JP6351925B2 - Report creation device and report creation program - Google Patents

Description

  Embodiments described herein relate generally to a report creation apparatus and a report creation program.

  Conventionally, in a medical field such as a hospital, a plurality of tests are performed for a disease of a single patient. A single report is created for each test. In the radiology department, for example, a report including an image taken using an MRI (Magnetic Resonance Imaging) apparatus, measurement results, and findings of examination is created. The doctor makes a diagnosis by referring to the report.

JP 2012-099124 A

  The problem to be solved by the present invention is to provide a report creation apparatus and a report creation program capable of reducing the labor of a doctor.

The report creation apparatus according to the embodiment includes a creation unit, an arrangement unit, and an output unit. The creation unit uses a test identifier for identifying the test and a data type identifier representing the data type of the test result to diagnose the disease when a plurality of types of tests related to the disease of the subject are reserved. The layout information assigned to the placement position of each inspection result in the generated report is created. Each time the inspection is performed, the placement unit corresponds to at least one of the image data and the measurement value, which are the inspection results obtained by the inspection, with the inspection identifier of the inspection and the data type identifier of the inspection result. It arrange | positions in the arrangement position of the said layout information. The output unit outputs an integrated report including the plurality of inspection results using layout information in which the plurality of inspection results are arranged by the arrangement unit.

FIG. 1 is a diagram for explaining a configuration example of an image processing system according to the first embodiment. FIG. 2 is a diagram for explaining a configuration example of the report creation apparatus according to the first embodiment. FIG. 3 is a diagram illustrating an example of examination reservation information acquired by the examination reservation information acquisition unit. FIG. 4 is a diagram illustrating an example of information stored in the template storage unit. FIG. 5 is a diagram illustrating an example of a template stored in the template storage unit. FIG. 6 is a diagram illustrating an example of a layout created by the layout creating unit. FIG. 7 is a diagram illustrating an example of the integrated report allocated by the Finding information allocation unit. FIG. 8 is a diagram illustrating an example of a summary diagram displayed on the monitor. FIG. 9 is a flowchart for explaining the layout creation process of the report creation apparatus according to the first embodiment. FIG. 10 is a flowchart for explaining a report creation process of the report creation apparatus according to the first embodiment. FIG. 11 is a diagram for explaining the problems of the prior art. FIG. 12 is a diagram for explaining the effect of the report creation apparatus according to the first embodiment. FIG. 13 is a diagram for explaining a configuration example of a report creation apparatus according to the second embodiment. FIG. 14 is a flowchart for explaining a report creation process of the report creation apparatus according to the second embodiment. FIG. 15 is a diagram for explaining a configuration example of a report creation apparatus according to the third embodiment. FIG. 16 is a flowchart for explaining a report creation process of the report creation apparatus according to the third embodiment. FIG. 17 is a diagram for explaining a configuration example of a report creation apparatus according to another embodiment. FIG. 18 is a diagram illustrating an example of information stored in the priority order template storage unit. FIG. 19 is a diagram illustrating an example of a template format stored in the priority order template storage unit. FIG. 20 is a diagram illustrating an example of examination reservation information acquired by the examination reservation information acquisition unit. FIG. 21 is a diagram illustrating an example of a layout created by the layout creating unit. FIG. 22 is a diagram for explaining a configuration example of a report creation apparatus according to another embodiment.

  Hereinafter, a report creation apparatus and a report creation program according to an embodiment will be described with reference to the drawings.

(First embodiment)
A configuration example of the image processing system according to the first embodiment will be described with reference to FIG. FIG. 1 is a diagram for explaining a configuration example of an image processing system according to the first embodiment. As shown in FIG. 1, the image processing system 1 according to the first embodiment includes a report creation device 100, an examination reservation management device 110, a modality 120a, a modality 120b, an image storage device 130, and a workstation 140. And a terminal device 150. As shown in FIG. 1, the apparatuses are in a state where they can communicate with each other directly or indirectly, for example, via a hospital LAN (Local Area Network) 2 installed in the hospital. For example, when a PACS (Picture Archiving and Communication System) is introduced in the image processing system 1, each apparatus transmits and receives medical image data and the like according to DICOM (Digital Imaging and Communications in Medicine) standards.

  Here, in the first embodiment, the report creating apparatus 100 defines a layout that defines the placement position of each test result in a report used for diagnosis of a disease when a plurality of types of tests related to the disease of the subject are reserved. Create information. Each time the inspection is performed, the report creating apparatus 100 arranges the inspection result obtained by the performed inspection in the created layout information. The report creation apparatus 100 outputs an integrated report including a plurality of inspection results using layout information in which a plurality of inspection results are arranged.

  The inspection reservation management apparatus 110 is an apparatus that performs inspection reservation management. For example, HIS (Hospital Information System) or RIS (Radiology Information System) is introduced. For example, the examination reservation management apparatus 110 accepts examination reservation information related to examination reservations by doctors and office workers working in a hospital, and outputs the accepted examination reservation information to each apparatus of the image processing system 1.

  The modality 120a and the modality 120b are an X-ray diagnostic apparatus, an X-ray CT apparatus, an MRI apparatus, an automatic chemical analyzer, an ultrasonic diagnostic apparatus, a SPECT (Single Photon Emission Computed Tomography) apparatus, a PET (Positron Emission computed Tomography) apparatus, and a SPECT. The apparatus includes a SPECT-CT apparatus in which the apparatus and the X-ray CT apparatus are integrated, a PET-CT apparatus in which the PET apparatus and the X-ray CT apparatus are integrated, and a specimen inspection apparatus. Note that the modality 120a and the modality 120b are collectively referred to as the modality 120 when not distinguished from each other. Moreover, although the case where the image processing system 1 is provided with the modality 120a and the modality 120b was illustrated in FIG. 1, it is not limited to this. For example, the image processing system 1 only needs to include a plurality of modalities 120.

  In addition, the modality 120 generates a test result when a reserved test is performed. For example, the modality 120 selects a key image as an examination result when a plurality of medical images are captured. Hereinafter, the inspection result is also referred to as “Finding information”.

