JP6649153B2 - Training support system, combined training support method and combined training support program - Google Patents

Description

  The present invention relates to a training support system, a combined training support method, and a combined training support program, and more particularly, to a training support system, a combined training support method, and a combined training support program that support a trainee receiving training in accordance with a specialist training curriculum.

  On November 2, 2015, the "Radiation Area Specialized Training Curriculum" was approved by the Japan Specialist Medical Institution. The Radiology Specialized Training Curriculum started in April 2017. To become a Radiology Specialist, at least within the period of the late resident, the examinations in each field specified in the Radiation Specialized Training Curriculum must be defined for each field. The number of cases must be interpreted (experienced cases include 100 cases in 11 regions and 80 disease groups, and the number of cases is determined for each of six modalities and procedures).

JP-A-2008-275871

  A physician who wishes to become a radiologist must manage the experience of cases (specifically, the fields in which he lacks experience) specified in the radiation field training curriculum.

  Also, the cases that must be experienced must be actual clinical cases (cases that are found in daily medical care). In other words, the radiation area specialized training curriculum differs from e-learning in that it deals with actual clinical cases, and it deals with cases in a collection of problems such as past questions. Note that Patent Document 1 does not target actual clinical cases.

  Therefore, a main object of the present invention is to provide a training support system, a combined training support method, and a combined training support program that can efficiently carry out training using test reports created in actual clinical settings. It is.

  A training support system according to the present invention (10: a reference numeral corresponding to the embodiment; the same applies hereinafter) is operated by a plurality of first terminal devices (20a, 20b) each operated by a resident and a supervising physician. A training support system (10) including a second terminal device (30), wherein each of the plurality of first terminal devices indicates a training implementation status for a plurality of case items when a status confirmation operation is received. Output means (S55, S79) for outputting information based on the training history, one of which corresponds to a part of a plurality of case items and is in an unedited state when a first search operation is received in relation to the processing of the output means; Or first detecting means (S81, S85, S87) for detecting two or more inspection reports, and editing one of the one or more inspection reports detected by the first detecting means in response to a first editing operation First editing means (S115 to S119, S123 to S127), and other first Elimination means (S69, S71) for excluding the inspection report being edited by the terminal device from being edited by the first editing means, and the second terminal device performs the second editing operation on the inspection report edited by the first editing means. A second editing means (S155 to S159, S165 to S169) for editing in response to the information, and an information updating means (S171) for updating the training history in relation to the processing of the second editing means.

  Preferably, a server device (40) for managing a plurality of test reports is further provided, and the first detecting means detects one or more test reports from the server device.

  More preferably, the server device includes creating means (S1 to S17, S21 to S45) for creating an unedited test report based on the test order from the attending physician.

  Preferably, there is further provided a second detection means (S53, S61, S63) for detecting one or more test reports in an unedited state when the second search operation is received, irrespective of the case item. The means edits one of the one or more inspection reports detected by the second detecting means when the second search operation is performed in response to the first editing operation.

  Preferably, each of the plurality of first terminal devices is further provided with information reflecting means (S91 to S99, S103) for reflecting the training received at the external medical institution in the training history.

  Preferably, the training implementation status information includes a first training implementation status list classified for each case item, the first search operation includes a case item selection operation for selecting a desired case item on the first training status list, One or more test reports detected by the first detection means correspond to the case item selected by the case item selection operation.

  More preferably, the examination report is a radiological image interpretation report, the training implementation status information further includes a second training implementation status list classified for each modality, and the first search operation is performed on the second training status list as desired. The method includes a modality selection operation for selecting a modality, and one or more test reports detected by the first detection unit correspond to case items that match the modality selected by the modality selection operation.

  The combined training support method according to the present invention includes a first training support method executed by each of a plurality of first terminal devices (20a, 20b) respectively operated by a plurality of resident doctors, and a second terminal operated by a supervisor. A combined training support method comprising: a second training support method executed by the device (30), wherein the first training support method indicates a training implementation status for a plurality of case items when a status confirmation operation is received. An output step (S55, S79) for outputting status information based on the training history, and corresponding to a part of a plurality of case items and being in an unedited state when a first search operation is received in connection with the processing of the output step A first detection step of detecting one or more inspection reports (S81, S85, S87), and editing one of the one or more inspection reports detected by the first detection step in response to a first editing operation The first editing (S69, S71), and an exclusion step (S69, S71) for excluding an inspection report being edited by another first terminal device from being edited by the first editing step. The method includes a second editing step (S155 to S159, S165 to S169) of editing an inspection report edited by the first editing step in response to a second editing operation, and training related to the processing of the second editing step. An information updating step (S171) for updating the history is provided.

  The combined training support program according to the present invention includes a first training support program provided to each of a plurality of first terminal devices (20a, 20b) respectively operated by a plurality of resident doctors, and a second terminal device operated by a supervisor. (30) The combined training support program provided with the second training support program provided in (30), wherein the first training support program is a training implementation status indicating a training implementation status for a plurality of case items when a status check operation is received. An output step of outputting information based on the training history (S55, S79); when the first search operation is received in connection with the processing of the output step, one of the case items corresponding to a part of a plurality of case items is in an unedited state Or a first detection step of detecting two or more inspection reports (S81, S85, S87), one of the one or more inspection reports detected by the first detection step in response to a first editing operation A plurality of first editing steps (S115-S119, S123-S127), and an exclusion step (S69, S71) of excluding inspection reports being edited by other first terminal devices from being edited by the first editing step. The second training support program is a program to be executed by each processor (202a, 202b) of the first terminal device, and edits the inspection report edited in the first editing step in response to the second editing operation. To cause the processor (302) of the second terminal device to execute the second editing step (S155 to S159, S165 to S169) and the information updating step (S171) for updating the training history in connection with the processing of the second editing step. Program.

  In the first terminal device, when the first search operation is performed in connection with the output of the training implementation status information, one or more test reports corresponding to some case items and in an unedited state are detected. . One of the one or more detected inspection reports is edited in response to the first editing operation, and further edited by the second terminal device. Such editing work is reflected in the training history which is the basis of the training implementation status information. Thus, the training can be efficiently implemented.

  Inspection reports being edited in other first terminal devices are excluded from being edited by the first editing unit. As a result, the training can be performed using the test report created in the actual clinic.

  The above and other objects, features and advantages of the present invention will become more apparent from the following detailed description of embodiments with reference to the drawings.

