JP6343223B2 - Endoscope support system - Google Patents

Description

  The present invention relates to an endoscope operation support apparatus that supports an endoscope operation.

  In endoscopy, a plurality of endoscopic images are usually taken with an endoscope inserted into a patient's body. The taken endoscopic image is linked to an examination order in order to specify which examination is taken. In order to prevent subsequent tampering and loss of files due to mistakes in copy and move operations, the normal endoscope operation support system basically deletes or copies endoscopic images once linked to the inspection order. Is prohibited.

  In addition, since the inspection order is issued by an ordering system outside the endoscope department, even if there is an error in the linkage between the inspection order and the endoscope image, the endoscope operation support system, which is the endoscope department system, does the inspection. The order cannot be reissued.

  Previously, if a medical worker performed an examination with a mistake in the examination order, after the examination was completed, the linkage between the examination order and the endoscopic image was released, and an operation to re-associate with the correct examination order was performed. . As an example of a mistake in the inspection order, when the upper endoscopy order and lower endoscopy order of the same patient are issued on the same day, when performing the upper endoscopy of the patient, The lower endoscopy order may be selected incorrectly.

JP 2010-26984 A JP 2007-325741 A

  Also, as another example of the mistake in the inspection order, after the upper endoscopy of the patient has been completed, the patient has forgotten to complete the operation and the lower endoscopy of the patient is in progress while the upper endoscopy order is being performed. May be implemented. In this case, an endoscopic image taken by the lower endoscopy is associated with the upper endoscopy order. In this way, when endoscope images of a plurality of examinations are linked to one examination order, the endoscope operation support systems that have adopted the above-mentioned policy cannot divide the endoscope images. It was. Therefore, the administrator of the ordering system was contacted to have the inspection order reissued.

  The present invention has been made in view of such a situation, and its purpose is correction work when endoscope images of a plurality of examinations are linked to one examination order while ensuring reliability of file management. It is to provide a technology that facilitates the process.

  In order to solve the above-described problems, an endoscope operation support apparatus according to an aspect of the present invention is an order for accumulating an examination order acquired from an ordering system and associated with an endoscopic image taken in an endoscopic examination. A storage unit; an order providing unit that provides an examination order acquired from the ordering system to an endoscope system; and an endoscope imaged in an endoscopic examination performed based on the examination order from the endoscope system. An image acquisition unit that acquires an endoscopic image, an order processing unit that links the acquired endoscopic image to a corresponding examination order stored in the order storage unit, and a plurality of pieces linked to a certain examination order If an endoscopic image that should be associated with another inspection order is mixed in the endoscopic image, the endoscopic image that should be associated with the other inspection order is divided and the other inspection is performed. Comprising an image dividing unit to attach straps to over da, the. The image division processing unit infers inspection transitions in the plurality of endoscopic images arranged in the order of imaging based on the imaging time and / or scope information of each endoscopic image, and performs the separate inspection. Endoscopic image candidates to be associated with the order are presented.

  It should be noted that any combination of the above-described constituent elements and a conversion of the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program, and the like are also effective as an aspect of the present invention.

  ADVANTAGE OF THE INVENTION According to this invention, the correction | amendment operation | work when the endoscope image of a some test | inspection is tied with one test order can be made easy, ensuring the reliability of file management.

It is a figure which shows the structure of the endoscope work support system which concerns on embodiment of this invention. It is a figure which shows the structure of the endoscope work support apparatus of FIG. It is a figure which shows the internal structure of the terminal device of FIG. It is a figure which shows an example of the order list before medical treatment time start. It is a figure which shows an example of the order list after medical examination time. FIGS. 6A and 6B are diagrams showing a list screen of endoscopic images linked to the order of order ID = 00001002. FIGS. 7A to 7B are diagrams illustrating an example of a selection screen for division order. FIG. 6 is a diagram showing a state after correcting the association of the order list in FIG. 5. It is a flowchart which shows the flow of the image division process which concerns on embodiment.

  FIG. 1 is a diagram showing a configuration of an endoscope operation support system 1 according to an embodiment of the present invention. The endoscopic work support system 1 is a system that is installed in the endoscopic department and supports the endoscopic work. The endoscope operation support system 1 includes a plurality of endoscope systems 10a and 10b (hereinafter referred to as “endoscope system 10” unless otherwise distinguished), an endoscope operation support device 30, and a plurality of terminal devices. 40a and 40b (hereinafter referred to as “terminal device 40” unless otherwise distinguished), which are interconnected by a network 2 such as a LAN.