  The image storage device 130 is a database that stores medical images. For example, the image storage device 130 stores the image information and inspection results transmitted from the modality 120 in the storage unit and stores them. In the first embodiment, the workstation 140 illustrated in FIG. 1 and the image storage device 130 may be integrated by using the workstation 140 that can store a large-capacity image. That is, the first embodiment may be a case where image information and inspection results are stored in the workstation 140 itself.

  The workstation 140 is an image processing apparatus that performs image processing on medical images. For example, the workstation 140 acquires image information and inspection results acquired from the image storage device 130, and displays the acquired image information and inspection results on a monitor.

  The terminal device 150 is a device for allowing a doctor or laboratory technician working in a hospital to view a medical image and an integrated report. For example, the terminal device 150 is a PC (Personal Computer), a tablet PC, a PDA (Personal Digital Assistant), a mobile phone, or the like operated by a doctor or laboratory technician working in a hospital. For example, the terminal device 150 has a monitor as a display unit. Also, the terminal device 150 acquires an integrated report from the report creation device 100 and displays the acquired integrated report on a monitor. As a result, a doctor or laboratory technician who is an observer can view the integrated report.

  Next, a configuration example of the report creation apparatus 100 according to the first embodiment will be described with reference to FIG. FIG. 2 is a diagram for explaining a configuration example of the report creation apparatus 100 according to the first embodiment. As shown in FIG. 1, a report creation apparatus 100 according to the first embodiment includes an inspection information acquisition unit 101, a layout creation unit 103, a template storage unit 102, a layout placement unit 104, a report storage unit 105, The report storage unit 106 and the report operation unit 107 are provided.

  The inspection information acquisition unit 101 acquires information related to the inspection. For example, the examination information acquisition unit 101 acquires, from the examination reservation management apparatus 110, examination reservation information related to the examination reserved for the subject and disease type information for identifying the type of disease of the subject. The examination information acquisition unit 101 outputs the acquired examination reservation information and disease type information to the layout creation unit 103.

  In the example illustrated in FIG. 2, the examination information acquisition unit 101 includes an examination reservation information acquisition unit 101a and a disease information acquisition unit 101b.

  The inspection reservation information acquisition unit 101a acquires inspection reservation information from the inspection reservation management device 110. For example, when a plurality of types of examinations related to a patient's disease are reserved in the examination reservation management apparatus 110, the examination reservation information acquisition unit 101a receives examination reservation information related to the reservation from the examination reservation management apparatus 110. The multiple types of examinations are examinations performed by a plurality of different medical devices such as an X-ray CT apparatus, an MRI apparatus, an X-ray diagnostic apparatus, and an automatic chemical analyzer.

  FIG. 3 is a diagram illustrating an example of examination reservation information acquired by the examination reservation information acquisition unit 101a. As illustrated in FIG. 3, the examination reservation information acquisition unit 101a acquires examination reservation information in which patient information is associated with information related to a plurality of examinations. Among these, patient information is information for identifying a patient. As information related to the inspection, inspection identification information and an inspection identifier are associated with each inspection. The examination identification information is information for identifying the examination. The examination identifier is information for identifying a reserved examination. The patient information may include information such as the patient's name, sex, and age. Further, the examination identifier may include information indicating the date and time when the reserved examination is performed.

  In the example illustrated in FIG. 3, patient information “101” is associated with examination identification information “CT examination” and examination identifier “10011” as the first examination. That is, this examination reservation information is data of Finding information obtained by the examination identified by the examination identifier “10011”, in which the first examination reserved for the patient identified by the patient information “101” is a CT examination. Indicates that the type is a two-dimensional image. The examination reservation information acquired by the examination reservation information acquisition unit 101a includes information related to other examinations.

  The disease information acquisition unit 101b acquires disease type information from the examination reservation management device 110. For example, when the examination reservation information obtaining unit 101a receives the examination reservation information, the disease information obtaining unit 101b obtains the disease type information of the patient related to the examination reservation information from the examination reservation management apparatus 110. The disease information acquisition unit 101b may acquire the disease type information from the examination reservation information acquired by the examination reservation information acquisition unit 101a when the disease type information is included in the examination findings of the examination reservation information.

  Note that the method for acquiring information by the examination reservation information acquisition unit 101a and the disease information acquisition unit 101b is not limited to the examination reservation management apparatus 110 even if it is passive acquisition that waits until information is transmitted from the examination reservation management apparatus 110. Active acquisition for polling may be used.

  The template storage unit 102 stores a report template for each disease type. The template storage unit 102 is referred to by a layout creation unit 103 described later. Information stored in the template storage unit 102 is registered in advance by a user who uses the report creation apparatus 100.

  FIG. 4 is a diagram illustrating an example of information stored in the template storage unit. As illustrated in FIG. 4, the template storage unit 102 stores information in which disease type information is associated with a template.

  In the example illustrated in FIG. 4, the template storage unit 102 stores information in which the disease type information “myocardial infarction” and the template “template 1” are associated with each other. That is, the template memory | storage part 102 memorize | stores that a report is produced based on the template 1, when the patient's disease relevant to test | inspection reservation information is myocardial infarction. Note that the template storage unit 102 similarly stores templates for other disease type information.

  Here, the template stored in the template storage unit 102 is, for example, information in which examination type information and a data type identifier are associated with an arrangement position of Finding information in a report. Among these, the data type identifier is information indicating the type of data of the Finding information.

  FIG. 5 is a diagram illustrating an example of a template stored in the template storage unit. In the example illustrated in FIG. 5, the template 5 a stored in the template storage unit 102 includes three areas: an area 5 b, an area 5 c, and an area 5 d. Of these, the area 5b is an area where patient information is described. The area 5c is an area where a plurality of pieces of Finding information are described. For example, the examination type information “CT examination” and the data type identifier “2D image” are associated with the area 5e, which is one of the areas 5c. The area 5d is an area where the general findings are described. In addition, each area | region illustrated in FIG. 5 shows the arrangement position in a report. Moreover, the template memorize | stored in the template memory | storage part 102 does not necessarily need to be memorize | stored as an image figure of a report like illustration. For example, the template may be stored with the arrangement position of the Finding information in the report as coordinate information.

