JP2017029411A - Medical document preparation apparatus, control method therefor, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To efficiently prepare a diagnostic report.SOLUTION: A medical document preparation apparatus for assisting in preparation of a diagnostic report causes a display unit to display image information to be read, findings information, and diagnostic information, and correlations among the information, and determines the attribute information relating to attribute information acquired in response to a user operation, on the basis of association information which defines association among the attribute information sets. The medical document preparation apparatus collects findings information containing the determined attribute information and causes the display unit to display the collected findings information sets side by side.SELECTED DRAWING: Figure 4

Description

  The present invention relates to a medical document creation apparatus that creates a medical document such as a diagnostic report, a control method thereof, and a program.

  2. Description of the Related Art In recent years, the performance of medical imaging devices has been remarkably improved. Particularly, CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) have made it possible to obtain high-definition three-dimensional image data in a short time. With the high definition of image data, it has become possible to detect lesions that could not be detected in the past. On the other hand, as the image resolution, the imaging range / number of images per examination, and the number of imaging series increase, the amount of image data handled by medical personnel increases. Further, the number of inspections per facility per day continues to increase, and the increase in the amount of image data is spurring.

  Therefore, in “About promotion of team medical care by collaboration and cooperation of medical staff” (Medical Administration 0430 No. 1), as one of the further roles of clinical radiographers, “to assist in interpretation in image diagnosis” Is required. As an aid to interpretation by a medical radiographer, there is a pre-interpretation called “pre-interpretation”, which is a pick-up check by a clinical radiographer before interpretation. Further, development of image interpretation support technology called CADe (Computer Aided Detection) and CADx (Computer Aided Diagnosis) is also in progress. The image interpretation doctor performs image interpretation and makes an image diagnosis with reference to the pre-interpretation and the findings picked up by CADe as described above and the findings picked up from the image by himself / herself. Therefore, a system for efficiently creating a diagnostic report from the collected findings is disclosed.

  In the medical report system disclosed in Patent Document 1, an input area for inputting a plurality of findings and a check box for inputting an importance that is an evaluation value of subjective evaluation are provided for each finding. Findings whose check boxes are turned on are displayed in a predetermined display format, such as a higher display order on the report display screen. This makes it possible to easily create a medical report that can accurately convey the intention of the report creator.

  The medical report system of Patent Literature 2 is a system that displays in a predetermined display format such that the display order of findings with high importance is higher, as in Patent Literature 1. In Patent Document 2, the importance level is determined by providing a table in which diagnosis names and importance levels are associated in advance, reading diagnosis names from findings, and acquiring corresponding importance levels. That is, the importance is determined from the diagnosis name.

  In addition, the medical report creation support apparatus of Patent Document 3 includes an input area for inputting a plurality of findings and a finding sentence display area in which the findings are grouped, and the order of the findings displayed in the finding sentence display area is determined. It can be changed for each organ or organ. This makes it easy to control the storage form and display form of each finding sentence when integrating the finding sentences of various organs and various kinds, and can shorten the creation time of the medical report.

JP 2009-238038 A JP 2009-238039 A JP 2012-053632 A

  However, when considering the possibility of various diagnoses from a combination of a plurality of findings, Patent Document 1 merely arranges important findings at the top, and arranges and confirms the findings for each diagnosis possibility. Is not suitable. Moreover, since the method of patent document 2 needs to be diagnosed in a finding, it is not suitable for considering the possibility of a diagnosis from the finding in which a diagnosis is not attached. Further, the method of Patent Document 3 is not suitable for considering various diagnosis possibilities because the order of the findings is defined by the interpretation doctor's preference.

  The present invention has been made in view of the above problems, and an object thereof is to improve the efficiency of creating a diagnostic report.

In order to solve the above problems, a medical document creation apparatus according to an aspect of the present invention has the following configuration. That is,
A medical document creation device that supports creation of a diagnostic report,
Storage means for storing association information that defines a relationship between attribute information;
Display control means for displaying image information, findings information, and diagnostic information to be interpreted on the display unit and their correspondence;
Obtaining means for obtaining attribute information in response to a user operation;
Identifying means for identifying attribute information related to the attribute information acquired by the acquiring means based on the association information;
Collecting means for collecting finding information including attribute information specified by the specifying means,
The display control means arranges the findings information collected by the collecting means and displays them on the display unit.

  ADVANTAGE OF THE INVENTION According to this invention, preparation of a diagnostic report can be made efficient.

The figure which shows the structural example of the medical document preparation system by 1st thru | or 3rd Embodiment. The block diagram which shows the hardware structural example of a medical document preparation apparatus. The figure which shows the example of a display of the viewer screen of a medical document preparation apparatus. (A), (b) is a figure which shows the example of a display of the report screen of a medical document preparation apparatus. The block diagram which shows the function structural example of a medical document preparation apparatus. The figure which shows the data structural example of diagnostic report information. The figure which shows an example of the attribute correlation information by 1st Embodiment. The figure explaining the concept of the rearrangement of the item which concerns on 1st Embodiment. The figure explaining the concept of the rearrangement of the item which concerns on 1st Embodiment. The figure explaining the concept of the rearrangement of the item which concerns on 1st Embodiment. The figure explaining the concept of the rearrangement of the item which concerns on 1st Embodiment. The figure explaining the concept of the rearrangement of the item which concerns on 1st Embodiment. The flowchart explaining the main process of a medical document preparation apparatus. The flowchart which shows the rearrangement process of the item by a medical document preparation apparatus. The flowchart which shows the rearrangement process of the related item by a medical document preparation apparatus. The figure which shows an example of the attribute correlation information by 2nd Embodiment. The figure explaining the concept of the rearrangement of the item which concerns on 2nd Embodiment. The figure explaining the concept of the rearrangement of the item by 3rd Embodiment.

  Hereinafter, the present invention will be described in detail based on preferred embodiments with reference to the accompanying drawings. The configurations shown in the following embodiments are merely examples, and the present invention is not limited to the illustrated configurations.

<First Embodiment>
(System configuration)
FIG. 1 is a system configuration diagram of a medical document creation system including a medical document creation apparatus that supports creation of a diagnostic report according to the first embodiment. In FIG. 1, the PACS server 120 includes an image database (hereinafter, image DB 121) and is connected to the network 110. PACS is an abbreviation for “Picture Archiving and Communication System”. The PACS server 120 provides a function for another device connected to the network 110 to store / register an inspection image in the image DB 121 and to read out from the image DB 121 via the network 110. Here, the inspection image is a DICOM (Digital Imaging and Communications in Medicine) format image taken by CT or MRI. The report server 130 includes a report database (hereinafter referred to as a report DB 131) and is connected to the network 110. The report server 130 provides a function for another device connected to the network 110 to store a diagnostic report in the report DB 131 or to read out from the report DB 131 via the network 110. The diagnostic report creation terminal 100 reads and displays the examination image from the PACS server 120 and stores the diagnostic report input as a result of the interpretation in the report server 130.