  The endoscope operation support system 1 can be linked with another system in a medical facility. A gateway device 50 is connected to the network 2. The endoscope operation support system 1 is linked to the ordering system 60 via the gateway device 50. The ordering system 60 is constructed in, for example, a hospital information system (HIS).

  The endoscope system 10 includes an endoscope scope (hereinafter simply referred to as a scope) 11, an endoscope processing device 12, and a display device 13. The scope 11 is inserted into the patient's body and images the inside of the body at the timing when the doctor presses the release switch of the scope 11. The scope 11 includes a solid-state imaging device (for example, a CCD image sensor, a CMD image sensor, or a CMOS image sensor) and a signal processing circuit. The solid-state imaging device converts incident light into an electrical signal, and the signal processing circuit performs signal processing such as A / D conversion and noise removal on the image data photoelectrically converted by the solid-state imaging device to perform an endoscope processing apparatus. 12 is output.

  The endoscope processing device 12 acquires an image captured by the scope 11. The endoscope processing device 12 outputs the acquired image to the display device 13 and causes the display device 13 to display the acquired image. It is also possible to display an image being captured in real time. In addition, the endoscope processing apparatus 12 transmits the image acquired from the scope 11 to the endoscope work support apparatus 30 and files it in the storage unit in the endoscope work support apparatus 30.

  The endoscope operation support apparatus 30 controls the entire endoscope operation support system 1 in an integrated manner. The endoscope work support apparatus 30 is configured by a server, for example. The terminal device 40 is a terminal device used by a user engaged in a medical institution such as a doctor or a nurse, and is configured by, for example, a PC, a tablet, a PDA, or the like. When a portable terminal device such as a tablet or PDA is used, an access point (not shown) is installed in the network 2 and connected to the network 2 by a wireless LAN.

  The endoscope operation support apparatus 30 receives endoscope image data transmitted from the endoscope system 10 and accumulates it in a storage unit. In addition, the endoscope work support apparatus 30 executes various application programs related to the endoscope work in accordance with operations from the terminal apparatus 40 connected to the network 2 and supports work performed by the user of the terminal apparatus 40. . For example, an examination report creation support program is executed to assist a doctor in creating an examination report. When a doctor operates the terminal device 40 to input a test report, the endoscopic work support device 30 receives the test report transmitted from the terminal device 40 and stores it in the storage unit.

  FIG. 2 is a diagram showing a configuration of the endoscope operation support apparatus 30 in FIG. The endoscope operation support apparatus 30 controls the entire endoscope operation support system 1. The endoscope work support apparatus 30 is configured by a server, for example. The endoscope operation support apparatus 30 includes a communication unit 31, a control unit 32, and a storage unit 33. The control unit 32 includes an order acquisition unit 321, an order provision unit 322, an image acquisition unit 323, an order processing unit 324, an image division processing unit 325, a display control unit 326, and an operation reception unit 327. In the control unit 32 of FIG. 2, only functional blocks related to the process of interest in the present embodiment are drawn.

  The function of the control unit 32 can be realized by cooperation of hardware resources and software resources. Processors, ROM, RAM, and other LSIs can be used as hardware resources. Programs such as operating systems and applications can be used as software resources.

  The storage unit 33 includes a recording medium such as an HDD or an SSD, and includes an order storage unit 331 and an endoscope image storage unit 332. Also in the storage unit 33 in FIG. 2, only functional blocks related to the process of interest in the present embodiment are drawn.

  FIG. 3 is a diagram showing an internal configuration of the terminal device 40 of FIG. The terminal device 40 includes a communication unit 41, a control unit 42, a storage unit 43, a display unit 44, and an operation input unit 45. Hereinafter, it demonstrates more concretely, referring FIG.2 and FIG.3.

  The order acquisition unit 321 acquires an inspection order (hereinafter simply referred to as an order) from the ordering system 60. For example, the order of the day may be transmitted from the ordering system 60 in a lump on the night of the previous day or the morning of the day, or the order of the patient who has been accepted on the day may be transmitted each time. The order acquisition unit 321 stores the acquired order in the order storage unit 331. The order providing unit 322 provides the order acquired from the ordering system 60 to the endoscope system 10. For example, the order providing unit 322 may collectively transmit the order of the day to the endoscope system 10 when the endoscope system 10 is activated, or collectively or individually according to an order acquisition request from the endoscope system 10. May be sent to.

