JP2001339568A - Transmission information confirmation system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a transmission information confirmation system that can surely recognize a fact of transmission of information from a destination side after the transmission. SOLUTION: Two or more information processing units 1d-5d and host computers 1h-3h are connected vi the Internet 7, information is attached to an electronic mail and in the case that the resulting electronic mail is sent from any of the information processing units 1d-5d and the host computers 1h-3h to other information processing units via the Internet, the information processing units 1d-5d and the host computers 1h-3h generate a transmission message file denoting the transmission of the electronic mail when automatically generating the electronic mail, and the transmission information confirmation system transmits the transmission message file via a transmission route different from a transmission route of the electronic mail to the destination information processing unit or a facsimile terminal at a place at which the information processing unit exists.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a transmission information confirmation system for confirming whether or not an e-mail attached with information has arrived at a destination when the electronic mail has been transmitted to the destination.

[0002]

2. Description of the Related Art In recent years, with the development of information transmission means, a medical information processing system for transmitting and receiving data between medical information processing apparatuses operated at two or more locations through a network connection using a dedicated line has been considered. Have been. For example, as this medical information processing system, an ophthalmic information processing system that transmits and receives ophthalmic data between two or more medical information processing apparatuses that are mainly operated between remote locations has been considered.

On the other hand, the Internet using a general communication line is also used as an inexpensive communication means. In this ophthalmic information processing system, when image data and its accompanying patient and image information are shared or copied between information processing apparatuses at two or more locations, the Internet has been conventionally used as an inexpensive communication means.

[0004] Also, in the image sent by e-mail,
Conventionally, when graphic information and finding / diagnosis information are added and returned to the transmission source, a destination to be returned is designated by referring to an address book or the like separately from the patient information of the image each time.

[0005]

By the way, when information is transmitted via a specific provider on the Internet, a message indicating that the transmission has been completed (transmitted) is displayed on transmission software on the transmission side. Nevertheless, transmission via this transmission route has some trouble,
It can take considerable time for the information to reach its destination, for example several days. In this case, the transmitting side thinks that it has arrived at the destination immediately after the transmission, while the destination side does not know that such information has been transmitted until a few days after the transmission.

[0006] However, some of such transmission information requires urgency so that it must reach its destination on the same day. When such information is transmitted, there has been a problem that this information may not arrive on the same day.

[0007] In addition, even if such transmission is performed and the information is delivered by e-mail, there are many cases where the setting of the receiving software does not allow the user to know that the e-mail has arrived. In this case, there may be a case where the e-mail is opened after a considerable time has passed since the reception of the e-mail.

When such information is transmitted by e-mail, it is desirable that the destination side can know that the information has been transmitted immediately after the transmission.

SUMMARY OF THE INVENTION It is an object of the present invention to provide a transmission information confirmation system capable of reliably knowing that information has been transmitted on the destination side after the transmission.

[0010]

To achieve the above object, a transmission information confirmation system according to the first aspect of the present invention connects two or more information processing devices via the Internet and attaches information to an electronic mail. A transmission information confirmation system for transmitting from one of the two or more information processing apparatuses to another information processing apparatus via the Internet, and confirming whether or not the transmitted e-mail is transmitted to a destination. The information processing apparatus on the transmission side is provided so as to be capable of creating an e-mail attached with the information and transmitting the e-mail to the set information processing apparatus, and automatically creating the e-mail. A transmission message file indicating that the e-mail has been transmitted is created, and when the e-mail is transmitted, the transmission message file is transmitted to the information processing apparatus or the destination of the destination. Characterized in that it is configured so as to transmit via different transmission routes and the the FAX apparatus with the location email transmission route.

Further, the invention of claim 2 is characterized in that the information processing apparatus on the transmitting side transmits the transmission message every time the electronic mail is transmitted.

Further, according to a third aspect of the present invention, the information processing apparatus creates a list of the transmission message files, and sets the list at a specified time interval or a predetermined time. The e-mail is set to be transmitted to one or more destinations of the information processing apparatus or a facsimile of a place where the apparatus is located via a transmission route different from a transmission route of the electronic mail.

According to a fourth aspect of the present invention, in the first aspect, the transmission-side data processing means creates a list of the transmission message files and stores the list in a specified time interval or a predetermined time interval. The e-mail is set so as to be transmitted to one or more destination information processing devices set in advance at a time via the same transmission route as the transmission route of the e-mail.

According to a fifth aspect of the present invention, in the fourth aspect, when the information processing apparatus on the destination side receives the transmission message file list, the destination information processing apparatus transmits a reply mail to the effect that the reception has been received to the transmission side. It is characterized by having been done.

[0015]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described below with reference to the drawings. [Configuration of First Embodiment] FIG. 1 shows a first embodiment of the present invention.

In FIG. 1, 1 is a university hospital, 1a is an ophthalmic examination room of a university hospital (HOSPITAL1), 1b is an ophthalmic examination room 1
Ophthalmic consultation room next to a, 2 and 3 are other hospitals (HOSPITAL2
HOSPITAL3) 2a, 3a are ophthalmic examination rooms in hospitals 2, 3
2b and 3b are ophthalmic examination rooms next to the ophthalmic examination room 2a3a;
Is the clinic (CLINIC1), 4a is the ophthalmic examination room of clinic 4,
5 is an ophthalmic examination bus, 5a is an ophthalmic examination room of the ophthalmic examination bus 5, 6 is a house of an ophthalmologist who works at the university hospital 1, for example, and 6a is a study of the house 6.

The above-mentioned ophthalmic examination room (medical examination room) 1a, 2
Ophthalmic examination devices (medical examination devices) 1 such as a slit lamp, a tonometer, a refractometer, a fundus camera, etc.
c, 2c, and 3c are provided as ophthalmic data (data including ophthalmic image data) input means (medical data input means), respectively, and slit lamps, ophthalmic examination rooms 4a and 5a are also provided.
Ophthalmologic examination apparatuses 4c and 5c such as a tonometer, a refractometer, and a fundus camera are provided as ophthalmic data (data including ophthalmologic image data) input means (medical data input means).

In the ophthalmic examination rooms 1a, 2a, 3a, ophthalmic information processing terminals (ophthalmic information processing devices) 1d, 2 for processing test data information from the ophthalmic examination devices 1c, 2c, 3c.
d and 3d are disposed as medical information processing terminals (medical information processing devices), respectively, and are also provided in the ophthalmic examination rooms 4a and 5a to process the inspection data information from the ophthalmic examination devices 4c and 5c (ophthalmic information processing terminals). Devices 4d and 5d are provided as medical information processing terminals (medical information processing devices), respectively. Further, in the ophthalmic examination rooms 1b, 2b, 3b and the study 6a, ophthalmic information processing terminals (ophthalmic information processing devices) 1e, 2e, 3e and 6b for processing test data information are used as medical information processing terminals (medical information processing devices). Each is arranged.

When the ophthalmologic examination apparatuses 1c to 5c are slit lamps, the ophthalmologic examination apparatuses 1c to 5c take an anterior segment cross-sectional image with a television camera. , And ophthalmic image data (medical image data, that is, medical image information) are input to the ophthalmic information processing terminals 1d to 5d, respectively.

When the ophthalmic examination apparatus 1c to 5c is a fundus camera, the ophthalmic examination apparatus 1c to 5c takes a fundus image of the eye to be examined with a television camera.
Is configured to input patient information such as left and right discrimination information of a photographed fundus image and fundus image data (medical image data, that is, image information) to the ophthalmologic information processing apparatuses 1d to 5d. The fundus image includes a color photographed image of the fundus, a fundus blood vessel image using visible fluorescence, a fundus blood vessel image using infrared fluorescence, a fundus image using infrared light, and the like.

Further, when the ophthalmologic examination apparatuses 1c to 5c are tonometers, the ophthalmic examination apparatuses 1c to 5c examine the intraocular pressure data of the eye to be examined. Patient information such as discrimination information and intraocular pressure data (medical examination data, that is, medical examination information) is input to the ophthalmologic information processing apparatuses 1d to 5d, respectively.

The ophthalmologic information processing terminals 1d to 5d
When the left and right discrimination information and image data (image information) or intraocular pressure data of the fundus cross-sectional image are input, the input left and right discrimination information and image data (image information) or intraocular pressure data of the fundus cross-sectional image are transmitted to the patient. Name, age, gender, patient ID
And the like, and are associated with imaging condition information (imaging condition data) such as imaging date, imaging location, and the like, and are stored.

The ophthalmic information processing terminals 1d and 1e are connected to a host computer 1g and a network controller (network server) 1h of the hospital 1 via an intranet (internal network) 1f. The medical information processing terminal (not shown) provided in other departments and connected to the intranet 1f constitutes an internal medical information processing system (internal medical information processing apparatus) A.

The ophthalmic information processing terminals 2d and 2e are connected to a host computer 2g and a network controller (network server) 2h of the hospital 2 via an intranet (internal network) 2f. The medical information processing terminal (not shown) arranged in other departments and connected to the intranet 2f constitutes an internal medical information processing system (internal medical information processing apparatus) B.

The ophthalmic information processing terminals 3d and 3e are connected to a host computer 3g and a network controller (network server) 3h of the hospital 3 via an intranet (internal network) 3f. And the like, and constitutes an internal medical information processing system (internal medical information processing apparatus) C together with a medical information processing terminal (not shown) connected to the intranet 3f.

The ophthalmologic information processing terminals 1d to 3d are connected to the intranets 1f to 3f and the network controller 1 respectively.
h to 3h and the Internet (external network) 7 and the intranet 1
f-3f, network controllers 1h-3h, and the Internet (external network) 7 are connected to the ophthalmologic information processing terminals 4d and 6b, and are communicable. The communication system with the internal medical information processing systems (internal medical information processing devices) A to C via the Internet 7 constitutes the medical information processing system according to the present invention.

