JP6530896B2 - Medical record transfer system and medical record transfer method - Google Patents

Description

  The present invention relates to a medical record transfer system and medical record transfer method for transferring a medical record of a patient recorded in a recording medium to a mobile device used by the patient.

  Conventionally, medical records of medical institutions (for example, diagnostic images such as CT and MRI) are recorded on a recording medium such as CD (compact disc) or USB, and medical institutions such as patients, examinees, hospital visiters, and medical examiners It was provided to the user. From the patient's point of view, although one's own medical records can be checked freely, if the number of medical records is large, the number of recording media to be held will also be large, so management becomes complicated.

  In view of such a problem, the present applicant has already proposed a medical care record management system shown in Patent Document 1. In this medical care record management system, instead of recording medical care records on a recording medium such as a CD or USB, the medical care records can be centrally managed in the mobile device by transferring the medical care records to a patient's mobile device.

Patent No. 5393905 gazette

  By using the medical care record management system of Patent Document 1 proposed by the present applicant, there is no need to manage medical care records with a recording medium, which is preferable. However, since there are many medical records already distributed via recording media, and many medical institutions still distribute medical records via recording media, it is a further measure to facilitate management of medical records by patients. Is required.

The present invention has been made in view of such a demand, and provides a medical record transfer system and a medical record transfer method for transferring a patient's medical record recorded in a recording medium to any terminal device desired by the patient. The purpose is to
Another object of the present invention is to provide a medical record transfer system and a medical record transfer method capable of acquiring a diagnosis result of a doctor on a medical record transferred to a mobile device.

  A first aspect of the present invention is a medical care record transfer system for transferring a medical care record recorded in a recording medium from the recording medium to another device, the input device capable of reading the recording medium, and the input A terminal device capable of communicating with the device, the input device including: an input unit for inputting the medical care record from the recording medium; a storage unit for temporarily storing the input medical care record in the input device; And a medical care record transfer unit for transferring the medical care record to the terminal device.

  Further, the medical care record transfer unit of the input device may delete the medical care record temporarily stored in the storage unit when the medical care record is transferred.

  The input device further includes a code processing unit that generates and outputs connection information for performing communication with the input device when the medical care record is input, and the terminal device receives the input information from the input device. An acquisition unit for acquiring the output connection information; and a connection unit for establishing a connection with the input device based on the acquired connection information; and the medical care record transfer unit of the input device May transfer the medical record to the terminal device using the established connection.

  The terminal device further includes a patient side transfer unit for transferring the medical record to the image reading device, and the image reading device includes an image reading device used by the doctor to read the medical treatment record. It is good also as having a doctor side transfer part which transfers a result to the above-mentioned terminal unit.

  Further, the patient side transfer unit of the terminal device may transfer a comment received according to a user's input operation to the image interpretation apparatus in association with the medical care record.

  In addition, the image interpretation apparatus includes a management unit that manages a medical record in a hospital to which a doctor belongs, and a patient set for the user of the terminal apparatus in the hospital when the medical record is transferred from the terminal apparatus The storage unit may further include an ID and a storage control unit that stores the medical care record in the management unit.

  The terminal device further includes a relay device relaying transfer between the terminal device and the image reading device, wherein the patient side transfer unit of the terminal device transfers the medical record to the image reading device via the relay device. The doctor side transfer unit of the image interpretation apparatus may transfer the image interpretation result to the terminal device via the relay device.

  Further, the relay device transmits the medical interpretation result transferred through the doctor side transfer unit, a first transfer unit transferring the medical care record transferred through the patient side transfer unit to the image reading device. And a second transfer unit for transferring to the terminal device, wherein the first transfer unit or the second transfer unit transfers the medical care record to the image reading device, or the image reading for the terminal device When the result is transferred, the transferred medical care record or the image interpretation result may be deleted from the relay device.

  The relay device further includes a selection unit that selects a doctor who interprets the medical record based on the type of the medical record received, when the medical record is received from the terminal device, and the relay device The first transfer unit may transfer the medical record to an image interpretation apparatus used by a doctor according to the selection of the selection unit.

  Further, the selection unit of the relay device is a third transfer unit that transfers information on the selected doctor to the terminal device, and a specifying unit that specifies at least one doctor based on the selection information received from the terminal device. , And the first transfer unit of the relay apparatus may transfer the medical record to an image interpretation apparatus used by the doctor identified by the identification unit.

  In addition, the third transfer unit of the relay device may transfer, to the terminal device, charge information on a charge for the doctor to diagnose a medical record, along with information on the selected doctor.

  Further, the selection unit of the relay device further includes a charge confirmation unit that transmits an outline of the medical treatment record to the selected doctor and receives an answer of a charge for diagnosing the medical treatment record from the doctor, and the relay The third transfer unit of the apparatus may transfer the charge information to the terminal device based on the response accepted by the charge confirmation unit.

  In a second aspect of the present invention, there is provided a medical record transfer method for transferring a medical record recorded on a recording medium from the recording medium to another device. The medical care record transfer method comprises the steps of: inputting the medical care record from the recording medium to an input device capable of communicating with a predetermined terminal device; and temporarily storing the medical care record input in the input device. And D. transferring the stored medical record to the terminal device.

It is a figure showing a system configuration of a medical treatment record transfer system. It is a figure showing an outline of a medical treatment record transfer system of a 1st embodiment. It is a block diagram showing functional composition of an input device. It is a block diagram showing functional composition of a mobile device. FIG. 6 is a diagram showing an operation example when transferring a diagnostic image from an input device to a mobile device. It is a figure which shows an example of a diagnostic image. It is a figure showing an outline of a medical treatment record transfer system of a 1st embodiment. It is a block diagram showing functional composition of a mobile device. It is a block diagram which shows the function structure of a relay apparatus. It is a block diagram showing functional composition of an image reading device. It is a figure which shows the outline | summary of the operation | movement at the time of transferring a diagnostic image to a diagnostic imaging apparatus. It is a figure which shows the outline | summary of the medical treatment record transfer system of 2nd Embodiment. It is a figure which shows the outline | summary of operation | movement of the medical treatment record transfer system of 2nd Embodiment. It is a figure which shows the operation example of the medical treatment record transfer system of 2nd Embodiment. It is a figure showing an outline of a medical treatment record transfer system of a 3rd embodiment.

First Embodiment
First, a first embodiment of a medical care record transfer system S of the present invention will be described with reference to FIGS. 1 to 8.