  The layout creation unit 103 creates layout information that defines the placement position of each test result in a report used for disease diagnosis when a plurality of types of tests related to the disease of the subject are reserved. The layout creation unit 103 is an example of a creation unit.

  For example, the layout creation unit 103 receives examination reservation information and disease type information from the examination information acquisition unit 101. The layout creation unit 103 refers to the template storage unit 102 and acquires a template corresponding to the disease type information. The layout creation unit 103 compares the examination type information associated with the template arrangement position with the examination type information of the examination reservation information. The layout creation unit 103 assigns an inspection identifier having the same inspection type information to the template placement position. In addition, the layout creation unit 103 assigns the patient information of the examination reservation information to the patient information of the template. In the following, a template to which patient information and examination identifiers of examination reservation information are assigned is also referred to as “layout”. This layout is an example of layout information.

  FIG. 6 is a diagram illustrating an example of a layout created by the layout creating unit. FIG. 6 illustrates a layout 6a created from the examination reservation information of FIG. 3 and the template 5a of FIG. In the example illustrated in FIG. 6, the layout 6 a created by the layout creating unit 103 includes three regions: a region 6 b, a region 6 c, and a region 6 d. Of these, the area 6b is an area in which patient information corresponding to examination reservation information is described. In the area 6c, an examination identifier is associated with each area where a plurality of pieces of Finding information is described. For example, the examination type information “CT examination”, the examination identifier “10011”, and the data type identifier “2D image” are associated with the area 6e, which is one of the areas 6c. The area 6d is an area where the general findings are described.

  In the example shown in FIG. 6, the examination type information “CT examination” in the area 5e in FIG. 5 matches the examination type information “CT examination” in FIG. For this reason, the layout creation unit 103 assigns the examination identifier “10011” corresponding to the examination type information “CT examination” to the area 5e and sets it as the area 6e. Similarly, the layout creation unit 103 assigns an examination identifier corresponding to the examination type information to each area of the template for other areas. Then, the layout creation unit 103 stores the template assigned the patient information and the examination identifier of the examination reservation information as a layout in the report storage unit 106 via the report storage unit 105 described later.

  The layout arranging unit 104 arranges the inspection result obtained by the inspection in the layout created by the layout creating unit 103 every time the inspection is performed. The layout placement unit 104 is an example of a placement unit.

  In the example illustrated in FIG. 2, the layout arrangement unit 104 includes a Finding acquisition unit 104 a and a Finding allocation unit 104 b.

  For example, the Finding acquisition unit 104a acquires the Finding information generated by the modality 120 from the modality 120 every time an inspection is performed. The Finding acquisition unit 104a outputs the acquired Finding information to the Finding allocation unit 104b described later.

  As an example, when the examination with the examination identifier “10011” is performed by the X-ray CT apparatus, the Finding acquisition unit 104a acquires 2D image data generated by the X-ray CT apparatus as the Finding information. The Finding acquisition unit 104a includes the patient information “101”, the examination identification information “CT examination”, the data type identifier “2D image”, and the examination identifier “10011” related to the examination from which the Finding information is obtained together with the Finding information. Get information. The Finding acquisition unit 104a outputs the obtained Finding information “2D image data”, patient information “101”, examination identification information “CT examination”, data type identifier “2D image”, and examination identifier “10011” to the Finding allocation unit 104b. To do.

  In addition, although the case where the Finding acquisition unit 104a acquires the Finding information from the modality 120 has been described here, the present invention is not limited to this. For example, when the Finding information is generated in the workstation 140, the Finding information may be acquired from the workstation 140. The method by which the Finding acquisition unit 104a acquires information may be passive acquisition that waits until the Finding information is transmitted from the modality 120, or may be active acquisition that polls the modality 120.

  The Finding assignment unit 104b assigns the Finding information acquired by the Finding acquisition unit 104a to the layout created by the layout creation unit 103. The Finding assignment unit 104b outputs the layout to which all the Finding information has been assigned to the report display unit 107c described later as an integrated report. The Finding assignment unit 104 b stores a layout to which no Finding information is assigned in the report storage unit 106 via the report storage unit 105.

  For example, the Finding allocation unit 104b receives the Finding information, patient information, examination identification information, data type identifier, and examination identifier from the Finding acquisition unit 104a. The Finding allocation unit 104 b acquires the layout corresponding to the received patient information and examination identifier from the report storage unit 106 via the report storage unit 105. The Finding allocation unit 104b compares the inspection identifier and data type identifier associated with each layout position of the acquired layout with the inspection identifier and data type identifier of the accompanying information of the Finding information. The Finding assignment unit 104b assigns the Finding information having the matching test identifier and data type identifier to the template placement position. Hereinafter, a layout to which a plurality of pieces of Finding information is assigned is also referred to as “integrated report”.

  FIG. 7 is a diagram illustrating an example of the integrated report allocated by the Finding allocation unit 104b. FIG. 7 illustrates an integrated report created using the layout of FIG. In the example shown in FIG. 7, the integrated report 7a allocated by the Finding allocation unit 104b includes three areas: an area 7b, an area 7c, and an area 7d. Among these, the area 7b is an area in which patient information corresponding to examination reservation information is described. The area 7c is an area where a plurality of pieces of Finding information are described. For example, the region 7e, which is one of the regions 7c, is associated with the inspection type information “CT inspection”, the inspection identifier “10011”, and the finding information “2D image data”. The area 7d is an area where the general findings are described.