The medical examination data and medical image data (patient information) include data input in other departments such as internal medicine, surgery, pediatrics, and so on. For example, in the case of a diabetic patient who is undergoing internal medicine, the progress of diabetes and the degree of the visual field can be diagnosed based on the fundus image and the fundus blood vessel image by performing fundus non-mydriatic photography and fundus angiography photography. .
On the other hand, when such a fundus image or a fundus blood vessel image is taken by an ophthalmologist, it is possible to know whether or not the patient has diabetes from the fundus image or the fundus blood vessel image, and in this case, consult a medical doctor. Can be In this case, if the ophthalmology clinic or internal medicine clinic is a private medical practitioner, data exchange is performed with each other, or data is exchanged with departments required for general hospitals such as university hospitals. Or
By using the system of the present invention, it is possible to quickly and easily exchange information with an individual hospital, clinic, or general hospital.

When image data (image information) and data (information) in which patient information is converted into text are transmitted as one data, data in which text data is incorporated in the image data can be transmitted. By using ophthalmological image information processing means (medical information processing means) such as an image net capable of separating text data from the received image data and obtaining image data and text data, the patient's personal text data can be obtained. Confidentiality can be ensured.
Furthermore, when transmitting data in which text data is incorporated into the image data, it is preferable to secure mosaic or the like so as to secure more confidentiality. Also,
After encrypting the text data of each patient through a known encryption program, the encrypted text data is embedded in the image data, and the data in which the text data is embedded in the image data is transmitted. Thus, the confidentiality may be further ensured. Also, at this time, it is preferable to secure the confidentiality by applying a mosaic. By these,
Sufficient security can be secured without using a dedicated line. <Configuration of Each Host Computer> As shown in FIG. 2, host computers (host medical information processing apparatuses) 1g to 3g of medical information processing systems A to C include an interface 10 connected to intranets 1f to 3f, Main control circuit 11 as means (data processing means)
And a large-capacity data recording / reproducing means (information recording / reproducing means) 12 such as a hard disk and a magneto-optical disk.
The main control circuit (main control means) 11 includes an operation control circuit (operation control means) 11a having a CPU connected to the interface 10, and a RAM 11b and a ROM 11c connected to the operation control circuit 11a. Moreover, the data recording / reproducing means 12 is connected to the arithmetic control circuit 11a.

The data recording / reproducing means (information recording / reproducing means) 12 includes patient information such as character data (inspection value data) and image data (image information) by examination, and patient information and imaging condition information accompanying the patient information. (Shooting condition data)
Etc. are recorded and stored.
Patient information (patient information) includes address, name, age,
Gender, patient ID, and the like, and the patient's medical history and the like are given. In addition, the imaging condition information includes an imaging location or an inspection location, an imaging date or an inspection date, the left or right of the eye to be inspected or inspected, a type of inspection or imaging, and the like. <Configuration of each terminal> Further, as shown in FIG. 3, the ophthalmologic information processing terminals (ophthalmologic information processing devices) 1d to 5d, A main control circuit 21 as information processing means (data processing means); The main control circuit (main control means) 21 includes an arithmetic control circuit (operation control means) 21 having a CPU connected to the interface 20.
a, and a RAM 21b and a ROM 21c connected to the arithmetic and control circuit 21a.

Further, a data recording / reproducing means 22 is connected to the arithmetic control circuit 21a. The interface 20 constitutes a data input / output unit having a function as a data input unit and a function as a data output unit. A keyboard 23 and a mouse 24 as data input means are connected to the arithmetic control circuit 21a as a data input device (data input means).
A display device (display means) 25 such as an RT (monitor television) or a liquid crystal display is connected. When the screen 25a of the display device 25 is a touch panel type, this touch panel also serves as a data input unit.

Further, a floppy (registered trademark) drive (data recording / reproducing means) 26,
A magneto-optical disk drive (data recording / reproducing means) 27 such as an MO, CD-ROM, or CDR is connected as data input / output means.

In the ophthalmologic information processing terminals 1d to 5d, the address,
Patient information (patient information) such as name, age, gender, patient ID, patient's medical history, etc., imaging location or examination location, imaging date or date, left and right of the eye to be examined or inspected Alternatively, imaging condition information (patient information) such as the type of examination or imaging is input to the arithmetic and control circuit 21a using data input means such as a keyboard 23, a mouse 24, or a touch panel.

When the character data (examination value data) and the image data (image information) by the examination are inputted, the arithmetic control circuit 21a of the ophthalmologic information processing terminals 1d to 5d receives the character data (examination value data) by the examination. Patient information such as image data and image data (image information) and the associated patient information and imaging condition information (imaging condition data) are temporarily recorded and stored in the data recording / reproducing means (information recording / reproducing means) 22. It is like. (E-mail automatic creation / transmission function) Moreover, the ophthalmologic information processing terminal 1d is connected to the data recording / reproducing means (information recording / reproducing means) 12 of the host computer 1g via the intranet 1f at a specified time interval or a pre-specified time. Or the database of the data recording / reproducing means 22 of the ophthalmologic information processing terminal 1d is checked, and new patient information such as new character data or new image data newly added and stored in the database is checked. If present, new patient information such as the new character data or new image data and the accompanying patient data, imaging condition data, and if necessary, e-mail attached with patient information such as old character data and image data Is automatically created, and the medical information processing of one or more destinations set in advance is performed. It is set so as to be sent to the device. Also, when patient information is changed or patient information is deleted, an e-mail is automatically created using this patient information as new patient information, and the It is set to be transmitted to one or more destinations of the medical information processing apparatus.

The program for such an electronic mail automatic creation and transmission function is recorded and stored in the data recording / reproducing means (information recording / reproducing means) 22 of the ophthalmologic information processing terminal 1d. This program can be provided by being stored in a recording medium such as a floppy desk or a magneto-optical desk, or can be recorded and stored in a recording medium such as a hard desk of a specific terminal and connected to a network such as the Internet. It can also be provided via a recording medium such as a memory. (Received Data Automatic Separation Recording Function) Also, if there is a new e-mail received via the intranet 1f at a specified time interval or a pre-specified time, the ophthalmologic information processing terminal 1d New patient information such as attached new character data or new image data and associated patient data are separated from the e-mail, and the separated information (data) is stored in the database of the data recording / reproducing means 12 of the host computer 1g. ,
Alternatively, the data recording / reproducing means 22 of the ophthalmic information processing terminal 1d
Is set to be automatically stored in the database. Also, when receiving information of a changed patient or information of a deleted patient, the information of the patient is separated from the e-mail as new patient information, and the separated information is stored in the host computer 1g. Data recording and reproducing means 1
2 or the database of the data recording / reproducing means 22 of the ophthalmologic information processing terminal 1d.

Such a program for the automatic separation and recording of received data is also recorded and stored in the data recording / reproducing means (information recording / reproducing means) 22 of the ophthalmologic information processing terminal 1d. This program can also be provided by being stored in a recording medium such as a floppy desk or a magneto-optical desk, or can be recorded and stored in a recording medium such as a hard desk of a specific terminal and connected to a network such as the Internet. It can also be provided via a recording medium such as a memory.

Ophthalmic information processing terminals 2d-5d, 1e-3
e, 6b data recording / reproducing means (information recording / reproducing means) 2
2, a program having an electronic mail automatic creation and transmission function and a data automatic separation and recording function similar to the ophthalmologic information processing terminal 1d is recorded and stored. Ophthalmic information processing terminals 4d, 5
In the data recording / reproducing means (information recording / reproducing means) 22 of d, 6b, 2e to 3e, a program having an electronic mail automatic creation function similar to the ophthalmologic information processing terminal 1d is recorded and stored.

A program having an automatic electronic mail creation / transmission function and an automatic data separation / recording function similar to that of the ophthalmic information processing terminal 1d is provided to the host computers (host medical information processing apparatuses) 1g to 3g of the medical information processing systems AC. The network controllers 1h to 3h can also be provided.

The above-mentioned programs for the automatic creation and transmission of electronic mail and the automatic separation and recording of received data are incorporated in mail transmission / reception application software. The following settings are possible. • Setting whether only transmission or reception is performed, or both. • Setting whether transmission / reception is performed immediately after startup. • Time zone setting for transmission / reception (start / end time). • Setting transmission / reception interval (transmission). (Receiving is set separately.) That is, as shown in FIG. 5, the monitor screen 40 displays an operation setting column 4 of the mail sending / receiving application software.
1, an image transmission column 41 and an image reception column 42 can be displayed.

In the operation setting column 41, a setting frame 41a for a communication software profile, a setting frame 41b for a communication destination,
A source name setting frame 41c is provided, and a transmission / reception setting unit 41d, a transmission setting unit 41e, a reception setting unit 41f, and the like are provided.

The image transmission column 42 is provided with an input frame 42a for inputting a transmission source file (for example, C: Work #) and an input frame 42b for inputting a transmission interval.
The transmission source file and the transmission interval are set, and the transmission / reception or transmission setting frame 41d or 4 in the operation setting column 41 is set.
By clicking one of 1e and inserting a black mark as a setting mark, the setting of the electronic mail automatic creation and transmission function can be performed.

Further, the image receiving column 43 is provided with an input box 43a for inputting a source file (for example, C: Work #) and an input box 43b for inputting a reception interval.
In addition to setting the reception source file and the reception interval, the transmission / reception or reception setting frame 41d or 4 in the operation setting column 41 is set.
If one of 1f is clicked and a black mark as a setting mark is inserted, the setting of the automatic separation / recording function of received data can be performed.

Also, by placing the mouse cursor (not shown) on the detailed settings displayed on the monitor screen 40 and clicking, the display shown in FIG. 6 can be displayed on the monitor screen 40 by the mail sending / receiving application software. . In FIG. 6, a column 44 for transmission / reception source management by application software for mail transmission / reception and a column 45 for transmission / reception time are provided. In the transmission / reception source management column 44, a check box 44a for automatically assigning the transmission source identification to the patient ID, a setting frame 44b for the transmission source identification name, and addition of the transmission source identification name are included.
A frame for changing, deleting, etc. is provided. In the transmission / reception time column 45, a check frame 45a for determining whether or not to perform transmission / reception at startup, a transmission / reception start time setting frame 45b, a transmission / reception end time setting frame 45c, and a regular transmission / reception time setting frame 45d are provided.