  The doctor in the examination room selects the order of the examination to be performed from the operation unit of the endoscope processing apparatus 12, and inserts the scope 11 used in the examination into the insertion port of the endoscope processing apparatus 12. The endoscope processing device 12 recognizes the scope information of the inserted scope 11. For example, the model number of the scope is recognized. When a scope that is not supported is inserted into the endoscope processing apparatus 12, a medical worker inputs scope information to the endoscope processing apparatus 12. When starting the examination, the doctor performs an examination start operation on the operation unit of the endoscope processing apparatus 12.

  The endoscope processing apparatus 12 transmits examination start information including the order ID, scope information, and examination start time to the endoscope work support apparatus 30. The order processing unit 324 acquires examination start information from the endoscope processing apparatus 12 and adds scope information and examination start time to the corresponding order in the order storage unit 331.

  The doctor inserts the scope 11 into the patient's body and images the patient's body at a desired timing. The endoscope processing device 12 transmits an endoscope image captured by the scope 11 to the endoscope work support device 30. Scope information (for example, model number) of the scope 11 that has captured the image and the shooting time at which the image was captured are added to the endoscopic image. The scope information and the photographing time may be added as metadata to the endoscope image itself, or may be added as a separate file.

  The image acquisition unit 323 acquires an endoscopic image that is performed based on the selected order from the endoscope system 10 and stores the acquired endoscopic image in the endoscopic image storage unit 332. The order processing unit 324 associates the endoscope image acquired from the endoscope system 10 with the corresponding order stored in the order storage unit 331.

  When the examination is completed, the doctor pulls out the scope 11 from the patient's body and performs an examination end operation on the operation unit of the endoscope processing apparatus 12. The endoscope processing apparatus 12 transmits examination end information including the order ID and the examination end time to the endoscope work support apparatus 30. The order processing unit 324 acquires examination end information from the endoscope processing device 12 and adds the examination end time to the corresponding order in the order storage unit 331.

  Further, when the scope 11 used in the inspection is cleaned by a cleaning device (not shown), cleaning information is transmitted from the cleaning device to the endoscope work support device 30. A cleaning information acquisition unit (not shown) of the endoscope operation support apparatus 30 acquires the cleaning information and stores it in a cleaning information storage unit (not shown). The order processing unit 324 associates the acquired cleaning information with the corresponding order stored in the order storage unit 331. Through the above process, the order storage unit 331 accumulates orders associated with endoscope images taken in the endoscopic examination and scope cleaning information used in the endoscopic examination. The order is held in the order storage unit 331 as log information for a certain period.

  FIG. 4 is a diagram illustrating an example of an order list before the start of the medical examination time. In the following example, the medical examination time is set to 9:00 to 17:00. In FIG. 4, the order ID, patient ID, patient name, doctor, examination type, scheduled examination start date and time, and status are described in each order. In this example, five examinations are reserved on June 11, 2014. Among them, upper endoscopy (order ID = 00001002) of the same patient (Olympus Ichiro) and lower endoscopy (order) ID = 00001003) is included.

  The medical staff can operate the operation input unit 45 of the terminal device 40 to access the order storage unit 331 of the endoscope work support apparatus 30 and display the order list on the display unit 44. Further, by operating the operation unit of the endoscope processing apparatus 12, the order storage unit 331 of the endoscope work support apparatus 30 can be accessed, and the order list can be displayed on the display device 13. The operation reception unit 327 of the endoscope operation support device 30 receives an order list display request from the terminal device 40 or the endoscope processing device 12, and the display control unit 326 displays the display unit 44 of the terminal device 40 or the endoscope system. The order list is displayed on the ten display devices 13.

  FIG. 5 is a diagram illustrating an example of an order list after the end of the medical examination time. In the order list after the end of the examination time shown in FIG. 5, the examination start time, the examination end time, the number of images, the image file, the scope model number, and the washing information are added to the order list before the beginning of the examination time shown in FIG. ing. Link information for accessing an endoscopic image in the endoscopic image storage unit 332 is added as an image file.

