, image reference processing, voice recognition, and the like, and various data such as images and databases. The report creation terminal device 6 and the medical image viewer device 7 have these It operates based on the control program and data. The monitor 15 and the image display circuit 16 correspond to the “display unit” in the present invention.

  Next, the overall work flow will be described with reference to FIG. FIG. 3 is a sequence diagram showing work and data flow by the medical image storage communication device 4, the medical image viewer device 7, the interpretation room report creation terminal device 6, and the report server 5.

(Create report information)
First, the creator inputs a user ID (identification information) and a password at the report creation terminal device 6 and logs in (step S1). This user ID and password are sent to the report server 5 to check whether or not the user ID is proper. If it is appropriate, the report information can be referred to in the medical image viewer device 7 and can be created in the report creation terminal device 6. become. At this time, together with the user ID, an address of a portable terminal owned by the creator in the hospital may be registered as a part of the identification information.

  Next, the report server 5 transmits list information indicating a list of cases handled by the creator to the report creation terminal device 6. The report creation terminal device 6 displays the list information (step S2). When the creator operates the mouse or the like to select a case in the examination list, the report creation terminal device 6 transmits a medical image display request corresponding to the examination case to the medical image viewer device 7 (step S3). .

  Next, the report creation terminal device 6 displays an input screen for inputting the report information of the examination (step S4). If there is report information recorded in the past, the report information may be displayed as necessary.

  Upon receiving the medical image display request, the medical image viewer device 7 transmits a medical image transfer request corresponding to the examination item to the medical image storage communication device 4. The medical image storage communication device 4 retrieves the requested medical image information and transfers it to the medical image viewer device 7. The medical image viewer device 7 displays a list of medical images corresponding to the examination item as thumbnails (step S5).

  The creator selects one image from the image list in order to input the report information into the finding input field. The report creation terminal device 6 shifts to a mode for inputting findings, and enlarges and displays the selected medical image (step S6).

(Input of findings)
FIG. 5 is an example of a screen displayed on the monitor 15 of the report creation terminal device 6 in the report information creation process in the present embodiment. As shown in FIG. 5, the finding input screen that is in the input mode in relation to the medical image selected in step S <b> 6 is, for example, a finding in which finding information as character information is input to the input screen 100 of “pathological findings”. Specific information in the information input fields 101a to 101c, the pointer 102 used for the selection operation of the words input in the finding information input field 101, the field 104 for inputting the number of important findings, and the finding information input field 101 (101a in the figure) A level selection sub-screen 103 that pops up by selecting a word / phrase (“ΔΔ cell cancer” in the figure) using the mouse 18 and selecting a range of the word / phrase with the pointer 102 and performing a special operation such as clicking. Is displayed.

  When inputting the findings, first, the creator sequentially fills the finding information input fields 101a to 101c using the mouse 18 of the report creation terminal device 6 while referring to the medical images displayed on the medical image viewer device 7. . Then, among the words included in the entered finding information, the mouse 18 is used to point the word / phrase that the creator (reading doctor) wants to check with the confirmer (the doctor in charge who requested the examination). The level selection sub-screen 103 is displayed in a pop-up by performing a special operation such as clicking with a different click button on the selection range 1010a. Thereafter, by selecting any one of the level setting icons 103a to 103c displayed in the level selection sub-screen 103 and performing a normal click operation, an identification display corresponding to the selected level is displayed in the selection range 1010a. (Step S7). This “identification display” is, for example, a color-coded display in which the corresponding selection range is displayed in a specific color according to the level, or an underline is displayed in the corresponding selection range, and the underline type is different depending on the level. Type display is adopted. In the present embodiment, description will be made by employing identification display by color coding.

  In the present invention, the character information (character string) corresponding to the selection range is identified as at least “important findings”, and more preferably, the importance is set in a form of leveling. It is defined as “level setting means” performed by the CPU 11. This level setting means is stored in the storage device 13 in the form of a program. In addition, it is assumed that the display of “Level 1”, “Level 2”, and “Level 3” that is an index for level division is set such that the smaller the number, the higher the importance (repellency).

  FIG. 6 shows a screen identified and displayed for a plurality of selection ranges in this way. As shown in FIG. 6, for example, “Level 1” is set for “ΔΔ cell cancer” input in the finding information input column 101a among the finding information as the input character information, and the finding information input column 101b is set. “Level 3” is set for the input “re-examination xxx” and “ΔΔ cancer” input in the finding information input field 101 c, and further, it is set as an object of identification display in the important findings number input field 104. Enter the number of words (in this case “3”).