[Overview of medical record transfer system S]
First, an overview of a medical care record transfer system S of the present invention will be described with reference to FIG. The medical care record transfer system S of the present invention transfers a medical care record distributed from a medical institution such as a hospital via the recording medium 100 from the recording medium 100 to any terminal device desired by the user. As an example, the recording medium 100 is transferred from the recording medium 100 to the mobile device 2 used by the user (patient, examinee, hospital resident, medical examiner, etc.), and can be centrally managed by the mobile device 2. Further, the medical care record transfer system S transfers the medical care record transferred to the mobile device 2 to the diagnostic reading device 4 used by the doctor, receives a diagnosis by the doctor, and transfers the diagnosis result to the mobile device 2.

In addition, the medical treatment record distributed from the medical institution is data such as text, voice, image, moving image, etc. in which the contents of medical treatment at the medical institution are recorded. Texts and sounds include electronic medical records used at medical institutions, information and examination contents of users, findings of doctors at the time of medical care, and the like. Further, images and moving images include still images and moving images such as various X-ray images, CT images, MRI images, ultrasound images, and endoscopy images. Such medical records are stored and managed in various image storage communication systems (PACS, Picture Archiving and Communication System) used in medical institutions.
In the embodiment described below, various diagnostic images such as an X-ray image and a CT image are described as an example of a medical record.

  As shown in FIG. 1, the medical care record transfer system S is configured to include an input device 1, a mobile device 2, a relay device 3, and an image interpretation device 4.

  The input device 1 reads a medical record distributed from a medical institution such as a hospital, stores it in a lossless compression method, and transfers it to the mobile device 2. Here, the medical care record may be stored and distributed in an auxiliary recording device such as a CD or a USB, or may be uploaded and distributed to a PACS server. Therefore, a personal computer having a driver capable of reading an auxiliary recording device such as a CD or USB, a kiosk terminal capable of accessing a PACS server, or the like functions as the input device 1. The kiosk terminal is an information communication terminal capable of two-way communication installed in association with each hospital, and performs, for example, an in-hospital procedure, medical treatment reservation, etc. according to the operation of a patient who has visited the hospital.

  The mobile device 2 is a terminal device used by a user who uses the medical care record transfer system S, and is, for example, a mobile device such as a smartphone, a mobile phone, or a tablet terminal that can be carried by the user. The relay device 3 is a server that controls a part of the service in the medical care record transfer system S, and relays communication between the user who uses the mobile device 2 and the doctor who uses the image interpretation device 4.

The image interpretation device 4 is a terminal device used by a doctor who diagnoses a user using a medical record. As such an image reading apparatus 4, for example, a hospital side server 4A provided in a hospital can be adopted, and a doctor's personal doctor terminal 4B can also be adopted. As an example, when the doctor belongs to a relatively large hospital, the medical record is transferred to the hospital side server 4A. Also, for example, when the doctor is a medical practitioner, the medical treatment record can be transferred to the doctor by transferring the medical treatment record to the doctor terminal 4B of the doctor individual.
When the doctor reads out the medical treatment record using the image reading device 4, the doctor inputs the finding (diagnosis result) on the medical treatment record into the image reading device 4. The diagnosis result input to the image interpretation device 4 is transferred to the mobile device 2 as needed.

  The input device 1, the mobile device 2, the relay device 3, and the image reading device 4 are communicably connected. As an example, the input device 1 and the mobile device 2 are communicably connected via near-field wireless communication such as WiFi (registered trademark) or a predetermined cable. Further, each of the mobile device 2, the relay device 3, and the image reading device 4 is communicably connected via a predetermined communication line such as the Internet.

  In the medical care record transfer system S, when the user of the mobile device 2 acquires the medical care record (diagnostic image) of the user from the input device 1, the mobile device 2 causes the relay device 3 to acquire the diagnostic image according to the user's operation. Forward. The relay device 3 selects a doctor who can diagnose the received diagnostic image, and transfers the diagnostic image to the diagnostic reading device 4 used by the doctor. When the doctor selected by the relay device 3 interprets this diagnostic image and creates a diagnosis result, the diagnosis result is transferred from the image interpretation device 4 to the mobile device 2 via the relay device 3.

[Transfer of diagnostic image to mobile device 2]
Subsequently, with reference to FIG. 2, an outline of transferring a diagnostic image to the mobile device 2 will be described.
Since the mobile device 2 is a terminal device for portable use, it is general that no drive device such as a CD-ROM drive is provided. Therefore, the mobile device 2 can not directly acquire the diagnostic image provided from the medical institution from the recording medium 100. Therefore, in the medical care record transfer system S, the diagnostic image is transferred from the recording medium 100 to the input device 1, and then transferred from the input device 1 to the mobile device 2.

Specifically, a predetermined software program is installed in the input device 1, and when the diagnostic image is read from the recording medium 100, the input device 1 temporarily stores the diagnostic image in a predetermined folder, A two-dimensional code 110 such as QR code (registered trademark) including connection information for enabling access to the input device 1 is generated and output. The mobile device 2 acquires connection information by reading the two-dimensional code 110 output from the input device 1, establishes a connection with the input device 1 based on the connection information, and generates a diagnostic image from the input device 1. To get
Here, the connection information is, for example, information such as an IP address of the input device 1, a port number, a WiFi network name to be used, and a folder location where the diagnostic image is stored.

  As one example, when the diagnostic image is distributed to the user by being uploaded to the PACS server or the medical device, the user operates the kiosk terminal or computer (input device 1) in the hospital, and the diagnostic image to be transferred is select. Upon receiving this selection, the kiosk terminal or computer reads out the selected diagnostic image from the PACS server or medical device, and displays the two-dimensional code 110 on the display unit. Thereafter, when the user reads the two-dimensional code 110 using the mobile device 2, the mobile device 2 acquires connection information from the two-dimensional code 110. The mobile device 2 communicates with the kiosk terminal using the connection information to acquire a diagnostic image of the user.

  In addition, when the diagnostic image is stored in a CD and distributed to the user, the user reads the CD on the terminal device using an arbitrary terminal device (input device 1) such as a PC. Then, since the two-dimensional code 110 is displayed on the display unit of the terminal device, the mobile device 2 establishes a connection with the terminal device by reading this two-dimensional code, and acquires a diagnostic image from the terminal device. Do.

[Configuration of Input Device 1 and Mobile Device 2]
Subsequently, with reference to FIG. 3, a specific configuration for transferring a diagnostic image to the mobile device 2 will be described. FIG. 3A is a block diagram showing a functional configuration of the input device 1, and FIG. 3B is a block diagram showing a functional configuration of the mobile device 2.