(Hardware configuration)
FIG. 2 is a block diagram illustrating a hardware configuration example of the diagnostic report creation terminal 100 as the medical document creation apparatus according to the first embodiment.

  In FIG. 2, a ROM 201 (ROM is an abbreviation of Read Only Memory) stores a program for starting an OS such as a BIOS (Basic Input Output System). A CPU 202 (CPU is an abbreviation for Central Processing Unit) performs arithmetic processing when executing various programs. A RAM 203 (RAM is an abbreviation for Random Access Memory) temporarily stores various information when the CPU 202 executes a program. The storage medium 204 is a storage medium such as an HDD (Hard Disk Drive) that stores an OS (Operating System), a processing program, and various types of information of the medical document creation apparatus. An input I / F 205 (I / F is an abbreviation of interface) connects input devices such as a keyboard 210 and a mouse 220. The input I / F 205 is configured by a communication interface such as USB (Universal Serial Bus). The display I / F 206 is an interface for performing screen display on the first display 230-1 and the second display 230-2, and includes a graphic board and the like. A network I / F 207 corresponds to a standard such as IEEE (Institute of Electrical and Electronics Engineers) 802.3ab and is an interface for performing communication via the network 110. The internal bus 208 connects the above-described components so that they can communicate with each other.

(Screen display)
Next, screen display on the first display 230-1 and the second display 230-2 in the diagnostic report creation terminal 100 of the present embodiment will be described. FIG. 3A shows a display example of a viewer screen displayed on the first display 230-1 according to the present embodiment. FIG. 3B shows a display example of a report screen displayed on the second display 230-2 according to the present embodiment.

  In FIG. 3A, a viewer screen 310 is a screen for displaying an inspection image. In the viewer screen 310, a patient information area 311 is an area for displaying patient information such as patient name, patient ID, patient age, and sex. The displayed patient information is not limited to these. The examination information area 312 is an area for displaying examination information such as examination type, examination site, examination date, request purpose, and the like. The inspection information is not limited to these.

  Representative images 313-1 to 313-5 are images (reduced images) representing examination images (for example, series images) taken for the same patient. Medical images (for example, series images) corresponding to the representative images selected in accordance with the selection operation using the mouse 220 or the like are displayed as examination images 314-1 to 314-4. The inspection images 314-1 to 314-4 are inspection images (for example, series images) corresponding to the representative image selected from the representative image group. In the display of the examination image 314, the slice position to be displayed can be moved and the image display conditions can be changed, and a doctor who interprets an image interprets using the displayed examination image 314. In addition, a displayed image can be attached to a diagnostic report according to an input operation of a specific key from the keyboard 210. An annotation 315 added to the image clearly indicates the position of the lesion in the image. In the input frame 316, findings related to the image with the annotation 315 or the image attached to the diagnosis report are input. The input frame 316 is displayed, for example, when an annotation 315 is added to an image or when an image is attached to a diagnosis report, and an input of findings on the viewer screen 310 is accepted. Note that the finding input in the input frame 316 is used as a finding corresponding to the pasted image on the report screen 320.

  In FIG. 3B (a), the report screen 320 displays the diagnostic report being created. The patient information area 321 displays patient information such as the patient name, patient ID, patient age, and sex. However, the displayed patient information is not limited to these. The examination information area 322 is an area for displaying examination information such as examination type, examination site, examination date, request purpose, and the like. Note that the inspection information to be displayed is not limited to these. The pasted images 323-1 to 323-3 are images pasted on the diagnostic report, and generally, the interpretation doctor pastes an examination image representing a lesion on the diagnostic report. The pasting of the image on the diagnosis report is executed in accordance with a predetermined operation on the viewer screen 310 or an operation for assigning an annotation 315 or an ROI (Region of Interest).

  Findings 324-1 to 324-3 are findings related to the pasted images 323-1 to 233-3, respectively. The findings can be input in association with the pasted image according to the pasting of the image on the diagnostic report. In general, an interpreting physician inputs an objective fact that can be read from an image as a finding. Findings include not only those found by observation of images by an interpreting doctor but also those found by pre-interpretation by a medical radiographer and those found by image analysis (not shown) such as CADe. Diagnosis 325-1 and diagnosis 325-2 are diagnoses related to findings 324-1 and 324-2, respectively. The diagnosis can be input in accordance with the operation of a predetermined key during the input of findings. Generally, an interpreting physician inputs subjective information such as a disease determined from findings as a diagnosis. In this example, findings and diagnoses are associated one-to-one, but a plurality of diagnoses may be associated with one finding, a single diagnosis may be associated with a plurality of findings, or a combination thereof.

  Policy 326-1 is a policy associated with diagnosis 325-1. The policy can be input in accordance with an operation of a predetermined key or the like during diagnosis input. In general, an interpreting physician inputs information such as recommended examinations as a policy in accordance with a diagnosis result. The correspondence between the diagnosis and the policy may be one-to-many, many-to-one, or many-to-many as in the case of the findings and diagnosis. The interruption button 327 is selected when the diagnostic report is temporarily saved and the interpretation is interrupted. The confirm button 328 is selected when saving the diagnosis report in a confirmed state.

  FIG. 3B (b) is a diagram illustrating an example of a finding display of the medical document creation apparatus according to the first embodiment. In FIG. 3B (b), the finding 324-1 includes a folding button 331 for turning on / off folding display, a title 332 that is a text expression representing the finding, a natural sentence notation 333 for the finding, and an attribute table notation 334 for the finding. Including. When the fold button 331 is clicked, as shown in the findings 324-1 ', a transition is made to a fold display in which a part of the findings information is hidden. In the folding display of the present embodiment, the natural sentence notation 333 and the attribute table notation 334 of the finding 324-1 are hidden. The attribute values displayed in the attribute table notation 334 may be automatically extracted from natural sentences by a known language analysis method, or may be manually input by text input or menu selection. Further, the folding display is an example in which information is reduced and displayed, and other reduction methods such as reducing the character size may be used.

