JP6662317B2 - Medical cooperation system - Google Patents

Description

  The present invention relates to a medical cooperation system.

  In recent years, with the advancement of medical technology and a shortage of specialists, regional medical cooperation in which a plurality of medical facilities share medical information and cooperate with each other to perform examinations and treatments of patients has been spreading. In particular, the number of cases in which specialized tasks such as image diagnosis and image analysis are outsourced is increasing. Specifically, a system has been developed in which medical images are transmitted to a physician at a remote place via the Internet, and interpretation and consultation are requested, thereby seamlessly linking facilities.

  For example, in a medical cooperation system in which a management server and a plurality of terminal devices are connected via a communication network so that data can be transmitted and received, charging set for each type of cooperation (eg, patient introduction, examination request, image interpretation request, consultation, etc.) There has been proposed a technique for generating billing information for a cooperation source user and a cooperation destination user based on the ratio (see Patent Document 1).

  In addition, medical images stored in a Picture Archiving and Communication System (PACS) in a medical facility can be sent to a data center for backup, which can be used to deal with risks in the event of a disaster or to cooperate with doctors outside the hospital. A remote image system has been proposed (see Patent Document 2).

JP 2011-198311 A JP 2013-111092 A

  However, when using an image storage service for the purpose of backing up the PACS for cooperation between doctors, there is a risk that unnecessary patient images will be referenced because the image storage server stores images of many patients. In addition, it is necessary for the partner facility to manage information about the user of the partner facility. Therefore, the image storage service is used only for referencing images within the facility or between hospitals in the same group, and an inter-facility cooperation service different from the image storage service is used for coordination with other facilities.

  In the facility-to-facility cooperation service, a medical image is requested to be transmitted (destination) and the medical image is transmitted to the image cooperation server. Therefore, when the transmission source user instructs the medical cooperation, the data amount of the medical image is large. In such a case, it takes a long time to transmit the image, and the next operation cannot be performed until the transmission is completed.

  The present invention has been made in view of the above-described problems in the related art, and has as its object to efficiently perform storage of medical images for each medical facility and medical cooperation between the medical facilities.

  In order to solve the above-mentioned problem, the invention according to claim 1 provides a first server having first storage means for storing medical images generated in a plurality of medical facilities, and a medical cooperation between the plurality of medical facilities. And a plurality of client terminals connected to each of the first server and the second server for data communication via a first communication network, the medical cooperation system comprising: The first server and the second server are connected via a second communication network capable of performing data communication at a higher speed than the first communication network, and each of the plurality of client terminals is provided with the client terminal. Means for selecting a medical image to be subjected to medical cooperation among medical images generated in a medical facility, Specifying means for specifying a user of a destination of the selected medical image, image specifying information for specifying the selected medical image, and destination information indicating the user of the specified destination. First transmission means for transmitting to the server, the second server stores the image specifying information transmitted by the first transmission means and transmission destination information in association with each other; (2) When an image reference request is received from a client terminal operated by a user at the destination indicated by the destination information stored in the storage unit, based on the image identification information associated with the destination information, Acquiring means for acquiring a medical image corresponding to the image specifying information from the first server, and transmitting the acquired medical image to a client terminal operated by the destination user Comprising a second transmission means.

  The invention according to claim 2, a first server including a first storage unit that stores medical images generated in a plurality of medical facilities, a second server that manages medical cooperation between the plurality of medical facilities, A medical cooperation system comprising: a plurality of client terminals connected to each of the first server and the second server so as to be able to perform data communication via a first communication network, wherein the first server and the second server Is connected via a second communication network capable of performing data communication at a higher speed than the first communication network, and each of the plurality of client terminals is a medical device generated in a medical facility where the client terminal is installed. Selecting means for selecting a medical image to be a target of medical cooperation among the images; and a user as a transmission destination of the selected medical image. Specifying means for specifying a user, and first transmitting means for transmitting image specifying information for specifying the selected medical image and destination information indicating a user of the specified destination to the first server. Wherein the first server comprises a transfer unit for transferring the image specifying information and the destination information transmitted by the first transmitting unit to the second server in association with each other, wherein the second server comprises: A second storage unit that stores the image specifying information transferred by the transfer unit and the destination information in association with each other, and a client operated by a destination user indicated by the destination information stored in the second storage unit When an image reference request is received from the terminal, a medical image corresponding to the image specifying information is transmitted from the first server based on the image specifying information associated with the destination information. Comprising obtaining means for obtaining a second transmitting means for transmitting the acquired medical image to the client terminal user of the transmission destination is operating, the.

  The invention according to claim 3 is a first server including a first storage unit that stores medical images generated in a plurality of medical facilities, a second server that manages medical cooperation between the plurality of medical facilities, A medical cooperation system comprising: a plurality of client terminals connected to each of the first server and the second server so as to be able to perform data communication via a first communication network, wherein the first server and the second server Is connected via a second communication network capable of performing data communication at a higher speed than the first communication network, and each of the plurality of client terminals is a medical device generated in a medical facility where the client terminal is installed. Selecting means for selecting a medical image to be a target of medical cooperation among the images; and a user as a transmission destination of the selected medical image. Specifying means for specifying a user, and first transmitting means for transmitting image specifying information for specifying the selected medical image and destination information indicating a user of the specified destination to the second server. The second server is stored in the second storage unit, wherein the second server stores the image specifying information and the destination information transmitted by the first transmission unit in association with each other. When an image reference request is received from a client terminal operated by the user of the destination indicated by the destination information, the image transmission instruction including the destination information and the image specifying information associated with the destination information is sent. Image transmission instruction means for transmitting to the first server, wherein the first server, based on the image identification information included in the image transmission instruction, the medical image corresponding to the image identification information Means for acquiring the medical image from the first storage means, and transmitting the medical image acquired by the acquiring means to the client terminal operated by the user at the destination based on the destination information included in the image transmission instruction. And a second transmitting unit.

  According to a fourth aspect of the present invention, in the medical cooperation system according to any one of the first to third aspects, each of the plurality of client terminals is a medical device generated in a medical facility where the client terminal is installed. When the selected medical image is not transmitted to the first server from the image management apparatus that manages the image, the selected medical image is transmitted to the first server with priority over other medical images. A third transmitting unit for transmitting an instruction to the effect to the image management apparatus.

  According to a fifth aspect of the present invention, in the medical cooperation system according to the first or second aspect, each of the plurality of client terminals manages a medical image generated in a medical facility where the client terminal is installed. A fourth transmission for transmitting, to the image management device, an instruction to transmit the selected medical image to the second server, when the selected medical image is not transmitted to the first server from the management device; Means, the second server comprises a third storage means for storing a medical image transmitted from the image management device, the obtaining means, from the first server, a medical image corresponding to the image identification information Instead of acquiring, it acquires from the third storage means.

  According to a sixth aspect of the present invention, in the medical cooperation system according to any one of the first to third aspects, each of the plurality of client terminals is a medical device generated in a medical facility where the client terminal is installed. A display unit that displays a warning when the selected medical image is not transmitted to the first server from the image management apparatus that manages the image.

  According to a seventh aspect of the present invention, in the medical cooperation system according to any one of the first to sixth aspects, the second server stores the image specifying information and the destination information in the second storage unit. Notification means for notifying the user of the transmission destination indicated by the transmission destination information when the transmission destination information is displayed.