  As shown in FIG. 3A, the input device 1 includes a reading unit 11, a storage unit 12, an output unit 13, a communication unit 14, and a control unit 15.

The reading unit 11 is a CD-ROM drive, a USB port or the like, reads the recording medium 100, and acquires a diagnostic image stored in the recording medium 100. The diagnostic image read through the reading unit 11 is stored in a predetermined area of the storage unit 12.
The storage unit 12 includes, for example, a ROM, a RAM, and the like, and stores various programs and various data for causing the input device 1 to function. In addition, the storage unit 12 temporarily stores a diagnostic image read from the recording medium 100.

The output unit 13 is configured of, for example, a liquid crystal display, an organic EL (Electro-Luminescence) display, or the like. The output unit 13 outputs the two-dimensional code 110 according to the control of the control unit 15. Since the two-dimensional code 110 is sufficient to be readable by the mobile device 2, the two-dimensional code 110 is not limited to the output via the display, and may be output by printing.
The communication unit 14 is a communication interface (hereinafter referred to as communication IF) that communicates with an external device, and for example, a communication IF that communicates through the Internet etc., and a communication IF that communicates through short distance wireless communication. , And communication via a cable or the like. In the present embodiment, when the input device 1 communicates with the mobile device 2, the input device 1 performs communication via near field communication, a cable, or the like.

  The control unit 15 is configured of, for example, a CPU. The control unit 15 executes various programs stored in the storage unit 12 to control the functions related to the input device 1 in an integrated manner, and functions as the input unit 151, the code processing unit 152, and the medical care record transfer unit 153. Do.

The input unit 151 reads the diagnostic image of the user stored in the recording medium 100 (CD, USB, PACS server, etc.) via the reading unit 11, stores it in the storage unit 12, and lists information of the read diagnostic image Are output from the output unit 13.
When the diagnostic image is input to the input device 1, the code processing unit 152 generates a two-dimensional code 110 having connection information for communicating with the input device 1 and outputs the two-dimensional code 110 from the output unit 13.

  The medical care record transfer unit 153 transfers the diagnostic image stored in the storage unit 12 to the mobile device 2 using the connection established via the connection information. At this time, when the diagnosis image is transferred to the mobile device 2, the medical care record transfer unit 153 erases all the diagnosis images stored in the storage unit 12. As a result, it is possible to prevent the diagnostic image from remaining in the input device 1 and to protect personal information appropriately.

  Subsequently, as shown in FIG. 3B, the mobile device 2 includes the reading unit 21, the storage unit 22, the display unit 23, the input unit 24, the communication unit 25, and the control unit 26. Ru.

The reading unit 21 is, for example, a photographing unit such as a camera, and obtains various kinds of information included in the two-dimensional code 110 by photographing the two-dimensional code 110.
The storage unit 22 includes, for example, a ROM, a RAM, and the like, and stores various programs and various data for causing the mobile device 2 to function. Further, the storage unit 22 stores the diagnostic image transferred from the input device 1 and the diagnostic result transferred from the image interpretation device 4.

The display unit 23 is configured of, for example, a liquid crystal display, an organic EL (Electro-Luminescence) display, or the like. The display unit 23 displays the diagnostic image and the diagnostic result stored in the storage unit 12 according to the control of the control unit 26.
The input unit 24 is configured by, for example, a button, a contact sensor that is disposed to be superimposed on the display unit 23, and the like, and receives an input operation from the user.

  The communication unit 25 is a communication IF that communicates with an external device. For example, a communication IF that communicates via the Internet or the like, a communication IF that communicates via short distance wireless communication, a cable, or the like It is a communication IF that performs communication. In the present embodiment, when the mobile device 2 communicates with the input device 1, the mobile device 2 performs communication via near field communication, a cable or the like. When the mobile device 2 communicates with the relay device 3, the mobile device 2 communicates via the Internet or the like.

  The control unit 26 is configured of, for example, a CPU. The control unit 26 executes various programs stored in the storage unit 22 to control functions of the mobile device 2 in an integrated manner, and functions as an acquisition unit 251, a connection unit 252, and a reception unit 253.

  The acquisition unit 251 acquires connection information included in the two-dimensional code 110 via the reading unit 21. The connection unit 252 establishes a connection with the input device 1 based on the acquired connection information. The receiving unit 253 receives the diagnostic image transferred from the input device 1 based on the established connection, and stores the received diagnostic image in the storage unit 22.

Here, an example of a diagnostic image is shown in FIG. The diagnostic image 120 is image data conforming to a predetermined standard such as DICOM (Digital Imaging and Communication in Medicine), and includes at least image information 121 and header information 122 as shown in FIG.
The image information 121 is an image captured by CT, MR, or the like, and includes an arrow, a comment, or the like attached by a doctor as necessary. The header information 122 is metadata indicating an attribute of a diagnostic image. The header information 122 can include, for example, patient information on a patient of a diagnostic image, imaging information indicating a region of the diagnostic image, etc., and arbitrary information such as doctor information on a doctor who created the diagnostic image.

[Operation Example of Transferring Diagnostic Image to Mobile Device 2]
Subsequently, FIG. 4 shows an operation example when transferring a diagnostic image to the mobile device 2. When the input unit 151 of the input device 1 reads a diagnostic image from the recording medium 100, the output unit 13 of the input device 1 outputs list information of the diagnostic image. FIG. 4A shows an example of list information of diagnostic images output from the input device 1. When the user selects a diagnostic image to be transferred on this list screen, the code processing unit 152 outputs (displays or prints) the two-dimensional code 110. The two-dimensional code 110 has various information (for example, an IP address, a port number, a WiFi network name to be used, etc.) for establishing a connection with the input device 1.

  In the mobile device 2, when the reading unit 21 reads the two-dimensional code 110, the obtaining unit 251 obtains connection information included in the two-dimensional code 110, and the connection unit 252 obtains the connection information with the input device 1. Establish a connection. When the connection is established in this manner, the medical care record transfer unit 153 of the input device 1 and the reception unit 253 of the mobile device 2 transfer the diagnostic image through the established connection. As a result, as shown in FIG. 4B, the diagnostic image is transferred from the input device 1 to the mobile device 2.

  As described above, when the diagnostic image is transferred from the input device 1 to the mobile device 2, the mobile device 2 stores the transferred diagnostic image in the storage unit 22. On the other hand, in the input device 1, when the transfer to the mobile device 2 is completed, all of the diagnostic images read from the recording medium 100 are erased to make it impossible to obtain diagnostic images by other users.