When a check mark is set in the check box 44a, the original patient ID and the registered patient ID set by the sender registration table as shown in FIG. 7 are automatically given. FIG. 7 shows a case where the transmission source is HOSPITAL1. A 3-digit-2 digit-4 digit code, for example, "000-00-0000" is set in the patient ID. When the source name is HOSPITAL1, if the identification code is set to, for example, HP1, the registered patient ID is "HP
1: 000-00-0000 ". <Network Controller> As shown in FIG. 4, the network controllers 1h, 2h, and 3h each include an interface 30 connected to the intranets 1f, 2f, and 3f, and a main control circuit 31 serving as information processing means (data processing means). And other data recording / reproducing means (information recording / reproducing means) 32 such as a hard disk and a magneto-optical disk. The main control circuit (main control means) 31 includes an arithmetic control circuit (operation control means) 31 having a CPU connected to the interface 30.
a, and a RAM 31b and a ROM 31c connected to the arithmetic control circuit 31a.

The data recording / reproducing means 32 is connected to the arithmetic control circuit 31a. The interface 30 constitutes a data input / output unit having a function as a data input unit and a function as a data output unit. A keyboard 33 and a mouse 34 as data input means are connected to the arithmetic control circuit 31a as a data input device (data input means).
A display device (display means) 35 such as an RT (monitor television) or a liquid crystal display is connected.

Further, a floppy drive 36 and a magneto-optical desk drive 37 such as an MO, a CD-ROM, and a CDR are connected to the arithmetic control circuit 31a as data input / output means. The arithmetic control circuit 31a has an interface 38 for connecting to the Internet 7.

When the network controllers 1h, 2h, 3h have mail sending / receiving application software in which the above-described programs for the automatic creation / transmission function of e-mail and the function of automatic separation / recording of received data are incorporated, the software includes data recording / reproducing means. 32. [Specification of Function-Specific Name at the Time of Transmission or Reception of Each Processing Device] (Host Computer) In this embodiment, the host computers (host medical information processing devices) 1g to 3g of the medical information processing systems A to C store data (information). ), The interface 10 serving as the data input / output means serves as a transmitting-side data output means, the main control circuit 11 serves as a transmitting-side information processing means (transmitting-side data processing means), and the data recording / reproducing means 12 serves as a transmitting-side data. Recording / reproducing means (transmitting side information recording / reproducing means). In addition, medical information processing systems A to
C host computer (host medical information processing device) 1
When g to 3g receive data (information), the interface 10 as the data input / output unit serves as a receiving-side data input unit, the main control circuit 11 serves as a receiving-side information processing unit (receiving-side data processing unit), and records data. The reproducing means 12 is a data recording / reproducing means on the receiving side (information recording / reproducing means on the receiving side). (Terminal) In the present embodiment, when the ophthalmic information processing terminals (ophthalmic information processing devices) 1d to 5d, 1e to 3e, and 6b transmit data (information), the keyboard 23, the mouse 24, The data input means such as a touch panel is a transmission-side data input means. Further, ophthalmic information processing terminals (ophthalmic information processing apparatuses) 1d to 5d, 1e to 3e,
When the data 6b receives data (information), the data input means such as the keyboard 23, the mouse 24, the touch panel and the like are the data input means on the receiving side. Further, ophthalmic information processing terminals (ophthalmic information processing apparatuses) 1d to 5d, 1e to 3
When e and 6b transmit data (information), the interface 20 which is a data input / output unit serves as a transmission-side data output unit, and the ophthalmologic information processing terminal (ophthalmic information processing apparatus)
When 1d to 5d, 1e to 3e, and 6b receive data (information), the interface 20, which is a data input / output unit, serves as a receiving-side data input unit.

Similarly, ophthalmic information processing terminals (ophthalmic information processing apparatuses) 1d to 5d, 1e to 3e, and 6b store data (information).
Is transmitted, the operation control circuit 2 of the main control circuit 21
1a is a transmission side data processing unit (transmission side information processing unit). Further, an ophthalmologic information processing terminal (ophthalmologic information processing apparatus) 1
When d to 5d, 1e to 3e, and 6b receive data (information), the arithmetic control circuit 21a of the main control circuit 21 is used as a receiving-side data processing unit (receiving-side information processing unit).

Further, when the ophthalmic information processing terminals (ophthalmic information processing devices) 1d to 5d, 1e to 3e, and 6b transmit data (information), the data recording / reproducing means 22 is used as a transmission-side data recording / reproducing means. . When the ophthalmic information processing terminals (ophthalmic information processing apparatuses) 1d to 5d, 1e to 3e, and 6b receive data (information), the data recording / reproducing means 2
2 is a receiving side data recording / reproducing means. (Network Controller) When the network controllers (network servers) 1h to 3h transmit data (information), these keyboards 33,
The data input unit such as the mouse 34 is a transmission-side data input unit. In addition, the network controllers 1h to 3h
When receiving the data (information), the data input means such as the keyboard 33 and the mouse 34 are the data input means on the receiving side.

Further, the network controllers 1h to 3h
When the network controller 1h transmits data (information), the interfaces 30 and 38 serving as data input / output units serve as transmission-side data output units. When the network controllers 1h to 3h transmit data (information), the data input / output unit operates. The interfaces 20 and 38 serving as output means are data input means on the receiving side.

Similarly, the network controllers 1h to 1h
When 3h transmits data (information), the arithmetic control circuit 31a of the main control circuit 31 is used as a transmission-side data processing unit (transmission-side information processing unit). When the network controllers 1h to 3h receive data (information), the arithmetic control circuit 31a of the main control circuit 31 is used as a receiving data processing means (receiving information processing means).

Further, the network controllers 1h to 3h
When h transmits data (information), the data recording / reproducing means 32 is used as a transmitting-side data recording / reproducing means. Also,
Network controller 1h-3h is data (information)
Is received, the data recording / reproducing means 32 is used as the data recording / reproducing means on the receiving side. [Operation of First Embodiment] The operation of the above-described system will be described below.

For example, an ophthalmologist X (not shown) working at the university hospital 1 regularly goes to the hospitals 2 and 3 or the clinic 4 for medical examinations, or performs medical examinations using the ophthalmic medical examination bus 5. The description will be made on the assumption that this is the case.

In this case, the latest examination of an ophthalmic patient is performed when the patient is at the hospital 1, or when he is on a second visit to the hospitals 2, 3 or the clinic 4, or when he or she is examined at the ophthalmic examination bus 5 or at home. It is desirable to be able to see data and old inspection data wherever they are.

As described above, the examination data includes, for example, left and right discrimination information of a fundus cross-sectional image and its image data (ophthalmologic image data (information)), left and right discrimination information of a fundus image, and fundus image data ( There are information such as ophthalmic image data (information)), left and right discrimination information of the eye to be examined, and intraocular pressure data (examination data (information)). Such information (data) is recorded together with the patient ID in a database for patient management of the host computer 1g of the university hospital 1 or a database of the data recording / reproducing means 22 of the ophthalmic information processing terminal 1d.

Then, the mail recording / reproducing means 22 of the ophthalmological information processing terminal 1d of the university hospital 1 records the mail transmission / reception application software in which the programs of the above-described automatic e-mail creation / transmission function and reception data automatic separation / recording function are incorporated. At the same time, the ophthalmologic information processing terminal 1d is always turned on and operated to activate the mail sending / receiving application software. (E-mail automatic creation transmission) In this state, the main control circuit (information processing means) 21 of the ophthalmologic information processing terminal 1d of the hospital 1
Is a data recording / reproducing means (information recording / reproducing means) 1 of the host computer 1g via the intranet 1f at a specified time interval or a pre-specified time.
2 or the database of the data recording / reproducing means 22 of the ophthalmologic information processing terminal 1d. If there is new character data or new image data newly stored in the database, the new character Automatically creates e-mail with data or new image data and accompanying patient data, imaging condition data, and if necessary, old character data or image data, and sends it to one or more pre-set destinations. The information is transmitted to the medical information processing apparatus. Note that the patient information added to the image data includes graphic information, finding / diagnosis information, and the like. Also, when patient information is changed or patient information is deleted, an e-mail is automatically created using this patient information or deleted information as new patient information, and The information is transmitted to the set one or more destinations to the medical information processing apparatus.

The destination is an ophthalmologist X (not shown).
In the case of, the doctors regularly go to the hospitals 2 and 3 and the clinic 4 for medical examinations or conduct examinations with the ophthalmic examination bus 5, so that the ophthalmic information processing terminals (ophthalmic information processing apparatuses) 1d to 5d and 1e to
Examination data or ophthalmologic image of 3e and 6b is used
Together with the one transmitted to the host computer 1g.

For example, the examination data inspected by the ophthalmologic examination apparatus 1c or the ophthalmic image data photographed by the ophthalmologic examination apparatus 1c is stored in the data recording / reproducing means 22 of the ophthalmologic information processing terminal 1d.
Is newly input to the database, or the inspection data inspected by the ophthalmic examination apparatus 1c or the ophthalmologic image data photographed by the ophthalmic examination apparatus 1c is
d and the database of the data recording / reproducing means (information recording / reproducing means) 12 of the host computer 1g via the intranet 1f, the ophthalmologic information processing terminal 1d records the examination data and the ophthalmologic image. Ophthalmic information processing terminal (ophthalmic information processing device) 2d to 5d, 1e to 3 excluding information processing terminal (ophthalmic information processing device) 1d
e and 6b are destinations. When the patient data created by the ophthalmic information processing terminal 1e is newly input to the database of the data recording / reproducing means (information recording / reproducing means) 12 of the host computer 1g via the intranet 1f, the patient data is stored in the ophthalmic information. Since it is recorded in the processing terminal 1e, the ophthalmologic information processing terminal (ophthalmic information processing apparatus) 1d to
5d, 2e to 3e, and 6b are destinations.