(Function block)
FIG. 4 is a functional block diagram of the medical document creation apparatus according to the first embodiment. In FIG. 4, an image display unit 411 and a report display unit 412 display image information, finding information, and diagnostic information to be interpreted on the first display 230-1 and the second display 230-2 and their correspondence on the display unit. It functions as a display control unit. The image display unit 411 reads patient information, examination information, and image data from the image DB 121 of the PACS server 120, creates a viewer screen 310, and displays it on the first display 230-1. Although not shown in FIG. 4, reading of image data from the image DB 121 is performed via the network 110. The report display unit 412 reads patient information, examination information, and diagnosis report information from the report DB 131 of the report server 130, creates a report screen 320, and displays the report screen 320 on the second display 230-2. The diagnosis report information will be described later with reference to FIG. Although not shown in FIG. 4, reading of the diagnostic report information 500 from the report DB 131 is performed via the network 110. In the case of new creation, the diagnostic report information is empty. In addition, the results of pre-interpretation by the medical radiographer and the findings (image information and findings information) picked up by CADe are associated with the patient information and examination information, and are stored in the report DB 131 as diagnostic report information.

  The image pasting unit 413 pastes an image being displayed on the viewer screen 310 to a report based on a predetermined operation input from the keyboard 210 or the mouse 220. The operation input is, for example, an operation of pressing an “Insert” key, selecting a menu (not shown), or giving an annotation 315. The finding input unit 414 enables text input of the finding associated with the image using the keyboard 210 or the like according to the image pasting operation. For example, the findings are input to the input area 316 displayed on the viewer screen 310 or the input area of the findings 324 associated with the attached image on the report screen 320. The diagnosis input unit 415 displays a diagnosis input frame associated with the finding on the report screen 320 according to a predetermined operation input during the input of the finding, and enables text input of the diagnosis 325 using the keyboard 210 or the like. . Here, the predetermined operation input is, for example, an operation of pressing a “TAB” key or selecting a menu (not shown). The policy input unit 416 displays a policy input frame associated with the diagnosis on the report screen 320 according to a predetermined operation input during diagnosis input, and enables text input of the policy 326 using the keyboard 210 or the like. . Here, the predetermined operation input is, for example, an operation of pressing a “TAB” key or selecting a menu (not shown).

  The report storage unit 423 stores the image pasted by the image pasting unit 413, the finding input unit 414, the diagnosis input unit 415, and the findings, diagnosis, and policy input by the policy input unit 416 in the report DB 131 as diagnostic report information. . Although not shown in FIG. 4, the diagnosis report information 500 as shown in FIG. 5, for example, is stored in the report DB 131 via the network 110.

  The item selection unit 417 selects at least one item input by the finding input unit 414 or the diagnosis input unit 415, specifically, a finding or diagnosis based on a predetermined operation input on the report screen 320. The operation is, for example, a left click operation on an item with the mouse 220. The attribute information acquisition unit 419 acquires the attribute information of the item selected by the item selection unit 417 from the report DB 131. The item attribute information will be described later with reference to FIG. The attribute association information storage unit 430 stores attribute association information 600 for defining association between attributes. The attribute association information 600 will be described later with reference to FIG. The related attribute information acquisition unit 420 acquires an attribute related to the attribute acquired by the attribute information acquisition unit 419 based on the attribute association information 600 stored in the attribute association information storage unit 430.

  The rearrangement operation detection unit 418 detects a rearrangement operation based on a predetermined operation input on the report screen 320. Here, the predetermined operation input is, for example, a menu selection operation using an operation menu 701 described later with reference to FIGS. 7A to 7E. The arrangement order determination unit 421 determines the arrangement order of items based on the attribute information acquired by the related attribute information acquisition unit 420 according to the rearrangement operation detected by the rearrangement operation detection unit 418. The arrangement order is determined so that the item having the attribute information acquired by the related attribute information acquisition unit 420 becomes a display position arranged in the vicinity of the item selected by the item selection unit 417. Note that the arrangement order determination method will be described later with reference to the flowcharts of FIGS. The item rearrangement unit 422 changes the display position of items displayed on the report screen 320 by the report display unit 412 based on the arrangement order determined by the arrangement order determination unit 421 and performs the rearrangement.

(Diagnostic report information)
FIG. 5 is an example of diagnosis report information of the medical document creation apparatus according to the first embodiment. The diagnostic report information 500 as shown in FIG. 5 is stored in the report DB 131. In FIG. 5, diagnosis report information 500 includes report information, patient information, examination information, a plurality of images, a plurality of findings, a plurality of diagnoses, a plurality of policies, and a plurality of related information. Further, the report information includes information of report ID, interpretation doctor, and photographing date / time. The patient information includes patient name, patient ID, patient age and sex information. The examination information includes an examination type, an examination site, an examination date, and a request purpose. The image also includes a UID (Unique Identifier) that uniquely identifies the item and ROI information indicating the position of the lesion. The findings include the UID, the natural text of the findings, the part name that is the attribute information, and the lesion type information. The diagnosis includes a diagnosis name which is a UID, a natural sentence, and attribute information. The policy includes a UID and a natural sentence. The related information is information that defines a relationship between an image and a finding, a finding and a diagnosis, and a diagnosis and a policy. Note that the annotation 315 in FIG. 3 is held as attribute information of an image, similarly to the ROI information. In this embodiment, the policy does not have attribute information, but may have attribute information such as an examination type.

(Attribute association information)
FIG. 6 is an example of attribute association information indicating a related structure in the medical document creation apparatus according to the first embodiment. The attribute association information 600 as shown in FIG. 6 is stored in the attribute association information storage unit 430. The attribute association information defines an association between attribute information, and each attribute information includes a combination of an attribute type and an attribute value. As shown in FIG. 6, the attribute association information of this embodiment defines the association between attribute information of different attribute types. For example, an association between attribute information whose attribute type is a diagnosis name and attribute information whose attribute type is a part name is defined. According to the example of the attribute association information 600 shown in FIG. 6, an attribute whose diagnosis name is “multiple lung metastases” and an attribute whose site name attribute value includes “lung” are associated with each other. Further, an attribute having a diagnosis name “lung cancer” and an attribute value having attribute values of “lung”, “brain”, “bone”, “liver”, and “adrenal gland” are associated with each other. As described above, the attribute association information 600 defines a diagnosis name and a part to be confirmed regarding the diagnosis name when a certain diagnosis is suspected. For example, when the diagnosis name is “lung cancer”, a site where a primary lesion may be present and a site where a metastatic lesion may be present are associated. In this embodiment, the attribute association information 600 is defined in advance. However, the diagnosis and part association are extracted from a diagnosis report or a paper created in the past by a method such as machine learning. It may be constructed.