  When the recording medium 100 storing the diagnostic image is a recording medium directly readable by the mobile device 2 such as an SD card, the mobile device 2 may directly acquire the diagnostic image from the recording medium 100. Good.

[Transfer of diagnostic image to reading device 4 (doctor)]
Subsequently, with reference to FIG. 6, an outline of transferring a diagnostic image from the mobile device 2 to the diagnostic imaging device 4 will be described.
When the diagnostic image is transferred to the mobile device 2, the user may request a doctor's diagnosis for the diagnostic image. In this case, the medical care record transfer system S transfers the diagnostic image from the mobile device 2 to the image interpretation device 4 used by the doctor. When the diagnostic image of the user is transferred to the doctor, the doctor interprets the diagnostic image and provides the diagnostic result (interpretation report) to the user.

At this time, in the medical care record transfer system S of the present embodiment, the diagnostic image and the diagnosis result can be relay-transferred through the relay device 3, and the mobile device 2 and the diagnostic reading device 4 can be separated without using the relay device 3. It is also possible to directly transfer diagnostic images and results between the two.
As an example, when the doctor's hospital is far away or there is no time to go to hospital, relaying the diagnostic image via the relay device 3 is preferable because the doctor's diagnosis can be obtained without spending time. In addition, by directly transmitting the diagnostic image from the mobile device 2 without using the Internet or the like, the user can control the transfer status of the diagnostic image of his own, which is preferable.

Subsequently, a specific configuration for transferring a diagnostic image from the mobile device 2 to the diagnostic imaging device 4 will be described with reference to FIG. 7A is a block diagram showing a functional configuration of the mobile device 2, FIG. 7B is a block diagram showing a functional configuration of the relay device 3, and FIG. 7C is a block diagram showing a functional configuration of the radiogram interpretation device 4. .
In addition, about the structure same as the structure already demonstrated, the same code | symbol is attached | subjected and detailed description is abbreviate | omitted.

As illustrated in FIG. 7A, the mobile device 2 includes a storage unit 22, a display unit 23, an input unit 24, a communication unit 25, and a control unit 26.
The control unit 26 controls various functions related to the mobile device 2 by executing various programs stored in the storage unit 22, and controls the registration information management unit 264, the patient side transfer unit 265, and the diagnosis result reception unit. It functions as 266 and a diagnostic result reflection part 267.

The registration information management unit 264 transmits registration information to the relay device 3 and performs usage authentication for the user to use each function of the relay device 3. In the medical care record transfer system S of the present embodiment, transfer of a diagnostic image from the input device 1 to the mobile device 2 does not require user registration, but user registration is required for use of the relay device 3. The registration information management unit 264 performs usage authentication associated with the user registration.
As described above, when making the transfer range of the diagnostic image up to the mobile device 2, the user registration is not required, but the user registration is required when the relay device 3 or the like is set as the transfer range instead of the mobile device 2. , Security can be improved, it is preferable.

The patient side transfer unit 265 transfers the diagnostic image to the image interpretation apparatus 4. The diagnostic image to be transferred is at least one diagnostic image optionally selected by the user. For example, by transferring both a diagnostic image captured when healthy and a diagnostic image captured when there is a point that is considered to be abnormal to a doctor, the diagnosing physician determines whether the patient is in healthy or abnormal status. It is preferable because it can be diagnosed while making comparisons.
As described above, the diagnostic image may be transferred via the relay device 3 or directly from the mobile device 2. The patient side transfer unit 265 may transfer the comment accepted in response to the user's input operation in association with the diagnostic image. For example, by accepting comments on the user's medical history and symptoms, the purpose of the examination, etc. and associating them with the diagnostic image for transfer, the doctor can perform more appropriate diagnosis, which is preferable.

  The diagnosis result reception unit 266 receives the diagnosis result of the doctor on the diagnosis image from the image interpretation device 4. The diagnostic result may also be received via the relay device 3 or may be received directly from the image interpretation device 4.

  The diagnosis result reflecting unit 267 reflects the diagnosis result received from the doctor on the diagnosis image stored in the storage unit 22. For example, the diagnosis result reflecting unit 267 reflects information such as an arrow or a comment inserted by a doctor who requested a diagnosis, an area, a length, a size, or the like of a predetermined part in the diagnosis image stored in the storage unit 22. .

  Subsequently, the configuration of the relay device 3 will be described. As shown in FIG. 7B, the relay device 3 includes a storage unit 31, a communication unit 32, and a control unit 33.

The storage unit 31 includes a ROM, a RAM, and the like, and stores various programs and various data for causing the relay device 3 to function. In addition, the storage unit 31 includes a membership information storage unit 311 of the user who uses the relay device 3 and a doctor information storage unit 312 of the doctor who introduces it.
The member information storage unit 311 stores, for example, authentication information such as a password, attribute information of the user, and the like in association with the user to be used and the mobile device 2 of the user. Further, the doctor information storage unit 312 stores various information such as the medical department of the doctor, the specialized field, the affiliated hospital, etc. in association with the doctor who transfers the diagnostic image. Various types of information associated with these doctors are used to specify the type of diagnostic image that can be diagnosed by the doctor.

  The communication unit 32 is a communication IF that performs communication with an external device, and is, for example, a communication IF that performs communication via the Internet or the like. In the present embodiment, when the relay device 3 communicates with the input device 1 or the image reading device 4, the relay device 3 communicates via the Internet or the like.

  The control unit 33 is configured of, for example, a CPU. The control unit 33 executes various programs stored in the storage unit 31 to control the functions of the relay apparatus 3 in an integrated manner, and the registration information management unit 331, the reception unit 332, the first transfer unit 333, It functions as a diagnosis result reception unit 334 and a second transfer unit 335.

  The registration information management unit 331 authenticates the use of the user based on the registration information transmitted from the mobile device 2. Specifically, the registration information management unit 331 collates the registration information transmitted from the mobile device 2 with the information stored in the membership information storage unit 311, and permits the use of the matching user.

  The receiving unit 332 receives the diagnostic image transferred from the mobile device 2 and temporarily stores the diagnostic image in the storage unit 31.