  According to an eighth aspect of the present invention, in the medical cooperation system according to any one of the first to seventh aspects, the second server stores user information on a user belonging to the plurality of medical facilities. A storage unit is provided, and the user information is registered from a client terminal operated by a manager of a medical facility to which a user corresponding to the user information belongs.

  According to the present invention, storage of medical images for each medical facility and medical cooperation between the medical facilities can be efficiently performed.

FIG. 1 is a system configuration diagram of a medical cooperation system according to a first embodiment of the present invention. FIG. 3 is a block diagram illustrating a functional configuration of an image storage server. FIG. 3 is a block diagram illustrating a functional configuration of an image cooperation server. FIG. 3 is a block diagram illustrating a functional configuration of a client terminal. 5 is a ladder chart showing a user registration process. 9 is a ladder chart showing a first medical cooperation registration process. 6 is a ladder chart showing a first image reference process. 14 is a ladder chart illustrating a second medical cooperation registration process performed in the medical cooperation system according to the second embodiment. 15 is a ladder chart illustrating a second image reference process performed in the medical cooperation system according to the fourth embodiment.

[First Embodiment]
First, a first embodiment of a medical cooperation system according to the present invention will be described with reference to the drawings. The present invention is not limited to the illustrated example.

FIG. 1 shows a system configuration of a medical cooperation system 100 according to the first embodiment.
As shown in FIG. 1, the medical cooperation system 100 includes an image storage server 10 as a first server and an image cooperation server 20 as a second server installed in a data center, and a client terminal 30A installed in a medical facility A. , And a client terminal 30B installed in the medical facility B, and so on. The client terminals 30A, 30B,... Are communicably connected to the image storage server 10 and the image cooperation server 20 via the Internet N1 as a first communication network. The image storage server 10 and the image cooperation server 20 are connected via a network N2 as a second communication network capable of performing data communication at a higher speed than the Internet N1.
The number of client terminals 30A, 30B,... Installed in each medical facility is not particularly limited.

  The image storage server 10 is an apparatus that provides an image storage service that stores and manages medical images generated in each medical facility for the purpose of backup, and provides medical images in response to a request from an external device.

  The image cooperation server 20 is a device for managing medical cooperation between a plurality of medical facilities, and provides a medical cooperation service between medical facilities (inter-facility cooperation service). Medical cooperation refers to sharing information such as medical images between a plurality of medical facilities and performing examinations and treatments on patients in cooperation with each other. For example, the image cooperation server 20 registers information related to medical cooperation received from the client terminals 30A, 30B,... Of each medical facility, and refers to images from the client terminals 30A, 30B,. When there is a request, the requested medical image is acquired from the image storage server 10 and provided to the client terminals 30A, 30B,. The information related to medical cooperation includes image specifying information for specifying a medical image selected as a target of medical cooperation, and transmission destination information indicating a user of a transmission destination specified as a request destination of medical cooperation.

  In the medical facility A, a client terminal 30A, a modality 40A, a PACS 50A as an image management device, and the like are connected to each other via a facility network 60A such as a LAN (Local Area Network) so as to be capable of data communication.

  The client terminal 30A is a computer used by a doctor at the medical facility A. The client terminal 30A is used when accessing the image storage server 10 via the Internet N1 and browsing the medical images of the own facility stored in the image storage server 10. The client terminal 30A is used when accessing the image cooperation server 20 via the Internet N1, transmitting information relating to medical cooperation to the image cooperation server 20, and browsing medical images of other facilities.

  The modality 40A captures an image of a human body and generates digital data of the captured image (medical image). Resonance Imaging), a cassette-dedicated reading device, a film digitizer, and the like are applicable.

  The PACS 50A is a computer including a control unit, a RAM (Random Access Memory), a communication unit, an operation unit, a display unit, a storage unit, and the like, and mainly stores a medical image generated by the modality 40A in the medical facility A in the storage unit. It is an in-facility server that stores and manages medical images. The PACS 50A stores information indicating whether or not each medical image managed by the PACS 50A has been transmitted to the image storage server 10 in association with each other.

In the medical facility B, a client terminal 30B, a modality 40B, a PACS 50B, and the like are connected to each other via a facility network 60B such as a LAN so that data communication is possible.
The client terminal 30B, the modality 40B and the PACS 50B provided in the medical facility B, and the devices provided in the medical facilities other than the medical facilities A and B are the same as the devices provided in the medical facility A. Therefore, the description is omitted.
Hereinafter, when the medical facilities are not particularly distinguished, the client terminals 30A, 30B,..., The PACSs 50A, 50B,. Described as the in-facility network 60.

FIG. 2 shows a functional configuration of the image storage server 10.
As shown in FIG. 2, the image storage server 10 includes a control unit 11, a RAM 12, an Internet communication unit 13, an in-center communication unit 14, a storage unit 15, and the like. I have.

  The control unit 11 is a control circuit that includes a CPU (Central Processing Unit) and the like and that controls the processing operation of each unit of the image storage server 10 in an integrated manner. The control unit 11 reads various programs stored in the storage unit 15 and expands them in the RAM 12, and executes various processes in cooperation with the programs.

  The RAM 12 forms a work area for temporarily storing various programs, input or output data, parameters, and the like read from the storage unit 15 in various processes executed and controlled by the control unit 11.

The Internet communication unit 13 is a communication circuit configured by a network interface or the like and transmitting and receiving data to and from an external device such as the client terminal 30 connected via the Internet N1.
The intra-center communication unit 14 is a communication circuit that transmits and receives data to and from the image cooperation server 20 connected via the intra-center network N2.

  The storage unit 15 is a storage device including a hard disk drive (HDD), a nonvolatile semiconductor memory, and the like. The storage unit 15 stores various programs executed by the control unit 11 and also stores parameters and data necessary for executing the various programs. Specifically, the storage unit 15 stores a device information table T11, an image management DB 151, medical images generated in each medical facility, and the like. That is, the storage unit 15 functions as a first storage unit.

  The device information table T11 stores information on the PACS 50 installed in each medical facility in the medical cooperation system 100. In the device information table T11, a facility ID of a medical facility where the PACS 50 is installed, a device ID for specifying the PACS 50, and the like are stored in association with each other.

The image management DB 151 stores patient information, examination information, series information, and image information in association with each other for each medical image.
The patient information includes a patient ID, name, date of birth, gender, and the like.
The inspection information includes a reception number, an inspection date, an inspection instance UID (Unique Identifier), and the like.
The series information includes a shooting modality, a series instance UID, a part, and the like.
The image information includes an image instance UID, photometric interpretation (RGB color, monochrome, etc.), bit number, collection date, shooting direction, gradation information, image data file name, and the like.

  In the storage unit 15, the area where the medical image is stored is divided for each medical facility (PACS 50), and the medical facility where the medical image is generated can be specified by the storage area of the medical image.

  When the medical image generated in the medical facility is received from the PACS 50 installed in each medical facility by the Internet communication unit 13, the control unit 11 responds to the medical facility in which the medical image is generated in the storage unit 15. The medical image is stored in the storage area to be processed, and patient information, examination information, series information, and image information related to the medical image are stored in the image management DB 151.

  When a request for acquiring a medical image is received from the image cooperation server 20 by the intra-center communication unit 14, the control unit 11 reads out the requested medical image from the storage unit 15, and performs the image cooperation via the intra-center communication unit 14. Provide to server 20.