Thus, the ophthalmologist X can read the ophthalmological examination room next to the ophthalmic examination room 1a, another hospital (HOSPITAL2, HOSPIT
AL3) Ophthalmic examination room 2a, 3a Ophthalmic examination room 2a, 3a
Ophthalmic examination rooms 2b, 3 next to the hospital, ophthalmic examination room 4a at the clinic (CLINIC1) 4, ophthalmic examination bus 5, ophthalmic examination room 5a for ophthalmic examination bus 5, ophthalmologist's house 6 working at university hospital 1
In the study 6a, information such as examination data and ophthalmic images transmitted together with the patient ID can be shared (viewed). (Received data automatic separation recording) On the other hand, the ophthalmologic information processing terminal 1
The main control circuit (information processing means) 21 of d, if there is a new electronic mail received via the intranet 1f at a specified time interval or a predetermined time, is attached to the electronic mail. The new character data or the new image data and the accompanying patient data are separated from the e-mail, and the separated data is stored in the database of the data recording / reproducing means 12 of the host computer 1g.
Alternatively, the data recording / reproducing means 22 of the ophthalmic information processing terminal 1d
Automatically stored in the database.

The main control circuit (information processing means) 21 of the ophthalmologic information processing terminal 1d receives the information of the patient to which the change has been made or the deletion information of the deleted patient. Is separated from the e-mail as new patient information, and the separated information is automatically stored in the database of the data recording / reproducing means 12 of the host computer 1g or the database of the data recording / reproducing means 22 of the ophthalmic information processing terminal 1d. . (Other 1) In FIG. 8 and FIG. 9, the user site # in which the ophthalmologic information processing terminal (ophthalmic information processing apparatus) 1d is the transmitting side
1, the ophthalmic information processing terminal (ophthalmic information processing apparatus) 2d
5d, 1e to 3e, and 6b are user sites # 2 on the receiving side.

Then, on the user site # 1 side in FIG. 8, the medical image in the image database B1 is attached to the electronic mail by the mail sending / receiving application software M1 and transmitted. On the other hand, on the user site # 2 side, the e-mail attached with the medical image is transmitted to the e-mail application software M.
2, the medical image is separated from the received e-mail and recorded in the image database B2 of the user site # 1.

The image database B1 shown in FIG.
As shown in FIG. 8, the image database B has the transmission data file SF1 and the reception data file RF1,
2 has a transmission data file SF2 and a reception data file RF2 as shown in FIG. In FIG. 9,
The application software M1 and M2 for mail transmission / reception shown in FIG. 8 are agents AG1 and AG2 which reside in CPUs (not shown) of the main control circuits 11, 21 and 31. (Other 2) Ophthalmic information processing terminals 2d-5d, 2e-
3e, 6b, etc. function in the same manner as the ophthalmologic information processing terminal 1d. Second Embodiment [Configuration] FIGS. 10 to 17 show a second embodiment of the present invention. The second embodiment specifically shows a system for screening for a specific disease in addition to the configuration, operation, and effect of the first embodiment. In the present embodiment, a system for screening for diabetes is shown. The system according to the present embodiment can be used for screening other diseases besides diabetes screening. Hereinafter, the second embodiment will be described using a system for diabetes screening as an example.

In FIG. 10, a center for screening for a specific disease, for example, a diabetes center 50 is provided in addition to the configuration of FIG. In the diabetes center 50, a host computer (center side medical information processing device) 51 for medical information processing is provided as a host computer (specific disease information processing device) for specific disease screening. This host computer 5
An ophthalmic information processing terminal (ophthalmic information processing apparatus) 52, which is a medical information processing terminal (center-side medical information processing apparatus)
Is connected as a specific disease information processing terminal (specific disease information processing device) for specific disease screening. This host computer 51 is connected to the Internet 7.

The host computer 51 has hospitals 53, 54 in which specialists (physicians or ophthalmologists) 55, 56 for judging diabetes from ophthalmic diseases are open.
Address, name, telephone number, FAX, and mail address are registered. Further, the host computer 51 stores, for example, the address, name, telephone number, fax, and e-mail address of a university hospital where a specialist (physician or ophthalmologist) 57 for judging diabetes from ophthalmic diseases is provided. Your name and email address are registered. Medical examination rooms 55a, 56 where the specialists 55, 56, 57 are located
Reference numerals a and 57a denote ophthalmic information processing terminals (ophthalmic information processing devices) which are medical information processing terminals (specialized medical information processing devices).
55b, 56b, and 57b are arranged as specific disease information processing terminals (specific disease information processing devices) for specific disease screening. This ophthalmic information processing terminal 55b, 5
6b is connected to the Internet 7, and the ophthalmologic information processing terminal 57b is connected to the Internet 7 via the intranet 1f and the network controller 1h.

As shown in FIG. 11, the ophthalmologic information processing terminals (ophthalmologic information processing devices) 55b, 56b, and 57b are shown in FIG.
The system is substantially the same as d, 2d-5d, 1e-3e, 6b, etc.

Moreover, the ophthalmologic information processing terminals 1d, 2d to 5
d, 2e to 3e, 6b, 55b, 56b, 57b and the host computers 1g, 2g, 3g, etc.
In addition to the configuration of the embodiment, a diabetes screening system having the following configuration files and programs is added. (1) Diabetes Screening System This diabetes screening system is a wide-area telescreening environment based on data transfer via the Internet, and is composed of the following software components. Each software of the diabetes screening system includes ophthalmic information processing terminals 1d, 2d to 5d, 2
e to 3e, 6b, 55b, 56b, 57b and data recording / reproducing means (information recording / reproducing means) 12, 22, such as the host computers 1g, 2g, 3g, and are recorded (see FIGS. 12 to 15). . * Image processing software (image processing means) 60 * Judgment image display software (judgment image display means) 61 * Judgment report creation software (judgment report creation means) 6
2 * Image automatic transmission / reception software (information automatic transmission / reception means) 63 * Data automatic transmission / reception software (information automatic transmission / reception means) 64 These components have the following functions (a) to (e). (A) Image Processing Software 60 The program of the image processing software 60 is used for the original purpose of photographing, storing, and managing a fundus image. The image processing software 60 is also used as a platform of judgment image display software 61 used by the judge. This image processing software 60 includes judgment image display software 61
And the display of the judgment report creation image display software 62 or the like to display the judgment image or the image for creating the judgment report. (B) Determination image display software 61 This determination image display software 61 is used for determination work (Grading).
(For example, quick image display switching and rearrangement). Further, the judgment image display software 61 can call the judgment report creation display software 62 during the display of these judgment target images, so that it is extremely easy to perform the judgment as it is and save or transmit the result. Configuration.

The judgment image display software 61 is called by the image display mechanism of the image processing software 60, and
A determination image as shown in FIG. 6 is displayed. Then, as shown in FIG. 16, the screen of the determination image display software 61 called by the image display mechanism of the image processing software 60 includes a display unit 61a for a fundus image (medical image) and a “Cance
l ”,“ Negative ”,“ Expand Contorast ”, Enhanc
e "," Sharp "," Smooth "," Undo "," Grading "
, An operation menu display section 61b, a plurality of fundus images (9 in the figure) FG image display section 61c for determination, and a cursor key display section 61 used for image selection and other operations
and a display section 61e for adding a composite. The screen of the judgment image display software 61 includes a patient information display section 61f such as an ID, a name “Name”, and a sex “Sex”
It has a display section 61g for the photographer "Photorapher". (C) Judgment Report Creation Software 62 Judgment report creation software 62 is provided to support actual judgment work, and is created by each sales company in accordance with the required specifications in the region. Normally, this software has a function of printing a judgment result on its own judgment form, storing it in a database file, or transmitting the judgment result through the Internet or the like.

The judgment report creation software 62 is called by the image display mechanism of the image processing software 60,
An image for creating a determination report as shown in FIG. 17 is displayed. The screen of the judgment report creation software 62 called by the image display mechanism of the image processing software 60 includes items 62a indicating grades for diabetes judgment reports indicated by “0” to “5” in FIG. A check box 62b for the left eye provided to the right of the item, a check box 62c for the right eye provided to the right of each item, and "More", "Print", "Send", "Cancel", "Don
e "and the like.

The judgment report creation software 62 is an optimum one created by each user according to the actual conditions of the use area, and can include specifications unique to the area or user, such as judgment parameters and print output forms. ing.

The result of the judgment by the judgment report creation software 62 is stored in a database file (judgment result file). Each record in this database file contains at least the following information: * Patient ID. * Judge's ID., Judge's name and affiliation. * Judgment date and time. * Judgment result (contents differ depending on other medical systems such as ophthalmology, internal medicine, surgery, etc.) * Transmission date and time May store two or more records by the different judges for the same patient. (D) Image automatic transmission / reception software (information automatic transmission / reception means) 6
3 Image automatic transmission / reception software (automatic image transmission / reception program) 6
Reference numeral 3 denotes an image automatic transmission / reception program for the purpose of sharing an image of a data file (database) between a plurality of sites. The image automatic transmission / reception software (information automatic transmission / reception means) 63 is used in combination with report processing software (extended DLL) 63a that can be used for processing data (information) such as a judgment report to determine an image used for judgment. Both results can be sent automatically to any party over the Internet. In the present embodiment, both the image used for determination and the determination result can be transmitted and received by this combination.

In the same way, by using the automatic image transmission / reception software (automatic image transmission / reception program) 63 on the receiving side, the transmitted image and the judgment result can be automatically stored in its own database.

The automatic image transmission / reception software 63 is a standard component itself, but requires additional provision of a function extension DLL according to the required specifications of each user for transmission / reception of the screening judgment result. (E) Automatic data transmission / reception software (information automatic transmission / reception means)
64 The automatic data transmission / reception software (automatic data record transmission / reception program) 64 leaves only the basic part of the automatic image transmission / reception software (automatic image transmission / reception program) 63 such as e-mail transmission / reception, and depends on the system such as access to database files. This is a simplified database / file synchronization program that has increased its versatility as a form of providing parts as DLL externally.