  In the example illustrated in FIG. 7, the examination identifier “10011” and the data type identifier “2D image” of the area 6e in FIG. 6 and the examination identifier “10011” and the data type identifier “2D image” received from the Finding acquisition unit 104a are included. Match. For this reason, the Finding assignment unit 104b assigns the Finding information “2D image data” having the matching inspection identifier and data type identifier to the region 6e of the layout, and sets it as the region 7e. Similarly, the Finding assignment unit 104b assigns Finding information having the same inspection identifier and data type identifier to each region of the layout for other regions as well. Then, the Finding assignment unit 104b determines whether all the Finding information has been assigned to the layout. When all the Finding information is assigned to the layout, the Finding assignment unit 104b outputs the layout as an integrated report to the report display unit 107c. The Finding assignment unit 104 b stores the layout in the report storage unit 106 via the report storage unit 105 when all the Finding information is not assigned to the layout. At this time, the Finding assignment unit 104b outputs information indicating the area to which the Finding information has been assigned to the report display unit 107c. Note that the Finding assignment unit 104b may store the layout to which all Finding information is assigned in the report storage unit 106 as an integrated report.

  The report storage unit 105 stores the integrated report or layout in the report storage unit 106. For example, the report storage unit 105 receives a layout from the layout creation unit 103 or the layout placement unit 104. The report storage unit 105 receives an integrated report from a report operation unit 107 described later. The report storage unit 105 stores the accepted layout or integrated report in the report storage unit 106.

  Further, for example, the report storage unit 105 acquires the layout corresponding to the patient information and the examination identifier designated from the layout arrangement unit 104 from the report storage unit 106. The report storage unit 105 outputs the acquired layout to the layout arrangement unit 104.

  For example, the report storage unit 105 acquires an integrated report corresponding to the patient information and the examination identifier specified from the report operation unit 107 from the report storage unit 106. The report storage unit 105 outputs the acquired integrated report to the report operation unit 107.

  The report storage unit 106 stores the integrated report and layout. For example, the report storage unit 106 stores a layout to which only the layout of FIG. 6, the integrated report of FIG. 7, and only part of the Finding information is assigned.

  For example, the report operation unit 107 operates a report in accordance with an instruction from a doctor or a laboratory technician. As shown in FIG. 2, the report operation unit 107 includes a report output unit 107a, a report update unit 107b, and a report display unit 107c.

  The report output unit 107a outputs the integrated report to the terminal device 150. For example, the report output unit 107 a acquires an integrated report from the report storage unit 106 using patient information and examination identifiers specified by a doctor or laboratory technician who uses the terminal device 150. The report output unit 107 a outputs the acquired integrated report to the terminal device 150. As a result, a doctor or a laboratory technician who uses the terminal device 150 can view the integrated report. For example, the report output unit 107a may output an integrated report to a printer (not shown) and print it on a paper medium.

  The report update unit 107b updates the integrated report. For example, the report update unit 107b accepts input of text data for the comprehensive findings of the integrated report displayed on the terminal device 150 or the monitor 170. The report update unit 107 b writes the received text data input to the integrated report stored in the report storage unit 106.

  The report display unit 107c displays a report. For example, the report display unit 107 c receives an integrated report from the layout arrangement unit 104 or the report storage unit 105. The report display unit 107c outputs the received integrated report to the monitor 170. As a result, a doctor or laboratory technician who browses the monitor 170 can browse the integrated report.

  Further, for example, the report display unit 107 c receives information indicating an area to which the Finding information has been assigned from the Finding assignment unit 104 b of the layout placement unit 104. The report display unit 107c generates a summary diagram illustrated in FIG. 8 based on the received information. The summary diagram illustrated in FIG. 8 is a schematic diagram of an integrated report in which the areas to which the Finding information has been assigned are indicated by shading. The report display unit 107c outputs the refined summary chart to the monitor 170. As a result, a doctor or laboratory technician viewing the monitor 170 can view the summary diagram. FIG. 8 is a diagram illustrating an example of a summary diagram displayed on the monitor.

  Here, the case where the report operation unit 107 outputs an integrated report has been illustrated, but the present invention is not limited to this. For example, the report operation unit 107 has a layout to which only a part of the Finding information is assigned. It may be output.

  The functions of the inspection information acquisition unit 101, the layout creation unit 103, the layout placement unit 104, the report storage unit 105, and the report operation unit 107 are, for example, ASIC (Application Specific Integrated Circuit) and FPGA (Field Programmable Gate Array). This can be realized by an integrated circuit or a CPU (Central Processing Unit) executing a predetermined program.

  The template storage unit 102 and the report storage unit 106 correspond to, for example, a semiconductor memory device such as a RAM (Random Access Memory) and a flash memory, and a storage device such as a hard disk device and an optical disk device.

  Next, the layout creation process of the report creation apparatus 100 according to the first embodiment will be described with reference to FIG. FIG. 9 is a flowchart for explaining the layout creation process of the report creation apparatus 100 according to the first embodiment. The process illustrated in FIG. 9 is executed, for example, when the examination information acquisition unit 101 acquires examination reservation information and disease type information.

  As illustrated in FIG. 9, when the test information acquisition unit 101 acquires test reservation information and disease type information (Yes in step S101), the layout generation unit 103 corresponds to the disease type information acquired by the test information acquisition unit 101. A template is acquired (step S102). The examination information acquisition unit 101 is in a standby state until the examination reservation information and the disease type information are obtained (No at Step S101).

  The layout creation unit 103 creates a layout (step S103). For example, the layout creating unit 103 compares the examination type information associated with the template arrangement position with the examination type information of the examination reservation information. The layout creation unit 103 assigns an inspection identifier having the same inspection type information to the template placement position. In addition, the layout creation unit 103 assigns the patient information of the examination reservation information to the patient information of the template.

  The layout creation unit 103 stores the template assigned the patient information and the examination identifier of the examination reservation information in the report storage unit 106 as a layout (step S104).

  Next, the report creation process of the report creation apparatus 100 according to the first embodiment will be described with reference to FIG. FIG. 10 is a flowchart for explaining a report creation process of the report creation apparatus 100 according to the first embodiment. The process illustrated in FIG. 10 is executed, for example, when the Finding acquisition unit 104a of the layout arrangement unit 104 acquires the Finding information.

  As shown in FIG. 10, when the Finding acquisition unit 104a of the layout arrangement unit 104 acquires the Finding information (Yes at Step S201), the Finding allocation unit 104b of the layout arrangement unit 104 displays the patient information and the examination identifier of the additional information of the Finding information Is acquired from the report storage unit 106 via the report storage unit 105 (step S202). It is in a standby state until the Finding acquisition unit 104a of the layout arranging unit 104 acquires the Finding information (No at Step S201).