  Here, the number of important findings input field 104 may be entered by the creator using the keyboard 17, but as a function of the "level setting means", among the findings information entered at the time of creating the report information, The number of words specified in the selection range may be calculated and displayed. This can be calculated by specifying a continuous range as the selection range for the input finding information. Specifically, when the creator selects “end input” without entering the number of important findings in the input field 104, the creator refers to the source of the saved report information and sets the findings information constituting the report information. Among them, the “level setting unit” calculates a range in which the selection ranges are associated and the selection ranges are continuously associated. For example, when the report information is created as an HTML (Hyper Text Markup Language) document, the “level setting means” calculates the number of HTML tags indicating the start point and end point of the selection range and associates them with the selection range. It certifies the number of strings.

  Further, the level setting of the input finding information may not be associated with the words in the selection range by selecting the icon in the level selection sub-screen 103 as described above, and is input in the finding information input field. The selection range may be set by simply dragging the word / phrase in the finding information (not using the level setting icons 103a to 103c). This means that the level is not set in the selected finding information, but a level difference is caused between the finding information not selected and the selected finding information. By doing this, it is effective when it is desired to call attention to the selected words and phrases, and there is an advantage that the configuration is simple.

  In the present invention, this support operation performed by the CPU 11 is defined as report information creation means for a finding input operation performed by the creator using the keyboard 17 and the mouse 18. This report information creation means is stored in the storage device 13 in the form of a program.

  Thereafter, upon completion of the input of the finding information, the report creating terminal device 6 sends a report information saving request to the report server 5 (step S14). At this time, the medical image selected as an image and the finding information input in each finding information input field are associated with each other as report information and sent to the report server 5. Here, the input of the finding information may be confirmed by displaying a button such as “End finding input” (not shown) on the finding input screen and selecting it.

  Note that the medical image associated with the report information may not be required to have a higher resolution than that at the time of interpretation, and therefore the amount of data may be reduced by irreversibly compressing the report information to one having a lower image resolution. By reducing the amount of data in this way, it is possible to improve the response by reducing the capacity of the database and the time required for data transfer and processing.

(Create list)
In the report server 5, report information received from a plurality of report creation terminal devices 6 connected to the in-hospital LAN 9 is sequentially stored in a database by the report information management means 51, and the list information creation means 521 includes each report List information composed of patient ID, patient name, examination name, and numerical values input (or calculated) in the number of important findings input field 104 (see FIG. 6) in the process of inputting the findings information. Create

  FIG. 7 is a diagram showing a list information display screen in the present embodiment. As shown in FIG. 7, this list information includes the report creation terminal 6 for each item such as “patient ID” 201a, “name (patient name)” 201b, “examination (item)” 201c, and “number of important findings” 201d. The contents of each report information are extracted from the report information management means 51 that accumulates the report information transmitted from and is displayed in a list. The list information creation means 521 edits the created report information.

  The list information display screen shown in FIG. 7 is a list in which the created report information is listed for each inspection item, and the list information creation means 521 displays the contents as shown in FIG. Create list information. For example, the inspection items are color-coded according to the words (important findings) constituting the number of important findings. Specifically, when the level setting means has set “Level 1” in red, “Level 2” in yellow, and “Level 3” in green, etc. (words not set as important findings are black, etc. The corresponding inspection item row is displayed in the same color accordingly. In addition, when there are a plurality of levels of important findings configured, for example, among the three important findings constituting the “pathological examination”, there is one “Level 1” and two “Level 3”. The character string (character string of the portion displayed by hatching) constituting the examination item (pathological finding) may be displayed in different colors with the higher color (in this case, “Level 1”). By displaying in this way, it is possible to determine at a glance not only the “number of important findings” displayed but also how high the important findings are in the report information.

  The list information creating means 521 displays on the display screen such that when the number of important findings for each examination item is clicked with the mouse 18 on the list information display screen, report information in which the corresponding findings are identified and displayed is displayed. List information is created by linking with report information.

(Refer to report information)
As shown in FIG. 3, first, the report confirmation terminal device 8 logs in by inputting a user ID (identification information) and a password (step S9). Next, from the list information management means 52, list information of a list of cases for which report information has been created among cases handled by the user is transmitted to the report confirmation terminal device 8, and the report confirmation terminal device 8 receives the inspection list. Is displayed (step S10). The examination list transmitted in the above-described step S2 is list information related to medical images for each patient or examination item obtained by the medical diagnostic apparatus based on the patient ID and the like (including the ID of the doctor in charge), The list information in step S10 is list information for each patient or examination item in which report information is added to each obtained medical image.

  Next, when the confirmer selects a matter in the examination list (step S11), the report confirmation terminal device 8 issues a report request transfer request for the matter to the report server 5, and responds to the transfer request. The transferred report information is displayed on the screen (step S12). Specifically, in FIG. 7, when the “inspection item” is “pathology” and the “important findings” of the report information is clicked with the mouse 18, the report information screen shown in FIG. 6 is displayed.

