JP2007241589A - Remote image diagnostic system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To attain accurate identification management of users who participate in a remote image diagnostic system. <P>SOLUTION: The remote image diagnostic system comprises a group management server, a plurality of member management terminals installed in different countries respectively and positioned under the control of the group management server, and a network which connects the member management terminals with the group management server. A server storage part of the group management server has a first file for accumulating information on the member management terminals by country, and a second file for storing identification information respectively set corresponding to main data of the first file by an identification number setting means. The member management terminal has an identification information file for storing its own identification information assigned from the group management server, a user file for accumulating information on the users associated with the identification information of the identification information file, and a medical specialist file on medical specialist terminals existing in the own country. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a remote image diagnosis system in which a network is interposed between a group management server and a plurality of member management terminals positioned under the management of the group management server. In other words, the present invention relates to a remote image diagnosis system used in analyzing the site and possibility of a patient's disease, and more particularly to a remote image diagnosis system that supports a specialist when a specialist exists in another country. It is.

  Patent Document 1 discloses that in a transaction method in which transaction between a purchaser and a seller is performed via a network using a transaction management center arranged in each country, the transaction management center receives transaction brokerage from the purchaser. Accepting the request and allowing both the buyer and seller to agree on the terms of the transaction; after the agreement of the terms of the transaction, accepting payment from the purchaser to settle the transaction; and After the settlement in the settlement step, the step of requesting the seller to ship the product related to the transaction to the purchaser, and the reception of accepting the receipt notification indicating that the product related to the transaction is received from the purchaser And when the seller is in another country in response to accepting the receipt notification in the accepting step, the merchandise related to the transaction is sent to the transaction management center in the other country. A control step for requesting payment to the seller, a step for paying the seller for the product when a payment request for the seller in the home country is received from the transaction management center in another country, and a transaction management center in the other country. A transaction method characterized by comprising a step of performing settlement together for a plurality of transactions.

  This transaction method performs settlement for a plurality of transactions together, and thus has advantages such as quick processing of transactions and reduction of the burden on users. However, each transaction method has an independent and separate transaction management center in each country. Because there is a risk that the identification information of members may be confused. In addition, since this transaction method is based on publication (electronic publication) exclusively on the “Web site” and is the object of transaction for tangible products, service activities targeting personal information (for example, specialists) It is not suitable for the diagnosis act) and when the contents of the service act require secrecy (especially handling of patient information). Therefore, Patent Document 1 does not mention how to protect the secret content of a service action.

  On the other hand, Patent Document 2 discloses a matter in which a user registers a deposit via a mobile terminal, a ticket machine, or the like when receiving a service (for example, using a train). That is, Patent Document 2 includes “a ticket vending machine, a user portable terminal, a deposit management server, a ticket gate system, and a network that interconnects the user portable terminal, the deposit management server, and the ticket gate system. The deposit management server is a means for registering a deposit for each user, and transmits the portable terminal ID of the user portable terminal received by the ticket gate system at the time of ticket checking to the deposit management server. In this way, a freight deposit management system including means for paying a fare from a deposit is disclosed.

  This freight deposit management system has a problem that the system becomes large and the transaction is limited to the domestic market because it always requires a user portable terminal, a ticket vending machine, etc. when trading with electronic money. In addition, since the service content is uniform (simply automatic fare withdrawal), it is not suitable for cases where a high level of judgment (for example, highly accurate diagnosis by a specialist) is required for the service content.

  Incidentally, Patent Document 3 and Patent Document 4 describe business models belonging to the medical information of the present invention. In other words, Patent Document 3 states that “the image quality obtained by converting the tissue image of the patient photographed by the camera by the down converter is input to the system control device, and the control device acquires the photographing information from the input unit, the management server A "diagnostic system that performs dialogue processing simultaneously with voice while displaying a tissue image of a patient on a display unit (monitor) of a dialogue terminal via a (host machine)" is described.

  Further, Patent Document 4 states that “image information of organs and lesions obtained by high-definition image inspection using an XCT (X-ray computed tomography) apparatus or an MRI (magnetic resonance imaging) apparatus installed in a medical institution And a remote image diagnostic system for performing 3D computer graphics (3D CG) display, generation of a real model, and pre-operative simulation through 3D reconstruction processing.