(Sort items)
7A to 7E are diagrams for explaining the concept of rearrangement of the medical document creation apparatus according to the first embodiment. FIG. 7A shows an example of a report displayed on the report screen 320 when the sorting of the parts is performed without selecting an item (any one of image, finding, and diagnosis). By rearranging, the associated information is simultaneously displayed in the display area of the report screen 320. In FIG. 7A, the pasted images 323-1 to 323-16 are images pasted on the diagnosis report, the findings 324-1 to 324-16 are the findings input for each pasted image, and the diagnosis 325-1 is the findings 324-1. It is a diagnosis input corresponding to. An operation menu 701 is a user interface for performing operation input such as rearrangement. The left side of FIG. 7A shows the report before sorting, and the right side shows the report after sorting. FIG. 7A shows that in the operation menu 701, sorting the findings in the order of the parts (reordering (order of the parts)) is selected. The rearrangement operation is not limited to the operation menu 701, and the rearrangement may be executed based on the selection operation of the diagnosis 325-1.

  When “reorder (order of parts)” in the operation menu 701 is selected in a state in which no item is selected, the related attribute information acquisition unit 420 does not acquire related attributes, so the arrangement order determination unit 421 displays the entire findings. Sort by site order. In the present embodiment, the arrangement order of the parts is based on the order of appearance first in the arrangement before the rearrangement. However, the arrangement order of the parts is not limited to this, and attribute information defining the order of the parts may be included and determined based on the information. Further, the order of the parts may be determined using a dictionary having known anatomical information, for example. First, the arrangement order determination unit 421 determines the arrangement order so that findings having attribute information including “lung” as the attribute value of the part name are collectively displayed as findings relating to “lung”. As a result, in the example of FIG. 7A, finding 324-1 having the part name “left upper lobe”, finding 324-2 having “upper lung field”, and finding 324-13 having “left lung S1 + 2” "Are collectively displayed as findings related to" Subsequently, the arrangement order determining unit 421 determines the arrangement order so that findings having attribute information including the attribute value of the part name including “stomach” are collectively displayed as findings relating to “stomach”. In the example of FIG. 7A, findings 324-4, 324-12, and 324-15 each having “gastric fistula side”, “gastric cardia part”, and “gastric body front wall” are summarized as findings relating to “stomach”. Is displayed. Similarly, findings 324-6 and 324-8 having “pancreatic head” and “pancreatic body part” are collectively displayed as findings relating to “pancreas”, and the same applies to other parts. Moreover, according to the change of the arrangement order of findings, the images, diagnosis, and policies associated with the findings are rearranged so as to follow the findings.

  FIG. 7B shows an example of a report displayed on the report screen 320 when items are selected and rearranged in the part order. In FIG. 7B, elements similar to those in FIG. 7A are given the same reference numerals. The left side shows the report before sorting, and the right side shows the report after sorting. In addition, in the operation menu 701, it is shown that the rearrangement in the order of parts has been selected. The thick frame of the diagnosis 325-1 indicates that the item is selected.

  When the item (diagnosis in FIG. 7B) is selected and “sort (order of parts)” in the operation menu 701 is selected, the related attribute information acquisition unit 420 is selected with reference to the attribute association information 600. Get the attribute associated with the item. Then, the arrangement order determining unit 421 collects and arranges findings having related attributes in the vicinity of the selected item, and rearranges the collected and arranged items in the order of the parts. The arrangement in the part order is as described above, and may be determined using the order before the rearrangement, may be determined using attribute information that defines the arrangement order, or may be known anatomical. It may be determined using a dictionary having such information.

  In the example of FIG. 7B, the diagnosis 325-1 is selected, and the diagnosis name “lung cancer” is obtained as the related source attribute information. The related attribute information acquisition unit 420 refers to the attribute association information 600 and acquires the region names “lung”, “brain”, “bone”, “liver”, and “adrenal gland” associated with the diagnosis name “lung cancer”. The arrangement order determining unit 421 determines the arrangement order of findings based on the acquired part names. That is, the arrangement order determination unit 421 diagnoses the findings 325-2, 324-13, 324-3, 324-4, 324-12, and 324-15 related to the attribute acquired by the related attribute information acquisition unit 420. 1 is grouped and arranged for each part in the vicinity of 1. Here, since the finding 324-1 associated with the diagnosis 325-1 is a finding of “lung”, the findings 324-2 and 324-13 of “lung” are arranged closest.

  FIG. 7C shows an example of a report displayed on the report screen 320 when items are selected and the lesions are rearranged in order of size. In FIG. 7C, the pasted images 323-21 to 323-28 are images pasted on the diagnosis report, the findings 324-21 to 324-28 are the findings input for each pasted image, and the diagnoses 325-21 are findings 324-21. It is a diagnosis input corresponding to. Similar to FIG. 7A, the left side shows the report before sorting and the right side shows the report after sorting. Further, FIG. 7C shows that “reordering (in order of size)”, that is, rearranging in the order of size of the lesion is selected in the operation menu 701.

  When “reorder (size order)” in the operation menu 701 is selected in a state where an item is selected, the related attribute information acquisition unit 420 refers to the attribute association information 600 and acquires related attributes. Then, the arrangement order determining unit 421 collects and arranges findings having related attributes in the vicinity of the selected item, and rearranges them so that they are in the order of the size of the lesion. If there is a lesion having no size, the arrangement order determining unit 421 arranges it at a predetermined position, for example, at a lower level.

  In the example of FIG. 7C, the diagnosis 325-21 is selected, and the diagnosis name “lung cancer” is obtained as the related source attribute information. The related attribute information acquisition unit 420 refers to the attribute association information 600 and acquires the region names “lung”, “brain”, “bone”, “liver”, and “adrenal gland” associated with the diagnosis name “lung cancer”. The arrangement order determining unit 421 determines the arrangement order of findings based on the acquired part names. In other words, the arrangement order determination unit 421 has the findings 324-28, 324-27, 324-23, 324-22, 324-26, 324-24, and 324-25 related to the attributes acquired by the related attribute information acquisition unit 420. Is placed in the vicinity of the diagnosis 325-21. Here, the arrangement order determining unit 421 rearranges the findings in the order of the size of the lesion within the range of the findings having the related attributes. In addition, the arrangement order determination unit 421 rearranges findings having no associated attribute within the range in the order of the lesion size. In the example of FIG. 7C, the finding 324-28 having the largest lesion size among related findings, “45 mm”, is placed closest to the diagnosis 325-21.