  In FIG. 5, the statuses of the inspection with order ID = 00001003 and the inspection with order ID = 00001004 are not performed. The test of order ID = 00001004 is not performed by the patient and the test itself is not performed. The inspection of order ID = 00001003 was actually performed, but the status has not been performed due to an operation error of the medical staff. For example, it is assumed that the inspection end operation is not performed in the inspection of the previous order (order ID = 00001002) and the next inspection is started without closing the previous order. Also, it is assumed that the previous order is selected by mistake at the start of inspection. As shown in FIG. 4 and FIG. 5, when the same patient undergoes an examination twice a day, order mistakes are likely to occur.

  In this example, the endoscopic image photographed in the examination with the order ID = 00001003 is linked to the order with the order ID = 00001002. In this embodiment, re-linking of image files in the case where endoscope images of a plurality of examinations are linked to one order in this way is performed with a simple procedure while ensuring the reliability of file management. Provide a mechanism to realize.

  The image division processing unit 325 of the endoscope operation support apparatus 30 includes a case where endoscope images to be linked to another order are mixed in a plurality of endoscope images linked to one order. The endoscopic image to be linked to the other order is divided and linked to the other order. At that time, the inspection transitions in a plurality of endoscopic images arranged in the order of imaging are estimated based on the imaging time and / or scope information of each endoscopic image, and should be linked to another inspection order. Endoscopic image candidates are determined and displayed on the display control unit 326.

  Specifically, the image division processing unit 325 inspects between endoscopic images in which a plurality of endoscopic images linked to one order have a shooting interval of the preceding and following endoscopic images separated by a set time or more. I guess that is the turning point. A value that is equal to or greater than the average time of endoscopy is set as the set time. For example, it is set to 30 minutes. If it is separated by 30, it can be assumed that the endoscope image was taken in another examination.

  In addition, the image division processing unit 325 changes the inspection between endoscopic images in which the scope information about the scope in which each endoscopic image is captured is changed among a plurality of endoscopic images linked to one order. I guess. An endoscopic image taken with a different scope can be estimated as an endoscopic image taken with another examination.

  When the medical staff displays the order list on the display unit 44 of the terminal device 40 after the end of the medical examination time, he / she notices that endoscope images of a plurality of examinations are associated with one order. The medical staff displays a list screen of endoscopic images associated with the order. In the example shown in FIG. 5, the link of the image file of the order with the order ID = 00001002 is selected (clicked) with the cursor 71 of the mouse.

  FIGS. 6A and 6B show endoscopic image list screens 72a and 72b linked to the order of order ID = 00001002. As shown in the list screen 72a of FIG. 6A, seven endoscope images img004-img010 are linked to the order of order ID = 00001002. The photographing time and scope model number are displayed under each endoscopic image img004-img010, and a division button 73 is displayed at the lower right of the list screen 72a.

  When the medical staff selects the split button 73 with the cursor 71, the operation receiving unit 327 receives the operation, and the display control unit 326 switches to the list screen 72b shown in FIG. 6B. In FIG. 6B, the group of the endoscope image img004-img007 and the group of the endoscope image img008-img010 are displayed in different colors. Here, the background of the group of endoscopic images to be moved to another order is displayed in black, and the background of the group of endoscopic images to be left in this order is displayed in white.

  Whether the endoscope image should be left in this order or the endoscope image to be moved to another order can be estimated from the scope model number. The scope model number “GIF” indicates an upper scope, and “CF” indicates a lower scope. Since the inspection type of this order is upper endoscopy, the endoscope image taken with the scope model number = GIF-0001 scope is the endoscope image that remains in this order, and the scope model number = CF-0001. It can be inferred that the endoscopic image captured by the scope is an endoscopic image to be moved to another order. When a medical worker selects a display area of a group of endoscopic images to be moved to another order with the cursor 71, the operation accepting unit 327 accepts the operation, and the display control unit 326 displays a selection screen for the division order. Display.

  Here, the individual selection with respect to each endoscopic image by a medical worker is prohibited. That is, medical personnel are prohibited from individually moving, deleting, and copying endoscopic images. A plurality of endoscopic images belonging to a group of endoscopic images having the same scope information are always moved together. Thereby, the reliability of endoscopic image file management can be ensured. When there is an error in the grouping of the endoscopic image by the image division processing unit 325, an operation for correcting or adding the grouping by the medical staff is allowed. In this case, however, an operation for generating an endoscopic image that does not belong to any group is prohibited.

  The image division processing unit 325 selects an unexecuted order having the same examination date as that of the division source order as a candidate for a division destination order to which the divided endoscope image should be linked. At that time, the image division processing unit 325 controls the display control unit 326 so that, among the selected unexecuted orders, the same patient order as the patient of the division source order is preferentially displayed on the screen.