Since the remote image diagnosis systems described in these documents are diagnosed by a “specialist” via a network, the remote image diagnosis system is very useful for a regional hospital where there is a shortage of specialists. However, Patent Document 3 is an invention that is particular about the interactive format, while Patent Document 4 is particular about the means for extracting the attentional part of the tomographic image information of the patient, and the accurate identification management of the user, the specialist who crosses the border. It is not intended for the effective use of personal information, protection of personal information about patients, rapid processing after provision of services.
JP 2002-318981 A Japanese Patent Laid-Open No. 2005-18201 JP-A-9-117417 JP-A-2005-278991

  A main object of the present invention is to accurately identify and manage users participating in the system in a remote image diagnosis system. The second purpose is to make effective use of specialists across borders and protect personal information about patients. The third purpose is to execute quick settlement when receiving a service (diagnosis result) from a specialist at a remote location. Other objects are not limiting requirements of the invention.

  The remote image diagnosis system of the present invention includes a group management server, a plurality of member management terminals installed in different countries and positioned under the management of the group management server, and these member management terminals and the group management server In the remote image diagnostic system including the network connecting the server, the server storage unit of the group management server includes a first file storing information on the country-specific member management terminal and an identification number setting unit. A second file for storing identification information set in correspondence with main data of one file; on the other hand, the member management terminal stores an identification information file for storing its own identification information allocated from a group management server; A user file that stores user information associated with the identification information of the identification information file and exists in the home country And characterized by having a specialist file on the gate doctor terminal.

(1) The member management terminal includes an identification information file that stores its own identification information allocated from the group management server, and a user file that accumulates user information associated with the identification information of the identification information file. Therefore, accurate identification management of the user who uses this system can be achieved.
(2) In order to achieve the second and third objects of the present invention, for example, a user (member / patient) 8 who has made a deposit registration 46 in the member management terminal 3 in the country A manages the member in the country B. When a tomographic image is desired to be analyzed via the specialist terminal 7 registered in the terminal 4, the user (member / patient) 9 who has made the deposit registration 46 in the member management terminal 4 in the country B The remote image diagnosis system is effectively used when a tomographic image is desired to be analyzed via the specialist terminal 6 registered in the member management terminal 3 of the present invention.
(3) In the invention described in claim 2, when the user registers the deposit once in the member management terminal, the user receives the service provided by the specialist and receives the request for the compensation from the specialist. Since it is automatically settled by this system, it is very easy to settle a billing request from a remote place (other countries).
(4) In the inventions according to claims 3 and 4, since the individual identification information given by the member management terminal is displayed together with the tomographic image on the tomographic image display screen, the user (member)・ Patients are not mistaken, and specialists cannot know the user's personal information.
(5) Since the invention according to claim 5 includes the third file for storing the case data, the transaction status of the member management terminal can be grasped.
(6) The invention described in claim 6 becomes a membership card and allows the user himself / herself to visually confirm whether or not the tomographic image screen to be diagnosed is his / her own. The membership card also demonstrates the advertising function of this system.

  Hereinafter, the best mode for carrying out the present invention shown in FIGS. 1 to 9 will be described.

(1) Environment for Implementing the Invention FIG. 1 is an overall system configuration diagram of the present invention. The present invention includes a group management server, a plurality of member management terminals installed in different countries and positioned under the management of the group management server, and a network connecting these member management terminals and the group management server A remote image diagnosis system equipped with

  In FIG. 1, first, “1” means “a country with the power of governance” from the viewpoint of territorialism. Here, the territory where the group management server 2 is installed is the country C, and the territories where the plurality of member management terminals 3 and 4 positioned under the management of the group management server 2 are respectively deployed (installed), respectively. Country A and country B. Reference numeral 5 denotes a network connecting the member management terminals 3 and 4 and the group management server 2.

  While the group management server 2 is “one”, there are a plurality of member management terminals 3, 4 and the like. In FIG. 1, the number of member management terminals 3 and 4 is two. However, since this is an illustration for convenience of explanation, there are a large number for each country at the implementation level of the invention.

  Next, reference numeral 6 denotes one or more specialist doctor terminals that exist in the country A and are connected to the member management terminal 3 in the country A via the network 5. On the other hand, reference numeral 7 denotes one or more specialist doctor terminals that exist in the country B and are connected to the member management terminal 4 in the country B via the network 5. The specialist doctor terminals 6 and 7 in each country have a contract regarding the present system with the member management terminals 3 and 4 existing in the respective territories. Therefore, the member management terminals 3 and 4 store information on the specialist doctor terminals 6 and 7 in the home country (specialist file 39 described later) in the storage unit.