It is a block diagram showing an example of composition of a medical system of this example. FIG. 2 is a block diagram showing an example of a configuration of a client terminal for a resident shown in FIG. 1. FIG. 2 is a block diagram illustrating an example of a configuration of a client terminal for a supervisor in FIG. 1. FIG. 2 is a block diagram illustrating an example of a configuration of a report server illustrated in FIG. 1. (A) is an illustrative view showing one example of a configuration of a site-region conversion DB, (B) is an illustrative view showing an example of a configuration of a child site-disease group conversion DB, FIG. 3 is an illustrative view showing one example of a configuration of an individual experience record DB; FIG. 8 is a flowchart showing a part of the operation of the CPU provided in the report server. FIG. 14 is a flowchart showing another portion of the operation of the CPU provided in the report server. FIG. 14 is a flowchart showing another portion of the behavior of the CPU provided in the report server. It is a flowchart which shows a part of operation | movement of CPU provided in the client terminal for residents. It is a flowchart which shows another part of operation | movement of CPU provided in the client terminal for the resident. It is a flowchart which shows other part of operation | movement of CPU provided in the client terminal for the resident. It is a flowchart which shows the other part of operation | movement of CPU provided in the client terminal for the resident. It is a flowchart which shows another part of operation | movement of CPU provided in the client terminal for the resident. It is a flowchart which shows a part of operation | movement of CPU provided in the client terminal for instructing doctors. It is a flowchart which shows another part of operation | movement of CPU provided in the client terminal for guidance doctors. It is a flowchart which shows other part of operation | movement of CPU provided in the client terminal for guidance doctors. FIG. 9 is an illustrative view showing one example of an interpretation report in an unread state; FIG. 4 is an illustrative view showing one example of a normal search screen displayed on a client terminal for a resident; FIG. 9 is an illustrative view showing one example of an individual report screen displayed on a client terminal for a resident; FIG. 9 is an illustrative view showing one example of an individual report screen displayed on a client terminal for a supervisor; FIG. 9 is an illustrative view showing one example of an experience situation confirmation screen displayed on a client terminal for a resident; FIG. 9 is an illustrative view showing another example of the normal search screen displayed on the client terminal for the resident; FIG. 10 is an illustrative view showing one example of an experience registration screen in another hospital displayed on the client terminal for the resident;

  Referring to FIG. 1, the medical system of this embodiment is constructed in “A university hospital” and connected to each other by an in-hospital LAN 140, a HIS server 50, a PACS 70, a RIS server 80, modality consoles 100 and 120, a report server ( The system includes a server device 40, a client terminal (first terminal device) 20a and 20b for a resident, and a client terminal (second terminal device) 30 for a supervisor.

  The resident is a radiological interpreter who is trained in accordance with the radiation field specialized training curriculum, and the instructor is a radiological interpreter who guides the resident in accordance with the radiation field specialized training curriculum. The training support system 10 includes client terminals 20 a and 20 b for a resident, a client terminal 30 for a supervisor, and a report server 40.

  The client terminal 60 for the attending physician is connected to the HIS server 50, the client terminal 90 for the radiologist is connected to the RIS server 80, the modality (CT) 110 is connected to the modality console 100, and the modality (MR) 130 is the modality console. 120.

  The resident's client terminal 20a or 20b is configured as shown in FIG. According to FIG. 2, a communication I / F 201a, a CPU 202a, a keyboard / mouse 203a, an HDD 204a, a main monitor 205a, a sub monitor 206a, and a DRAM 207a are connected to the bus BS2a. Similarly, a communication I / F 201b, a CPU 202b, a keyboard / mouse 203b, an HDD 204b, a main monitor 205b, a sub monitor 206b, and a DRAM 207b are connected to the bus BS2b.

  The client terminal 30 for the supervisor is configured as shown in FIG. According to FIG. 3, a communication I / F 301, a CPU 302, a keyboard / mouse 303, an HDD 304, a main monitor 305, a sub monitor 306, and a DRAM 307 are connected to the bus BS3. The report server 40 is configured as shown in FIG.

  According to FIG. 4, the communication I / F 401, the CPU 402, the DRAM 403, and the HDD 404 are connected to the bus BS4. The HDD 404 includes a site-region conversion DB 4041, a child site-disease group conversion DB 4042, an individual experience record DB 4043, and an interpretation report DB 4044. The site-region conversion DB 4041 is configured as shown in FIG. 5 (A), the child site-disease group conversion DB 4042 is configured as shown in FIG. 5 (B), and the personal experience record DB 4043 is as shown in FIG. It is composed of

  According to FIG. 5A, names such as “left brain”, “right brain”, “breast”, “neck”, “thyroid”, and “chest” are described in the region column. In the area column, “central nervous system” is described corresponding to each of “left brain” and “right brain”, “breast” is described corresponding to “breast”, and “neck” and “thyroid gland” are respectively described. , "Head and neck" is described, and "respiratory and mediastinal" is described corresponding to "chest". The site-region conversion DB 4041 additionally includes a disease group column. In the disease group column, "thyroid disease" is described corresponding to "thyroid gland" and "head and neck".

  According to FIG. 5B, names such as “left brain”, “right brain”, “neck”, “thyroid”, “chest” and the like are described in the region column. In the disease group column, “central nerve” is described corresponding to each of “left brain” and “right brain”, and “head and neck” is described corresponding to each of “cervical” and “thyroid”. "Chest disease" is described corresponding to "chest".

  According to FIG. 6, the individual experience record DB 4043 is composed of a recording sheet SH1a assigned to the resident who operates the client terminal 20a and a recording sheet SH1b assigned to the resident who operates the client terminal 20b. . Each of the record sheets SH1a and SH1b has an identification number column, a resident ID column, a region column, a disease group column, a modality column, a patient age column, a patient gender column, an experienced date, an experienced facility column, and an instructed doctor column. Is provided.

  According to the record sheet SH1a, “resident01”, which is the ID of the resident who operates the client terminal 20a, is assigned to any of the No. in the resident ID field. Columns are also described. In the area column, No. “Central nerve” is described corresponding to each of the columns “1” to “3” and “5”. “Head and neck” is described corresponding to column “4”.

  No. in the disease group column. “Congenital malformation and abnormal growth” are described in correspondence with column “1”. "Infectious disease" is described corresponding to column "2". "Head injury" is described in correspondence with the column "3". “Temporal bone disease” is described corresponding to column “4”. “Head injury” is described in correspondence with the column “5”.