FIG. 3 shows a functional configuration of the image cooperation server 20.
As shown in FIG. 3, the image cooperation server 20 includes a control unit 21, a RAM 22, an Internet communication unit 23, an in-center communication unit 24, a storage unit 25, and the like. I have.

  The control unit 21 is a control circuit that includes a CPU and the like, and controls the processing operation of each unit of the image cooperation server 20 in an integrated manner. The control unit 21 reads out various programs stored in the storage unit 25, expands them in the RAM 22, and executes various processes in cooperation with the programs.

  The RAM 22 forms a work area for temporarily storing various programs, input or output data, parameters, and the like read from the storage unit 25 in various processes executed and controlled by the control unit 21.

The Internet communication unit 23 is a communication circuit configured by a network interface or the like and transmitting and receiving data to and from an external device such as the client terminal 30 connected via the Internet N1.
The intra-center communication unit 24 is a communication circuit that transmits and receives data to and from the image storage server 10 connected via the intra-center network N2.

  The storage unit 25 is a storage device including an HDD, a nonvolatile semiconductor memory, and the like. The storage unit 25 stores various programs executed by the control unit 21 and also stores parameters and data necessary for executing the various programs. Specifically, the storage unit 25 stores a facility information table T21, a user information table T22, a cooperation relation information table T23, a cooperation transmission information table T24, a patient information table T25, an image identification information table T26, and the like.

  The facility information table T21 stores information on medical facilities in the medical cooperation system 100. In the facility information table T21, a facility ID, a facility name, a contact address, and the like are stored in association with each other.

The user information table T22 stores information on users belonging to a plurality of medical facilities in the medical cooperation system 100. The user information table T22 stores a user ID, an affiliated facility ID, a name, a mail address, a password, an administrator flag, and the like in association with each other.
The user ID is identification information for identifying a user.
The belonging facility ID is the facility ID of the medical facility to which the user belongs.
The name is the name of the user.
The email address is the email address of the user.
The password is a password for performing user authentication when the user logs in.
The administrator flag is information indicating whether or not the user is a manager of the medical facility to which the user belongs. For example, a value of “1” when the user is a manager and “0” when the user is not a manager Become.

  The storage unit 25 that stores the user information table T22 functions as a fourth storage unit. The user information in the user information table T22 is registered from the client terminal 30 operated by the administrator of the medical facility to which the user corresponding to the user information belongs.

In the cooperation relationship information table T23, information on a cooperation relationship set between medical facilities in advance is stored. In the cooperation relationship information table T23, a cooperation relationship ID, a cooperation source facility ID, a cooperation source user ID, a cooperation destination facility ID, and a cooperation destination user ID are stored in association with each other.
The cooperation relationship ID is identification information given to a cooperation relationship set in advance between medical facilities.
The cooperation source facility ID is a facility ID of a medical facility (a medical facility capable of requesting medical cooperation) of the cooperation source.
The cooperation source user ID is a user ID of a user of a cooperation source (a user who can request medical cooperation).
The cooperation destination facility ID is a facility ID of a medical facility of the cooperation destination (a medical facility that can be designated as a request destination of medical cooperation).
The cooperation destination user ID is a user ID of a user of the cooperation destination (a user that can be designated as a request destination of medical cooperation).

  The medical cooperation may be in any form of medical facility to medical facility, medical facility to user, user to medical facility, and user to user. When actually requesting medical cooperation from another medical facility, a request destination (transmission destination) is designated from a preset cooperation relationship.

Information on a request for medical cooperation is stored in the cooperation transmission information table T24. The link transmission information table T24 stores a transmission ID, a source facility ID, a source user ID, a destination facility ID, and a destination user ID in association with each other.
The transmission ID is identification information given to a request for medical cooperation.
The source facility ID is the facility ID of the medical facility that is the source of the medical image (the request source of medical cooperation).
The transmission source user ID is a user ID of a user who is a transmission source of medical images (a request source of medical cooperation).
The transmission destination facility ID is a facility ID of a medical facility at a transmission destination of a medical image (a request destination of medical cooperation).
The transmission destination user ID is a user ID of a user who is a transmission destination of a medical image (a request destination of medical cooperation).

  The patient information table T25 stores the patient information of the patient related to the medical image to be transmitted. In the patient information table T25, a transmission ID, a patient ID, a patient name, and the like are stored in association with each other.

The image specifying information table T26 stores image specifying information for specifying a medical image to be transmitted. In the image specification information table T26, a transmission ID, a data type, inspection information, image information (image instance UID, etc.), a file storage location, and the like are stored in association with each other.
The data type is a type of medical image data such as DICOM (Digital Image and Communications in Medicine), PDF, and JPEG.
The examination information and the image information are examination information and image information related to the medical image to be transmitted.
The storage location of the file is the storage location of the medical image to be transmitted.

  Each record of the patient information table T25 and the image specifying information table T26 is associated with a record in the cooperative transmission information table T24 by including a common transmission ID. For example, the image specifying information (image instance UID, etc.) transmitted from any of the client terminals 30 and the destination information (destination facility ID, destination user ID) are associated with the transmission ID, and the image specifying information is transmitted. It is stored in the table T26 and the cooperative transmission information table T24. That is, the storage unit 25 that stores the link transmission information table T24 and the image specifying information table T26 functions as a second storage unit.

  When the image specifying information and the destination information are stored in the storage unit 25, the control unit 21 notifies the destination user indicated by the destination information. That is, the control unit 21 functions as a notification unit.

  When an image reference request is received from the client terminal 30 operated by the user of the transmission destination indicated by the transmission destination information stored in the storage unit 25 (cooperation transmission information table T24), the control unit 21 transmits the transmission destination information. The medical image corresponding to the image specifying information is acquired from the image storage server 10 via the intra-center communication unit 24, based on the image specifying information associated with. That is, the control unit 21 functions as an acquisition unit.

  The control unit 21 controls the Internet communication unit 23 to transmit the medical image acquired from the image storage server 10 to the client terminal 30 operated by the transmission destination user. That is, the control unit 21 and the Internet communication unit 23 function as a second transmission unit.

FIG. 4 shows a functional configuration of the client terminal 30.
As shown in FIG. 4, the client terminal 30 includes a control unit 31, a RAM 32, a communication unit 33, an operation unit 34, a display unit 35, a storage unit 36, and the like, and each unit is connected by a bus 37 and the like. .

  The control unit 31 is a control circuit that includes a CPU and the like, and controls the processing operation of each unit of the client terminal 30 as a whole. The control unit 31 reads out various programs stored in the storage unit 36, expands them in the RAM 32, and executes various processes in cooperation with the programs.

  The RAM 32 forms a work area for temporarily storing various programs, input or output data, parameters, and the like read from the storage unit 36 in various processes executed and controlled by the control unit 31.

  The communication unit 33 is a communication circuit that includes a network interface or the like and transmits and receives data to and from external devices connected via the Internet N1 or the in-facility network 60.

  The operation unit 34 is an operation device including a keyboard having cursor keys, character input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 34 receives an operation signal input by a key operation on the keyboard or a mouse operation. Is output to the control unit 31. For example, when selecting a medical image to be subjected to medical cooperation from medical images generated in a medical facility where the client terminal 30 is installed, the operation unit 34 specifies a user to which the selected medical image is to be transmitted. Used when That is, the operation unit 34 functions as a selection unit and a designation unit.