  FIG. 7D shows an example of a report displayed on the report screen 320 when an item is selected and the lesions are rearranged in order of size. In FIG. 7D, elements similar to those in FIG. 7C are denoted by the same reference numerals. Similar to FIG. 7C, the left side shows the report before sorting and the right side shows the report after sorting. In the operation menu 701, “reorder (part / size order)” is selected.

  When the item (diagnosis 325-21 in FIG. 7D) is selected, when “reordering (part / size order)” in the operation menu 701 is selected, the related attribute information acquisition unit 420 displays the attribute association information 600. Get related attributes by referring. The arrangement order determining unit 421 collects and arranges findings having related attributes in the vicinity of the selected item, and rearranges them so that they are in the order of the size of the lesion. A lesion that does not have a size is placed at a predetermined position, for example, at a lower position.

  In the example of FIG. 7D, as in FIG. 7C, the related attribute information acquisition unit 420 uses the region names “lung”, “brain”, “bone”, “” as attributes related to the diagnosis name “lung cancer” of the diagnosis 325-21. Acquires the attributes of "liver" and "adrenal gland". The arrangement order determination unit 421 diagnoses the findings 324-28, 324-27, 324-23, 324-22, 324-26, 324-24, and 324-25 associated with the attributes acquired by the related attribute information acquisition unit 420. It arranges in the vicinity of 325-21. Here, the arrangement order determination unit 421 rearranges the findings for each part and in the order of the size of the lesion within the range of the findings having the related attributes. In addition, the arrangement order determination unit 421 rearranges the findings that do not have a related attribute for each part and in the order of the size of the lesion within the range. In the example of FIG. 7D, in the group of “lung” findings 324-27 and 324-22, and in the group of “adrenal” findings 324-28 and 234-25, the lesions are also grouped in the same manner for each region. It shows how they are sorted in order of size.

  FIG. 7E shows an example of a report displayed on the report screen 320 when items are selected and the lesions are sorted in the same order as in FIG. 7C. However, in FIG. 7E, instead of the findings 324-23 (attached image 323-23) and findings 324-28 (attached image 323-28) in FIG. 7C, findings 324-31 (attached image 323-31) and findings 324 -32 (pasted image 323-32) exists. Findings 324-31 and 324-32 have a cystic lesion as an attribute of the lesion type.

  In FIG. 7E, when sorting in the size order (“sorting (size order)” in the operation menu 701) is selected in a state where the item is selected, the related attribute information acquisition unit 420 is the same as in FIG. 7C. Get related attributes. Then, the arrangement order determination unit 421 collects and arranges findings having related attributes in the vicinity of the selected item, and rearranges them so that they are in the order of the size of the lesion. A lesion having no size is arranged at a predetermined position, for example, at a lower level. In FIG. 7D, the findings are grouped for each part and arranged in order of size, whereas in FIG. 7E, the findings are grouped for each lesion type and arranged in order of size. That is, in the example of FIG. 7E, sorting is performed in the order of size among findings 324-27, 324-31, 324-26, 324-24, and 324-25 where the attribute value of the lesion type is a mass lesion. It has been broken. In addition, sorting is performed in order of size among the findings 324-31 and 324-32 in which the attribute value according to lesion appearance is a cystic lesion. As an item of the operation menu 701, an item “reorder (order of lesion type / size)” instructing to perform rearrangement as shown in FIG. 7E may be added.

(Main processing flow)
FIG. 8 is a flowchart showing main processing of the medical document creation apparatus according to the first embodiment. When the main process is started, the image display unit 411 displays the viewer screen 310 (S801), and then the report display unit 412 displays the report screen 320 (S802). Thereafter, in S803 to S811, the presence / absence of various operations from the keyboard 210 and the mouse 220 is determined, and processing corresponding to the detected operations is executed.

  When the display operation on the viewer screen 310 is detected (YES in S803), the image display unit 411 updates the display on the viewer screen 310 based on the detected operation content (S821). Here, the display operation is, for example, changing a displayed slice or series, changing an image display condition, changing an image layout, giving an annotation or an ROI, and the like.

  If the image pasting unit 413 detects an image pasting operation (YES in S804), the image pasting unit 413 pastes an image on the report (S822), and the finding input unit 414 displays the input frame of the finding (S823). The input frame for the findings to be displayed is an input frame for inputting the input frame 316 of the viewer screen 310 and the findings 324 in the observation column of the report screen 320. When finding input operation is detected (YES in S805), the finding input unit 414 displays the finding (text) input in the finding input frame displayed in S823, and stores the input finding in the report (S824). ). Here, “store the findings in the report” may be stored in a memory such as the RAM 203 or the storage medium 204 as a report being created, or may be stored in the report DB 131.

  When the item selection unit 417 detects an item selection operation (YES in S806), the item selection unit 417 stores the selected item (S825). In the item selection operation, an item is selected in any one of an image, a finding, a diagnosis, and a policy on the report screen 320. For example, when the diagnosis 325-1 is selected as shown in FIG. 7B by the item selection operation with the mouse 220, the item selection unit 417 stores this as the selected item and indicates that it is selected. Change the display format. When the rearrangement operation detection unit 418 detects a rearrangement operation (YES in S807), the rearrangement order determination unit 421 and the item rearrangement unit 422 perform rearrangement processing described later with reference to FIG. 9 (S826). By the rearrangement process, rearrangement as illustrated in FIGS. 7A to 7E is executed. The rearrangement operation is detected by detecting designation of an item in the operation menu 701.

  When the diagnosis input unit 415 detects a diagnosis input operation (YES in S808), the diagnosis input unit 415 stores the input diagnosis in a report (S827). When the policy input unit 416 detects a policy input operation (YES in S809), the policy input unit 416 stores the input policy in a report (S828). When the report storage unit 423 detects a confirming operation (pressing the confirm button 328) (YES in S810), the report storage unit 423 stores the report being created as a confirmed state in the report DB 131 (S829), and ends the process. In addition, when the report saving unit 423 detects an interruption operation (pressing of the interruption button 327) (YES in S811), the report saving unit 423 saves the report being created as a temporary saving state in the report DB 131 (S830), and ends the process.

(Item sorting process flow)
FIG. 9 is a flowchart of the item rearrangement process (S826) of the medical document creation apparatus according to the first embodiment. When the item rearrangement process is started, the rearrangement operation detection unit 418 determines whether the type of the rearrangement operation is a part order display operation (S901), a size order display operation (S902), and each part. It is confirmed whether or not the operation is in order of size (S903). It should be noted that the designation of “Sort (part order)”, “Sort (size order)”, “Sort (part order / size order)” in the operation menu 701 is a part order display operation and a size order display, respectively. Corresponds to the operation and the size order display operation for each part.