  In the modality column, No. "CT" is described corresponding to each of the columns "1" and "3" to "5". “MR” is described corresponding to the column “2”. In the patient age column (age column at the time of examination), No. “18 years old, March 04” is described in correspondence with the column “1”. "25 years 06/05" is described corresponding to the column "2". “40 years old, October 00” is described corresponding to the column “3”. "35 years 08/20" is described corresponding to the column "4". "55 years old, 07/10" is described corresponding to the column "5".

  In the patient gender column, No. "M" is described corresponding to each of the columns "1", "2", "4", and "5". “F” is described corresponding to column “3”. In the column of experience date, No. “2016/01/05” is described corresponding to the column “1”, and “2016/01/10” is described corresponding to the column “2”, and “2016/01/12” is described corresponding to the column “3”. “2016/01/20” is described corresponding to the column “4”. “2016/01/25” is described corresponding to the column “5”.

  In the experience facility column, No. “A University Hospital” is described corresponding to each of the columns “1” to “3” and “5”. “B General Hospital” is described corresponding to the column “4”. In the instructor's column, No. "Taro Yamada" is described corresponding to each of the columns "1" to "3" and "5". "Hanako Sato" is described corresponding to column "4".

  As described above, the record sheets SH1a and SH1b forming the personal experience record DB 4043 store the training history of each resident for a plurality of case items (case items: a set of regions and disease groups) defined in the radiation area specialized training curriculum. Show. Therefore, the recording sheets SH1a and SH1b may be called “training history”.

  Although not shown, an enormous number of interpretation reports (inspection reports) are stored in the interpretation report DB 4044. A report status such as “unread”, “waiting for check”, and “confirmed” is set in each of the saved interpretation reports. In the following, an image reading report whose report status indicates "unread" is defined as "unread report", an image reading report whose report status indicates "waiting for check" is defined as "report waiting for check", and a report status of "confirmed" is defined. The radiology report to be shown is defined as “confirmed report”. Note that “unread” is synonymous with “unedited”, and an unread report may be called an unedited report.

  The CPU 402 provided in the report server 40 executes a plurality of tasks including the inspection order receiving task shown in FIGS. Further, the CPUs 202a and 202b provided in the client terminals 20a and 20b for the resident execute a plurality of tasks including an interpretation report processing task shown in FIGS. 10 to 13 and an individual report control task shown in FIG. Further, the CPU 302 provided in the client terminal 30 for the instructing doctor executes a plurality of tasks including an interpretation report processing task shown in FIG. 15 and an individual report control task shown in FIGS.

  Here, a control program corresponding to a task executed by the CPU 402 is stored in the HDD 404, and a control program corresponding to a task executed by the CPUs 202a and 202b is stored in the HDDs 204a and 204b and corresponds to a task executed by the CPU 302. The control program is stored in the HDD 304.

  Hereinafter, the processing operation of each control program will be described along the flow of diagnosis of a patient who has visited “A university hospital”. In the following, it is also assumed that the resident who operates the client terminal 20a receives training according to the radiation area specialized training curriculum.

  First, the patient is examined by the attending physician, and the attending physician operates the client terminal 60 to create an examination order. The examination order describes the patient number, patient name, age at examination, gender, examination date, examination type, examination site, modality, and request contents. The HIS server 50 notifies the created inspection order to the RIS server 80 via the in-hospital LAN 140.

  The radiographer operates the client terminal 90 to accept the examination order, arranges the patient to be subjected to the radiological examination on the modality 110 or 130, and operates the modality console 100 or 120 to photograph the patient's examination site. As a result, one or more tomographic images (radiation images) in which the inspection site has appeared are obtained.

  The modality console 100 or 120 creates one or more DICOM files each containing one or more tomographic images, and stores the created one or more DICOM files in the PACS 70 via the hospital LAN 140.

  Each of the one or more DICOM files to be stored is accompanied by radiation examination information including items such as a patient number and an age at examination.

  The examination order created by the attending physician is also transferred to the report server 40 and taken into the DRAM 403 via the communication I / F 401 shown in FIG. The CPU 402 executes processing according to the flowcharts shown in FIGS. 7 to 9 for the inspection order taken into the DRAM 403.

  First, it is determined in step S1 whether or not the inspection order has been received (whether or not the inspection order has been loaded into the DRAM 403). When the determination result is updated from NO to YES, the process proceeds to step S3, and the patient number, patient name, age at examination, gender, examination date, examination type, examination part, modality, and request content are extracted from the received examination order.

  In step S5, a confirmed report having the same patient number, examination type, and examination site is searched from the interpretation report DB 4044. In step S7, it is determined whether at least one confirmed report has been detected. If the determination result is NO, the process proceeds to step S21, while if the determination result is YES, the process proceeds to step S9.

  In step S9, the description of “region” and the description of “disease group” are acquired from the latest confirmed report among the detected confirmed reports. In step S11, it is determined whether or not "area" has been set (whether or not there is any description in "area"). If the determined result is NO, the process proceeds to step S21, while the determined result is YES. If so, the process proceeds to step S13.

  In step S13, the description of the "region" provided in the latest confirmed report is described in the "region" provided in the new unread report. In step S15, the description of "disease group" provided in the latest confirmed report is provided. Describe in the “Disease group” provided in the new unread report.

  In step S17, the patient number, patient name, age at examination, gender, examination date, examination type, examination site, modality, and request content extracted in step S3 are added to the new unread report, and the post-processing is performed. The new unread report is stored in the interpretation report DB 4044. When the storage is completed, the received inspection order is deleted in step S19, and the process is thereafter terminated.

  The unread report stored in the interpretation report DB 4044 by the process of step S17 has the appearance shown in FIG. According to FIG. 18, the interpretation information column, the patient information column, and the examination information column are arranged in the upper part of the unread report, the finding column, the diagnosis column, and the attached image column are arranged on the left side of the unread report, and the request content column is the unread report. Is arranged to the right of

  Of these, the interpretation information column is a column for entering the names of the resident and the instructor, the patient information column is a column for entering the patient number, patient name, age at examination, and gender. This is a column for describing an examination type, an examination site, a modality, an area, and a disease group.

  The findings column is a column for recording the findings of the resident or the instructor, the diagnosis column is a column for recording the diagnosis of the resident or the instructor, and the attached image column is one of the tomographic images obtained by the radiological examination. This is a column for attaching a thumbnail image based on a copy. Further, the request content column is a column for describing the request content extracted from the inspection order.

  Referring to FIG. 8, in step S21, it is determined whether or not the test age extracted from the test order is 13 years or older. When the determined result is YES, the process proceeds to a step S23, and when the determined result is NO, the process proceeds to a step S37.