By providing an individual database file access DLL corresponding to each screening system, it is possible to automatically transmit only the judgment results in the individual database files to any other party through the Internet. . By using the automatic data record sending and receiving program on the receiving side in the same way,
You can automatically save the judgment result sent to your own database file.

The automatic data transmission / reception software (automatic data record transmission / reception program) 64 is a standard component itself, but is a software (function extension DLL) for incorporating specifications required by each user for transmission / reception of screening judgment results. Additional provision is required. This software will be added as needed. (2) Supplement This diabetes screening system is a system centered on the image processing software 60, and can realize the widest area at the minimum cost.

Of the above, only the image processing software 60 and the judgment image display software (screening software) 61 are standard components, and the other components are components premised on some customization. <Operation of Second Embodiment> Next, the operation of the medical image processing system according to the second embodiment having such a configuration will be described. Although the configuration of the second embodiment has the same functions and effects as those of the first embodiment, description of this point will be omitted.

As described above, diabetes screening
Each software of the system is an ophthalmological information processing terminal 1d, 2d ~
5d, 2e to 3e, 6b, 55b, 56b, 57b and data recording / reproducing means (information recording / reproducing means) 12, 22, such as host computers 1g, 2g, 3g, are recorded. Then, when the apparatus is started, each software of the diabetes screening system is loaded into the RAM 21b,
11b is automatically read.

The software of the diabetes screening system may be stored in the ROM 11c, the ROM 21c, or the like, and may be automatically read and resident in the RAMs 21b and 11b when the apparatus is started.

The fundus photography itself is performed by the diabetes center 5
It is performed not only at 0 but also at the surrounding ophthalmic clinics, for example, hospitals 1, 2, 3, clinic 4, ophthalmic examination bus 5, hospital 53, 5
It is also performed in the fourth class and other ophthalmic clinics. The fundus photography is performed by an ophthalmic apparatus (fundus camera) (not shown) of the diabetes center 50 and the ophthalmic apparatuses 1c and 2 of the hospitals 1, 2, and 3.
c, 3c, the ophthalmologic apparatus 4c of the clinic 4, the ophthalmologic apparatus 5c of the ophthalmic examination bus 5, the ophthalmic apparatus of the hospitals 53, 54, and the like, and the ophthalmologic apparatus of other ophthalmic clinics. When performing this fundus photographing, the ophthalmologic apparatuses 1c to 5c
And other ophthalmic devices are fundus cameras.

The fundus images photographed by the ophthalmologic apparatuses 1c to 3c, which are the fundus cameras of the hospitals 1, 2, and 3, are transmitted to the diabetes center 50 via the network controllers 1h, 2h, 3h and the Internet 7. Further, the ophthalmologic apparatus 4c of the clinic 4 and the ophthalmologic apparatus 5c of the ophthalmic examination bus 5
Are transmitted to the diabetes center 50 via the ophthalmic information processing terminals 4d and 5d and the Internet 7. Further, fundus images photographed by ophthalmic devices or the like of the hospitals 53 and 54 not shown or ophthalmic devices of other ophthalmic clinics are also transmitted to the diabetes center 50 via the ophthalmic information processing terminals 55b and 56b and the Internet 7. You.

However, the image transmission / reception mechanism at this time is not unique to the screening, and the usual image transmission mechanism using E-mail using the Internet can be applied as it is. However, the diabetes screening system described above can be used.

That is, in the hospitals 1, 2, 3 and the clinic 4, etc., the medical information such as the photographed medical image and the examination data is combined with the patient information and the medical information processing terminals 1d, 2d, 3d, 4d.
The recording / reproducing means 22 and recording means (recording device) such as drives 26 and 27 or medical information such as photographed medical images and examination data are recorded together with patient information in the host computers 1h, 2h, 3h and 4h. Keep it. Further, in the ophthalmic examination bus 5 and the hospitals 53, 54, 1, the photographed medical information such as a medical image and examination data, together with the patient information, is stored in the ophthalmic information processing terminal (medical information processing terminal) 55.
The data is recorded in the data recording / reproducing means 22 of b, 56b and 57b and the recording means (recording device) such as the drives 26 and 27. At this time, the medical information and the patient information include the following, for example. (I) Medical information-Ophthalmic information * (Ophthalmic image) Fundus image Corneal endothelial cell image Anterior segment image by slit lamp * Examination data by perimeter-Others X-ray image CT image Image such as MRI image (ii) Patient information (specification) Information) ・ Patient ID (hospital ID) <Personal information (individual information)> ・ Name ・ Address ・ Age ・ Gender ・ Medical history And medical information processing terminals 1d, 2d, 3d, 4d, host computers 1h, 2h, 3h, 4h, in the ophthalmic information processing terminals 55b, 56b, 57b and the like, the image processing software 60 deletes the patient information other than the patient ID by the determination image display software 61, and transmits the transmission data file using only the patient ID and the medical information. Create 70. This transmission data file 70 is stored in hospitals 1, 2, 3
In the clinic 4 or the like, the data is recorded on a recording means (recording device) such as the data recording / reproducing means 22 and the drives 26 and 27, or on the host computers 1h, 2h, 3h and 4h. In the ophthalmic examination bus 5 and the hospitals 53, 54, 1, the ophthalmologic information processing terminal (medical information processing terminal) 55
The data is recorded in the data recording / reproducing means 22 of b, 56b and 57b and the recording means (recording device) such as the drives 26 and 27.

At this time, the image processing software 60 deletes the patient information other than the patient ID by the determination image display software 61 and creates a transmission data file 70 using only the patient ID and the medical information. In the case of the fundus image as shown in FIG. 16, the patient information of the fundus image and character data such as a distinction display between the left and right of the fundus image are included. This patient ID may be a patient ID at a hospital or an ID obtained by replacing this patient ID with a random number table.

Thereafter, the information processing terminals 1d, 2d, 3d,
In 4d, 5d, 55b, 56b, 57b, etc., the information automatic transmission / reception software 63 is activated by operating the image processing software 60, and the transmission / reception data file 70 is included (or attached) using the information automatic transmission / reception software 63. An e-mail is transmitted to the specific disease medical center, in this embodiment, the host computer 51 of the diabetes center 50 via the Internet 7. The e-mail is received by the host computer 51 of the diabetes center 50 using the automatic information transmission / reception software 63, and the transmission data file 70 attached to the e-mail is recorded in the host computer 51. The transmission data file 70 created by the ophthalmological image processing terminal 52 of the diabetes center 50 is also recorded in the host computer 51.

Incidentally, specific methods, systems, judgment criteria, and the like of diabetes screening not only differ greatly at the country level, but also in many cases, each customer has its own specifications. Under such circumstances,
The above-described judgment image display software 61, judgment report creation software 62, automatic image transmission / reception software 63 (automatic image transmission / reception program + individual function extension DLL), automatic data transmission / reception software 64 (automatic data record transmission / reception program +
By using individual function extension DLLs, etc., the image processing software 60, which is the basis of the system, remains firm,
Providing customers with the most freedom is the basis of the diabetes screening system.

At present, a system has been systematized based on a style in which a diabetes center, which is the center of each region in diabetes screening, exists, and a plurality of judges who judge images are located around the center. In this case, there are two basic layouts for transmitting information between the diabetes center and the judge. Basic Layout 1 As a basic layout, as shown in FIG.
The diabetes center 50 sends an image to be determined to a certain judge, and the judge sends the image together with the judgment result to the next judge after the judgment, and the judge judges the next image together with the judgment result after the judgment. And the last judge sends the judgment results for all the judge to the diabetes center 50. However, the structure is such that individual judges cannot refer to the judgment results of other judges.

Here, the judge is a specialist (internal doctor) 55 of the hospital 53, and the judge is a specialist (internal doctor) 5 of the hospital 54
6. The judge is a specialist (internal physician) 57 of the university hospital 1.

The ophthalmological information processing terminal 52 or the host computer 51 of the diabetes center 50 stores the image processing software 60, the transmission data file 70,
Extended function D that can be used for receiving data file 81, automatic information transmission software 63, and transmitting only the determination result
A medical information processing system including LL is installed. The judgment image display software 61 and the judgment report creation image display software 62 shown in FIG. 13 are also installed in the ophthalmologic information processing terminal 52 or the host computer 51.

The diabetes center 50 and each hospital 5
5, 56, 57 ophthalmic information processing terminals 55b, 56b, 5
A medical information processing system similar to the diabetes center 50 or the medical information processing system shown in FIG. 13 is installed in 7b.

The diabetes center 50, the judge is a specialist 55 (physician) of the hospital 53, and the judge is the hospital 54.
The information is transmitted as follows between the specialist (physician) 56 and the specialist (physician) 57 of the university hospital 1 as the judge. (Creation and transmission of transmission data file in diabetes center 50) That is, in the diabetes center 50, the transmission data file 70 transmitted as described above or the transmission data file 70 generated by the ophthalmic information processing terminal 52 is stored. It is recorded in the host computer 51. Note that the transmission data file 70 created by the ophthalmologic information processing terminal 52 may be recorded in the data recording / reproducing means 22 of the ophthalmic processing terminal 52 or the recording means (recording device) such as the drives 26 and 27. This transmission data file 70 is, for example, as shown in FIG.
It is as shown in FIG.

At this time, as described above, the transmission data file 70 is generated by the determination image display software 61 using the fundus image as shown in FIG. 16, the patient ID of the fundus image, the left and right distinction display of the fundus image, and the like. To include patient information in character data. This patient ID is the patient ID at the hospital
Alternatively, the patient ID may be replaced by a random number table.