  The Finding allocation unit 104b of the layout arrangement unit 104 arranges the Finding information in the layout (Step S203). For example, the Finding allocation unit 104b of the layout arrangement unit 104 compares the inspection identifier and data type identifier associated with each arrangement position of the acquired layout with the inspection identifier and data type identifier of the accompanying information of the Finding information. The Finding assignment unit 104b of the layout placement unit 104 assigns the Finding information having the matching test identifier and data type identifier to the placement position of the template.

  The Finding allocation unit 104b of the layout arrangement unit 104 determines whether all the Finding information has been arranged in the layout (Step S204). When all the Finding information is assigned to the layout (Yes at Step S204), the Finding assigning unit 104b of the layout arranging unit 104 outputs the layout as an integrated report to the report display unit 107c (Step S205).

  On the other hand, when all the Finding information is not assigned to the layout (No at Step S204), the Finding assignment unit 104b of the layout placement unit 104 stores the layout in the report storage unit 106 via the report storage unit 105 (Step S204). S206), the process proceeds to step S201. At this time, the Finding assignment unit 104b of the layout arrangement unit 104 outputs information indicating the area to which the Finding information has been assigned to the report display unit 107c.

  The layout creation process and the report creation process are not necessarily limited to the above processing procedure. For example, the Finding assignment unit 104b of the layout arrangement unit 104 may output a layout to which only a part of the Finding information is assigned to the report display unit 107c.

  As described above, the report creation apparatus 100 according to the first embodiment determines the placement position of each test result in a report used for diagnosis of a disease when a plurality of types of tests related to the disease of the subject are reserved. Create the defined layout information. Each time the inspection is performed, the report creating apparatus 100 arranges the inspection result obtained by the performed inspection in the created layout information. The report creation apparatus 100 outputs an integrated report including a plurality of inspection results using layout information in which a plurality of inspection results are arranged. For this reason, the report creation apparatus 100 can reduce a doctor's effort.

  Here, the effect of the report creation apparatus 100 according to the first embodiment will be described with reference to FIGS. 11 and 12. FIG. 11 is a diagram for explaining the problems of the prior art. FIG. 12 is a diagram for explaining the effect of the report creation apparatus 100 according to the first embodiment.

  As shown in FIG. 11, according to the prior art, when a plurality of examinations related to a patient's disease are reserved, a single report is created for each examination. For this reason, in the prior art, when diagnosing a patient's illness, a doctor has to read these plural reports, and labor is required. On the other hand, the report creation apparatus 100 according to the first embodiment creates an integrated report in which examination results obtained from a plurality of examinations are integrated as shown in FIG. For this reason, since the report preparation apparatus 100 eases the effort for the doctor to read and connect a plurality of reports, the effort of the doctor can be reduced, and further, the diagnosis efficiency of the doctor can be increased.

(Second Embodiment)
Next, a second embodiment will be described. In the first embodiment described above, the case where the report creation apparatus 100 creates an integrated report using the Finding information generated by the modality 120 or the workstation 140 has been described. However, the embodiment is not limited to this. Absent. For example, the report creation apparatus 100 may create an integrated report using a single report generated by the modality 120 or the workstation 140. Therefore, in the second embodiment, a case will be described in which the report creation apparatus 100 creates an integrated report using a single report generated by the modality 120 or the workstation 140.

  In the second embodiment, a case where an integrated report is created using a single report will be described. However, a new integrated report can also be created based on the created integrated report. This is realized by using an already created integrated report in the same manner as a single report described below.

  A configuration example of the report creation apparatus 100 according to the second embodiment will be described with reference to FIG. FIG. 13 is a diagram for explaining a configuration example of the report creation apparatus 100 according to the second embodiment. The report creation apparatus 100 illustrated in FIG. 13 is different from the report creation apparatus 100 illustrated in FIG. 2 in that it includes a single report acquisition unit 104c and a single report decomposition unit 104d. In the following, functional units that exhibit the same functions as those in the above-described embodiment will be denoted by the same reference numerals, and description thereof will be omitted.

  The single report acquisition unit 104c acquires a single report created for each examination or the integrated report. For example, the single report acquisition unit 104c acquires a single report generated by the modality 120 from the modality 120 every time an inspection is performed. The single report acquisition unit 104c outputs the acquired single report to the single report decomposition unit 104d described later.

  As an example, when the inspection with the inspection identifier “10011” is performed by the X-ray CT apparatus, the single report acquisition unit 104c acquires the single report generated by the X-ray CT apparatus. Here, the single report acquired by the single report acquisition unit 104c includes patient information “101”, examination identification information “CT examination”, finding information “2D image data”, data type identifier related to the examination from which the single report is obtained. It includes “2D image” and examination identifier “10011”. The single report acquisition unit 104c outputs the acquired single report to the single report decomposition unit 104d.

  Although the case where the single report acquisition unit 104c acquires a single report from the modality 120 has been described here, the present invention is not limited to this. For example, when a single report is generated at the workstation 140, the single report may be acquired from the workstation 140. Further, the method of acquiring information by the single report acquisition unit 104c may be passive acquisition that waits until a single report is transmitted from the modality 120, or may be active acquisition that polls the modality 120.

  The single report decomposition unit 104d decomposes the single report into a plurality of inspection results. For example, the single report decomposition unit 104d receives the single report acquired by the single report acquisition unit 104c from the single report acquisition unit 104c. The single report decomposition unit 104d extracts patient information, examination identification information, Finding information, a data type identifier, and an examination identifier from the received individual report. The single report decomposition unit 104d outputs the patient information, examination identification information, Finding information, data type identifier, and examination identifier to the Finding allocation unit 104b.