  In step S23, a region corresponding to the inspection region extracted from the inspection order is searched from the region-region conversion DB 4041. In step S25, it is determined whether a search target area has been detected. If the determination result is NO, the “region” and “disease group” provided in the new unread report are set to blanks in steps S27 and S29.

  If the decision result in the step S25 is YES, the process advances to a step S31 to describe the detected area in the "area" provided in the new unread report. In step S33, it is determined whether or not the disease group corresponding to the search target region is described in the region-region conversion DB 4041.

  If the determination result is YES, the process proceeds to step S35, and the disease group corresponding to the search target area is described in the “disease group” provided in the new unread report. On the other hand, if the determination result is NO, the “disease group” provided in the new unread report is set to blank in step S29. Upon completion of the process in the step S35 or S29, the process proceeds to a step S17.

  In step S37, "child" is described in the "region" provided in the new unread report. In step S39, a disease group corresponding to the test site extracted from the test order is searched from the child site-disease group conversion DB 4042. In step S41, it is determined whether a disease group to be searched has been detected.

  If the determination result is YES, the process proceeds to Step S43, and the detected disease group is described in the “disease group” provided in the new unread report. On the other hand, if the determination result is NO, the “disease group” provided in the new unread report is set to blank in step S45. Upon completion of the process in the step S43 or S45, the process proceeds to a step S17.

  The unread report stored in the interpretation report DB 4044 by the process of step S17 is first interpreted or edited by the resident. At this time, a part of the interpretation report processing task shown in FIGS. 10 to 13 and the individual report control task shown in FIG. 14 are executed.

  Referring to FIG. 10, in step S51, the normal search screen is developed on DRAM 207a, and the display of the normal search screen is instructed to main monitor 205a. The normal search screen developed on the DRAM 207a is read out by the main monitor 205a and displayed as shown in FIG.

  According to FIG. 19, a group of buttons (“unread” button, “hold” button, “wait for check” button, “confirm” button) for selecting the status of the interpretation report, examination date column, patient number / examination type / modality column , A “search” button are displayed side by side at the top of the screen. Also, a “confirmation of interpretation experience status” button and an “experience registration in another hospital” button are displayed on the lower left of the screen, and an “end” button is displayed on the lower right of the screen.

  In the center of the screen, a report list listing attribute information (status, examination date, examination type, modality, patient number, patient name, gender, age at examination, area, disease group) of the interpretation report is displayed. However, the report list is currently blank.

  In step S53, an unread report search operation is performed using the keyboard / mouse 203a (an operation of clicking the “unread” button, specifying the examination date, patient number, examination type, and modality as necessary, and then clicking the “search” button) It is determined whether or not the second search operation has been performed.

  In step S55, it is determined whether or not the "confirmation of the interpretation experience status" button has been clicked with the keyboard / mouse 203a (whether or not a status confirmation operation has been performed). In step S59, it is determined whether another operation has been performed by the keyboard / mouse 203a.

  If the determination result in step S53, the determination result in step S55, the determination result in step S57, and the determination result in step S59 are all NO, the process returns to step S53. In contrast, if the decision result in the step S53 is YES, the process proceeds to a step S61. If the decision result in the step S55 is YES, the process proceeds to a step S79. If the decision result in the step S57 is YES, the process proceeds to a step S89. If the decision result in the step S59 is YES, the process proceeds to another process.

  In step S61, a search request describing search conditions according to the unread report search operation is issued to the report server 40. The search request is output from the communication I / F 201 a and given to the report server 40 via the hospital LAN 140.

  The report server 40 fetches the search request issued in this way through the communication I / F 401, searches the image interpretation report DB 4044 for one or more image interpretation reports that match the search condition described in the search request, and finds the detected one or more. The attribute information of each of the two or more interpretation reports is returned to the client terminal 20a. The attribute information is given to the client terminal 20a via the communication I / F 401 and the hospital LAN 140, and is taken into the DRAM 207a via the communication I / F 201a.

  In step S63, the attribute information thus captured is listed in a report list at the center of the screen (see FIG. 19). The attribute information of the unread report is displayed in the report list regardless of the case item. In a step S65, it is determined whether or not an individual report open operation (an operation of double-clicking desired attribute information on a report list) is performed by the keyboard / mouse 203a. In a step S67, another operation is performed by the keyboard / mouse 203a. It is determined whether or not it has been touched.

  If the determination result in step S65 and the determination result in step S67 are both NO, the process returns to step S65. If the determination result in step S65 is YES, the process proceeds to step S69. If the determination result in step S67 is YES, another process is performed. Proceed to processing.

  In step S69, it is determined whether or not a desired unread report (an unread report corresponding to the attribute information selected by the individual report open operation) is opened by the client terminal 20b or 30 (that is, a client terminal different from the client terminal 20a). To the report server 40. The inquiry is given to the report server 40 via the communication I / F 201a and the hospital LAN 140.

  The CPU 402 provided in the report server 40 captures this inquiry via the communication I / F 401 and determines whether the desired unread report has been opened by the client terminal 20b or 30 (if the desired unread report has been opened by the client terminal 20b or 30). Is returned to the client terminal 20a. The answer is also given to the client terminal 20a via the communication I / F 401 and the hospital LAN 140, and is notified to the CPU 202a via the communication I / F 201a.

  In a step S71, it is determined whether or not the returned answer is "open". If the determined result is NO, the process proceeds to the step S73. If the determined result is YES, the process returns to the step S65. Therefore, if the returned answer is “open”, the individual report open operation is invalidated.

  In step S73, a transfer request is issued to the report server 40 in order to obtain a desired unread report from the report server 40. The transfer request is also output from the communication I / F 201 a and given to the report server 40 via the hospital LAN 140.

  The report server 40 captures the transfer request issued in this way through the communication I / F 401, and returns a desired unread report stored in the interpretation report DB 4044 to the client terminal 20a. The desired unread report is given to the client terminal 20a via the communication I / F 401 and the hospital LAN 140, and is taken into the DRAM 207a via the communication I / F 201a.

  As described above, if the decision result in the step S71 is YES, the process returns to the step S65. Therefore, if the desired unread report is being edited by the client terminal 20b or 30, the acquisition of the desired unread report by the client terminal 20a is restricted. That is, the unread report being edited by the client terminal 20b or 30 is excluded from being edited by the client terminal 20a.

  Upon completion of the process in the step S73, the individual report control task shown in FIG. 14 is started in a step S75. As a result, a desired unread report can be read or edited by the resident who operates the client terminal 20a. In step S77, it is repeatedly determined whether or not the individual report control task has been completed. When the determination result is updated from NO to YES, the process returns to step S53.