  The display unit 35 is a display device including a monitor such as an LCD (Liquid Crystal Display), and displays various screens in accordance with a display signal input from the control unit 31.

  The storage unit 36 is a storage device including an HDD, a nonvolatile semiconductor memory, and the like. The storage unit 36 stores various programs executed by the control unit 31 and also stores parameters and data necessary for executing the various programs.

  The control unit 31 controls the communication unit 33 to transmit the image specifying information for specifying the medical image selected as the target of the medical cooperation and the destination information indicating the user of the specified destination to the image cooperation. Cause the server 20 to transmit. That is, the control unit 31 and the communication unit 33 function as a first transmission unit.

  The control unit 31 communicates when the medical image selected as a target of medical cooperation is not transmitted from the PACS 50 that manages the medical image generated in the medical facility where the client terminal 30 is installed to the image storage server 10. The control unit 33 controls the PACS 50 to transmit an instruction to transmit the selected medical image to the image storage server 10 prior to other medical images. That is, the control unit 31 and the communication unit 33 function as a third transmission unit.

  When the control unit of the PACS 50 receives an instruction from the client terminal 30 via the communication unit to preferentially transmit the selected medical image to the image storage server 10, the control unit controls the communication unit to select the medical image. The medical image is transmitted to the image storage server 10.

Next, the operation in the first embodiment will be described.
The processing in the image storage server 10 is realized by cooperation between the control unit 11 and a program stored in the storage unit 15, and the processing in the image cooperation server 20 is performed by the program stored in the control unit 21 and the storage unit 25 The processing in the client terminal 30 is realized by cooperation between the control unit 31 and a program stored in the storage unit 36.

  FIG. 5 is a ladder chart showing a user registration process performed in the medical cooperation system 100. The user registration process is a process in which the administrator of the medical facility registers the user information of the user belonging to the medical facility in the image cooperation server 20.

  First, in the client terminal 30, an administrator logs in to the image cooperation server 20 (step S1). In the client terminal 30, when a predetermined URL (Uniform Resource Locator) is designated from a Web browser and the image cooperation server 20 is accessed, a login screen is provided from the image cooperation server 20 to the client terminal 30. In the client terminal 30, a user ID and a password are input by an operation from the operation unit 34.

In the image cooperation server 20, the control unit 21 performs user authentication based on the user ID and the password input at the client terminal 30. Specifically, if the combination of the input user ID and password matches the combination of the user ID and password registered in the user information table T22 in advance, it is determined that the user authentication is OK. In the image cooperation server 20, the control unit 21 refers to the user information table T22, and determines whether or not the login user is a manager of a medical facility based on a manager flag of a record corresponding to the user ID. Is determined.
If it is determined that the login is performed by the administrator, the control unit 21 of the image cooperation server 20 provides a user registration screen to the client terminal 30 (step S2).

In the client terminal 30, user information of a user to be newly registered (registered user) is input by an operation of the operation unit 34 by the administrator (step S3). Specifically, the registered facility user's affiliated facility ID, name, mail address, temporary password, and the like are input.
Next, when the registration button is pressed by the operation of the operation unit 34 by the administrator (step S4), the input user information is transmitted to the image cooperation server 20 via the communication unit 33 by the control unit 31. Is done.

  In the image cooperation server 20, the user information transmitted from the client terminal 30 is received by the Internet communication unit 23, and the user information is provisionally registered in the user information table T22 of the storage unit 25 by the control unit 21 (step S5). . Specifically, the user ID of the registered user is newly generated by the control unit 21, and the newly generated user ID, the institution ID received from the client terminal 30, The name, e-mail address, temporary password, etc. are stored. The administrator flag is set to “0”.

  Next, in the image cooperation server 20, the control unit 21 notifies the mail address of the registered user of the mail including the user ID and the URL for approval via the Internet communication unit 23 (step S6).

  Further, the temporary password is notified from the administrator to the registered user (step S7). The communication method is not particularly limited, such as e-mail and verbal communication.

  In the client terminal 30 operated by the registered user, when the URL for approval is designated by the operation of the operation unit 34 by the registered user (step S8), an input screen is provided from the image cooperation server 20 to the client terminal 30. (Step S9).

  In the client terminal 30, when the provisional password is input by the operation of the operation unit 34 by the registered user (step S10), the image cooperation server 20 provides the client terminal 30 with the real password input screen (step S11). ).

  In the client terminal 30, when the formal password is input by the operation of the operation unit 34 by the registered user (step S12), in the image cooperation server 20, the control unit 21 causes the registration in the user information table T22 of the storage unit 25 to be performed. The password of the record corresponding to the user is updated to the formal password, and the user information is officially registered (step S13).

Next, in the image cooperation server 20, the control unit 21 notifies the administrator of an approval completion notification mail via the Internet communication unit 23 (step S14). Specifically, the control unit 21 acquires from the user information table T22 an e-mail address corresponding to the user ID of the administrator of the same medical facility as the registered user (the administrator who has entered the user information of the registered user). An approval completion notification e-mail is sent to the e-mail address.
Thus, the user registration process ends.

  In the above-mentioned user registration process, the user ID of the newly registered user is notified only to the registered user himself / herself. However, the administrator obtains the user ID at the time of user registration, and informs the registered user of the user ID and the temporary password. It may be.

  FIG. 6 is a ladder chart showing a first medical cooperation registration process performed in the medical cooperation system 100. The first medical cooperation registration process is a process for requesting medical cooperation from the client terminal 30 to the image cooperation server 20.

  First, in the client terminal 30, a medical image to be subjected to medical cooperation is selected from medical images generated in a medical facility where the client terminal 30 is installed by an operation from the operation unit 34 (step S <b> 21). For example, the control unit 31 acquires an image instance UID or the like of a medical image stored in the PACS 50 from the PACS 50 in the same medical facility as the client terminal 30, and presents it as a candidate for medical cooperation. Then, a medical image to be subjected to medical cooperation is selected from the target candidates by a user operation.

  Next, in the client terminal 30, the control unit 31 requests the image cooperation server 20 for a cooperation relation list (step S22). Specifically, the control unit 31 sends a request for acquiring a cooperation list including the facility ID of the medical facility to which the user who operates the client terminal 30 belongs and the user ID of the user via the communication unit 33. Sent to.

  In the image cooperation server 20, when the Internet communication unit 23 receives the cooperation list acquisition request from the client terminal 30, the control unit 21 creates a cooperation list. Specifically, the control unit 21 indicates that the “cooperation source facility ID” is the facility ID included in the cooperation relation list acquisition request and the “cooperation source user ID” is the cooperation relation list acquisition request from the cooperation relation information table T23. A record that is a user ID included in the list is extracted, and a cooperative relationship list (a cooperative relationship ID, a cooperating facility ID, a cooperating user ID, a cooperating facility ID, and a cooperating user ID) is created from the extracted records. Then, the control unit 21 transmits the cooperation relation list to the client terminal 30 via the Internet communication unit 23 (Step S23).

  In the client terminal 30, the control unit 31 displays the cooperation relationship list on the display unit 35. The cooperation relationship list includes a medical facility (cooperation destination ID) and a user (cooperation destination user ID) that can be specified as a medical cooperation request destination for the user operating the client terminal 30. By the operation from the operation unit 34, the user of the transmission destination of the medical image is specified from the cooperation destination users included in the cooperation relation list (step S24).