The first transfer unit 333 selects a doctor capable of diagnosing the received diagnostic image with reference to the doctor information storage unit 312, and transfers the diagnostic image to the image interpretation apparatus 4 associated with the selected doctor. Although the selection method of the doctor is arbitrary, the first transfer unit 333 compares, for example, various information included in the header information of the diagnostic image with the information of the doctor, and the medical department or the special field is the type of diagnostic image. Select at least one physician who is suitable. As an example, if the diagnostic image is an MRI image of the brain, a neurosurgery physician is selected. At this time, at least one doctor may be selected from a plurality of doctors based on the relationship with the doctor who created the diagnostic image. Here, based on the relationship, for example, not selecting the doctor who created the diagnostic image, not selecting or preferentially selecting the doctor of the hospital to which the doctor belongs, doctor of the affiliated hospitals of the hospital Not selected or selected preferentially. Of course, by accepting the selection of the doctor from the user via the predetermined selection screen, the doctor who transmits the diagnostic image may be selected.
When the first transfer unit 333 transfers the diagnostic image to the image interpretation apparatus 4, the first transfer unit 333 erases the transferred diagnostic image (that is, the diagnostic image received from the mobile device 2) from the storage unit 31.

The diagnosis result reception unit 334 receives the diagnosis result transferred from the image interpretation apparatus 4 and temporarily stores the diagnosis result in the storage unit 31.
The second transfer unit 335 transfers the received diagnosis result to the mobile device 2. At this time, when the second transfer unit 335 transfers the diagnosis result to the mobile device 2, the second transfer unit 335 erases the transferred diagnosis result (that is, the diagnosis result received from the image interpretation device 4) from the storage unit 31.

  Subsequently, the configuration of the image interpretation apparatus 4 will be described. As shown in FIG. 7C, the image interpretation device 4 is configured to include a storage unit 41, a display unit 42, a communication unit 43, an input unit 44, a control unit 45, and an in-hospital database 46.

The storage unit 41 includes, for example, a ROM, a RAM, and the like, and stores various programs and various data for causing the diagnostic imaging apparatus 4 to function.
The display unit 42 is configured of, for example, a liquid crystal display, an organic EL (Electro-Luminescence) display, or the like. The display unit 42 displays various information such as a diagnostic image according to the control of the control unit 45.

  The communication unit 43 is a communication IF that performs communication with an external device. For example, the communication IF that performs communication via the Internet or the like, the communication IF that performs communication via short distance wireless communication, and communication via a cable Communication IF. In the present embodiment, when the image interpretation device 4 communicates with the mobile device 2, the image interpretation device 4 communicates via near field communication, a cable, or the like. Further, when the image interpretation device 4 communicates with the relay device 3, the image interpretation device 4 communicates via the Internet or the like.

The input unit 44 is configured of, for example, a button, a contact sensor arranged to be superimposed on the display unit 42, and the like, and an input operation from a doctor who diagnoses a diagnostic image or an input operation from a patient who has visited a hospital Accept
The in-hospital database 46 is a database provided in a server accessible to the image reading apparatus 4 or provided in the image reading apparatus 4 itself. The in-hospital database 46 stores medical treatment records such as diagnostic images and electronic medical records related to the patient in association with a patient ID that can identify the patient in the hospital.

  The control unit 45 is configured of, for example, a CPU. The control unit 45 executes various programs stored in the storage unit 41 to control the functions related to the diagnostic imaging device 4 in a centralized manner, and the receiving unit 451, the storage control unit 452, the diagnosis result receiving unit 453, and the doctor It functions as the side transfer unit 454.

  The receiving unit 451 receives the diagnostic image transferred from the mobile device 2 directly or via the relay device 3.

The storage control unit 452 changes the patient ID set in the received diagnostic image to the patient ID set for the user of the mobile device 2 in the hospital, and stores the patient ID in the hospital database 46.
In certain standards such as DICOM, the patient's ID may be added to the header information of the diagnostic image, but usually, information on patients is managed independently in each hospital, so even the same patient Patient ID is different in each hospital.

Therefore, when the user of the received diagnostic image has used the hospital in the past and the patient ID of the hospital has already been assigned to the user, the storage control unit 452 has header information of the diagnostic image. The ID contained in is automatically changed to the patient ID in the hospital. In addition, when the user of the received diagnostic image is a patient who uses the hospital for the first time, the storage control unit 452 sets a new patient ID for the patient, and uses the ID included in the header information of the diagnostic image. The new patient ID may be automatically changed, or the ID included in the header information of the diagnostic image may be used as it is without being changed.
By automatically associating the patient ID with the diagnostic image in this manner, management in the hospital becomes easy and preferable.

  In addition, determination of whether the user of a diagnostic image is a patient of the transfer destination hospital can be performed by arbitrary methods. As an example, the determination may be made by comparing patient information included in header information of the diagnostic image with various information stored in the hospital database 46, or when the diagnostic image is transferred from the mobile device 2 The determination may be made by receiving an input regarding the presence or absence of a past medical examination or the like. Further, in the medical care record transfer system S, member registration is requested for transfer of the diagnostic image. Therefore, it may be determined whether the user of the diagnostic image is a patient of the transfer destination hospital by correlating the registration information with information in the hospital in advance.

The diagnosis result receiving unit 453 receives the diagnosis result performed by the doctor on the received diagnosis image, and stores the result in the in-hospital database 46. The diagnosis result includes, for example, information such as an arrow or a comment inserted in the diagnosis image, and the area, length, size, and the like of a predetermined portion.
The doctor side transfer unit 454 reads the diagnosis result from the in-hospital database 46 and transfers it to the mobile device 2. Note that transfer of the diagnosis result may be performed directly from the diagnostic imaging device 4 to the mobile device 2, or may be performed by relaying the relay device 3.

[Outline of operation when transferring a diagnostic image to the image interpretation apparatus 4]
The configurations of the mobile device 2, the relay device 3, and the image reading device 4 constituting the medical care record transfer system S have been described above. Subsequently, an operation when transferring a diagnostic image from the mobile device 2 to the image interpretation device 4 and transferring a diagnosis result from the image interpretation device 4 to the mobile device 2 will be described with reference to FIG. In the example shown in FIG. 8, the diagnostic image and the diagnostic result are relay-transferred via the relay device 3.

  As shown in FIG. 8, in step S1, the registration information management unit 264 of the mobile device 2 and the registration information management unit 331 of the relay device 3 perform user authentication processing. When authentication is completed in this process, the subsequent process is possible.

  Subsequently, when the user selects at least one diagnostic image from among the diagnostic images stored in the mobile device 2, the patient side transfer unit 265 of the mobile device 2 relays the selected diagnostic image in step S2. Transfer to device 3. Thereafter, when the receiving unit 332 of the relay device 3 receives the diagnostic image, in step S3, the first transfer unit 333 selects a doctor who can diagnose the diagnostic image, and the reading system 4 available to the selected doctor is selected. The diagnostic image is transferred to At this time, the first transfer unit 333 erases the transferred diagnostic image from the relay device 3.