  Referring to FIG. 14, in step S111, the individual report screen based on the unread report acquired in step S73 is developed in DRAM 207a, and the display of the individual report screen is instructed to main monitor 205a. In step S113, one or more DICOM files corresponding to the unread report acquired in step S73 are acquired from the PACS 70, and one or more DICOM files respectively contained in the acquired one or more DICOM files are acquired. The tomographic image is developed on the DRAM 207a, and the display of one or more tomographic images is instructed to the sub monitor 206a.

  As a result, the individual report screen developed on the DRAM 207a is read by the main monitor 205a and displayed as shown in FIG. One or more tomographic images developed on the DRAM 207a are read and displayed by the sub monitor 206a.

  Referring to FIG. 20, the individual report screen is almost the same as the unread report acquired in step S73 except that a “pending” button, a “wait for check” button, and a “cancel” button are displayed at the lower right of the screen. Make a presentation. However, at the time when the process of step S111 is performed, the image interpretation information column, the finding column, the diagnosis column, and the attached image column are blank. That is, when the unread report shown in FIG. 18 is obtained, the description of the unread report is reflected on the individual report screen.

  In step S115, it is determined whether or not a finding / diagnosis input operation (first editing operation) has been performed using the keyboard / mouse 203a. If the determination result is NO, the process proceeds to step S119, while if the determination result is YES, Proceed to step S117. In step S117, a desired finding / diagnosis or the like is input to the unread report acquired in step S73. The input findings / diagnosis are reflected on the individual report screen. Upon completion of the process in the step S117, the process proceeds to a step S119.

  In the input operation for finding / diagnosis, etc., a thumbnail image based on a desired tomographic image displayed on the sub-monitor 206a is attached in addition to an operation of inputting a desired finding in the finding column and an operation of inputting a desired diagnosis in the diagnostic column. An operation to be attached to the image column is also included. Therefore, in step S117, a desired finding is entered and displayed in the finding column, a desired diagnosis is entered and displayed in the diagnostic column, a desired thumbnail image is attached and displayed in the attached image column, or a desired disease group is displayed. Enter and display in the inspection information column.

  In a step S119, it is determined whether or not the "check wait" button is clicked by the keyboard / mouse 203a, and in a step S121, it is determined whether or not another operation is performed by the keyboard / mouse 203a. If both the determination result of step S119 and the determination result of step S121 are NO, the process returns to step S115. If the determination result of step S119 is YES, the process proceeds to step S123. If the determination result of step S121 is YES, other processes are performed. Proceed to processing.

  In step S123, the name of the resident is entered in the interpretation information field of the unread report. Thus, the editing process of the unread report is completed. The entered resident name is also reflected on the individual report screen. In step S125, the status of the unread report is updated to "check waiting", and today's date is embedded in the check waiting report as the experience date (interpretation date). In step S127, the report server 40 is requested to overwrite and save the check waiting report thus created.

  The overwrite save request is output from the communication I / F 201 a and given to the report server 40 via the hospital LAN 140. Further, the overwrite save request is accompanied by the check waiting report created in step S125. The report server 40 fetches the overwrite storage request and the check waiting report attached thereto via the communication I / F 401, and stores the check waiting report in the interpretation report DB 4044 by overwriting. As a result, the unread report acquired in step S73 is replaced with a check waiting report.

  When the process in step S127 is completed, the process proceeds to step S129, in which the individual report screen on the main monitor 205a is not displayed, and the tomographic image on the sub monitor 206a is not displayed. The individual report control task ends when the process of step S129 is completed.

  The check waiting report stored in the interpretation report DB 4044 is checked by the instructor. At this time, the interpretation report processing task shown in FIG. 15 and the individual report control task shown in FIGS. 16 and 17 are executed.

  Referring to FIG. 15, in step S131, the normal search screen is developed in DRAM 307, and the display of the normal search screen is instructed to main monitor 305. The normal search screen developed on the DRAM 307 is read and displayed by the main monitor 305. The normal search screen displayed here has the same appearance as the normal search screen shown in FIG. However, at present, the report list in the center of the screen is blank.

  In step S133, a check / wait report search operation is performed using the keyboard / mouse 303 (click the "check wait" button, specify the examination date, patient number, examination type, and modality as necessary, and then click the "search" button. ) Is determined. In step S135, it is determined whether another operation has been performed using the keyboard / mouse 303.

  If both the determination result of step S133 and the determination result of step S135 are NO, the process returns to step S133. On the other hand, if the decision result in the step S133 is YES, the process proceeds to a step S137. If the decision result in the step S135 is YES, the process proceeds to another process.

  In step S137, a search request describing search conditions according to the check waiting report search operation is issued to the report server 40. The search request is output from the communication I / F 301 and given to the report server 40 via the hospital LAN 140.

  The report server 40 fetches the search request issued in this way through the communication I / F 401, searches the image interpretation report DB 4044 for one or more image interpretation reports that match the search conditions described in the search request, and detects the detected one or more. The attribute information of each of the two or more interpretation reports is returned to the client terminal 30. The attribute information is given to the client terminal 30 via the communication I / F 401 and the in-hospital LAN 140, and is taken into the DRAM 307 via the communication I / F 301.

  In step S139, the attribute information thus fetched is listed and displayed in a report list at the center of the screen. In step S141, it is determined whether or not an individual report open operation (an operation of double-clicking desired attribute information on a report list) has been performed using the keyboard / mouse 303. In step S143, another operation is performed using the keyboard / mouse 303. It is determined whether or not it has been touched.

  If both the determination result of step S141 and the determination result of step S143 are NO, the process returns to step S141. If the determination result of step S141 is YES, the process proceeds to step S145. If the determination result of step S143 is YES, another process is performed. Proceed to processing.

  In step S145, a transfer request is issued to the report server 40 in order to obtain a desired check waiting report from the report server 40. The transfer request is output from the communication I / F 301 and given to the report server 40 via the hospital LAN 140.

  The report server 40 captures the transfer request thus issued through the communication I / F 401 and returns the desired check waiting report stored in the interpretation report DB 4044 to the client terminal 30. The desired check waiting report is given to the client terminal 30 via the communication I / F 401 and the in-hospital LAN 140, and is taken into the DRAM 307 via the communication I / F 301.

  Upon completion of the process in the step S145, the individual report control task shown in FIG. 16 is started in a step S147. As a result, it becomes possible for the instructor to read or edit the desired check waiting report. In step S149, it is repeatedly determined whether or not the individual report control task has been completed. When the determination result is updated from NO to YES, the process returns to step S133.