  When the part order display operation is detected (YES in S901), the arrangement order determination unit 421 confirms the presence / absence of a selection item (the presence / absence of an item selected from image, findings, and diagnosis information) (S911). When there is no selection item (NO in S911), the arrangement order is determined so that the display positions are arranged in close proximity to the same part (S912), and the process proceeds to S904. As described above, the arrangement order is changed as shown in FIG. 7A. On the other hand, when there is a selection item (YES in S911), the arrangement order determination unit 421 performs related item rearrangement processing described later with reference to FIG. 10 (S921). In the related item rearrangement process, as described above with reference to FIG. 7B and the like, the attribute association information 600 is referred to, and the findings are the findings having the attributes related to the selected item (items having related attributes). Categorize into no findings (groups of items with no associated attributes). Further, the arrangement order determination unit 421 determines the arrangement order so that the display positions are arranged in close proximity to the same part in each of the item group having the related attribute and the item group having no related attribute ( S922), the process proceeds to S904. As described above, the arrangement order as shown in FIG. 7B is changed.

  When a size order display operation is detected (YES in S902), the arrangement order determination unit 421 confirms the presence / absence of a selection item (S931). If there is no selection item (NO in S931), the arrangement order is determined so that the size of the lesion becomes the display position arranged in descending order (S932), and the process proceeds to S904. When there is a selection item (YES in S931), the arrangement order determination unit 421 performs related item rearrangement processing described later with reference to FIG. 10 (S941). Furthermore, the arrangement order determination unit 421 determines the arrangement order so that the size of the lesion is the display position arranged in descending order in each of the item group having the related attribute and the item group not having the related attribute. (S942), the process proceeds to S904. By determining the arrangement order in S941 and S942, the arrangement order is changed as shown in FIG. 7C.

  When a size order display operation for each part is detected (YES in S903), the arrangement order determination unit 421 confirms the presence / absence of a selection item (S951). If there is no selection item (NO in S951), the arrangement order determination unit 421 determines the arrangement order so that the display positions are arranged in close proximity to the same part (S952). Furthermore, the arrangement order determination unit 421 determines the arrangement order so that the lesion sizes are the display positions arranged in descending order within the adjacent items of the same site (S953), and the process proceeds to S904. When there is a selection item (YES in S951), the arrangement order determination unit 421 performs related item rearrangement processing described later with reference to FIG. 10 (S961). Further, the arrangement order determination unit 421 determines the arrangement order so that the display positions are arranged in close proximity to the same part in each of the item group having the related attribute and the item group having no related attribute ( S962). Furthermore, the arrangement order determination unit 421 is a display position where the sizes of lesions are arranged in descending order within the item group having the related attribute and the item group having no related attribute and the same part close to each other. The arrangement order is determined (S963), and the process proceeds to S904. By determining the arrangement order in S961 to S963, the arrangement order is changed as shown in FIG. 7D.

  The item rearrangement unit 422 changes the display position of the items based on the arrangement order determined above and rearranges and displays them (S904). At this time, the report display unit 412 simultaneously displays the collected findings information (item group having attributes related to the selected item) in a predetermined display area for displaying the relationship between images, findings, diagnosis, and policies. Control to be in the state. When all of the collected findings information (items having attributes related to the selected item) cannot be displayed simultaneously in one display area (NO in S905), the findings are changed to the folded display described in FIG. (S971), and the process ends. This will display more collected findings simultaneously. If all items having related attributes can be displayed on the display screen (YES in step S905), the process ends without changing the display mode of the findings. Note that the item rearrangement unit 422 may highlight an item group having a related attribute. Moreover, you may hide or display the item group which does not have an associated attribute. In addition, when all items having attributes related to the selected item cannot be displayed on one display screen, all items of the item group are displayed on one display screen by reducing the item group. Also good. In this case, the reduction rate may be limited, and if all items cannot be displayed on one display screen even with the maximum reduction rate, the portion that cannot be displayed may be displayed by scrolling. Alternatively, the items may be displayed by scrolling, and the display mode may not be particularly changed even if not all items having attributes related to the selected item can be displayed on one display screen.

  FIG. 10 is a flowchart of the related item rearrangement processing (S921, S941, S961) of the medical document creation apparatus according to the first embodiment. In the related item rearrangement process, related attribute information is identified based on the attribute information acquired in response to a user operation and the association information 600, finding information including the identified attribute information is collected, and the collected finding information is collected. Are displayed side by side. When the related item rearrangement process is started, the attribute information acquisition unit 419 acquires attribute information (for example, diagnosis name: lung cancer) whose attribute type is the diagnosis name from the item (for example, diagnosis information) selected by the item selection unit 417. (S1001). The related attribute information acquisition unit 420 acquires attribute information related to the attribute information acquired by the attribute information acquisition unit 419 based on the acquired attribute information (diagnosis name: lung cancer) and the attribute association information 600 (S1002). For example, when the attribute information acquisition unit 419 acquires the diagnosis name “lung cancer”, the region names “lung”, “brain”, “bone”, “liver”, and “adrenal” are acquired as related attribute information. Subsequently, the arrangement order determination unit 421 arranges the item group having the related attribute information acquired in S1002 (finding information including the related attribute information and related image information and diagnostic information) in the vicinity of the selected item. The arrangement order is determined so as to be the display position to be displayed (S1003), and the process ends.

  As described above, according to the first embodiment, findings that may have a relationship with the selection item diagnosis are collected and displayed near the selection item according to the selection item (for example, diagnosis). Therefore, it is possible to improve the ease of judgment of diagnosis and to improve the efficiency of creating a diagnosis report. In particular, it is possible to improve the ease of diagnosis when a large amount of findings are picked up by a medical radiographer, CADe, or the like other than the interpretation doctor himself. Furthermore, according to the present embodiment, findings that may have a relationship are rearranged in order of lesion size for each part, thereby improving the ease of finding the findings and finding the important lesions. effective. In other words, the interpreting doctor who is a user can rearrange suitable findings according to the situation in which the diagnosis is considered, thereby improving the ease of diagnosis and improving the efficiency of creating a diagnostic report. be able to.