  Subsequently, when the receiving unit 451 of the image interpretation apparatus 4 receives the diagnostic image, the storage control unit 452 stores the received diagnostic image in the in-hospital database 46 in step S4. At this time, the storage control unit 452 changes the patient ID attached to the diagnostic image to a patient ID in the own hospital, and stores it in the in-hospital database 46. Thereafter, when the doctor interprets the diagnostic image and collects necessary additional examinations and advice on treatment as a diagnosis result, the diagnosis result reception unit 453 of the image interpretation device 4 receives the diagnosis result from the in-hospital database 46 in step S5.

  Subsequently, in step S6, the doctor-side transfer unit 454 of the image interpretation device 4 transfers the received diagnosis result to the relay device 3. When the diagnosis result receiving unit 334 of the relay device 3 receives the diagnosis result, the second transfer unit 335 transfers the received diagnosis result to the mobile device 2 in step S7. At this time, the second transfer unit 335 erases the transferred diagnosis result from the relay device 3.

  Subsequently, when the diagnosis result receiving unit 266 of the mobile device 2 receives the diagnosis result, the diagnosis result reflecting unit 267 reflects the diagnosis result on the diagnosis image stored in the mobile device 2 and presents it to the user. . For example, information such as an arrow or a comment inserted by a doctor, an area, a length, or a size of a predetermined part is reflected in a diagnostic image.

[Effect of medical record transfer system S]
According to the medical care record transfer system S of the first embodiment described above, when a diagnostic image is stored in the recording medium 100 and distributed from a medical institution such as a hospital, the user reads the recording medium 100 with the input device 1 , Temporarily store in the input device 1. Thereafter, the user stores the diagnostic image in the mobile device 2 by receiving the transfer of the diagnostic image from the input device 1. Thereby, the medical treatment record of the user recorded on the recording medium 100 can be transferred to the mobile device 2 used by the user. As a result, since the medical treatment record of the user can be centrally managed by the mobile device 2, for example, the record when it is healthy and the record when there is an abnormality can be easily compared, and the user Progress status etc. can be easily grasped.

  At this time, since the diagnostic image temporarily stored in the input device 1 is erased when the transfer to the mobile device 2 is completed, it is possible to prevent the diagnostic image from remaining in the input device 1 and it is possible to It can be properly protected.

  Further, when the diagnostic device is read from the recording medium 100, the input device 1 generates and outputs a two-dimensional code having connection information for communication. By performing communication between the input device 1 and the mobile device 2 based on the connection information, a connection can be easily established using the two-dimensional code reading function that the mobile device 2 normally has, It is.

In the medical care record transfer system S, the diagnostic image stored in the mobile device 2 is transferred to the image interpretation device 4 used by the doctor, and the diagnostic result is transferred from the image interpretation device 4 to the mobile device 2. Thereby, the user can always receive the doctor's diagnosis for the diagnosis image, and the convenience is improved.
The transfer of the diagnostic image and the diagnostic result may be directly performed between the mobile device 2 and the image interpretation device 4 or may be performed via the relay device 3. For example, when the doctor's hospital is far away or there is no time to go to the hospital, relaying the diagnostic image via the relay device 3 is preferable because the doctor's diagnosis can be obtained without spending time. In addition, by directly transmitting the diagnostic image from the mobile device 2 without using the Internet or the like, the user can control the transfer status of the diagnostic image of his own, which is preferable.

At this time, it is preferable that the doctor can perform more appropriate diagnosis by transferring the comment about the user's medical history, symptoms, examination purpose and the like to the diagnostic imaging apparatus 4 together with the diagnostic image.
In addition, when the diagnostic imaging device 4 receives a diagnostic image, the diagnostic image can be associated with a past visit record by adding the patient ID in the hospital and storing the diagnostic image. It can be centrally managed and is preferable.

Second Embodiment
The medical care record transfer system S of the first embodiment has been described above. Subsequently, a second embodiment of the medical care record transfer system S of the present invention will be described. In the first embodiment, when a diagnostic image is transferred from the mobile device 2, the relay device 3 determines a doctor capable of diagnosing the diagnostic image, and transmits the diagnostic image to the doctor.
Here, the user who receives the diagnosis may want to select his own doctor to diagnose. Therefore, in the medical care record transfer system S of the second embodiment, when the relay device 3 determines the candidate of the doctor who can diagnose the diagnostic image, the user of the mobile device 2 selects the doctor who receives the diagnosis from the candidates. And

FIG. 9 is a diagram showing an outline of the medical care record transfer system S of the second embodiment. As shown in FIG. 9, in the medical care record transfer system S of the second embodiment, the mobile device 2 transfers information indicating the type of diagnostic image to the relay device 3. The relay device 3 selects at least one doctor from a large number of doctors based on the information indicating the type of diagnostic image, and introduces it to the user of the mobile device 2.
The information indicating the type of diagnostic image is information used to select a doctor capable of diagnosing the diagnostic image from among a large number of doctors, and for example, information indicating an imaging region, imaging medical imaging equipment, etc. It is. The relay device 3 has a database (doctor information storage unit 312) for storing various information such as medical departments of a large number of doctors, specialized fields, affiliated hospitals, etc., and the diagnosis is performed based on information indicating the type of diagnostic image. The candidate of the doctor who can diagnose the image is selected and introduced to the user of the mobile device 2.

[Summary of operation when introducing a doctor]
FIG. 10 is a diagram showing an outline of the operation of the medical care record transfer system S of the second embodiment. In addition, illustration is abbreviate | omitted about the part which is common in 1st Embodiment. That is, the operation (step S3) of transferring the diagnostic image from the relay device 3 to the image interpretation device 4 and the subsequent steps are the same as in the first embodiment.

  As shown in FIG. 10, the mobile device 2 according to the second embodiment further includes an inquiry unit 268, an introduction reception unit 269, and a selection unit 270, and the relay device 3 includes an inquiry reception unit 336 and a selection unit. 337, a charge confirmation unit 338, a third transfer unit 339, and a specification unit 340.