  Referring to FIG. 16, in step S151, an individual report screen based on the check waiting report acquired in step S145 is developed in DRAM 307, and the display of the individual report screen is instructed to main monitor 305. In step S153, one or more DICOM files corresponding to the check waiting report acquired in step S145 are acquired from the PACS 70, and one or more DICOM files respectively contained in the acquired one or more DICOM files are acquired. Are developed in the DRAM 307, and the display of one or more tomographic images is instructed to the sub monitor 306.

  As a result, the individual report screen developed in the DRAM 307 is read out by the main monitor 305 and displayed as shown in FIG. One or more tomographic images developed on the DRAM 307 are read out and displayed by the sub monitor 306.

  The individual report screen shown in FIG. 21 reflects the check waiting report created in response to the click of the “wait for check” button on the individual report screen shown in FIG. However, unlike the individual report screen shown in FIG. 20, a “confirm” button is additionally displayed at the lower right of the screen.

  At the time when the process of step S151 is executed, there is no description of the instructing doctor in the image interpretation information column, and there is no description of the disease group in the examination information column. Furthermore, the description in the finding column and the diagnosis column match the description shown in FIG. 20, and the image attached to the attached image column matches the image shown in FIG.

  In step S155, it is determined whether or not an input operation (second editing operation) such as a finding / diagnosis is performed using the keyboard / mouse 303. If the determination result is NO, the process proceeds to step S159, whereas if the determination result is YES, the process proceeds to step S159. Proceed to step S157. In step S157, desired findings / diagnosis and the like are input to the check waiting report acquired in step S145. The input findings / diagnosis are reflected on the individual report screen. Upon completion of the process in the step S157, the process proceeds to a step S159.

  As described above, the input operation for finding / diagnosis and the like includes an operation of inputting a desired finding in a finding column and an operation of inputting a desired diagnosis in a diagnostic column, and a thumbnail based on a desired tomographic image displayed on the sub monitor 306. It also includes an operation of attaching an image to the attached image column and an operation of inputting a desired disease group into the examination information column.

  Therefore, in step S157, a desired finding is input and displayed in the finding column, a desired diagnosis is input and displayed in the diagnostic column, a desired thumbnail image is attached and displayed in the attached image column, or a desired disease group is displayed. Enter and display in the inspection information column. The description added / changed by the instructor is input / displayed in, for example, red letters. The thumbnail image added / changed by the instructor is surrounded by, for example, a red frame.

  In a step S159, it is determined whether or not the “enter” button is clicked by the keyboard / mouse 303, and in a step S161, it is determined whether or not another operation is performed by the keyboard / mouse 303. If both the determination result of step S159 and the determination result of step S161 are NO, the process returns to step S155. If the determination result of step S159 is YES, the process proceeds to step S163. If the determination result of step S161 is YES, the process proceeds to step S163. Proceed to processing.

  In step S163, it is determined whether both the “region” and the “disease group” have been set (whether or not both the region and the disease group are described in the test information column). If the determined result is NO, the process returns to the step S155, and if the determined result is YES, the process proceeds to the step S165.

  In step S165, the name of the instructor is entered in the interpretation information field of the check waiting report. Thus, the editing process of the check waiting report is completed. The input instructor's name is also reflected on the individual report screen. In step S167, the status of the check waiting report is updated to “confirmed”. In step S169, the report server 40 is requested to overwrite and save the finalized report thus created.

  The overwrite save request is output from the communication I / F 301 and given to the report server 40 via the hospital LAN 140. Also, the overwrite save request is accompanied by a final report. The report server 40 fetches the overwrite request and the finalized report attached thereto via the communication I / F 401, and stores the check waiting report in the interpretation report DB 4044 by overwriting. As a result, the check waiting report acquired in step S145 is replaced with a confirmed report.

  Upon completion of the process in the step S169, the process proceeds to a step S171 to perform additional writing on the recording sheet SH1a constituting the personal experience recording DB 4043. Specifically, referring to the interpretation report determined by the process of step S167, the resident ID, area, disease group, modality, patient age, patient gender, experience date (interview date), experience facility, The instructor is assigned the latest No. of the record sheet SH1a. Assign to a column. Thus, the recording sheet SH1a, that is, the training history is updated.

  In step S173, the individual report screen on the main monitor 305 is not displayed, and the tomographic image on the sub monitor 306 is not displayed. The individual report control task ends when the process of step S173 is completed.

  The attending physician acquires the finalized report thus created from the report server 40 through the HIS server 30, and acquires one or more DICOM files corresponding to the acquired finalized report from the PACS 70 through the HIS server 30. The obtained confirmed report and DICOM file are referred to for diagnosis by the attending physician.

  As described above, the resident is a radiologist who is trained in accordance with the radiation field specialized training curriculum, and the “confirmation of radiology experience” button displayed on the normal search screen shown in FIG. Clicked when you want to confirm. When the “confirmation of interpretation experience” button is clicked, the process proceeds from step S55 shown in FIG. 10 to step S79 shown in FIG.

  In step S79, the experience status confirmation screen on which the description of the recording sheet SH1a is reflected is developed on the DRAM 207a, and the multiplex display of the experience status confirmation screen is instructed to the main monitor 205a. The experience status confirmation screen developed on the DRAM 207a is read out by the main monitor 205a and is multiplexed and displayed on the normal search screen.

  The experience status confirmation screen has the appearance shown in FIG. According to FIG. 22, the case experience list is displayed at the top of the screen, and the modality experience list is displayed below the case experience list. A “print / output” button is displayed at the lower left of the screen, and an “OK” button and a “cancel” button are displayed at the lower right of the screen. In the case experience list, a case item as a set of regions and disease groups, the presence or absence of experience, and the number of cases are assigned to each of a plurality of item numbers. In the modality experience list, the modality, the degree of achievement, the presence or absence of experience, and the number of cases are assigned to each of a plurality of item numbers.

  The experience status confirmation screen may be referred to as “training implementation status information” to indicate the training implementation status for a plurality of case items. Further, the case experience list corresponds to a list (first training implementation status list) that classifies and displays the training implementation status for each case item, and the modality experience list classifies and displays the training implementation status for each modality. This is equivalent to a list (second training implementation status list).

  In step S81, it is determined whether or not an item number selection operation (an operation of double-clicking a desired item number on a case experience list or a modality experience list; a first search operation) has been performed using the keyboard / mouse 203a. In step S83, it is determined whether another operation has been performed by the keyboard / mouse 203a.