Thereafter, the automatic information transmission / reception software 63 is started by operating the ophthalmic information processing terminal 52, and the transmission data file 70 is transmitted using the information automatic transmission / reception software 63.
The electronic mail 80 including (or attached to) the specialist 55 via the host computer 51 and the Internet 7
The ophthalmological information processing terminal 55b of the hospital 53 where the (judgment person) is located
Send to When the electronic mail 80 is received by the ophthalmological information processing terminal 55b of the hospital 53, the ophthalmologic information processing terminal 55
The information automatic transmission / reception software 63 of b separates the transmission data file 70 from the e-mail and stores the contents of the separated transmission data file 70 in the reception data file 81. (Disease judgment by the judge and transmission of the judgment result) Specialist 5
5 starts the image processing software 60 and stores the contents of the transmission data file 70 transmitted using the determination image display software 61 of FIG. The stored fundus image is displayed as shown in FIG. 16, and based on this display, it is determined whether or not the displayed fundus image has a diabetes disease.

Next, the specialist 55 sets the image processing software 60
As a result, the screen of the judgment report creation image display software 62 of FIG. 13 is displayed as shown in FIG. On this screen, an item 62a indicating the grade for the diabetes judgment report indicated by "0" to "5", a check box 62b for the left eye and a check box 6 for the right eye corresponding to each item.
2c is displayed. Therefore, the specialist 55 clicks the check box 62b for the left eye and the check box 62c for the right eye of the item corresponding to the determination result with a mouse or the like, and displays a check mark in the boxes 62b and 62c, so that the determination result is displayed. Create a (judgment report). This determination result is made to correspond to the patient information as character information or numerical information by operating the ophthalmologic image processing terminal 55b, and a database file (determination result file) DB
stored in f. This database file (judgment result file) DBf is installed in the data recording / reproducing device 22.

Thereafter, the specialist 55 activates the automatic information transmission / reception software 63 by operating the ophthalmologic information processing terminal 55b, and uses the information automatic transmission / reception software 63 to store the database file DBf storing the judgment report (judgment result). Including (or attached to) the judgment report R and the transmission data file (including the fundus image and patient information) 70
An e-mail 80 is created, and the e-mail 80 is sent via the Internet 7 to the hospital 5 where the specialist 56 (judgment person) is located.
4 to the ophthalmologic information processing terminal 56b.

Each record in this database file contains at least the following information. * Patient ID. * Judge's ID., Judge's name and affiliation. * Judgment date and time. * Judgment result (contents differ depending on other medical systems such as ophthalmology, internal medicine, surgery, etc.) * Transmission date and time (Disease by judge Judgment and judgment result transmission) In the same manner as the judge's specialist 55, the judge's specialist 56 also determines the presence or absence of diabetes in the fundus image and creates a database file in which a judgment report (judgment result) is stored. At the same time, the automatic information transmission / reception software 63 is activated by operating the ophthalmic information processing terminal 52, and the information automatic transmission / reception software 63 is used to transmit the judgment report R and the transmission of the judgment report R of the database file DBf storing the judgment report (judgment result). An e-mail including a data file (including fundus images and patient information) 70 is transmitted via the Internet 7 to the eye of the hospital 1 where a specialist 57 (judgment person) is located. The information is transmitted to the department information processing terminal 57b. (Determination of disease by judgment person and transmission of judgment result) In the same manner as the judgment specialists 55 and 56, the judgment specialist (specialist) 57 also judges the presence or absence of diabetes in the fundus image and determines the judgment report (judgment result). In addition to creating the stored database file, the automatic information transmission / reception software 63 or 64 for transmitting only the determination report is started by operating the ophthalmic information processing terminal 52, and the determination is performed using the information automatic transmission / reception software 63 or 64. Only the judgment report R of the database file DBf storing the report (judgment result) is transmitted to the host computer 51 of the diabetes center 50 via the Internet 7. At this point, the database and the
When transmitting only the judgment report R of the file DBf, the extended function DLL for transmitting only the judgment result (judgment report) is used.

The same database file is used by the specialists 55 to 57 (determiners) to store the determination results. The judgment result for the eyepatch image of is added, and finally, all judgment persons,
, Are transmitted to the diabetes center 50 only. This judgment report (judgment result) is stored in the reception data file of the diabetes center 50.

Then, the diabetes center 50 makes a comprehensive final determination as to whether or not the fundus image has a symptom that causes diabetes, based on the determination report in which the determination results of the determiner,, are stored. The fundus image is returned to the diabetes center 50 via the Internet 7 to the hospital, for example, the hospital 1, 2, 3, or the like. In such a transmission and reception, every time the contents of the transmission data file 70 and the contents of the database file DBf are changed or updated, the transmission and reception may be automatically performed in the same manner as in the first embodiment. May be performed automatically. Basic layout 2 All judges with multiple diabetes centers 50,
To send the same image to be judged at the same time,
Each judging person sends the judgment result directly to the diabetes center. The time until the judgment of all the members is completed can be shortened by the amount of no communication between the judge and the judge.

In this case, the diabetes center 50 creates an e-mail 80 including (or attached to) the transmission data file (including the fundus image and the patient information) 70, Judge of,
, (For example, specialists 55, 56, 57) transmit data files (including fundus images and patient information) to the ophthalmic information processing terminals 55b, 56b, 57b by electronic mail 80.
0 is transmitted via the Internet 7.

[0097] Each determiner determines the presence or absence of diabetes in the fundus image as described above, and individually creates a database file DBf in which a determination report (determination result) is stored. And each judge,
, Are automatic information transmission / reception software 64 for transmitting only the judgment report by operating the ophthalmic information processing terminal 52.
Is started, and only the judgment report of the database file DBf storing the judgment report (judgment result) is individually transmitted to the host computer 51 of the diabetes center 50 via the Internet 7 using the information automatic transmission / reception software 64.

Then, the diabetes center 50 synthesizes the judgment report of the host computer 51 in which the judgment results of the judgment person, etc. are stored, and judges whether or not the fundus image has a symptom that may cause diabetes. A final decision is made, and this fundus image is returned to the diabetes center 50 via the Internet 7 to the hospital, for example, the hospital 1, 2, 3, or the like. (Other Contents of Judgment Report) If the fundus image has a diabetic symptom, and the judge, with the mouse, specifies the diabetic symptom portion or its range in the fundus image, the coordinate information of the specified portion or specified range ( The position information is digitized and stored in the database file DBf. When a judgment report is created from the database file DBf, the judgment report is added to the digitized coordinate information (position information), and the judgment report is transmitted to the diabetes center 50.

In the diabetes center 50, the mouse 24 and the mouse 2 are obtained from the coordinate information (positional information) of the part of the symptom of diabetes or the range thereof included in the sent judgment report.
The designated state (point or frame, diagonal lines, color coding, shading, etc.) of the part of the symptom of diabetes or the range designated by the cursor 24a moved and operated on the medical image by the step 4 is reproduced on the fundus image. Is also good. (Confirmation of transmission file) Also, the medical information processing terminal 1
d, 2d, 3d, 4d, host computers 1h, 2
h, 3h, 4h, 51, ophthalmic information processing terminals 55b, 56
b, 57b, etc., when the transmission data file 70 and the judgment report R are transmitted to the destination via the first contract provider and the Internet by the transmission route using the automatic information transmission / reception software 63 or 64, A transmission message file is created by the software 63 or 64.

Then, the transmission message file is transmitted to the same destination by the transmission route via the second contract provider and the Internet 7, or the message file is transmitted to a transmission route such as a normal ISDN public network or an analog public network. Via the same destination terminal or fax
Send to

With this transmission, the transmission data file 7
Even if the transmission information such as 0 or the judgment report R does not reach the destination, the destination side (reception side) also confirms that there is information transmitted, and replies that the transmitted information has not arrived. You can have it resent.

Such a transmission message file is listed on the sending side or the receiving side, and the list is transmitted at regular intervals when the listing is on the transmitting side, and at regular intervals when the listing is on the receiving side. The list can be opened.

In this manner, a transmission file list is created periodically at regular intervals (for example, every day at 5 o'clock), and the transmission file list is sent to the transmission destination, or the transmission file list is transmitted by the reception side. By opening the file list, it is possible to confirm whether or not the transmission data file 70 and the determination report have been reliably transmitted to the transmission destination. This list is transmitted even when there is no information to be transmitted, so that the receiving side can understand that there is no transmitted information.

Since such a list is transmitted at a fixed time, if the list is not transmitted, it is known that there is a problem in the transmission route of the list, and it is possible to confirm the fact.

Further, the transmission-side data processing means creates a list of transmission message files, and stores the list in one or more medical addresses of one or more destinations set in advance at a specified time interval or at a predetermined time. The information may be transmitted to the information processing apparatus via the same transmission route as the transmission route of the electronic mail. Even in this case, the transmission message file list was transmitted on the same route as the information transmission route by confirming whether or not the transmission message file list exists at a specified time interval or a predetermined time on the receiving side. Sometimes, even if some trouble occurs in this route and the medical information arrives at the destination with a delay, it can be understood that there is some trouble in this route. Also, by confirming whether or not there is a transmission message file list at a specified time interval or a pre-specified time on the receiving side, it is possible to know what kind of medical information is being transmitted from the transmission message file list. If there is any information that has not arrived, it can be sent again. This point is the same even in the case of another route.

In this case, the medical information processing apparatus on the destination side
When the transmission message file list is received, a reply mail indicating the reception is transmitted to the transmission side. In this case, the transmission side can confirm that the transmission message file list has been received by the destination. As a result, when the transmission message file list is transmitted on the same route as this information transmission route, if there is any trouble in this route and the medical information arrives at the destination late, there is no reply mail. By knowing that the medical information has not arrived at the destination at the scheduled time, the transmitting side can consider some means.

The program for transmitting and receiving information in the first and second embodiments can be provided as a recording medium for an information processing system. (Transmission data capacity and transmission timing) As described above,
In the transmission and reception of medical information in the second embodiment, the transmission data file 70 and the database file DBf
Each time the content is changed or updated, the content may be automatically performed in the same manner as in the first embodiment,
It may be performed automatically. In this case, automatic transmission and reception of information in consideration of the following conditions may be performed.