  The inquiry unit 268 inquires of the relay device 3 about a doctor who can diagnose the diagnostic image. More specifically, in step S11, the inquiring unit 268 transmits information indicating the type of diagnostic image, and inquires of the relay device 3 a doctor who can diagnose the diagnostic image. Here, it is necessary to introduce the doctor before transferring the diagnostic image to the image interpretation apparatus 4. When a doctor diagnoses a diagnostic image, the diagnostic image itself is required, but at the stage of introducing a doctor, the diagnostic image itself is not necessary, and it is sufficient if there is information indicating the type of diagnostic image. Therefore, the inquiry unit 268 inquires the doctor using information indicating at least the type of the diagnostic image.

When the inquiry reception unit 336 of the relay device 3 receives the inquiry from the mobile device 2, the selection unit 337 selects at least one doctor from a large number of doctors. The selection unit 337 collates, for example, information indicating the type of diagnostic image (photographed region and the like) with various types of information stored in the doctor information storage unit 312, and selects a doctor who can diagnose this diagnostic image.
Subsequently, the charge confirmation unit 338 of the relay device 3 acquires charge information when the selected doctor diagnoses the diagnostic image. The method of obtaining the charge information is optional, and for example, the charge confirmation unit 244 transmits the outline of the diagnostic image to the doctor selected by the selection unit 243 and at the same time the charge of the diagnostic image is diagnosed from the doctor. Accept the answer. Further, when charge information is stored in the doctor information storage unit 312, the charge confirmation unit 338 may read out from the doctor information storage unit 312 without checking the charge for the doctor.

  Subsequently, in step S12, the third transfer unit 339 transfers information on the selected doctor to the mobile device 2. Note that the information on the doctor is any information used by the user to select a doctor, for example, information on the doctor's department, specialty, career, age, hospital, etc. It is good also as including fee information etc. at the time of receiving.

  Subsequently, when the introduction reception unit 269 of the mobile device 2 receives the introduction information from the relay device 3, the selection unit 270 of the mobile device 2 is introduced based on the selection operation of the user accepted through the input unit 24. Select at least one doctor from among the doctors. When the user selects a doctor, the patient-side transfer unit 265 of the mobile device 2 transfers the diagnostic image to the relay device 3 together with the selection information of the doctor in step S2.

  In the relay device 3, when the receiving unit 332 receives the selection information and the diagnostic image from the mobile device 2, the specifying unit 340 specifies the doctor selected by the user based on the selection information. Subsequently, in step S3, the first transfer unit 333 transfers the diagnostic image to be diagnosed to the image interpretation apparatus 4 used by the identified doctor.

Here, a specific operation example of the medical care record transfer system S of the second embodiment is shown in FIG.
As shown in FIG. 11A, the mobile device 2 displays a list of diagnostic images stored in the mobile device 2. When the user selects a diagnostic image that the doctor desires to diagnose from the list and operates the “send button”, information indicating the type of the selected diagnostic image is transmitted from the mobile device 2 to the relay device 3.

  Then, the relay device 3 refers to the doctor information storage unit 312 and selects one or more doctors capable of diagnosing the diagnostic image from among a plurality of doctors. In FIG. 11B, the relay device 3 selects three doctors A, C, and D. When the relay device 3 selects a doctor, the relay device 3 transmits various information (charge information, affiliated hospital, career, etc.) about the doctor to the mobile device 2. Then, the doctor selected by the relay device 3 is displayed on the mobile device 2 in a selectable manner.

  As shown in FIG. 11C, when the user selects one doctor from among the doctors introduced from the relay device 3, the diagnostic image of the diagnosis target is transferred from the mobile device 2 to the relay device 3 together with the selection information of the doctor. Be done. The relay device 3 relays communication between the mobile device 2 and the image reading device 4 and transfers the diagnostic image transferred from the mobile device 2 to the image reading device 4 used by the selected doctor. Then, in the image interpretation apparatus 4, the ID attached to the diagnostic image is changed to a patient ID in the hospital, and is stored in the hospital database 46. When the user is a patient who uses the hospital for the first time, the diagnostic imaging apparatus 4 may attach a new patient ID to the diagnostic image and store it in the in-hospital database 46, and is included in the diagnostic image. The diagnostic image may be stored in the hospital database 46 without changing the generated ID.

  Thereafter, when the doctor accesses the in-hospital database 46, interprets the diagnostic image, and creates a diagnostic result for the diagnostic image, as shown in FIG. 11D, the diagnostic imaging device 4 transmits the diagnostic data to the mobile device 2 via the relay device 3. Transfer diagnostic results. When the mobile device 2 receives this diagnosis result, it reflects the diagnosis result on the diagnostic image stored in the mobile device 2 and presents it to the user.

According to the medical care record transfer system S of the second embodiment described above, since the user himself can select the doctor, it is possible to prevent the diagnosis image from being provided to the doctor who the user does not want, and use it with confidence. be able to.
At this time, when introducing the doctor to the user, since the charge information is also notified, the user can request the doctor who introduced the diagnosis with confidence, which is preferable. The charge information may be stored in advance, or may be calculated by obtaining an answer from the doctor.

Third Embodiment
The medical care record transfer system S of the first and second embodiments has been described above. In the medical care record transfer system S of the first and second embodiments, the diagnostic image stored in the recording medium 100 is transferred to the mobile device 2 used by the user. On the other hand, the medical care record transfer system S of the third embodiment transfers the diagnostic image stored in the recording medium 100 to the hospital side server 4A (that is, the PACS server in the hospital).

When a diagnostic image is distributed via the recording medium 100, the user may bring the recording medium 100 directly to the hospital. The medical care record transfer system S of the third embodiment is suitably used in such a case, and transfers the diagnostic image stored in the recording medium 100 brought to the hospital by the user from the recording medium 100 to the PACS server in the hospital Do.
Therefore, in the medical care record transfer system S of the third embodiment, the PACS server in the hospital corresponds to an arbitrary terminal device desired by the user. In the medical care record transfer system S of the third embodiment, a kiosk terminal installed in a hospital corresponds to the input device 1, and an auxiliary recording device such as a CD or USB or the mobile device 2 corresponds to the recording medium 100.

  FIG. 12 is a diagram showing an outline of the medical care record transfer system S of the third embodiment. As shown in FIG. 12, in the third embodiment, the input device 1 is configured to include a code processing unit 152, an input unit 151, and a medical care record transfer unit 153.

  When using the mobile device 2 as the recording medium 100, it is necessary to establish a connection between the mobile device 2 and the input device 1. Therefore, the code processing unit 152 establishes a connection with the mobile device 2 as the recording medium 100. For example, the code processing unit 152 outputs a two-dimensional code including connection information, and causes the mobile device 2 to read the two-dimensional code, thereby establishing a connection.