  As an example, the single report decomposition unit 104d receives a single report from the X-ray CT apparatus acquired by the single report acquisition unit 104c from the single report acquisition unit 104c. The single report disassembling unit 104d receives patient information “101”, examination identification information “CT examination”, finding information “2D image data”, and data type identifier “2D” related to the examination from which the single report is obtained from the received individual report. The “image” and the examination identifier “10011” are extracted. The single report decomposing unit 104d outputs the patient information “101”, the examination identification information “CT examination”, the finding information “2D image data”, the data type identifier “2D image”, and the examination identifier “10011” to the Finding allocation unit 104b. .

  Next, a report creation process of the report creation apparatus 100 according to the second embodiment will be described with reference to FIG. FIG. 14 is a flowchart for explaining a report creation process of the report creation apparatus 100 according to the second embodiment. The process illustrated in FIG. 14 is executed, for example, when the single report acquisition unit 104c of the layout arrangement unit 104 acquires a single report.

  As shown in FIG. 14, when the single report acquisition unit 104c of the layout arrangement unit 104 acquires a single report (Yes in step S301), the single report decomposition unit 104d of the layout arrangement unit 104 is acquired by the single report acquisition unit 104c. The single report is decomposed into a plurality of inspection results (step S302). For example, the single report decomposing unit 104d extracts patient information, examination identification information, Finding information, a data type identifier, and a test identifier from the single report acquired by the single report acquisition unit 104c. The single report decomposition unit 104d outputs the patient information, examination identification information, Finding information, data type identifier, and examination identifier to the Finding allocation unit 104b. Note that the standby state is kept until the single report acquisition unit 104c of the layout arrangement unit 104 acquires a single report (No in step S301).

  The Finding allocation unit 104b of the layout arrangement unit 104 acquires the layout corresponding to the patient information and the examination identifier received from the single report decomposition unit 104d from the report storage unit 106 via the report storage unit 105 (Step S303).

  The Finding allocation unit 104b of the layout arrangement unit 104 arranges at least one Finding information obtained by the single report decomposition unit 104d in the layout (Step S304). For example, the Finding allocation unit 104b compares the inspection identifier and data type identifier associated with each layout position of the acquired layout with the inspection identifier and data type identifier received from the single report decomposition unit 104d. The Finding assignment unit 104b of the layout placement unit 104 assigns the Finding information having the matching test identifier and data type identifier to the placement position of the template.

  The Finding allocation unit 104b of the layout placement unit 104 determines whether all the Finding information has been placed in the layout (Step S305). When all the Finding information is assigned to the layout (Yes at Step S305), the Finding assignment unit 104b of the layout placement unit 104 outputs the layout as an integrated report to the report display unit 107c (Step S306).

  On the other hand, if all the Finding information has not been assigned to the layout (No at Step S305), the Finding assignment unit 104b of the layout placement unit 104 stores the layout in the report storage unit 106 via the report storage unit 105 (Step S305). S307), the process proceeds to step S301.

  The layout creation process and the report creation process are not necessarily limited to the above processing procedure. For example, the Finding assignment unit 104b of the layout arrangement unit 104 may output a layout to which only a part of the Finding information is assigned to the report display unit 107c.

  As described above, the report creation apparatus 100 according to the second embodiment acquires a single report created for each examination. The report creation apparatus 100 decomposes the acquired single report into a plurality of inspection results. The report creating apparatus 100 arranges at least one inspection result obtained by the disassembly in the layout. For this reason, the report creation apparatus 100 can create an integrated report from a created single report.

(Third embodiment)
Next, a third embodiment will be described. In the above-described embodiment, the case where the report creating apparatus 100 creates an integrated report using the examination reservation information acquired from the examination reservation management apparatus 110 has been described, but the embodiment is not limited thereto. For example, the report creating apparatus 100 may create an integrated report by accepting designation of the arrangement position of the Finding information obtained by the examination when the examination is reserved by the doctor. Therefore, in the third embodiment, a case will be described in which the report creating apparatus 100 creates an integrated report by arranging Finding information at an arrangement position designated by a doctor when an examination is scheduled.

  A configuration example of the report creation apparatus 100 according to the third embodiment will be described with reference to FIG. FIG. 15 is a diagram for explaining a configuration example of the report creation apparatus 100 according to the third embodiment. The report creation apparatus 100 shown in FIG. 15 is different from the report creation apparatus 100 shown in FIG. In the following, functional units that exhibit the same functions as those in the above-described embodiment will be denoted by the same reference numerals, and description thereof will be omitted.

  When a plurality of types of examinations are reserved, the creation unit 108 accepts designation of an arrangement position of examination results obtained in each examination, and creates layout information according to the arrangement positions. For example, the creation unit 108 receives input of patient information and disease type information by a doctor or office worker working in a hospital via the terminal device 150 or the input device 160. The creation unit 108 acquires a template corresponding to the disease type information from the template storage unit 102. The creation unit 108 outputs the template to the terminal device 150 or the monitor 170 for display. The creation unit 108 receives input of inspection identification information to be inspected via the terminal device 150 or the input device 160. The creation unit 108 creates a layout by assigning an arbitrary inspection identifier to inspection identification information to be inspected. The creation unit 108 assigns the input patient information to the template. The creation unit 108 stores the layout assigned the inspection identifier in the report storage unit 106. The creation unit 108 generates inspection reservation information from the layout. For example, the creation unit 108 extracts patient information, examination identification information, data type identification information, and examination identifier as examination reservation information from a layout to which examination identifiers are assigned. The creation unit 108 transmits the generated examination reservation information to the examination reservation management apparatus 110.

  As an example, the creation unit 108 receives input of patient information “101” and disease type information “myocardial infarction” by a doctor or office worker working in a hospital via the terminal device 150 or the input device 160. The creation unit 108 acquires the template “template 1” corresponding to the disease type information “myocardial infarction” from the template storage unit 102. The creation unit 108 outputs and displays the template “template 1” on the terminal device 150 or the monitor 170. When the region 5e in FIG. 5 is selected by a doctor or a clerk, the creation unit 108 accepts that the examination identification information “CT examination” is designated as the examination target. The creation unit 108 assigns an examination identifier “10011” as an arbitrary examination identifier to examination identification information “CT examination” to be examined. Similarly, the creation unit 108 assigns examination identifiers to the areas selected by the doctor or the clerk for other areas. Further, the creation unit 108 assigns the input patient information “101” to the region 5b in FIG. The creation unit 108 extracts patient information “101”, examination identification information “CT examination”, and examination identifier “10011” as examination reservation information from the layout to which examination identifiers are assigned. In addition, similarly to the other examination identification information, the creation unit 108 extracts the examination identification information to which the examination identifier is assigned as examination reservation information. The creation unit 108 transmits the generated examination reservation information to the examination reservation management apparatus 110.