  The operation of double-clicking a desired item number on the case experience list may be called “case item selection operation”, and the operation of double-clicking the desired item number on the modality experience list is called “modality selection operation”. May be.

  If both the determination result in step S81 and the determination result in step S83 are NO, the process returns to step S81. If the determination result in step S81 is YES, the process proceeds to step S85. Proceed to processing.

  In step S85, a search request is issued to the report server 40. The search request is output from the communication I / F 201 a and given to the report server 40 via the hospital LAN 140. In the search request, information on an area or a modality corresponding to the selected item number, a status indicating “unread”, and a predetermined inspection date are described as search conditions.

  The information for identifying the region is described when a desired item number on the case experience list is clicked, and the information for identifying the modality is described when a desired item number on the modality experience list is clicked. .

  The report server 40 fetches the search request issued in this way through the communication I / F 401, searches the image interpretation report DB 4044 for one or more unread reports that match the search conditions described in the search request, The attribute information of each of the two or more unread reports is returned to the client terminal 20a. The attribute information is given to the client terminal 20a via the communication I / F 401 and the hospital LAN 140, and is taken into the DRAM 207a via the communication I / F 201a.

  In step S87, the attribute information thus captured is listed and displayed in a report list at the center of the screen, and the patient number / test type / modality column at the upper right of the screen is updated to a region / disease group / modality column (see FIG. 23). . In step S87, the experience status confirmation screen is not displayed.

  In the area / disease group / modality column, information on the area or modality corresponding to the item number selected by the item number selection operation is described. In other words, when the desired item number on the case experience list is double-clicked, the area assigned to the desired item number is described. When the desired item number on the modality experience list is double-clicked, the desired item number is displayed. The modality assigned to the item number is described. Upon completion of the process in the step S87, the process proceeds to a step S65.

  Residents may receive training at other medical facilities (external medical institutions) in accordance with the Radiology Specialized Training Curriculum. The “experience registration at another hospital” button displayed on the normal search screen shown in FIG. 19 is clicked when it is desired to reflect the training experience at another medical facility in the personal experience record DB 4043. When the “register experience at another hospital” button is clicked, the process proceeds from step S57 shown in FIG. 10 to step S89 shown in FIG.

  In step S89, the experience registration screen of the other hospital is developed on the DRAM 207a, and the multiple display of the experience registration screen of the other hospital is instructed to the main monitor 205a. The experience registration screen of another hospital developed on the DRAM 207a is read out by the main monitor 205a and is multiplexed and displayed on the normal search screen.

  The experience registration screen at another hospital has the appearance shown in FIG. According to FIG. 24, eight input fields for inputting a region, a disease group, a modality, a patient age, a patient gender, an experience date, an experienced facility, and a physician are displayed at the center left side of the screen. An “OK” button and a “Cancel” button are displayed at the lower right of the screen. The experience information includes, as items, the area, the disease group, the modality, the patient age, the patient's gender, the experience date, the experience facility, and the instructing physician thus displayed.

  In step S91, it is determined whether or not an experience information input operation (an operation of inputting any item constituting the experience information) has been performed using the keyboard / mouse 203a. If the determined result is NO, the process directly proceeds to a step S95, and if the determined result is YES, the input item is input and displayed on the experience registration screen in another hospital, and then the process proceeds to the step S95.

  In a step S95, it is determined whether or not the "OK" button is clicked by the keyboard / mouse 203a, and in a step S97, it is determined whether or not another operation is performed by the keyboard / mouse 203a. If both the determination result of step S95 and the determination result of step S97 are NO, the process returns to step S91. If the determination result of step S95 is YES, the process proceeds to step S99. Proceed to processing.

  In step S99, it is determined whether or not all the items constituting the experience information have been input. If the determination result is NO, the process returns to step S91. If the determination result is YES, the process proceeds to step S101. In step S101, the non-display of the experience registration screen in another hospital is instructed to the main monitor 205a. As a result, the normal search screen is entirely displayed on the main monitor 205a.

  In step S103, additional writing is performed on the recording sheet SH1a constituting the personal experience recording DB 4043. Specifically, referring to the input experience information, the resident ID, region, disease group, modality, patient age, patient gender, experience date, experience facility, and instructing physician are updated to the latest No. of the record sheet SH1a. . Assign to a column. Upon completion of the process in the step S103, the process returns to the step S53.

  As can be understood from the above description, the training support system 10 includes the client terminals 20a and 20b each operated by the resident and the client terminal 30 operated by the instructing physician.

  When the “experience status confirmation” button is clicked, the CPU 202a of the client terminal 20a or the CPU 202b of the client terminal 20b displays an experience status confirmation screen on which the description of the personal experience record DB 4043 is reflected on the main monitor 205a or 205b ( S55, S79).

  When receiving the item number selection operation on the experience status confirmation screen, the CPU 202a or 202b also detects one or two or more interpretation reports that are in an unread state and correspond to some of the plurality of case items (S81, S85). , S87). The CPU 202a or 202b further excludes the interpretation report being edited by another client terminal from the detected one or more interpretation reports (S69, S71), and finds / diagnoses one of the remaining interpretation reports thereafter. Editing is performed in response to an input operation (S115 to S119, S123 to S127).

  The CPU 302 of the client terminal 30 for the instructing doctor edits the interpretation report edited by the operation of the resident in response to the input operation such as finding / diagnosis (S155 to S159, S165 to S169), The description in the experience record DB 4043 is updated (S171).

  When an item number selection operation is performed on the experience status confirmation screen in the client terminals 20a and 20b for the resident, one or two or more interpretation reports corresponding to some case items and in an unread state are detected. One of the detected one or more interpretation reports is edited in response to an input operation such as finding / diagnosis, and edited by the client terminal 30 for the instructor doctor. Such editing work is reflected in the personal experience record DB 4043. Thus, the training can be efficiently implemented.

  In addition, the interpretation report being edited on the client terminal 20b is excluded from being edited by the client terminal 20a. As a result, the training can be performed using the interpretation report created in the actual clinic.

  In this embodiment, the training according to the specialized training curriculum in the radiation field is assumed. However, it goes without saying that the present invention can be applied to the training according to the specialized training curriculum in other fields.