Second Embodiment
In the second embodiment, a medical document creation apparatus capable of expressing an attribute related to an attribute of a selection item by a product of a plurality of attributes will be described. The system configuration related to the medical document creation apparatus according to the second embodiment and the hardware configuration of the medical document creation apparatus are the same as those in the first embodiment (FIGS. 1 and 2). The viewer screen and report screen of the medical document creation apparatus according to the second embodiment are the same as those in the first embodiment (FIGS. 3A and 3B (a)). The functional blocks of the medical document creation apparatus according to the second embodiment and the data structure of the diagnosis report information are the same as those in the first embodiment (FIGS. 4 and 5). Further, the main process, item rearrangement process, and related item rearrangement process of the medical document creation apparatus according to the second embodiment are the same as those in the first embodiment (FIGS. 8, 9, and 10). Note that items denoted by the same reference numerals as those described in the first embodiment have similar operations and functions unless otherwise specified.

(Attribute association information in the second embodiment)
FIG. 11 is a diagram illustrating an example of attribute association information of the medical document creation apparatus according to the second embodiment. In FIG. 11, the attribute association information 600a includes association source attribute information and a plurality of association destination attribute information. Further, each of the related source attribute information and the plurality of related destination attribute information includes an attribute type and an attribute value. The example shown in FIG. 11 indicates that an attribute whose diagnosis name is “multiple lung metastases” and an attribute whose site name is “lung” and whose lesion type is “mass lesion” are related. The diagnosis name is “lung cancer”, the site name is “lung”, the lesion type is “mass lesion”, the site name is “lung”, and the lesion type is “nodular lesion”. Indicates that attributes are related. The attribute association information 600a is defined based on, for example, a region to be confirmed and a lesion type when a certain diagnosis is suspected. In this embodiment, the attribute association information 600a is defined in advance, but is automatically extracted from diagnostic reports and papers created in the past by a method such as machine learning or data mining. Also good.

(Reordering in the second embodiment)
FIG. 12 is a diagram for explaining the concept of rearrangement in the medical document creation apparatus according to the second embodiment. FIG. 12 shows an example of a report displayed on the report screen 320 when items are selected and rearranged in the site order. In FIG. 12, the pasted images 323-41 to 323-53 are images pasted on the diagnosis report, the findings 324-41 to 324-53 are the findings input for each pasted image, and the diagnosis 325-41 is the findings 324-41. The diagnosis entered for. In FIG. 12, the left side shows the report before sorting, and the right side shows the report after sorting. In addition, FIG. 12 shows that rearrangement in the order of parts is selected in the operation menu 701 (“reordering (order of parts)” is designated). A thick frame of the diagnosis 325-41 indicates that the item is selected.

  When “reorder (part order)” in the operation menu 701 is selected in a state where an item is selected, the related attribute information acquisition unit 420 refers to the attribute association information 600a and acquires related attributes. Then, the arrangement order determining unit 421 collects and arranges findings having related attributes in the vicinity of the selected item, and rearranges them so that they are in the part order. The arrangement of the part order may be determined using the order before the rearrangement, may be determined using attribute information that defines the arrangement order, or a dictionary having known anatomical information is used. May be determined.

  In the example of FIG. 12, the diagnosis 325-41 is selected, and the diagnosis name “lung cancer” is obtained as the related source attribute information. In S <b> 1002, the related attribute information acquisition unit 420 refers to the attribute association information 600 a, and includes an attribute and a region whose region name is “lung” and whose lesion type is “massic lesion” as an attribute associated with the diagnosis name “lung cancer” An attribute or the like whose name is “lung” and whose lesion type is “nodular lesion” is acquired. The arrangement order determination unit 421 arranges the findings 324-42, 324-49, and 324-52 related to the attributes acquired in this way in the vicinity of the diagnosis 325-41 that is the selected item for each part. .

  As described above, according to the second embodiment, according to the selected diagnosis, findings that may be related to the diagnosis are collected and displayed in the vicinity of the selected diagnosis. This improves the ease of use and improves the efficiency of creating a diagnostic report. In particular, it is possible to improve the ease of diagnosis when a large amount of findings are picked up by a medical radiographer, CADe, or the like other than the interpretation doctor himself. Furthermore, according to the second embodiment, the attribute related to the attribute of the selection item can be expressed by the product of a plurality of attributes, and there is an effect that a more relevant finding can be arranged in the vicinity. In the above embodiment, “part” and “lesion type” are used as the product of attributes, but the present invention is not limited to such a combination.

<Third Embodiment>
In the third embodiment, a medical document creation apparatus capable of specifying request information as a selection item will be described. The system configuration of the medical document creation system including the medical document creation apparatus according to the third embodiment, the hardware configuration of the medical document creation apparatus, the viewer screen, and the report screen are the same as those in the first embodiment (FIGS. 1, 2, and 3A and FIG. 3B (a)). The functional blocks, diagnosis report information, and attribute association information of the medical document creation apparatus according to the third embodiment are the same as those in the first embodiment (FIGS. 4, 5, and 6). Further, the main processing, item rearrangement processing, and related item rearrangement processing of the medical document creation apparatus according to the third embodiment are the same as those of the first embodiment (FIGS. 8, 9, and 10).

(Sort items in the third embodiment)
FIG. 13 is a diagram for explaining the concept of rearrangement by the medical document creation apparatus according to the third embodiment. FIG. 13 shows an example of a report displayed on the report screen 320 when items are selected and rearranged in the part order. However, the item selected is for the purpose of request. In FIG. 13, pasted images 323-61 to 323-70 are images pasted on the diagnosis report, and findings 324-61 to 324-70 are findings inputted for each pasted image. The requested purpose information 1301 is information input when the clinician requests interpretation, and is described as a part of examination information on the report screen 320 and displayed in the examination information area 322. In FIG. 13, the left side shows a report before rearrangement, and the right side shows a report after rearrangement. The operation menu 701 indicates that sorting in the order of parts has been selected ("sorting (order of parts)" has been selected). The thick frame of the request purpose information 1301 indicates that the item is selected, and further indicates that the shaded character string “suspected lung cancer” is selected.

  When “reorder (order of parts)” is selected from the operation menu 701 in a state where the character string of the request purpose information 1301 is selected, rearrangement in the order of parts is executed. At this time, in S1001, the attribute information acquisition unit 419 extracts and acquires attributes from the character string selected from the request purpose information 1301. The attribute extraction can be realized by extracting from the natural sentence of the requested purpose information 1301 by a known language analysis method. Based on the attribute acquired in this way, the related attribute information acquisition unit 420 acquires a related attribute (S1002), and collects and arranges findings having the related attribute in the vicinity of the selected item (S1002). Then, the arrangement order determination unit 421 rearranges them so that they are in the part order (S922). The arrangement of the parts is determined using a dictionary having known anatomical information.