  Next, when the request content is input by operating the operation unit 34 and the request button is pressed (step S25), the medical image selected in step S21 has been transmitted to the image storage server 10 by the control unit 31. Is determined (step S26). Specifically, the control unit 31 inquires of the PACS 50 in the same medical facility as the client terminal 30 whether or not the selected medical image has been transmitted to the image storage server 10.

  If the selected medical image has not been transmitted to the image storage server 10 (step S26; NO), the control unit 31 gives priority to the selected medical image over the other medical images via the communication unit 33. An instruction to transmit to the image storage server 10 is transmitted to the PACS 50. In the PACS 50, when the instruction is received from the client terminal 30, the selected medical image is read from the storage unit and transmitted to the image storage server 10 via the communication unit (Step S27). At this time, the selected medical image is transmitted to the image storage server 10 with higher priority than the other medical images even if the PACS 50 has a schedule for transmitting other medical images.

  In step S26, when the selected medical image has been transmitted to the image storage server 10 (step S26; YES), or after step S27, the control unit 31 uses the image for specifying the selected medical image. Specific information (data type, examination information, image information, file storage location, etc.), cooperative transmission information (transmission ID, source facility ID, source user ID, destination facility ID, destination user ID), patient information ( The patient ID, the patient name, etc.) are transmitted to the image cooperation server 20 via the communication unit 33 (Step S28). The source facility ID is the facility ID of the medical facility to which the user operating the client terminal 30 belongs, and the source user ID is the user ID of the user operating the client terminal 30. The destination facility ID is the facility ID of the medical facility to which the user specified as the destination belongs, and the destination user ID is the user ID of the user specified as the destination. The destination facility ID and the destination user ID correspond to the destination information.

In the image cooperation server 20, when the information is received from the client terminal 30 by the Internet communication unit 23, the control unit 21 controls the image storage state of the image storage server 10 based on the image instance UID included in the image specifying information. Is confirmed (step S29). Specifically, the control unit 21 inquires via the intra-center communication unit 24 whether or not a medical image corresponding to the image specifying information is stored in the image storage server 10.
In the image storage server 10, the control unit 11 refers to the image management DB 151, determines whether the storage unit 15 stores a medical image corresponding to the image specifying information, and via the intra-center communication unit 14, The image storage state is returned to the image cooperation server 20 (step S30).

In the image cooperation server 20, when the selected medical image does not exist in the image storage server 10 (step S31; NO), the control unit 21 notifies the client terminal 30 of the transmission error via the Internet communication unit 23. Is performed (step S32).
In the client terminal 30, the display unit 35 displays that a transmission error has occurred.

In step S31, when the selected medical image exists in the image storage server 10 (step S31; YES), or after step S32, in the image cooperation server 20, the control unit 21 links the medical image to the cooperation transmission information table T24. Transmission information is registered (step S33).
Further, the control section 21 registers the patient information in the patient information table T25 (step S34).
Further, the control unit 21 registers the image specifying information in the image specifying information table T26 (Step S35). Here, by including the transmission ID of the record newly registered in the cooperative transmission information table T24 in the record newly registered in the patient information table T25 and the image specifying information table T26, the cooperative transmission information table T24, the patient information table Information in T25 and the image identification information table T26 are associated with each other.

Next, the control unit 21 transmits an e-mail to the user specified as the transmission destination via the Internet communication unit 23 (step S36). Specifically, the control unit 21 acquires a mail address corresponding to the transmission destination user ID from the user information table T22 based on the transmission destination user ID included in the link transmission information, and stores the medical address in the acquired mail address. A notification that the cooperation has been registered is transmitted.
This is the end of the first medical cooperation registration process.

  When a plurality of medical images are selected in step S21 of the first medical cooperation registration process, only the medical images determined to have not been transmitted in step S26 among the selected plurality of medical images. What is necessary is just to transmit to the image storage server 10.

  FIG. 7 is a ladder chart showing the first image reference processing performed in the medical cooperation system 100. The first image reference process is a process in which the client terminal 30 requests the image cooperation server 20 to refer to a medical image.

  First, in the client terminal 30, a user logs in to the image cooperation server 20 (step S41). In the client terminal 30, when a predetermined URL is specified from a Web browser and the image cooperation server 20 is accessed, a login screen is provided from the image cooperation server 20 to the client terminal 30. In the client terminal 30, a user ID and a password are input by an operation from the operation unit 34.

  In the image cooperation server 20, the control unit 21 performs user authentication based on the user ID and the password input at the client terminal 30. Specifically, if the combination of the input user ID and password matches the combination of the user ID and password registered in the user information table T22 in advance, it is determined that the user authentication is OK.

  Next, in the client terminal 30, the control unit 31 requests the image cooperation server 20 for a cooperation transmission list (step S42). Specifically, the control unit 31 sends a request for acquiring a linked transmission list including the facility ID of the medical facility to which the user who operates the client terminal 30 belongs and the user ID of the user via the communication unit 33 to the image link server 20. Sent to.

  In the image cooperation server 20, when the Internet communication unit 23 receives the cooperation transmission list acquisition request from the client terminal 30, the control unit 21 creates the cooperation transmission list. Specifically, from the link transmission information table T24, the control unit 21 indicates that the “destination facility ID” is the facility ID included in the link transmission list acquisition request, and the “transmission destination user ID” is the link transmission list acquisition request. Is extracted, and a linked transmission list (transmission ID, transmission source facility ID, transmission source user ID, transmission destination facility ID, transmission destination user ID) is created from the extracted records. Then, the control unit 21 transmits the linked transmission list to the client terminal 30 via the Internet communication unit 23 (Step S43).

  In the client terminal 30, the control unit 31 displays the cooperative transmission list on the display unit 35, and selects a medical cooperative to be referred from the cooperative transmission list by operating the operation unit 34 (step S44). The control unit 31 transmits a transmission ID corresponding to the selected medical cooperation to the image cooperation server 20 via the communication unit 33.

  In the image cooperation server 20, the control unit 21 acquires the image specifying information of the medical cooperation selected in the client terminal 30 (step S45). Specifically, the control unit 21 refers to the image specifying information table T26, and obtains an image instance UID and the like corresponding to the transmission ID transmitted from the client terminal 30. Then, the control unit 21 transmits the acquired image specifying information such as the image instance UID to the client terminal 30 via the Internet communication unit 23. Since this image specifying information is associated with the transmission ID corresponding to the medical cooperation selected from the cooperation transmission list, it is associated with the transmission destination information (the user who operates the client terminal 30). . The image specifying information corresponding to the transmission ID may be plural.

  In the client terminal 30, based on the image specifying information transmitted from the image cooperation server 20, the control unit 31 transmits an image reference request including the image instance UID to the image cooperation server 20 via the communication unit 33. (Step S46).

  In the image cooperation server 20, when an image reference request is received from the client terminal 30 by the Internet communication unit 23, the control unit 21 sends an image acquisition request including the image instance UID via the intra-center communication unit 24. It is transmitted to the image storage server 10 (step S47).

  In the image storage server 10, when the image acquisition request is received from the image cooperation server 20 by the intra-center communication unit 14, the control unit 11 converts the medical image based on the image instance UID included in the image acquisition request. The specified medical image is transmitted to the image cooperation server 20 via the intra-center communication unit 14 (step S48). Specifically, the control unit 11 refers to the image management DB 151, specifies a medical image corresponding to the image instance UID, reads the specified medical image from the storage unit 15, and transmits the medical image to the image cooperation server 20. You.