  Next, 8 is a user who has an address or residence in country A, while 9 is a user who has an address or residence in country B. Each user 8, 9 can become a “member (for example, patient) of this system” on the condition of a predetermined procedure with respect to the member management terminals 3, 4 existing in the territory of the home country.

  Here, the “home country” is a concept based on the user (member / patient) who requests the analysis of the site and possibility of the disease. Therefore, for example, when an image of the member 8 in the country A is diagnosed by the specialist doctor terminal 7 in the country B through the member management terminal 3 in the country A, the network 5 and the member management terminal 4 in the country B, the member 8 The own citizen and the member management terminal 3 are terminals in their own country, and the member management terminal 4 and the specialist doctor terminal 7 are terminals in other countries.

(2) Group management server 2
FIG. 2 is a hardware configuration diagram of the group management server 2. As a matter of course, the management server 2 has an input unit 11 for inputting a signal (information) sent from the member management terminal 3 of each country, (4... N) via the network 5, and a signal from the input unit. And a server control unit (central processing unit) 12 and an output unit 14 for obtaining information stored in the server storage unit 13 and controlling the information. The signal from the output unit 14 is output to the display unit (display screen) 15 of the management server 2, the network 5, and the like.

  In other words, the server control unit 12 has an internal memory for storing a control program such as an OS, a program that defines the procedure of the specification of the management system, and necessary files and data in the server storage unit 13, Based on these programs and internal memory, functions 12a such as search, storage, display control, and output control are exhibited.

  Here, the storage information of the server storage unit 13 for specifying the present invention and the means (function) of the control unit 12 will be described. First, 16 is a first file in which information on member management terminals 3 and (4... N) by country is stored. Information on member management terminals stored in the first file 16 (member management terminal information) is: In other words, it corresponds to “main data”. There may be a plurality of member management terminals in one country, and there may be no member management terminals in one country.

  On the other hand, 17 is an identification number for setting an identification number to be assigned to the member management terminal 3, (4... N), based on the control data 18 having the main data of the first file 16 and calculation software for creating an identification number. It is a setting means.

  Reference numeral 19 denotes a second file for storing identification information (for example, an identification number) set (created) by the identification number setting means 17, and the identification number of the second file 19 is the member management terminal 3 (4... N) of each country. ), It becomes a group member management table (factor code table).

  Here, the case where the identification number setting means 17 creates the member management table of the second file 19 by the control program 18 (the mutual relationship between the first file 16 and the second file 19) will be described with reference to FIG.

  In FIG. 3, the server control unit 12 has a function to calculate four numbers of identification numbers (address numbers) of columns (vertical) and rows (horizontal) based on a control program 18 by using, for example, matrix-like table-format software. Have. In other words, the server control unit 12 determines the sum (total, predetermined range) of the column line and row line addresses.

  Therefore, since the first file 16 is a storage area for storing the main data of the member management terminals 3, (4... N) in each country, the first code 16 includes a factor code 21 based on a geographical name such as a country name and a city name. Each of the factor codes 21 has a pointer area 22 corresponding thereto.

  The factor codes individually assigned to the terminals are, for example, from the factor code a01 of the management terminal 3 in country A to the final factor code n01 of the management terminal in another country. In addition, when country A is Japan, the factor code a01 is at least one member management terminal 3 deployed in Japan. The factor code b01 is at least one member management terminal 4 arranged in Shanghai or China. Further, the factor code c01 is one member management terminal arranged in the Philippines. The same applies hereinafter. Identification information to be transmitted to the member management terminal in each country is created using the pointer areas a01 to n01 of these factor codes.

  That is, for example, when the group management server 2 intends to assign identification information to the management terminal 3 in country A, the group management server 2 designates the pointer area a01 and designates a predetermined range. Accordingly, the identification number setting means 17 of the server control unit 12 determines a signal for designating the pointer area a01, a signal for designating a predetermined range, and a predetermined range from the input unit 11 by the operation of the operator. When the signal or the like is acquired, the group member management table 23 is created based on the control program 18 and corresponding to the main data of the first file 16.