  In the example of FIG. 13, the related attribute information acquisition unit 420 uses the part name “lung”, “brain”, and the like as attributes related to the diagnosis name “lung cancer” acquired from the request purpose information 1301 by referring to the association information 600. Get the attributes of “bone”, “liver”, and “adrenal”. Arrangement order determination unit 421 uses findings 324-62, 324-68, 324-69 related to related attributes acquired by related attribute information acquisition unit 420, for example, in the vicinity of request purpose information 1301 (for example, the uppermost part). ) And put together for each part.

  As described above, according to the third embodiment, by specifying request information or the like as a selection item, findings that may be related to the purpose of the request are collected, and it is easy to make a diagnosis suitable for the purpose of the request. effective.

  As described above, according to each of the above embodiments, according to the selected diagnosis, findings that may be related to the diagnosis are collected and displayed in the vicinity of the selected diagnosis. This improves the ease of use and improves the efficiency of creating a diagnostic report. In particular, it is possible to improve the ease of diagnosis when a large amount of findings are picked up by a medical radiographer, CADe, or the like other than the interpretation doctor himself.

  In the above-described embodiment, the case where the diagnosis is selected by the user operation and the sorting is performed is shown. However, the finding may be selected by the user operation and the sorting may be performed. In that case, the related attribute information acquisition unit 420 and the arrangement order determination unit 421 collect attribute information related to the attribute information included in the selected finding information in the processing of S1001 to S1003 in FIG. In the above embodiment, the related source attribute information and the related destination attribute information associated in the attribute association information 600 have different attribute types (for example, a diagnosis name and a part name). Attribute information may be associated.

<Other embodiments>
Although the embodiment has been described in detail above, the present invention can take an embodiment as a system, apparatus, method, program, recording medium (storage medium), or the like. Specifically, the present invention may be applied to a system composed of a plurality of devices (for example, a host computer, an interface device, an imaging device, a web application, etc.), or may be applied to a device composed of a single device. good.

  Further, the present invention supplies a program that realizes one or more functions of the above-described embodiment to a system or apparatus via a network or a storage medium, and one or more processors in a computer of the system or apparatus execute the program. It can also be realized by a process of reading and executing. It can also be realized by a circuit (for example, ASIC) that realizes one or more functions.

100: diagnostic report creation terminal, 120: PACS server, 130: report server, 310: viewer screen, 320: report screen, 323: pasted image, 324: findings, 325: diagnosis, 326: policy, 413: image pasting unit, 414: Observation input unit, 415: Diagnosis input unit, 416: Policy input unit, 417: Item selection unit, 418: Rearrangement operation detection unit, 419: Attribute information acquisition unit, 420: Related attribute information acquisition unit, 421: Arrangement Order determining unit, 422: item rearranging unit, 430: attribute association information storage unit, 610, 1610: attribute association information, 500: diagnostic report information, 1301: requested purpose information

Claims (17)

A medical document creation device that supports creation of a diagnostic report,
Storage means for storing association information that defines a relationship between attribute information;
Display control means for displaying image information, findings information, and diagnostic information to be interpreted on the display unit and their correspondence;
Obtaining means for obtaining attribute information in response to a user operation;
Identifying means for identifying attribute information related to the attribute information acquired by the acquiring means based on the association information;
Collecting means for collecting finding information including attribute information specified by the specifying means,
The medical document creation apparatus, wherein the display control unit displays the findings information collected by the collection unit on the display unit. The attribute information includes a combination of an attribute type and an attribute value,
The medical document creation apparatus according to claim 1, wherein the association information defines a relationship between attribute information having different attribute types.   3. The medical document creation apparatus according to claim 2, wherein the association information defines association between attribute information whose attribute type is a diagnosis name and attribute information whose attribute type is a part name.   The said acquisition means acquires attribute information based on the information currently selected by the user among the image information displayed on the said display part, finding information, and diagnostic information, The any one of Claim 1 thru | or 3 characterized by the above-mentioned. The medical document preparation apparatus of Claim 1. The acquisition means acquires attribute information whose attribute type is a diagnosis name based on diagnosis information specified by a user,
The said specific | specification part specifies the attribute information with which the said attribute classification is a site | part name linked | related with the attribute information acquired by the said acquisition means based on the said association information. Medical document creation device. The association information includes association between one attribute information and a plurality of attribute information having different attribute types,
The specifying means specifies a plurality of attribute information related to the attribute information acquired by the acquiring means based on the association information,
The medical document creation apparatus according to claim 1, wherein the collection unit collects findings information including a plurality of attribute information specified by the specifying unit.   The attribute type of the one attribute information is a diagnosis name, and the plurality of attribute information includes attribute information whose attribute type is a part name and attribute information whose attribute type is a lesion type. 6. The medical document creation apparatus according to 6.   The medical document creation apparatus according to claim 1, wherein the acquisition unit acquires attribute information from a description of examination information. The acquisition means acquires attribute information by extracting information about a diagnosis name from a description of examination information,
The medical device according to claim 3, wherein the specifying unit specifies attribute information whose attribute type is a part name associated with the attribute information acquired by the acquiring unit based on the association information. Document creation device.   10. The display control unit according to claim 1, wherein the display control unit controls the observation information collected by the collection unit to be simultaneously displayed in a predetermined display area of the display unit. 11. Medical document creation device.   11. The display control means, when the display of the finding information collected by the collecting means does not fit in the display area, displays a part of each finding information in a non-display state. The medical document preparation apparatus described in 1.   11. The display control means reduces the display of image information, finding information, and diagnostic information and their correspondence so that the display of the finding information collected by the collecting means fits in the display area. The medical document preparation apparatus described in 1.   The medical document creation apparatus according to any one of claims 1 to 12, wherein the display control unit arranges the findings information collected by the collection unit in the order of the part names included in the finding information.   The medical document creation according to any one of claims 1 to 12, wherein the display control means arranges the findings information collected by the collecting means in the order of the sizes of lesions included in the findings information. apparatus.   The display control means arranges the finding information collected by the collecting means in the order of the part names included in the finding information, and arranges the order of the lesion sizes included in the finding information for each part. The medical document creation apparatus according to any one of claims 1 to 12. A method for controlling a medical document creation device that supports creation of a diagnostic report,
A display control step for displaying image information, findings information and diagnostic information to be interpreted and their correspondence on the display unit;
An acquisition step of acquiring attribute information in response to a user operation;
A specific step of identifying attribute information related to the attribute information acquired in the acquisition step based on association information defining a relationship between the attribute information;
Collecting the findings information including the attribute information identified in the identifying step,
In the display control step, the finding information collected in the collecting step is displayed side by side on the display unit.   The program for making a computer perform each process of the control method of the medical document preparation apparatus described in Claim 16.

Images