  Here, in the image storage server 10, the case where medical images are managed in an internal format such as DICOM data generated in each medical facility is separated and managed in an image section and a header section, When the change is managed only in the image management DB 151 and is not reflected in the image file, the control unit 11 controls the image cooperation server 20 and the client terminal before the specified medical image is transmitted to the image cooperation server 20. Reconstruction of the image is performed as necessary, such as conversion into a format usable between the device 30 and the device.

In the image cooperation server 20, when the medical image is received from the image storage server 10 by the intra-center communication unit 24, the control unit 21 performs a compression process on the medical image (step S49). It should be noted that compression of medical images is not indispensable, but when an Internet line is used, compression can reduce variations in line quality.
Next, the compressed medical image is transmitted to the client terminal 30 via the Internet communication unit 23 by the control unit 21 (step S50).

In the client terminal 30, when the communication unit 33 receives the compressed medical image, the control unit 31 expands the medical image (step S51).
Steps S46 to S51 are repeated for the number of images to be acquired. Note that a configuration in which a plurality of images are collectively acquired may be adopted.

Next, in the client terminal 30, the control unit 31 displays a medical image on the display unit 35 (step S52).
This is the end of the first image reference processing.

  As described above, according to the first embodiment, the medical cooperation is registered in the image cooperation server 20 with respect to the medical image already stored in the image storage server 10, so that the medical facility can store the medical cooperation. There is no need to transmit a medical image to the device 20, and the image transmission time is not required. Therefore, storage of medical images for each medical facility and medical cooperation between the medical facilities can be efficiently performed.

  Also, when the medical image selected as the target of medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the selected medical image is transmitted to the image storage server 10 with priority over other medical images. Thus, it is possible to promptly shift to a state in which the selected medical image is stored in the image storage server 10.

  Further, when the image specifying information and the destination information are stored in the storage unit 25 of the image cooperation server 20, the user of the destination indicated by the destination information can be notified.

  Further, the user information in the user information table T22 of the image cooperation server 20 is registered from the client terminal 30 operated by the administrator of the medical facility to which the user corresponding to the user information belongs. Information can be registered and managed.

  If the selected medical image has not been transmitted from the PACS 50 to the image storage server 10 in step S26 of the first medical cooperation registration process (see FIG. 6), the control unit 31 of the client terminal 30 proceeds to the display unit A warning may be displayed at 35. In this case, the user can be alerted.

[Second embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the medical cooperation system in the second embodiment has the same configuration as the medical cooperation system 100 shown in the first embodiment, FIGS. 1 to 4 are referred to, and the configuration is illustrated and described. Omitted. Hereinafter, the configuration and processing characteristic of the second embodiment will be described.

  The control unit 31 of the client terminal 30 does not transmit the medical image selected as the target of the medical cooperation from the PACS 50 that manages the medical image generated in the medical facility where the client terminal 30 is installed to the image storage server 10. In this case, the communication unit 33 is controlled to cause the PACS 50 to transmit an instruction to transmit the selected medical image to the image cooperation server 20. That is, the control unit 31 and the communication unit 33 function as a fourth transmission unit.

  When receiving an instruction to transmit the selected medical image to the image cooperation server 20 from the client terminal 30 via the communication unit, the control unit of the PACS 50 controls the communication unit to control the selected medical image. Is transmitted to the image cooperation server 20.

The control unit 21 of the image cooperation server 20 causes the storage unit 25 to store the medical image transmitted from the PACS 50. That is, the storage unit 25 functions as a third storage unit.
When an image reference request is received from the client terminal 30 operated by the user of the transmission destination indicated by the transmission destination information stored in the storage unit 25 (cooperation transmission information table T24), the control unit 21 transmits the transmission destination information. Instead of acquiring from the image storage server 10 the medical image corresponding to the image specifying information associated with the storage unit 25, the medical image is acquired from the storage unit 25.

Next, the operation in the second embodiment will be described.
The processing in the image storage server 10 is realized by cooperation between the control unit 11 and a program stored in the storage unit 15, and the processing in the image cooperation server 20 is performed by the program stored in the control unit 21 and the storage unit 25 The processing in the client terminal 30 is realized by cooperation between the control unit 31 and a program stored in the storage unit 36.

  The user registration process is the same as the user registration process shown in the first embodiment (see FIG. 5).

  FIG. 8 is a ladder chart illustrating a second medical cooperation registration process performed in the medical cooperation system according to the second embodiment. The second medical cooperation registration process is a process for requesting medical cooperation from the client terminal 30 to the image cooperation server 20.

  The processing of steps S61 to S65 is the same as the processing of steps S21 to S25 of the first medical cooperation registration processing (see FIG. 6), and thus the description is omitted.

After step S65, in the client terminal 30, the control unit 31 determines whether the medical image selected in step S61 has been transmitted to the image storage server 10 (step S66).
If the selected medical image has not been transmitted to the image storage server 10 (step S66; NO), the control unit 31 transmits the selected medical image to the image cooperation server 20 via the communication unit 33. Is transmitted to the PACS 50. In the PACS 50, when the instruction is received from the client terminal 30, the selected medical image is read from the storage unit and transmitted to the image cooperation server 20 via the communication unit (Step S67).

In step S66, when the selected medical image has been transmitted to the image storage server 10 (step S66; YES), or after step S67, the control unit 31 uses the image for specifying the selected medical image. Specific information (data type, examination information, image information, file storage location, etc.), cooperative transmission information (transmission ID, source facility ID, source user ID, destination facility ID, destination user ID), patient information ( The patient ID, the patient name, etc.) are transmitted to the image cooperation server 20 via the communication unit 33 (Step S68).
However, when the medical image is directly transmitted from the PACS 50 to the image cooperation server 20 in step S67, the transmission of the image identification information from the client terminal 30 to the image cooperation server 20 is unnecessary.

The processing in steps S69 to S76 is the same as the processing in steps S29 to S36 in the first medical cooperation registration processing (see FIG. 6), and thus the description is omitted.
However, if the medical image is directly transmitted from the PACS 50 to the image cooperation server 20 in step S67, the processing in steps S69 to S72 is omitted. When a medical image is directly transmitted from the PACS 50 to the image cooperation server 20, the control unit 21 of the image cooperation server 20 registers the medical image in the storage unit 25 instead of the processing in step S75. In this case, the control unit 21 stores the image instance UID and the transmission ID in the storage unit 25 in association with the medical image.
Thus, the second medical cooperation registration processing is completed.

  When a plurality of medical images are selected in step S61 of the second medical cooperation registration process, only the medical images determined to have not been transmitted in step S66 among the selected plurality of medical images. What is necessary is just to transmit to the image cooperation server 20.

  The first image reference processing is substantially the same as the first image reference processing (see FIG. 7) shown in the first embodiment. However, in step S67 of the second medical cooperation registration process, the medical image directly transmitted from the PACS 50 to the image cooperation server 20 is selected in the client terminal 30 by the control unit 21 of the image cooperation server 20 in step S45. The image instance UID corresponding to the transmission ID of the medical cooperation thus obtained is acquired from the storage unit 25. Further, in place of steps S47 and S48, in the image cooperation server 20, the control unit 21 acquires the medical image stored in the storage unit 25. More specifically, when an image reference request is received from the client terminal 30 by the Internet communication unit 23, the control unit 21 sends a medical image from the storage unit 25 based on the image instance UID included in the image reference request. Is read.