  The group member management table 23 created in this way is temporarily stored and saved in the second file 19 and then transmitted to the management terminal 3 in country A via the output unit 14 and the network 5. . The same applies to the assignment of identification information to the management terminals 3 in countries B, C, etc.

  Furthermore, the storage unit 13 of the management server 2 has a third file 20 that stores case processing information relating to the services of the management terminals 3 and (4... N) in each country. The third file 20 stores case data that is associated with the secondary data (assigned identification number) of the second file 19 and the main data (member management terminal) of the first file and handled by the member management terminal. To do.

  For example, referring to FIG. 1, compensation based on provision of services (for example, analysis of a tomographic image of the member 8) performed by the member 8 of the home country through the specialist terminal 7 registered in the member management terminal 4 of another country. In other words, in the present embodiment, at least money, points, brokerage fees for member terminals, and management fees for the management server are charged to the specialist terminal 7 that provided the service. In order to confirm whether or not the payment has been made, the case data handled by the member management terminal is stored in the server storage unit 13 as the third file 20.

  Therefore, the server storage unit 13 of the group management server 2 uses the first file 16 in which information on the country-specific member management terminals 3 (4... N) is stored and the identification number setting means 17 to store the main file 16. The second file 19 for storing the identification information (member management table 23) set in correspondence with the data (member management terminal), the identification information of the second file 19, and the main data of the first file And a third file 20 for storing the case data handled by the member management terminal, and the identification information of the second file 19 is distributed (for example, transmitted) to the required member management terminal.

(3) Member management terminal 3, (4 ... n)
FIG. 4 is a hardware configuration diagram of the member management terminal. Similarly to the management server 2, the member management terminal 3, (4... N) also has an input unit 31, a control unit 32, a storage unit 33 for storing various files in a storage area, an output unit 34, and a display unit 35. The storage unit 33 stores necessary files such as an identification information file 36, a deposit management file 37, a user file 38, a specialist file 39, and a case file 40 together with a control program 41.

  The control unit 32 has a control program such as an OS in the storage unit 33, a program that defines the procedure of the specification of the member management system, and an internal memory for storing required files and data. Based on the program and the internal memory, functions 32a such as search, storage, display control, and output control are exhibited. In addition, the control unit 32 has a deposit acceptance unit 42, and the deposit receipt unit 42 is used when setting a "password" at the time of user registration.

  As described above, the member management terminals 3 (4... N) in each country receive the identification information assigned from the management server 2, respectively. Here, description will be made with reference to the member management terminal 3 shown in FIG. The member management terminal 4 in another country has the same configuration.

  When the member management terminal 3 acquires its own identification information via the network 5 and the input unit 31, the member management terminal 3 automatically stores the identification information in the identification information file 36. The format of the identification information file 36 is a branch (leaf) shape. Of course, the member management terminal 3 can edit the format of the identification information file 36 so that it can be used easily thereafter.

  The deposit management file 37 stores information (increase / decrease) in deposit management of the user 8 in the home country. In this embodiment, the information (for example, update information) of the deposit management file 37 is associated with a card-like printed material distributed by the member management terminal 3.

  That is, as shown in FIG. 1, when registering a user 8 in his / her home country as a member, the member manager prints a card-like printed matter 45 individually attached with his / her identification information stored in the identification information file 36. On the other hand, the user 8 can receive the provision of the service of this system (diagnosis by a specialist using the remote image diagnosis system) on condition that the deposit is registered 46 in the member management terminal.

  With reference to FIG. 5, the contents of the user file 38 associated with one piece of identification information in the identification information file 36 will be described. In the present embodiment, in the user file 38, the name, address, specialist as a diagnostician, diagnosis request date, diagnosis result, etc. are set in addition to the individual identification number a set from the member management terminal. . For example, when the identification information of the identification information file 36 is “0000000960”, the individual identification number “a” is also “0000000960”.

  On the other hand, the card-like printed matter 45 is also marked with “0000000960”. Here, with reference to FIG. 6, the card-like printed matter 45 which is an example of a portable printed matter is demonstrated. The card-like printed matter 45 is stored in a transparent flat storage bag 47 so as to be freely inserted.

  Thus, the identification information a identical to the individual identification information a of the user 8 stored in the user file 38 of the member management terminal 3 is attached to one side surface 45a of the printed matter 45 in a horizontal series. . That is, “0000000960” is attached to one side surface 45 a of the printed matter 45. On the other hand, on the other side surface 45b of the printed matter 45, a trademark b indicating the self-other service of the management server 2 is attached.