  Next, a report creation process of the report creation apparatus 100 according to the third embodiment will be described with reference to FIG. FIG. 16 is a flowchart for explaining a report creation process of the report creation apparatus 100 according to the third embodiment. The process illustrated in FIG. 16 is started, for example, when the creation unit 108 receives input of patient information and disease type information.

  As illustrated in FIG. 16, when receiving the patient information and the disease type information (Yes at Step S401), the creating unit 108 acquires a template corresponding to the disease type information from the template storage unit 102 (Step S402). The creation unit 108 is in a standby state until it receives patient information and disease type information (No at step S401).

  The creation unit 108 displays the template on the terminal device 150 or the monitor 170 (step S403). The creation unit 108 accepts inspection identification information to be inspected (step S404).

  The creation unit 108 creates a layout (step S405). For example, the creation unit 108 assigns an inspection identifier to inspection identification information to be inspected. The creation unit 108 assigns the patient information input to the template.

  The creation unit 108 stores the layout assigned the inspection identifier in the report storage unit 106 (step S406). The creation unit 108 generates inspection reservation information from the layout (step S407). For example, the creation unit 108 extracts patient information, examination identification information, and examination identifier as examination reservation information from a layout to which examination identifiers are assigned. The creation unit 108 transmits the generated examination reservation information to the examination reservation management apparatus 110 (step S408).

  As described above, the report creation apparatus 100 according to the first embodiment accepts designation of the placement position of the examination result obtained in each examination when a plurality of types of examinations are reserved, and sets the accepted placement position. Therefore, layout information is created. Therefore, the report creation apparatus 100 can create an integrated report with an arbitrary layout of the person who uses the report creation apparatus 100.

(Other embodiments)
By the way, in the first embodiment and the second embodiment described above, the inspection result may be arranged in the template based on a predetermined priority. FIG. 17 is a diagram for explaining a configuration example of a report creation apparatus 100 according to another embodiment. The report creation apparatus 100 illustrated in FIG. 17 is different from the report creation apparatus 100 illustrated in FIG. 2 in that it includes a priority order template storage unit 109. In the following, functional units that exhibit the same functions as those in the above-described embodiment will be denoted by the same reference numerals, and description thereof will be omitted.

  The priority order template storage unit 109 stores the priority of test results arranged in the integrated report for each disease.

  FIG. 18 is a diagram illustrating an example of information stored in the priority order template storage unit 109. As illustrated in FIG. 18, the priority order template storage unit 109 stores information in which disease type information, template format, and priority are associated with each other. Among these, the template format is information that defines the number and position of the Finding information to be arranged in the report. For example, information such as “2 × 3”, “2 × 2”, “1 × 2” is stored. Is done. The priority is information representing the priority of examination type information arranged in a report.

  In the example illustrated in FIG. 18, the priority order template storage unit 109 includes disease type information “cerebral infarction”, template format “2 × 3”, priority 1 “MR image”, and priority 2 “CT image”. And priority 3 “MR3D”, priority 4 “blood pressure”, priority 5 “blood”, and priority 6 “urine” are stored. That is, the priority order template storage unit 109 stores information that the report is created based on the template of the template format “2 × 3” when the patient's disease related to the examination reservation information is cerebral infarction. Note that the priority order template storage unit 109 similarly stores templates for other disease type information.

  FIG. 19 is a diagram illustrating an example of a template format stored in the priority order template storage unit 109. In the example illustrated in FIG. 19, the template 19a stored in the priority order template storage unit 109 includes an area 19b including a plurality of pieces of Finding information. This area 19b is an example of a template of the template format “2 × 2”, “display order 1” in the upper left area, “display order 2” in the upper right area, “display order 3” in the lower left area, “Display order 4” is associated with the lower area. That is, this area 19b indicates that the information is arranged in each of the upper left, upper right, lower left, and lower right areas in order from the high-priority finding information.

  An example in which the Finding information is arranged in the template based on the priority will be described with reference to FIGS. 20 and 21. FIG. 20 is a diagram illustrating an example of examination reservation information acquired by the examination reservation information acquisition unit. FIG. 21 is a diagram illustrating an example of a layout created by the layout creating unit.

  In the example illustrated in FIGS. 20 and 21, a case will be described in which the report creation apparatus 100 acquires the examination reservation information and the disease type information “heart failure” illustrated in FIG. 20. In this case, the layout creating unit 103 of the report creating apparatus 100 refers to the priority order template storage unit 109 and selects a template of the template format “2 × 2” corresponding to the disease type information “heart failure” as a priority order template storage unit. 109. The layout creation unit 103 refers to the priority order template storage unit 109 and assigns inspection identifiers to the templates in order from the inspection with the highest priority. Specifically, the layout creation unit 103 acquires the examination identifier “20011” from the examination reservation information because the examination identifier corresponding to the examination “electrocardiogram” having the priority 1 is present in the examination reservation information, and stores the examination identifier “20011” in the area 19b. Assign to the upper left area. Subsequently, since the inspection identifier corresponding to the priority 2 inspection “ultrasound image” does not exist in the inspection reservation information, the layout creating unit 103 does not perform the processing related to the priority 2 inspection and performs the next priority inspection. Move on to processing. Subsequently, since the test identifier corresponding to the test “blood” with the priority 3 exists in the test reservation information, the layout creation unit 103 acquires the test identifier “30101” from the test reservation information, and Assign to a region. Then, the layout creation unit 103 ends the process without performing the process related to the priority 4 test because the test identifier corresponding to the test “blood pressure” with the priority 4 does not exist in the test reservation information. As a result, the layout creating unit 103 creates the layout 21a shown in FIG. In this layout 21a, an electrocardiogram examination identifier “20021” is assigned to the upper left of the area 21b, and a blood pressure examination identifier “30101” is assigned to the upper right.