  As described above, according to the second embodiment, the medical cooperation is registered in the image cooperation server 20 for the medical image already stored in the image storage server 10, so that the medical image for each medical facility can be registered. Storage and medical cooperation between medical facilities can be performed efficiently.

  When the medical image selected as the target of the medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the selected medical image can be transmitted directly from the PACS 50 to the image cooperation server 20.

  If the selected medical image has not been transmitted from the PACS 50 to the image storage server 10 in step S66 of the second medical cooperation registration process (see FIG. 8), the control unit 31 of the client terminal 30 sets the display unit A warning may be displayed at 35. In this case, the user can be alerted.

[Third Embodiment]
Next, a third embodiment to which the present invention is applied will be described.
Since the medical cooperation system in the third embodiment has the same configuration as the medical cooperation system 100 shown in the first embodiment, FIGS. 1 to 4 are referred to, and the configuration is illustrated and described. Omitted. Hereinafter, a configuration and processing characteristic of the third embodiment will be described.

  In the first and second embodiments, the case where the image identification information and the transmission destination information are transmitted from the client terminal 30 to the image cooperation server 20 has been described. In the third embodiment, the image storage from the client terminal 30 is performed. The image specifying information and the transmission destination information are transmitted to the image cooperation server 20 via the server 10.

  The control unit 31 of the client terminal 30 controls the communication unit 33 to specify image specifying information for specifying a medical image selected as a target of medical cooperation, and transmission destination information indicating a user of the specified transmission destination Is transmitted to the image storage server 10. That is, the control unit 31 and the communication unit 33 function as a first transmission unit.

  The control unit 11 of the image storage server 10 associates the image specifying information transmitted from the client terminal 30 with the destination information and transfers the information to the image cooperation server 20 via the intra-center communication unit 14. That is, the control unit 11 and the intra-center communication unit 14 function as a transfer unit.

  The control unit 21 of the image cooperation server 20 associates the image specifying information transferred from the image storage server 10 with the transmission destination information and causes the storage unit 25 to store the information.

The operation of the third embodiment is the same as that of the first embodiment except for the flow of data when requesting medical cooperation.
In the third embodiment, instead of step S28 of the first medical cooperation registration process (see FIG. 6) shown in the first embodiment, the control unit 31 of the client terminal 30 uses the image specifying information and the cooperation. The transmission information and the patient information are transmitted to the image storage server 10 via the communication unit 33.

  In the image storage server 10, when the image specifying information, the cooperative transmission information, and the patient information are received from the client terminal 30 by the Internet communication unit 13, the control unit 11 associates the information with the information, 14 to the image cooperation server 20.

  In the image cooperation server 20, when the image specifying information, the cooperation transmission information, and the patient information are received from the image storage server 10 by the intra-center communication unit 24, the process proceeds to step S29.

  As described above, according to the third embodiment, the medical cooperation is registered in the image cooperation server 20 via the image storage server 10 for the medical image already stored in the image storage server 10. Therefore, there is no need to transmit a medical image from the medical facility to the image cooperation server 20, and the image transmission time is not required. Therefore, storage of medical images for each medical facility and medical cooperation between the medical facilities can be efficiently performed.

[Fourth Embodiment]
Next, a fourth embodiment to which the present invention is applied will be described.
Since the medical cooperation system in the fourth embodiment has the same configuration as the medical cooperation system 100 shown in the first embodiment, FIGS. 1 to 4 are referred to, and the configuration is illustrated and described. Omitted. Hereinafter, a configuration and processing characteristic of the fourth embodiment will be described.

  In the first to third embodiments, in principle, the case where the image cooperation server 20 acquires the medical image related to the medical cooperation from the image storage server 10 and transmits the medical image to the client terminal 30 has been described. In the embodiment, a medical image related to medical cooperation is transmitted from the image storage server 10 to the client terminal 30.

  The control unit 21 of the image cooperation server 20 receives the image reference request from the client terminal 30 operated by the user of the transmission destination indicated by the transmission destination information stored in the storage unit 25 (cooperation transmission information table T24). Then, the in-center communication unit 24 is controlled to cause the image storage server 10 to transmit the image transmission instruction including the transmission destination information and the image specifying information associated with the transmission destination information. That is, the control unit 21 and the intra-center communication unit 24 function as an image transmission instruction unit.

  When the image transmission instruction is received via the intra-center communication unit 14, the control unit 11 of the image storage server 10 generates a medical image corresponding to the image identification information based on the image identification information included in the image transmission instruction. Obtained from the storage unit 15. That is, the control unit 11 functions as an acquisition unit.

  The control unit 11 causes the client terminal 30 operated by the user of the transmission destination to transmit the acquired medical image via the Internet communication unit 13 based on the transmission destination information included in the image transmission instruction. That is, the control unit 11 and the Internet communication unit 13 function as a second transmission unit.

Next, an operation in the fourth embodiment will be described.
The processing in the image storage server 10 is realized by cooperation between the control unit 11 and a program stored in the storage unit 15, and the processing in the image cooperation server 20 is performed by the program stored in the control unit 21 and the storage unit 25 The processing in the client terminal 30 is realized by cooperation between the control unit 31 and a program stored in the storage unit 36.

  The user registration processing and the first medical cooperation registration processing are the same as the user registration processing (see FIG. 5) and the first medical cooperation registration processing (see FIG. 6) described in the first embodiment.

  FIG. 9 is a ladder chart illustrating a second image reference process performed in the medical cooperation system according to the fourth embodiment.

  The processing in steps S81 to S86 is the same as the processing in steps S41 to S46 of the first image reference processing (see FIG. 7), and thus the description is omitted.

  After step S86, when the image communication server 20 receives the image reference request from the client terminal 30 through the Internet communication unit 23, the control unit 21 causes the image instance UID (the image identification information included in the image reference request) to be received. ) And an image transmission instruction including destination information associated with the image instance UID is transmitted to the image storage server 10 via the in-center communication unit 24 (step S87). Since the image instance UID included in the image reference request corresponds to the transmission ID of the user operating the client terminal 30 as the transmission destination, the transmission destination information included in the image transmission instruction includes an image reference request. This shows a user who operates the client terminal 30 that has transmitted the data.

In the image storage server 10, when an image transmission instruction is received from the image cooperation server 20 by the intra-center communication unit 14, the control unit 11 refers to the image management DB 151 and corresponds to the image instance UID included in the image transmission instruction. The medical image to be performed is specified, and the specified medical image is obtained from the storage unit 15 (step S88).
Next, the control unit 11 performs a compression process on the acquired medical image (step S89).

  Next, the compressed medical image is transmitted by the control unit 11 to the client terminal 30 operated by the destination user via the Internet communication unit 13 based on the destination information included in the image transmission instruction. (Step S90).

In the client terminal 30, when the communication unit 33 receives the compressed medical image, the control unit 31 expands the medical image (step S91).
Steps S86 to S91 are repeated for the number of images to be acquired. Note that a configuration in which a plurality of images are collectively acquired may be adopted.

Next, in the client terminal 30, the control unit 31 displays a medical image on the display unit 35 (step S92).
This is the end of the second image reference processing.