  The specialist file 39 is used for high-definition image inspection using an XCT (X-ray computed tomography) apparatus, a positron radiation tomography apparatus (PET), other tomography apparatus, MRI (magnetic resonance imaging) apparatus, etc. installed in a medical institution. Information on specialists who have the ability to analyze the site and possibility of disease is stored for the obtained image information of organs and lesions. Desirably, the specialist terminal 6 is a contract specialist who has contracted with the member management terminal 6 (7) in his home country. Of course, it is possible to make a contract between the group management server 1 and the specialist terminal 6.

  When the contract specialist receives a diagnosis request from the patient via this system, the contract specialist analyzes the tomogram and reports the result via the specialist terminal. For example, in FIG. 1, a user (member / patient) 8 who has made a deposit registration 46 in the member management terminal 3 in country A receives a tomographic image via the specialist doctor terminal 7 registered in the member management terminal 4 in country B. On the contrary, the user (member / patient) 9 who has made the deposit registration 46 in the member management terminal 4 in country B passes through the specialist doctor terminal 6 registered in the member management terminal 3 in country A. Thus, the remote diagnostic imaging system is effectively used when a tomographic image is desired to be analyzed.

  That is, the user's image information 50 that can be viewed visually by a specialist is, for example, a high-accuracy tomographic image as shown in FIG. 7, and is displayed on the tomographic image display screen 6a (7a) of the display unit of the specialist's terminal 7. Individual identification information a is displayed together with the tomographic image 50a. In other words, personal information such as the name and address of the user (member / patient) is not displayed on the tomographic image display screen 7a (6a). As described above, the individual identification information “a” of the user is a code such as a character or a number that cannot specify the name and address of the user. Therefore, a diagnosis result is also made using the individual identification information a. Here, the “tomographic image” includes an X-ray image.

(4) Flowchart 1
FIG. 8 shows processing from the management server 2 to the management terminal. Step S101 is a stage in which the management server 2 determines a member management terminal to which identification information is assigned. Step S102 is a stage in which a code (factor code 21, pointer area 22) is attached to the member management terminal determined by the management server 2 and stored in the first file 16.

  Step S103 is a step of determining the allocation range of identification information for the member management terminal to which the code is attached. Step S104 is a step of storing a predetermined range of identification information associated with the code of the member management terminal in the second file as group table information.

  Step S105 is a step of transmitting identification information to the member management terminal based on the table information stored in the second file. Step S105 is a step in which the member management terminal stores the identification information assigned from the management server via the network 5 in its own identification information file 36.

(5) Flowchart 2
FIG. 9 shows the main processing of the management terminal. In step S201, information on specialists is collected by advertising and advertising the system, and if a specialist who can be trusted is found and excavated, the specialist terminal is registered with the member management terminal in the home country after a specialist contract is made. This specialist terminal registration is possible at any time.

  Next, although step S202 is a stage which registers a user in a member management terminal, in a present Example, not everyone can register freely, When registering a user of a home country in a member management terminal, a member manager Issues a card-like printed matter 45 individually attached with its own identification information stored in the identification information file 36, while the user registers a deposit with the member management terminal. Therefore, step S203 is a stage in which personal information (patient information) is stored in the user file 38 by associating the personal information of the registered user with the identification information attached to the printed matter 45.

  Next, in step S204, when the user in the home country desires the analysis / judgment of a specialist in another country, the user's image information 50 is taken into the member management terminal in the home country, and the user's image information 50 is stored in the image information 50. This is a stage in which identification information a is attached and transmitted to the member management terminal in another country via the network 5. In this case, as described in Patent Document 3, for example, a highly accurate tomographic image is compressed and transmitted. Of course, sound may be encoded together with the image information 50 and transmitted together with the sound information.

  Next, step S205 is a stage in which image information acquired by a specialist doctor terminal in another country via a member management terminal in another country is displayed on the specialist doctor terminal. Individual identification information is displayed together with the tomographic image on the tomographic image display screen of the specialist doctor terminal, but personal information such as the user's name and address is not displayed at all.