(Notification of findings information)
FIG. 4 is a flowchart showing a flow of finding information notification in the present embodiment. In the present embodiment, the “number of important findings” is displayed as a part of the list information, and not only the doctor in charge recognizes the report information to be confirmed immediately, but also the report to which the finding information belongs every time the finding information is confirmed. The list information management means 52 has a function of subtracting and updating the “number of important findings” of the information and maintaining the identification display (in this case, color-coded display) of the report information including the unconfirmed finding information until the unconfirmed is resolved. Yes.

  As shown in FIG. 4, first, the list information management means 52 transmits the list information created by the list information creation means 521 in response to a request from the report confirmation terminal device 8, so that the list information becomes the report confirmation. It is displayed on the display means (not shown) of the terminal device 8 (step S21).

  Here, the determination means 522 confirms the finding information constituting the report information displayed on the display means of the report confirmation terminal device 8 on the screen of the display means of the report confirmation terminal device 8 (for example, the mouse 18 The confirmation information indicating that the confirmation operation is to be performed, and whether or not the confirmation information is transmitted depending on whether or not confirmation information indicating “confirmed” is transmitted from the report confirmation terminal 8 It functions as a means for recognizing.

  In addition, when the confirmation information is transmitted from the report confirmation terminal device 8, the determination unit 522 refers to the level of the finding information that is the confirmation target and determines whether to change the color-coded display according to the level. And instructing the list information creating means 521 to perform a process of subtracting the numerical value of the “number of important findings” on the list information. In addition, the determination of the color-coded display is performed by changing the report information identification display (color-coded display) when, for example, the finding information targeted for the confirmation information is the only high level among a plurality of pieces of finding information. Applicable in cases where That is, each time confirmation information is transmitted from the report confirmation terminal device 8, the determination means 522 determines how the display information of the list information is changed thereby, and the list information creation means 521 is overwritten with the list information. To do.

  Therefore, the determination means 522 first determines whether there is unconfirmed finding information included in the report information displayed in the list with reference to the “number of important findings” included in the list information (step S22).

  When it is determined that there is unconfirmed finding information with reference to the “number of important findings” included in the list information (step S22—Yes), and confirmation information is transmitted from the report confirmation terminal device 8 (step S23—Yes). The determination means 522 refers to the level of the finding information to be confirmed, determines whether to change the color-coded display according to the level (step S24), and sets the numerical value of the “number of important findings”. The list information creating unit 521 is instructed to perform the subtraction process (step S25) on the list information.

  After that, the determination unit 522 determines again whether there is unconfirmed finding information included in the report information displayed in the list with reference to the “number of important findings” included in the list information (step) S26). In this determination, if there is unconfirmed finding information (step S26-Yes), the process proceeds to a step (step S23) in which confirmation information is transmitted from the report confirmation terminal device 8 and there is no unconfirmed finding information (step S26). -No), the process ends.

  As described above, the present invention defines a series of operations for identifying and displaying (color-coded display) report information on the list information display screen until there is no unconfirmed finding information. By registering in advance in the PACS the address of the mobile terminal possessed by the attending physician in the hospital as part of the report information, the attending physician will possess it until the judging means determines that there is no unconfirmed finding information. A process for transmitting a message such as “There is an unconfirmed finding” to the address of the mobile terminal that performs the notification may be set as the notification means 523.

  According to the configuration described above, for each report information created, the level setting is made in the included finding information, and the contents of the level setting are displayed in the list information on the report confirmation terminal device of the doctor in charge, Makes it possible for the doctor in charge to confirm the findings (information) intended.

  In addition, since the doctor in charge is notified until the level-set finding information is confirmed, important report information can be surely confirmed by the doctor in charge.

(Other embodiments)
FIG. 8 is a list information screen example of the report confirmation terminal device 8 in another embodiment of the report creation system according to the present invention. As shown in FIG. 8, this list information screen is similar to the above-described embodiment, such as “patient ID” 201a, “name (patient name)” 201b, “examination (item)” 201c, and “number of important findings” 201d. Each item is extracted from the contents of the report information transmitted from the report creation terminal 6 and listed, and the report server 5 displays the number of “important findings” 201d for each level. May edit. By creating and displaying in this way, it is possible to determine not only the “number of important findings” displayed but also the breakdown of important findings at a glance.