  As described above, according to the fourth embodiment, the medical cooperation is registered in the image cooperation server 20 with respect to the medical image already stored in the image storage server 10, so that the medical facility can perform the image cooperation server registration. There is no need to transmit a medical image to the device 20, and the image transmission time is not required. Therefore, storage of medical images for each medical facility and medical cooperation between the medical facilities can be efficiently performed.

Also, as in the first embodiment, when the medical image selected as the target of medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the selected medical image is given priority over other medical images. By transmitting the selected medical image to the image storage server 10 immediately, the state can be shifted to a state where the selected medical image is stored in the image storage server 10.
Alternatively, when the medical image selected as the target of medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the control unit 31 of the client terminal 30 may display a warning on the display unit 35.

The description in each of the above embodiments is an example of the medical cooperation system according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of each device constituting the system can be appropriately changed without departing from the spirit of the present invention.
For example, the characteristic processes in each embodiment may be combined.

  In each of the above embodiments, in the first image reference processing (see FIG. 7) or the second image reference processing (see FIG. 9), the linked transmission list in which the login user is set as the transmission destination is stored in the image cooperation server 20. Presents to the client terminal 30 and selects the medical cooperation of the reference target from the client terminal 30. However, when there are few medical images corresponding to the login user, the user does not select the reference target. A medical image may be transmitted to the client terminal 30.

  Further, in each of the above-described embodiments, the case where the image storage server 10 is used for the purpose of backing up the medical images generated in each medical facility has been described. There may be a situation where all data is managed and only the most recent data is stored at the medical facility. In this case, the user of the transmission source facility may directly access the image storage server 10 and select a medical image to be subjected to medical cooperation.

Reference Signs List 10 Image storage server 11 Control unit 13 Internet communication unit 14 Communication unit in center 15 Storage unit 20 Image cooperation server 21 Control unit 23 Internet communication unit 24 Communication unit in center 25 Storage units 30A, 30B Client terminal 31 Control unit 33 Communication unit 34 Operation unit 35 Display unit 36 Storage unit 100 Medical cooperation system N1 Internet N2 Network in center T22 User information table T24 Cooperation transmission information table T26 Image identification information table

Claims (8)

A first server having first storage means for storing medical images generated in a plurality of medical facilities, a second server managing medical cooperation among the plurality of medical facilities, the first server and the second server And a plurality of client terminals connected so as to be able to perform data communication via the first communication network.
The first server and the second server are connected via a second communication network capable of performing data communication at a higher speed than the first communication network,
Each of the plurality of client terminals,
Selecting means for selecting a medical image to be subjected to medical cooperation among medical images generated in a medical facility where the client terminal is installed,
Designation means for designating a destination user of the selected medical image,
First transmitting means for transmitting image specifying information for specifying the selected medical image and destination information indicating a user of the specified destination to the second server,
With
The second server,
A second storage unit that stores the image specifying information transmitted by the first transmission unit and the destination information in association with each other;
When an image reference request is received from a client terminal operated by the user at the destination indicated by the destination information stored in the second storage means, based on the image identification information associated with the destination information Acquiring means for acquiring a medical image corresponding to the image specifying information from the first server;
Second transmission means for transmitting the acquired medical image to a client terminal operated by the destination user;
Medical cooperation system equipped with. A first server having first storage means for storing medical images generated in a plurality of medical facilities, a second server managing medical cooperation among the plurality of medical facilities, the first server and the second server And a plurality of client terminals connected so as to be able to perform data communication via the first communication network.
The first server and the second server are connected via a second communication network capable of performing data communication at a higher speed than the first communication network,
Each of the plurality of client terminals,
Selecting means for selecting a medical image to be subjected to medical cooperation among medical images generated in a medical facility where the client terminal is installed,
Designation means for designating a destination user of the selected medical image,
First transmitting means for transmitting image specifying information for specifying the selected medical image and destination information indicating a user of the specified destination to the first server,
With
The first server includes a transfer unit that transfers the image specifying information and the destination information transmitted by the first transmission unit to the second server in association with each other,
The second server,
A second storage unit that stores the image specifying information and the destination information transferred by the transfer unit in association with each other;
When an image reference request is received from a client terminal operated by the user at the destination indicated by the destination information stored in the second storage means, based on the image identification information associated with the destination information Acquiring means for acquiring a medical image corresponding to the image specifying information from the first server;
Second transmission means for transmitting the acquired medical image to a client terminal operated by the destination user;
Medical cooperation system equipped with. A first server having first storage means for storing medical images generated in a plurality of medical facilities, a second server managing medical cooperation among the plurality of medical facilities, the first server and the second server And a plurality of client terminals connected so as to be able to perform data communication via the first communication network.
The first server and the second server are connected via a second communication network capable of performing data communication at a higher speed than the first communication network,
Each of the plurality of client terminals,
Selecting means for selecting a medical image to be subjected to medical cooperation among medical images generated in a medical facility where the client terminal is installed,
Designation means for designating a destination user of the selected medical image,
First transmitting means for transmitting image specifying information for specifying the selected medical image and destination information indicating a user of the specified destination to the second server,
With
The second server,
A second storage unit that stores the image specifying information transmitted by the first transmission unit and the destination information in association with each other;
When an image reference request is received from a client terminal operated by a destination user indicated by the destination information stored in the second storage unit, the destination information is associated with the destination information. Image transmission instruction means for transmitting an image transmission instruction including image specifying information to the first server;
With
The first server is
An obtaining unit configured to obtain a medical image corresponding to the image specifying information from the first storage unit based on the image specifying information included in the image transmission instruction;
A second transmission unit that transmits the medical image acquired by the acquisition unit to a client terminal operated by a user of the transmission destination based on transmission destination information included in the image transmission instruction;
Medical cooperation system equipped with.   Each of the plurality of client terminals, when the selected medical image is not transmitted to the first server from an image management device that manages a medical image generated in a medical facility where the client terminal is installed, 4. The image processing apparatus according to claim 1, further comprising a third transmission unit configured to transmit, to the image management device, an instruction to transmit the selected medical image to the first server with priority over other medical images. 5. Medical cooperation system described in 1. Each of the plurality of client terminals, when the selected medical image is not transmitted to the first server from an image management device that manages a medical image generated in a medical facility where the client terminal is installed, A fourth transmission unit configured to transmit an instruction to transmit the selected medical image to the second server to the image management apparatus;
The second server includes a third storage unit that stores a medical image transmitted from the image management device,
The medical cooperation system according to claim 1, wherein the acquisition unit acquires the medical image corresponding to the image specifying information from the third storage unit instead of acquiring the medical image from the first server.   Each of the plurality of client terminals, when the selected medical image is not transmitted to the first server from an image management device that manages a medical image generated in a medical facility where the client terminal is installed, The medical cooperation system according to any one of claims 1 to 3, further comprising a display unit that displays a warning.   7. The second server according to claim 1, further comprising a notification unit configured to notify a destination user indicated by the destination information when the image specifying information and the destination information are stored in the second storage unit. 8. The medical cooperation system according to any one of the preceding claims. The second server includes a fourth storage unit that stores user information about a user belonging to the plurality of medical facilities,
The medical cooperation system according to any one of claims 1 to 7, wherein the user information is registered from a client terminal operated by a manager of a medical facility to which a user corresponding to the user information belongs.

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