10: Training support system 20a, 20b: Client terminal (for trainees)
30… Client terminal (for instructor doctor)
40 ... report server 202a, 202b, 302, 402 ... CPU
204a, 204b, 304, 403 ... HDD
205a, 205b, 305: Main monitor 206a, 206b, 306: Sub monitor 4041: Site-region conversion DB
4042… pediatric part-disease group conversion DB
4043… Individual experience record DB
4044… interpretation report DB

Claims (8)

A plurality of first terminals, each of which is operated by the trainee, and a second terminal device operated by the teaching physician, training of the residents of Ru and a server device that manages the training history and a plurality of inspection reports A training support system that supports
Each of the plurality of first terminal devices includes:
Training implementation information indicating training implementation for a plurality of cases items upon receiving the status confirmation operation, and outputs on the basis of the training history is managed by the server device,
When receiving a first search operation with respect to the output of the process, requesting a search for one or more inspection reports in response to a part and unedited state of the plurality of cases items to the server device And
Editing one of the one or more inspection reports detected by the server device in response to a first editing operation, requesting the server device to overwrite and save the inspection report after the editing ;
The server device is inquired as to whether a desired test report among one or more test reports detected by the server device is a test report being edited by another first terminal device or the second terminal device. Device for making an inquiry
The second terminal device,
A device that edits the inspection report edited by the first editing unit in response to a second editing operation, and requests the server device to overwrite and save the finalized inspection report after the editing ;
The server device,
Upon receiving a request from the first terminal device, search for one or more inspection reports,
Returning the attribute information of the test report detected by the search to the first terminal that has made the request,
Confirming whether or not the desired test report received the inquiry from the first terminal device is a test report being edited by the other first terminal device or the second terminal device; When the report is the inspection report being edited, the inspection report is excluded from editing targets in response to the first editing operation,
A training support system , which overwrites and saves a test report received from the first terminal device and updates a training history while overwriting and saving a confirmed test report received from the second terminal device. . The server apparatus manages the inspection report unedited state created based on the examination order from the attending physician, training support system according to claim 1, wherein. When each of the plurality of first terminal devices further receives a second search operation, requests the server device to search for one or more test reports in an unedited state regardless of case items ,
The server device receives the request, searches for one or more inspection reports,
Returning the attribute information of the inspection report detected by the search to the first terminal that has made the request,
The first terminal apparatus for editing in response to the first editing operation one of the one or more inspection report said detected by the server apparatus when the second search operation is performed, according to claim 1 or 2. The training support system described in 2 . Each of the plurality of first terminal device further comprises information reflecting unit for requesting to reflect the training received by the external medical institution training history managed by the server device to the server device, according to claim 1 4. The training support system according to any one of items 1 to 3 . The training implementation status information includes a first training implementation status list classified for each case item,
The first search operation includes a case item selection operation of selecting a desired case item on the first training implementation status list,
The training support according to any one of claims 1 to 4 , wherein one or more test reports detected in response to the request from the first terminal device correspond to the case item selected by the case item selection operation. system. The inspection report is a radiological image interpretation report,
The training implementation status information further includes a second training implementation status list classified for each modality,
The first search operation includes a modality selection operation of selecting a desired modality on the second training implementation status list,
6. The training support system according to claim 5 , wherein one or more test reports detected in response to the request from the first terminal device correspond to case items matching the modality selected by the modality selection operation. A first training support method executed by each of the plurality of first terminal devices operated by the plurality of resident doctors, a second training support method executed by the second terminal device operated by the instructor physician, and a plurality of examinations a composite training support method for supporting the training of the resident and a third training aid method performed by a server device that manages and reports and training history,
The first training support method includes:
An output step of outputting training implementation status information indicating training implementation status for a plurality of case items when receiving a status confirmation operation, based on a training history managed by the server device ;
When a first search operation is received in connection with the processing of the output step, the server device is requested to search for one or more test reports in an unedited state corresponding to some of the plurality of case items. The first requesting step ,
A first editing step of editing one of one or more inspection reports detected by the server device in response to a first editing operation, and requesting the server device to overwrite and save the inspection report after the editing; ,and
The server device is inquired as to whether a desired test report among one or more test reports detected by the server device is a test report being edited by another first terminal device or the second terminal device. A first inquiry step ,
The second training support method includes:
The inspection report edited Oite the first editing step to edit in response to the second editing operation, a second editing step of requesting the Save deterministic test report after the editing to the server apparatus,
The third training support method includes:
A first search step of receiving the request of the first request step and searching for one or more inspection reports;
A first return step of returning attribute information of the test report detected in the first search step to the first terminal that has made the request;
Confirming whether or not the desired inspection report received the inquiry of the first inquiry step is an inspection report being edited by the other first terminal device or the second terminal device; Is an inspection report being edited, an exclusion step of excluding the inspection report from editing targets in the first editing step;
A combined training support including an information update step of overwriting and saving the inspection report requested by the first editing step and updating the training history while overwriting and saving the confirmed inspection report requested by the second editing step Method. A first training support program provided to each of a plurality of first terminal devices operated by a plurality of trainees, a second training support program provided to a second terminal device operated by a trained doctor, and a plurality of examinations a composite training support program for supporting the training of the resident and a third training assistance program provided to the server device for managing and reporting the training history,
The first training support program includes:
An output step of outputting training implementation status information indicating training implementation status for a plurality of case items when receiving a status confirmation operation, based on a training history managed by the server device ;
When a first search operation is received in connection with the processing of the output step, the server device is requested to search for one or more test reports in an unedited state corresponding to some of the plurality of case items. The first requesting step ,
A first editing step of editing one of the one or more inspection reports detected by the server device in response to a first editing operation, and requesting the server device to overwrite and save the inspection report after the editing; ,and
The server device is inquired as to whether a desired test report among one or more test reports detected by the server device is a test report being edited by another first terminal device or the second terminal device. A program for causing a processor of each of the plurality of first terminal devices to execute the first inquiry step ,
The second training support program includes:
Wherein the second editing step of the inspection report edited Oite the first editing step to edit in response to the second editing operation, requests the Save deterministic test report after the editing to the server device first program der to be executed by the processor of the second terminal device is,
The third training support program includes:
A first search step of receiving the request of the first request step and searching for one or more inspection reports;
A first return step of returning attribute information of the test report detected in the first search step to the first terminal that has made the request;
Confirming whether or not the desired inspection report received the inquiry of the first inquiry step is an inspection report being edited by the other first terminal device or the second terminal device; Is an inspection report being edited, an exclusion step of excluding the inspection report from editing targets in the first editing step; and
An information update step of updating the training history while overwriting and saving the inspection report requested by the first editing step and overwriting and storing the confirmed inspection report requested by the second editing step; is a program to be executed by the, complex training support program.

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