  FIGS. 7A and 7B show an example of the division order selection screens 74a and 74b. The selection screen 74a shown in FIG. 7A is an example in which unexecuted orders are extracted and displayed from the orders having the same inspection date as the division source order. The patient with the order ID = 00001003 is Olympus Ichiro, and is the same as the patient of the division source order. Accordingly, the display control unit 326 preferentially displays the order with the order ID = 00001003 over the order with the order ID = 00001004. For example, the order with order ID = 00001003 is displayed at the top as the first selection candidate.

  When the medical staff selects the radio button of the order of order ID = 00001003 (without changing the initial state in the example of FIG. 7A) and selects the OK button 75 with the cursor 71, the operation reception unit 327 In response to the operation, the image division processing unit 325 determines a division destination order.

  The selection screen 74b shown in FIG. 7B is an example in which the division source order, the examination date, and the patient have the same order, and an unexecuted order is extracted and displayed. In this example, only the order with order ID = 00001003 is extracted. When the medical staff selects the OK button 75 with the cursor 71, the operation accepting unit 327 accepts the operation, and the image division processing unit 325 determines the division order. The image division processing unit 325 releases the endoscopic images of the selected group from the division source order and links them to the selected division destination order.

  FIG. 8 shows a state after linking correction of the order list of FIG. In the order list of FIG. 8, the status of the order with order ID = 00001003 is updated from not performed to performed, and the endoscopic images img008-img010 are linked as image files. It should be noted that the first imaging time (2014/06/11/13: 00 in this example) of the linked endoscopic images img008-img010 may be input for convenience for the inspection start time of the order. In addition, the last photographing time of the linked endoscopic images img008-img010 (in this example, 2014/06/11/13: 02) may be input for convenience for the inspection end time of the order. The endoscope image img008-img010 is canceled from the image file of the order with the order ID = 00001002, and the number of images is updated from 7 to 4.

  FIG. 9 is a flowchart showing a flow of image division processing according to the embodiment. When a division source order for dividing an endoscopic image is selected by a medical worker (Y in S10), the image division processing unit 325 displays an endoscopic image associated with the division source order as a display control unit. It is displayed on 326 (S11). The image division processing unit 325 acquires scope information and shooting time for each endoscopic image (S12). When the division button 73 is pressed (Y in S13), the image division processing unit 325 specifies an endoscope image in which the captured scope has changed (S14). The image division processing unit 325 calculates a shooting interval between the specified endoscopic image and the immediately preceding endoscope image, and determines whether or not the shooting interval is equal to or longer than a set time (for example, 30 minutes) ( S15).

  When the shooting interval is equal to or longer than the set time (Y in S15), the image division processing unit 325 causes the display control unit 326 to display a group of endoscopic images with different captured scopes as division candidates (S16). If the shooting interval is less than the set time (N in S15), the process in step S16 is skipped.

  When a group of endoscopic images to be divided is selected by a medical staff (Y in S17) and a division destination order is selected (Y in S18), the image division processing unit 325 selects the selected endoscopic image. Are linked to the selected split order (S19). When the division order to be moved is not presented as a selection candidate, the medical staff can individually specify the division order.

  In the process shown in FIG. 9, an endoscope image satisfying both of the two conditions of (1) the captured scope is different, and (2) the imaging interval is longer than the set time is defined as an inspection break. Presented that an endoscopic image from another examination was included. In this regard, an endoscope image satisfying one of the two conditions may be presented as an examination break, and an endoscope image of another examination may be included. It is based on a doctor's operation to finally determine whether or not to divide the endoscopic image, and the designer can arbitrarily determine whether the conditions for presenting the division candidates are stricter or relaxed.

  As described above, according to the present embodiment, the image division processing unit 325 estimates based on the imaging time and / or scope information of examination changes in a plurality of endoscopic images linked to one order. To do. Then, a group of endoscopic images to be divided is presented, and in principle, only image division in the group unit is allowed. Thereby, it is possible to easily perform a correction operation in a case where endoscope images of a plurality of examinations are linked to one order while ensuring reliability of file management. That is, it is possible to suppress erroneous tying of the endoscope image due to an operation error of the medical worker while reducing the operation burden of the medical worker.

  The present invention has been described based on the embodiments. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are also within the scope of the present invention. is there.