By the way, when an ophthalmologic image, for example, a color fundus image is created for one color transmission, the capacity of compressed data is 30K to 40K. When such a fundus image is combined with a panoramic image by changing the photographing position, for example, when nine fundus images are photographed at different positions and the nine fundus images are combined into a panoramic image, 30K-
The capacity is nine times the capacity of 40K (approximately 270K to 360K). Moreover, when such a panoramic image is created by the left and right eyes, it is twice as large (540K to 720K).
Becomes Further, in the case of fluorescent imaging, if the number of images taken by one person is, for example, about 36, the number of images becomes 72 with the left and right eyes,
The capacity of 72 images is 72 times 30K to 40K (2160
K to 2880K). As described above, the capacity of an image is very large even for one person's ophthalmic image data.

As a result, if the number of people who take ophthalmic images per day is large in ophthalmic examinations, large hospitals, specialty clinics, etc., the total volume of ophthalmic images becomes very large. If the data (medical information) is transmitted at regular intervals, it may not be possible to transmit the data due to the capacity of the mailbox of the provider.

Therefore, the sending side always checks whether or not the capacity of the medical information of the medical holder in which the medical information such as the ophthalmic image is stored reaches the set capacity.
When the check is made at 64 and the medical information such as the ophthalmic image in the medical holder has reached the set capacity, the medical information in the medical holder is changed to the first embodiment using the information automatic transmission / reception software 63 or 64 as in the first embodiment. It is preferable to automatically transmit data to a specified destination and not to send data of a certain capacity or more to the destination. In this case, the set capacity can be set by the information automatic transmission / reception software 63, 64 on the transmission side according to the capacity of the mailbox of the contracted provider.

Further, the transmitting side and the receiving side do not always subscribe to the same provider. In addition, the capacity of the mailbox differs depending on the provider. In this case, the information that can be transmitted is limited by the smaller one of the mailboxes, so that the transmitting side can set the set capacity of the information that can be transmitted according to the capacity of the mailbox of the provider with the smaller mailbox.

Further, since the receiving side cannot receive more than the receiving capacity of the mailbox, if the capacity of the medical information attached to the electronic mail is large, it is transmitted from the mailbox of the provider contracted by the receiving side. Only after opening (downloading) the e-mail and deleting the e-mail from the mailbox received by opening the e-mail, it is preferable that the e-mail including the medical information cannot be transmitted from the transmission side to the reception side. In this case, a message that the receiving side has downloaded the mail from the mailbox is transmitted to the medical information transmitting side, and when this message is received by the information automatic transmission / reception software 63 of the medical information transmitting side, the transmission of this medical information is performed. Side information automatic transmission and reception software 63
May automatically transmit an e-mail including the next medical information to the same destination.

Further, it is preferable that the set capacity of the medical information to be transmitted can be changed by dial-up or constant connection. In the case of dial-up, even if it takes only about 10 seconds to transmit medical information including one medical image, the time that can be transmitted at the basic fee is set to a predetermined time (for example, 3 minutes). Moreover, in this case, the time for connecting to the provider is also included. Therefore, in consideration of the telephone charge for connection, it is checked whether or not the amount of medical information that can be transmitted in a predetermined time (3 minutes) is accumulated in the medical holder. By transmitting the medical information of the holder to the destination, an increase in transmission cost can be suppressed as compared with a case where the medical information is transmitted every time the medical information is accumulated. (Other 1) As described above, two or more medical information processing apparatuses are connected via the Internet, and the patient information is converted into electronic mail from one of the two or more medical information processing apparatuses to another medical information processing apparatus. A medical information processing system configured to transmit data to a device via the Internet, wherein the transmitting medical information processing device includes a transmitting data recording / reproducing unit, a transmitting data input unit, and a transmitting data processing unit. The transmitting-side data recording / reproducing means has a database for recording patient information, and the transmitting-side data input means is provided so as to be capable of inputting the patient information to a database of the transmitting-side data recording / reproducing means; The side data processing means checks the database based on preset setting conditions, and obtains information on a new patient in the database and the The ID automatically creates accompanying email, it is set so as to be transmitted to the medical information processing apparatus over one place that is preset destination. As a result, when there is new information in the database, the new information and the patient ID of this information can be automatically converted into electronic mail and automatically transmitted to the destination medical information processing apparatus. Therefore, when sharing or duplicating image data and accompanying patient data among a plurality of ophthalmological image information systems using a network such as the Internet connected by a telephone line, the operator himself or herself needs to delete the image data from the database. There is no need to call up the information and create and send an e-mail with the information attached.Therefore, it is necessary to prevent problems such as confusing the destination and the information attached to the e-mail, and New information can be easily and automatically transmitted to the destination without error and the information (data) of the destination database can be updated. In addition, the images sent by e-mail
When adding graphic information or findings / diagnosis information and returning it to the sender, it is not necessary to specify the return destination by referring to the address book etc. separately from the patient information of the image each time as in the past, and the procedure Is simple, no mistake is made in the specification of the return destination, and it is possible to prevent the return destination itself from being mistaken.

The new information in the database is
This is newly added data, changed data, or deletion information. Therefore, when there is new data or changed data in the database, or when there is deletion information, the information and the patient ID of this information are automatically e-mailed and automatically sent to the destination medical information processing apparatus. Can be sent. That is, when there is new character data or new image data newly added and stored in the database, the new character data or new image data is automated and converted into an electronic mail and automatically transmitted to the destination medical information processing apparatus. it can.
In this case, too, when sharing or duplicating image data and accompanying patient data among a plurality of ophthalmic image information systems using a network such as the Internet connected by a telephone line, the operator himself / herself needs to use a database. There is no need to call up the information from within and create and send an e-mail with them attached, so prevent problems such as confusing the destination and the information attached to the e-mail It is possible to easily and automatically transmit necessary new information to a destination without error and update information (data) in a destination database.

Furthermore, since the setting condition is a specified time interval or a predetermined time, or activation by some explicit connection, a certain specified time interval or a predetermined time or any When the database is checked at the time of startup by explicit connection, if there is new character data or new image data newly added and stored in the database, the new character data or new image data and the patient data associated therewith are Since the attached e-mail is automatically created and transmitted to the medical information processing apparatus at one or more destinations set in advance, at a specified time interval or at a predetermined time, the destination database is stored. Information (data) can be updated.

Here, as an activation by some kind of explicit connection, for example, a module (check software or check program) for checking a set capacity of transmittable data, which will be described later, can be considered.

Further, when the set condition is the set capacity of the data that can be transmitted by the e-mail, it is possible to prevent a situation in which the capacity of the transmitted data becomes too large to be transmitted. Since the set capacity can be set based on the smaller one of the capacity of the mailbox on the transmission side and the capacity of the mailbox on the reception side, a situation in which the capacity of transmission / reception data on the transmission side or the reception side becomes too large and transmission cannot be performed. Can be prevented from occurring.

Further, the transmission-side data processing means creates a transmission message file indicating that the electronic mail has been transmitted when automatically generating the electronic mail, and sets the transmission message file in advance. In a case where the setting is made so that the e-mail is transmitted to a facsimile of one or more destinations of the medical information processing apparatus or a place where the apparatus is located via a transmission route different from the transmission route of the electronic mail,
Even if a failure occurs in one of the transmission routes, the destination side (reception side) reports that the e-mail attached with the new character data or new image data and the accompanying patient data has not arrived.
And promptly requesting the transmitting side to transmit again.

Further, the transmission-side data processing means creates a list of the transmission message files, and stores the list in one or more destinations set at a predetermined time interval or at a predetermined time. Of the medical information processing device or the FA of the place where the device is located
In the case where X is set to be transmitted via a transmission route different from the transmission route of the e-mail, even if a trouble occurs in one of the transmission routes, new character data or new image data and associated patient data It is possible to confirm that the e-mail attached with "." Has not arrived at a time set on the destination side (reception side) or at specified time intervals, and promptly request the transmission side to retransmit. In this case, even if both transmission routes fail, the transmission message file does not reach, so that it is possible to know that at least the transmission message file route of the transmission route has failed.

Further, the transmission-side data processing means creates a list of the transmission message files, and stores the list in one or more destinations set at a predetermined time interval or at a predetermined time. The electronic mail may be transmitted to the medical information processing apparatus via the same transmission route as the transmission route of the electronic mail. In this case, when receiving the transmission message file list, the medical information processing apparatus on the destination side transmits a reply mail indicating that the transmission message file list has been received to the transmission side. (Other 2) As described above, the medical information processing terminal 55
b, 56b, 57b are buildings (hospitals, centers or homes) with specialists with knowledge and extensive experience in specific diseases
In this way, a specialist can determine a disease in medical examination information without going to a plurality of hospitals or the diabetes center 50 for a specific disease, and can send the determination report to the diabetes center 50. This allows specialists to work with multiple hospitals and diabetes centers 50 for specific illnesses.
It is possible to quickly and accurately and efficiently determine a disease by an experienced and knowledgeable specialist, and to determine medical examination information of more patients without wasting traveling time when dispatching to a company. . In addition, since only the judgment report is transmitted to the host computer 51, the host computer 5
1 is short, and a plurality of medical examination information is not recorded in the host computer 51.

The host computer 51 has an automatic information transmission / reception software 63 or 64 which is capable of transmitting medical examination information to one of the plurality of medical information processing terminals 55b, 56b, 57b. The medical examination information received by one of the medical information processing terminals 55b, 56b, and 57b is provided so as to be able to be sequentially transmitted to the rest of the medical information processing terminals 55b, 56b, and 57b.
b, 56b, and 57b, when the medical information processing terminal that last received the medical examination information and the determination report is configured to transmit only the determination report to the host computer 51,
From the host computer 51, a medical information processing terminal 55
Since only the medical examination information needs to be transmitted to one of b, 56b, and 57b, the processing on the host computer 51 side is simplified.

Further, the medical examination information is transmitted from the host computer 51 to a plurality of medical information processing terminals 55b, 56b, 57.
b, and the judgment report is simultaneously transmitted from the plurality of medical information processing terminals 55b, 56b, and 57b to the host computer 51, and the preparation of the judgment report by a plurality of specialists based on the medical examination information proceeds at the same time. it can. As a result, the host computer 5 can obtain the judgment report created by each specialist in a short time, and can quickly make a final comprehensive judgment that combines the judgment reports created by the specialists.