  As another embodiment, when the report information is selected for the list information displayed on the screen, the confirmer uses the mouse 18 to identify the identification display portion (selected range at the time of finding input) of the displayed report information. A warning means may be provided that can be regarded as “confirmed” by clicking and that reduces the number of “important findings” displayed in the list information accordingly. It should be noted that the number of “important findings” is decreased, and when “0” is reached, the display of “number of important findings” may be normal display (for example, black for color-coded display). In the present invention, this operation performed by the CPU 11 is defined as warning means. This warning means is stored in the storage device 13 in the form of a program. By providing such warning means, the “significant findings” that were set by the creator when the report was created have not been confirmed and will be identified until confirmation is performed. Disappears. Further, as another function of this warning means, the portable terminal of the doctor in charge specified by the report information until the number of “important findings” (or the number of important findings at a specific level) becomes “0”. For example, a warning notification may be transmitted periodically.

  Furthermore, the level setting means in the above-described embodiment is a means for assisting in setting the level for the word / phrase specified as “important findings”, but a table in which the level of importance and the character data indicating the findings are associated with each other. May be provided in the storage device 13 of the report creation terminal 6, and the setting of the level may be assigned to the corresponding finding information from the character string constituting the word with reference to the table. The technique relating to this assignment can be achieved by using a so-called “text mining technique (for example, a search method described in Japanese Patent Laid-Open No. 2001-147937)”. In this way, the level setting means automatically assigns words and phrases preset in the table as “important findings”, so that the creator can concentrate on the input of findings, and the report information Labor during creation can be reduced, and as a result, the working efficiency of the system can be improved.

  In addition, when the level attached to the finding information such as “Level 1” is inputted as a search target, the “important finding search” function for extracting the report information to which the corresponding finding information belongs from the accumulated report information is provided as the report information. You may provide in the management means 51. FIG.

  Each above-mentioned embodiment is an example of the present invention, and the present invention is not limited to the above-mentioned embodiment. In addition, various modifications can be made according to the design and the like as long as they do not depart from the technical idea of the present invention.

  For example, in the above-described embodiment, the report creation system performed between an interpreting doctor using the report creation terminal device 6 and a doctor in charge using the report confirmation terminal device 8 has been described. It is also useful to apply this system to “consultation work”.

The block diagram which shows the structure in one Embodiment of the report preparation system which concerns on this invention. The block diagram which shows the structure of the report production terminal device 6 and the medical image viewer apparatus 7 in one Embodiment of the report production system which concerns on this invention. The sequence diagram which shows the flow at the time of report information preparation in one Embodiment of the report preparation system which concerns on this invention. The flowchart which shows the flow of notification of the finding information in one Embodiment of the report preparation system which concerns on this invention. The example of an observation input screen of the report preparation terminal device 6 in one Embodiment of the report preparation system which concerns on this invention. The example of an observation confirmation screen of the report confirmation terminal device in one embodiment of the report creation system concerning the present invention. The list information screen example of the report confirmation terminal device in one Embodiment of the report production system which concerns on this invention. The example of the list information screen of the report confirmation terminal device in other embodiments of the report creation system concerning the present invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 X-ray CT apparatus 2 MRI apparatus 3 X-ray diagnostic apparatus 4 Image storage communication apparatus (image DB)
5 Report Server 6 Report Creation Terminal 7 Medical Image Viewer 8 Report Confirmation Terminal 9 Hospital LAN
51 Report Information Management Unit 52 List Information Management Unit 521 List Information Creation Unit 522 Determination Unit 523 Notification Unit

Claims (7)

A medical image diagnostic apparatus for acquiring a medical image for each patient;
A report creation terminal device comprising report information creation means for creating report information including findings information classified into levels for the medical image;
The created report information is classified for each patient or examination item, and list information creating means for creating list information in which the quantity of the finding information included in each classified report information is associated with each report information is provided. A medical report server,
A report creation system comprising: a report confirmation terminal device that receives the list information from the medical report server and displays the list information on a display unit.   2. The report creation system according to claim 1, wherein report information to which the finding information belongs is color-coded according to the degree of the level and is displayed on the display means.   The report server is provided with determination means for determining whether or not the finding information has been confirmed, and notification is made until all of the finding information is confirmed by the confirmer by the report confirmation terminal device based on the determining means. The report creation system according to claim 1, further comprising a notification unit configured to perform notification.   The report generation system according to claim 3, wherein the notification is based on a change in the number of important findings by confirming the finding information.   5. The report creation system according to claim 3, wherein the notification is a change in color of a character string constituting report information to which the finding information belongs by confirming the finding information.   When associating the level with the finding information, the report creating terminal device is provided with level setting means for input support for inputting the color of the level and a numerical value of the associated finding information. The report creation system according to claim 1. A report creation terminal is provided with a table in which importance level and character data indicating findings are associated with each other, and level setting means for setting the level from the character data of the finding information to the corresponding finding information with reference to the table The report creation system according to claim 1, wherein the report creation system is provided in an apparatus.

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