  As described above, the report creation apparatus 100 determines the placement position of the test result obtained by the reserved test using the priority of the test result defined for each disease, and creates layout information according to the placement position. To do. For this reason, the report creation apparatus 100 can create an integrated report in which inspection results are arranged in order of priority.

  Further, in the first embodiment and the second embodiment described above, a request for obtaining the Finding information may be transmitted to the modality 120 in accordance with an instruction from the doctor. FIG. 22 is a diagram for explaining a configuration example of a report creation device 100 according to another embodiment. The report creation apparatus 100 shown in FIG. 22 is different from the report creation apparatus 100 shown in FIG. 2 in that it has a Finding acquisition request unit 107d. In the following, functional units that exhibit the same functions as those in the above-described embodiment will be denoted by the same reference numerals, and description thereof will be omitted.

  As illustrated in FIG. 22, the Finding acquisition request unit 107 d receives an input to acquire the inspection result from the user. For example, the Finding acquisition request unit 107d receives a request for acquiring Finding information by a doctor or office worker working in the hospital via the terminal device 150 or the input device 160. This request includes, for example, a test identifier related to the Finding information and information for identifying the modality 120 that generates the Finding information. The Finding acquisition request unit 107 d outputs a request for acquiring the Finding information to the Finding acquisition unit 104 a of the layout arrangement unit 104.

  The Finding acquisition unit 104a acquires a test result according to the input received by the Finding acquisition request unit 107d. For example, the Finding acquisition unit 104a receives a request for acquiring the Finding information from the Finding acquisition request unit 107d. The Finding acquisition unit 104a transmits a request for acquiring the Finding information to the modality 120 that generates the Finding information. If the Finding information of the examination identifier included in the request is in the modality 120, the Finding acquisition unit 104a acquires the Finding information. The report creation apparatus 100 outputs the obtained Finding information to the Finding allocation unit 104b. As a result, the Finding allocation unit 104b arranges the Finding information acquired by the Finding acquisition unit 104a in the layout information.

  As described above, the report creation apparatus 100 receives an input to acquire the inspection result from the user. The report creation apparatus 100 acquires a test result according to the received input. The report creation apparatus 100 arranges the acquired inspection result in the layout information. For this reason, the report creation apparatus 100 can acquire a test result according to a user's request | requirement, and can create an integrated report.

  Note that the functions of the inspection information acquisition unit 101, the layout creation unit 103, the layout arrangement unit 104, the report storage unit 105, and the report operation unit 107 described in the above embodiment can also be realized by software, for example. For example, the functions of the inspection information acquisition unit 101, the layout generation unit 103, the layout arrangement unit 104, the report storage unit 105, and the report operation unit 107 are the same as the inspection information acquisition unit 101, the layout generation unit 103, and the layout arrangement unit 104 in the above embodiment. This is realized by causing a computer to execute a report creation program that defines the processing procedure described as being performed by the report storage unit 105 and the report operation unit 107. The report creation program is stored in, for example, a hard disk or a semiconductor memory device, and is read and executed by a processor such as a CPU or MPU. The report creation program can be recorded and distributed on a computer-readable recording medium such as a CD-ROM (Compact Disc-Read Only Memory), an MO (Magnetic Optical disk), or a DVD (Digital Versatile Disc).

  According to at least one embodiment described above, the labor of a doctor can be reduced.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the equivalents thereof.

100 Report Creation Device 103 Layout Creation Unit 104 Layout Arrangement Unit 107 Report Operation Unit 107a Report Output Unit

Claims (6)

When a plurality of types of examinations related to a disease of a subject are reserved, an examination identifier for identifying the examination and a data type identifier representing a data type of the examination result are included in each report used for diagnosis of the disease. A creation unit for creating layout information assigned to the placement position of the inspection result;
Each time the inspection is performed, at least one of the image data and the measurement value that is the inspection result obtained by the inspection is stored in the layout information corresponding to the inspection identifier of the inspection and the data type identifier of the inspection result. An arrangement part to be arranged at an arrangement position;
An output unit that outputs an integrated report including a plurality of inspection results using layout information in which a plurality of inspection results are arranged by the arrangement unit. An acquisition unit for acquiring a single report that is created for each individual test,
Alone report acquired by the acquisition unit, decomposing decomposition unit into a plurality of inspection results included in the single report,
Further comprising
The report creation apparatus according to claim 1, wherein the placement unit places at least one inspection result obtained by the decomposition unit in layout information created by the creation unit.   The creation unit accepts designation of an arrangement position of an inspection result obtained in each examination when the plurality of types of examinations are reserved, and creates the layout information according to the arrangement position. Item 3. The report creation device according to item 1 or 2.   The creation unit determines the placement position of a test result obtained by a reserved test using the priority of the test result defined for each disease, and creates the layout information according to the placement position. The report creation device according to claim 1 or 2. An accepting unit that accepts an input to obtain the inspection result from a user;
An inspection result acquisition unit that acquires the inspection result according to the input received by the reception unit;
Further comprising
5. The report creation according to claim 1, wherein the arrangement unit arranges the inspection result acquired by the inspection result acquisition unit in the layout information generated by the generation unit. apparatus. On the computer,
When a plurality of types of examinations related to a disease of a subject are reserved, an examination identifier for identifying the examination and a data type identifier representing a data type of the examination result are included in each report used for diagnosis of the disease. Create layout information assigned to the placement location of the inspection results,
Each time the inspection is performed, at least one of the image data and the measurement value that is the inspection result obtained by the inspection is stored in the layout information corresponding to the inspection identifier of the inspection and the data type identifier of the inspection result. Place it at the placement position,
A report creation program for executing each process of outputting an integrated report including a plurality of inspection results using layout information in which a plurality of inspection results are arranged by the arranging process.

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