  Next, step S206 is a stage in which a diagnosis result is transmitted. The diagnosis result determined by the specialist in another country is sent to, for example, the member management terminal in another country or the member management terminal in the home country that requested the diagnosis via the network 5. Accordingly, each member management terminal stores transaction information in the case file, and transmits information such as settlement related to the information in the case file to the management server 2 via the network 5. The settlement and the like are processed based on the identification information a and the information in the deposit management file 37.

  In the example shown in the embodiment of the invention, the server control unit 12 is based on the control program 18 and, for example, the number of identifications (addresses) of columns (vertical) and rows (horizontal) by means of a matrix-like software. Explained that it has a function to calculate four numbers.

  However, this tabular software is an example. For example, identification information assigned to a member registration terminal is created based on nodes (coordinate points) and links (number information of coordinate points included between one coordinate point as a starting point and another coordinate point as a breakpoint). Allocation information to be obtained may be used.

  In other words, when the identification information assigned to the member registration terminal is “a plurality of pieces of address information including a specific node”, the identification number setting means 17 of the server control unit 12 uses the main data of the first file 16 as the main data. Correspondingly, a node (coordinate point) is specified, a required number of links can be drawn out, and assignment identification information to be stored in the second file 19 can be created.

  The present invention is mainly used in the industry supporting remote image diagnosis systems.

1 to 9 are explanatory views showing the best embodiments of the present invention.
1 is an overall system configuration diagram of the present invention. The hardware block diagram of the management server of a group. Explanatory drawing about the mutual relationship of the 1st file 16 and the 2nd file 19. FIG. The hardware block diagram of a member management terminal. Explanatory drawing which shows the content of a user file. Explanatory drawing which shows an example of the printed matter which the member management terminal side issues. Explanatory drawing which shows an example of the tomographic image display screen displayed on a specialist terminal. 1 is a flowchart illustrating processing from a management server to a management terminal. 2 of the flowchart which shows the main processes of a management terminal.

Explanation of symbols

  1 ... country, 2 ... group management server (management server), 3, 4 ... member management terminal in each country, 5 ... network, 6, 7 ... specialist doctor terminal in each country, 8, 9 ... user in each country, 11 ... input unit , 12 ... control unit, 13 ... storage unit, 14 ... output unit, 16 ... first file, 17 ... identification number setting means, 18 ... control program, 19 ... second file, 20 ... third file, 21 ... factor code , 23 ... Member management table, 36 ... Identification information file, 37 ... Deposit management file, 38 ... User file, 39 ... Specialist file, 40 ... Project file, 41 ... Control program, 42 ... Deposit acceptance means, 45 ... Printed matter 46 ... Deposit registration, 50 ... User image information, 50a ... Tomographic image, a ... Individual identification number.

Claims (6)

A remote management system comprising a group management server, a plurality of member management terminals installed in different countries and positioned under the management of the group management server, and a network connecting these member management terminals and the group management server In the diagnostic imaging system, the server storage unit of the group management server corresponds to the main data of the first file by the first file storing information on the member management terminal by country and the identification number setting means. A second file for storing the set identification information, and the member management terminal associates the identification information file for storing the identification information assigned by the group management server with the identification information of the identification information file. User file that stores information on selected users, and specialist files related to specialist terminals in your country Remote diagnostic imaging system, comprising a. 2. The member management terminal according to claim 1, further comprising a deposit acceptance means, and when registering a user in the member management terminal, the member manager individually attaches his / her identification information stored in the identification information file. The remote image diagnosis system is characterized in that the printed matter is issued while the user registers the deposit in the member management terminal. The user image information transmitted from the member management terminal in the home country to the member management terminal in another country is a high-accuracy tomographic image, and the tomographic image display screen includes a member together with the tomographic image. A remote image diagnosis system characterized in that individual identification information given by a management terminal is displayed at the same time. 4. The remote image diagnosis system according to claim 3, wherein the individual identification information of the user is a code such as a character or a number that cannot specify the name and address of the user. The group management server according to claim 1, further comprising a third file that is associated with the main data of the first file and the identification information of the second file and stores case data handled by the member management terminal. A remote image diagnostic system characterized by comprising: In Claim 1, the printed matter is a card-like printed matter, and on one side 45a, the same identification information as the individual identification information a of the user 8 stored in the user file 38 of the member management terminal 3 is provided. A remote image diagnosis system, wherein a is attached in a horizontal series, and a trademark b indicating the self-other service of the management server 2 is attached to the other side surface 45b of the printed matter 45.