  In the above embodiment, the division source order is designated by the operation of the medical staff. In this regard, the image division processing unit 325 may identify an order that does not correspond to the examination type and scope information, and may present it as a candidate for image division processing. In the above example, while the inspection type of the order with order ID = 00001002 is the upper endoscopy, the endoscope image captured by the lower scope of the scope model number = GIF-0001 is associated with the order. Yes. In addition, the image division processing unit 325 may identify an order associated with an endoscopic image whose shooting interval is longer than a set time and present it as a candidate for image division processing.

  The image division processing unit 325 proposes image division to the medical staff for the order in which the endoscope images captured with the scope not corresponding to the examination type are associated with each other. For example, when the screen of FIG. 5 is displayed, a message such as “An endoscopic image of another order may be associated” is displayed beside the order with the order ID = 00001002. Alternatively, when an order list display request is received, an endoscopic image segmentation screen as shown in FIG. 6A or 6B is displayed before the order list screen as shown in FIG. 5 is displayed. Then, the division of the endoscopic image associated with the order may be prompted.

  Further, in the above embodiment, as shown in FIG. 6 (a), after a medical worker gives a division instruction, the grouped display of endoscopic images as shown in FIG. 6 (b) is performed. In this regard, after displaying a list of endoscope images associated with the selected order, the endoscope images may be grouped and displayed from the beginning.

  Further, both displays may be used properly according to the probability of grouping. For example, when both of the two conditions of (1) the captured scope is different and (2) the imaging interval is longer than the set time are satisfied, the grouping is likely to be correct. From the beginning of the image list display, the display is grouped. On the other hand, when only one of the two conditions is satisfied, the probability of correct grouping is relatively low, so the grouping display is not performed from the beginning of the list display of the endoscopic image, and a division instruction from the medical staff is given. Change to grouping display on condition that it was done.

  DESCRIPTION OF SYMBOLS 1 Endoscope work support system, 2 Network, 10 Endoscope system, 11 Scope, 12 Endoscope processing apparatus, 13 Display apparatus, 30 Endoscope work support apparatus, 31 Communication part, 32 Control part, 321 Order acquisition Unit, 322 order provision unit, 323 image acquisition unit, 324 order processing unit, 325 image division processing unit, 326 display control unit, 327 operation reception unit, 33 storage unit, 331 order storage unit, 332 endoscope image storage unit, 40 terminal devices, 41 communication unit, 42 control unit, 43 storage unit, 44 display unit, 45 operation input unit, 50 gateway device, 60 ordering system.

Claims (6)

An order storage unit for accumulating an examination order acquired from the ordering system and associated with an endoscopic image taken in an endoscopic examination;
An order providing unit that provides the endoscope system with the inspection order acquired from the ordering system;
From the endoscopic system, an image acquisition unit that acquires an endoscopic image photographed in an endoscopic examination performed based on the examination order;
An order processing unit that links the acquired endoscopic image to a corresponding examination order stored in the order storage unit;
If a plurality of endoscopic images linked to a certain inspection order contains an endoscopic image that should be linked to another inspection order, the endoscopic image to be linked to the other inspection order And an image division processing unit that divides the image and associates with another inspection order,
The image division processing unit infers inspection transitions in the plurality of endoscopic images arranged in the order of imaging based on the imaging time and / or scope information of each endoscopic image, and performs the separate inspection. An endoscope operation support apparatus that presents a candidate for an endoscope image to be linked to an order.   2. The internal division according to claim 1, wherein the image division processing unit estimates, in the plurality of endoscopic images, between endoscopic images whose imaging intervals are separated by a set time or more as a change in the examination. Endoscope support device.   The image division processing unit estimates between the endoscopic images in which scope information relating to a scope in which each endoscopic image is captured in the plurality of endoscopic images is changed between the examinations. The endoscope work support apparatus according to claim 1.   The image division processing unit is an examination order specified by a medical worker, an examination order in which the examination type and scope information are not compatible, or an examination associated with an endoscope image whose imaging interval is more than a set time The endoscope work support apparatus according to any one of claims 1 to 3, wherein the order is a target of image division processing.   The image division processing unit selects an inspection order that has the same inspection date as the original inspection order and that has not been performed as an inspection order candidate to be associated with the divided endoscope images. The endoscope work support apparatus according to any one of claims 1 to 4.   6. The endoscope according to claim 5, wherein the image division processing unit preferentially displays a test order of the same patient as the patient of the original examination order among the selected incomplete examination orders. Mirror work support device.

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