Further, the medical information processing terminals 55b, 56b,
Reference numeral 57b denotes a determination image display software 61 for displaying a medical image as a determination image, and a mouse and a cursor operated by a mouse as designating means for designating a specific portion or a specific range on the medical image displayed by the determination image display software 61 If the setting is made so that information of a specific part or a specific range on the medical image specified by the specifying means is transmitted to the host computer 51 in addition to the determination report, The host computer 51 (diabetes center) can also confirm whether the disease symptom has been determined based on the above.

Further, when the information of the specific part or the specific range is partial image information, and when the specific part or the specific range of the medical image used for the determination and the determination report are transmitted to the center side medical information processing apparatus. The transmission time of the determination report including the partial image information to the medical information processing apparatus on the center side can be reduced as compared with the case of (1).

When the information of the specific portion or the specific range is the coordinate information of the specific portion or the specific range on the medical image specified by the specifying means, the information of the specific portion or the specific range of the medical image used for the determination is used. The transmission time of the judgment report including the partial image information to the host computer 51 (diabetes center) side can be reduced as compared with the case where the marked report and the judgment report are transmitted to the host computer 51 (diabetes center) side. Moreover, in this case, since no image information is included, the transmission time can be further reduced as compared with the case where the determination report including the partial image is transmitted to the host computer 51 (diabetes center) side. (Other 3) Further, two or more information processing devices connected via the Internet are provided, and transmission information associated with individual information including ID and specific information is attached to an e-mail, and the two or more information processing devices are connected to the electronic mail. In a system for transmitting from one of the devices to another information processing device via the Internet, the information processing device on the transmission side automatically sends an e-mail attached with only an ID obtained by removing individual information from transmission information and specific information. And can be set to be transmitted to the medical information processing apparatus at one or more destinations set in advance. In this case, the individual information may be personal information. Further, as described above, this ID can be a patient ID at a hospital, the specific information can be patient information, and the personal information can be information other than the ID in the patient information. Further, as described above, the ID is converted into a random number and can be attached to an electronic mail and sent. As described above, by transmitting the ID and the transmission information excluding the individual information on the Internet, the transmission side can know the individual information (personal information) from the ID and the transmission information, but the Internet and the destination side can obtain the individual information. Since the relationship between the information (personal information) and the transmission information is not known, even if transmission information such as medical information is seen by others on the Internet or on the destination side, the protection of the individual information can be ensured.

[0126]

As described above, the transmission information confirmation system according to the first aspect of the present invention connects two or more information processing devices via the Internet, attaches information to an e-mail, and sends the information to an electronic mail. A transmission information confirmation system for transmitting from one of the information processing apparatuses to another information processing apparatus via the Internet, and confirming whether or not the transmitted e-mail has been transmitted to a destination. The processing device is provided so as to be capable of creating an e-mail with the information attached thereto and transmitting the e-mail to the set information processing device, and transmitting the e-mail when the e-mail is automatically created. When the e-mail is transmitted after creating a transmission message file indicating that the transmission has been completed, the transmission message file is stored in the destination information processing apparatus or the F of the location of this apparatus. Since the said electronic mail transmission route X has a configuration that is set so as to be transmitted via different transmission routes, it is possible to reliably know immediately send that there was a transmission of information at the destination side.

Further, according to the invention of claim 2, the information processing apparatus on the transmission side transmits the transmission message every time the electronic mail is transmitted. You can immediately know that there was a transmission.

Further, in the invention according to claim 3, the information processing apparatus creates a list of the transmission message files, and sets the list at a specified time interval or a predetermined time. Since the configuration is such that the e-mail is transmitted to one or more destinations of the information processing device or a facsimile of a certain location via a transmission route different from the transmission route of the e-mail, the transmission of the transmission message is performed. When the number of the e-mails is large, the cost for transmitting the transmission message can be suppressed as compared with the case where each e-mail is transmitted.

Further, according to a fourth aspect of the present invention, in the first aspect, the transmission-side data processing means creates a list of the transmission message files and stores the list in a specified time interval or a predetermined time interval. Since the configuration is such that the e-mail is transmitted to the information processing apparatus at one or more destinations preset at the time via the same transmission route as the transmission route of the e-mail, the specified information is received on the receiving side. By confirming whether there is a transmission message file list at the specified time interval or at a pre-specified time, when the transmission message file list is transmitted along the same route as this information transmission route, some trouble may occur in this route. If the medical information arrives at the destination with a delay, there may be some obstacles to this route. It can be seen. Also, by confirming whether or not there is a transmission message file list at a specified time interval or a predetermined time on the receiving side, it is possible to know what information is being transmitted from the transmission message file list, If there is any information that has not arrived, it can be sent again.

According to a fifth aspect of the present invention, in the fourth aspect, when the information processing apparatus on the destination side receives the transmission message file list, the destination information processing apparatus transmits a reply mail indicating the reception to the transmission side. With this configuration, the transmission side can confirm that the destination has received the transmission message file list. As a result, when sending the transmission message file list on the same route as this information transmission route, some trouble has occurred in this route,
Even when the information arrives at the destination with a delay, the sender can know that the information has not arrived at the destination at the scheduled time due to the absence of the reply mail, and can take some measures.

[Brief description of the drawings]

FIG. 1 is a schematic explanatory diagram showing a first embodiment of a medical information processing system according to the present invention.

FIG. 2 is a circuit diagram of the host computer shown in FIG. 1;

FIG. 3 is a circuit diagram of the information processing terminal of FIG. 1;

FIG. 4 is a circuit diagram of the network controller (network server) shown in FIG. 1;

FIG. 5 is an explanatory diagram of a setting screen by mail sending / receiving application software used in the medical information processing system of FIG. 1;

FIG. 6 is an explanatory diagram of a detailed setting screen displayed by operating the detailed setting of FIG. 6;

FIG. 7 is an explanatory diagram of a patient ID and a transmission source.

FIG. 8 is a schematic explanatory diagram showing an example of communication by the medical information processing system of FIGS. 1 to 5;

FIG. 9 is a schematic explanatory diagram showing another example of communication by the medical information processing system of FIGS. 1 to 5;

FIG. 10 shows a second example of the medical information processing system according to the present invention.
It is a schematic explanatory view showing an embodiment.

11 is a control circuit diagram of a part of the medical information processing terminal of FIG. 10;

FIG. 12 is a schematic diagram for communication in the medical information processing terminal of FIG. 10;

FIG. 13 is a schematic diagram for determination and communication in the medical information processing terminal of FIG. 10;

FIG. 14 is a schematic diagram showing an example for determination and communication in the medical information processing system of FIG. 10;

FIG. 15 is a schematic diagram showing another example for determination and communication in the medical information processing system of FIG. 10;

16 is an explanatory diagram showing a display screen of a determination image by the determination image display software in FIG.

17 is an explanatory diagram showing a display example of a judgment screen by the judgment report creation image display software in FIG.

[Explanation of symbols]

1d to 5d, 1e to 3e, 6b: ophthalmic image processing terminal (medical information processing device) A to C: internal medical information processing device 1f to 3f: intranet (network) 7: Internet (external) Network) 1h to 3h, 51: Host computer 1h to 3h 11, 21, 31, ... Main control circuit (data processing means or transmission side data processing means) 51: Host computer (center medical information processing apparatus) 52 ... ophthalmic information processing terminal (medical information processing terminal) 55b, 56b, 57b ... ophthalmic processing terminal (medical information processing terminal) 63 ... automatic information transmission / reception software (information automatic transmission / reception means) 64 ...・ Automatic information transmission / reception software (automatic information transmission / reception means)

──────────────────────────────────────────────────の Continued on the front page (51) Int.Cl. ⁷ Identification symbol FI Theme coat ゛ (Reference) H04N 1/32 H04N 1/32 Z F term (Reference) 5C062 AA02 AA29 AA35 AB11 AB17 AB20 AB23 AB38 AB41 AB43 AB44 AC02 AC05 AC36 AE02 AE07 BC01 5C075 AB90 BA05 BA11 BA09 CD09 CF04

Claims (5)

[Claims] 1. An information processing apparatus, comprising: connecting two or more information processing apparatuses via the Internet; attaching information to an e-mail; and transmitting information from one of the two or more information processing apparatuses to another information processing apparatus via the Internet. A transmission information confirmation system that transmits and confirms whether or not the transmitted e-mail has been transmitted to a destination, wherein the information processing device on the transmission side creates and sets an e-mail with the information attached. When the e-mail is sent by creating a transmission message file indicating that the e-mail was sent when the e-mail is automatically created and provided so as to be able to be sent to the destination information processing device. Transmitting the transmission message file to the destination information processing apparatus or a facsimile at a location where the apparatus is located via a transmission route different from the transmission route of the e-mail. A transmission information confirmation system characterized by being set to communicate. 2. The transmission information confirmation system according to claim 1, wherein the information processing apparatus on the transmission side transmits the transmission message every time the electronic mail is transmitted. 3. The information processing apparatus creates a list of the transmission message files, and stores the list in one or more destinations set in advance at a specified time interval or at a predetermined time. 2. The transmission information confirmation system according to claim 1, wherein the transmission information confirmation system is set to be transmitted to an information processing apparatus or a facsimile at a place where the apparatus is located via a transmission route different from a transmission route of the electronic mail. 4. The transmission-side data processing means creates a list of the transmission message files and stores the list in one or more destinations set at a predetermined time interval or at a predetermined time. 2. The transmission information confirmation system according to claim 1, wherein the transmission information confirmation system is set to transmit to the information processing apparatus via the same transmission route as the transmission route of the electronic mail. 5. The apparatus according to claim 1, wherein the medical information processing apparatus on the destination side is set, when receiving the transmission message file list, to transmit a reply mail indicating the reception to the transmission side. 4. The transmission information confirmation system according to 4.