  The input unit 151 acquires a diagnostic image from the recording medium 100 and temporarily stores it in the input device 1. For example, when using an auxiliary recording device such as a CD or USB as the recording medium 100, the input unit 151 reads a CD, USB, or the like, and acquires a stored diagnostic image. When the mobile device 2 is used as the recording medium 100, the input unit 151 acquires a diagnostic image from the mobile device 2 using near field communication or the like.

  The medical care record transfer unit 153 transfers the diagnostic image acquired via the input unit 151 to the hospital side server 4A, and stores the diagnostic image in the hospital side server 4A. At this time, in the medical care record transfer system S of the third embodiment, when transferring the diagnostic image to the hospital side server 4A, the patient ID included in the diagnostic image is changed to the patient ID in the hospital. Such a method of changing the patient ID is as described above, but in the medical care record transfer system S of the third embodiment, the patient ID can be further changed using the following method.

  In the medical care record transfer system S of the third embodiment, the user who has brought the recording medium 100 and visited the hospital transfers his diagnostic image to the hospital side server 4A using the input device 1 (kiosk terminal). Such a user is a user who has used the hospital, and is a user already assigned a patient ID. Therefore, the input device 1 may acquire the patient ID set in the diagnostic image by receiving the input of the patient ID from the user. Further, for example, a patient ID (IC card) or the like in which a patient ID is set is distributed to a user who has visited a hospital, and the patient ID set in a diagnostic image by reading this consultation ticket at the input device 1 It is also possible to obtain

  As described above, when the diagnosis image in which the patient ID is changed is transferred to the hospital side server 4A, the medical care record transfer unit 153 erases all the diagnosis images transferred from the recording medium 100 from the input device 1.

  According to the medical care record transfer system S of the third embodiment described above, the user can easily transfer the diagnostic image brought to the hospital to the hospital side server 4A of the hospital. Thereby, the user can receive a diagnosis using a diagnostic image owned by the user at the hospital.

As mentioned above, although this invention was demonstrated using embodiment, the technical scope of this invention is not limited to the range as described in the said embodiment. It is apparent to those skilled in the art that various changes or modifications can be added to the above embodiment. It is also apparent from the scope of the claims that the embodiments added with such alterations or improvements can be included in the technical scope of the present invention.
For example, in the above description, the diagnostic device 4 changes the ID attached to the diagnostic image to the patient ID in the hospital, but the diagnostic device 4 changes the ID attached to the diagnostic image Alternatively, diagnostic images may be stored.

DESCRIPTION OF SYMBOLS 1 ... input device, 15 ... control part, 151 ... input part, 152 ... code processing part, 153 ... medical treatment record transfer part, 2 ... mobile device, 26 ... control The unit 261: acquisition unit 262: connection unit 263: reception unit 264: registered information management unit 265: patient side transfer unit 266: diagnosis result reception unit 267 ... diagnosis result reflection unit, 3 ... relay device, 33 ... control unit, 331 ... registered information management unit, 332 ... reception unit, 333 ... first transfer unit, 334 ... .... Diagnosis result reception unit, 335 ... Second transfer unit, 4 ... Interpretation device, 45 ... Control unit, 451 ... Reception unit, 452 ... Storage control unit, 453 ... Diagnosis Result reception unit, 454 ... doctor side transfer unit, S ... medical treatment record transfer system, 100 ... recording medium, 10 ... two-dimensional code, 120 ... diagnostic image

Claims (9)

A terminal device capable of storing a medical treatment record, an image interpretation device used by a doctor to read the medical treatment record, and a relay device relaying transfer of the medical treatment record between the terminal device and the image interpretation device ,
The terminal device is
A storage unit that stores the medical care record;
A patient side transfer unit for transferring the medical record to the image interpretation apparatus via the relay apparatus;
The image reading apparatus is
A doctor-side transfer unit configured to transfer an interpretation result of the medical care record to the terminal device via the relay device;
The relay apparatus compares the site of the diagnostic image included in the medical care record and the doctor information on the doctor who created the diagnostic image with header information of the medical care record, by comparing the information with a plurality of doctors. Select and select at least one doctor in the medical department or specialization that is appropriate for the type of medical record from the doctor who made the medical record and the doctor who made the medical record except the doctors in the hospital to which it belongs A first transfer unit configured to transfer the medical record received from the terminal device to the image reading apparatus associated with the identified doctor;
The terminal device is
When the image interpretation result is received from the image interpretation apparatus via the relay device, the image interpretation result is displayed.
Medical record transfer system. The terminal device causes the storage unit to store the interpretation result received from the interpretation device.
The medical treatment record transfer system according to claim 1. The terminal device stores the interpretation result received from the interpretation device in the storage unit in association with the medical care record.
The medical care record transfer system according to claim 2. The image reading apparatus is
A management unit that manages medical records in the hospital to which the doctor belongs;
A storage control unit that, when the medical treatment record is transferred from the terminal device, adds a patient ID set for the user of the terminal device in the hospital, and stores the medical treatment record in the management unit;
The medical record transfer system according to any one of claims 1 to 3, further comprising: The relay device is
And a second transfer unit that transfers the image interpretation result transferred via the doctor-side transfer unit to the terminal device.
When the first transfer unit or the second transfer unit transfers the medical record to the image interpretation apparatus, or transfers the diagnostic result to the terminal device, the transferred medical record or diagnostic result Erase from the relay device,
The medical treatment record transfer system according to claim 4. The relay device is
A third transfer unit for transferring information on the selected doctor to the terminal device;
And a specifying unit for specifying at least one doctor based on the selection information received from the terminal device,
The first transfer unit of the relay apparatus transfers the medical care record to an image interpretation apparatus used by a doctor identified by the identification unit.
The medical treatment record transfer system according to any one of claims 1 to 5. The third transfer unit of the relay device transfers, to the terminal device, charge information on a charge for the doctor to diagnose a medical record, along with information on the selected doctor.
The medical care record transfer system according to claim 6. The relay device is
The system further includes a charge confirmation unit that conveys an overview of the medical record to the selected doctor and receives an answer of a charge for diagnosing the medical record from the doctor.
The third transfer unit of the relay device transfers the charge information to the terminal device based on the answer received by the charge confirmation unit.
The medical treatment record transfer system according to claim 7. Via a relay device that relays the transfer of the medical care record between the terminal device and the diagnostic reading apparatus, to the diagnostic reading device used for interpreting the medical care record by the doctor, the medical care record stored in the storage unit by the terminal device Medical record transfer method for transferring
Transferring the medical record from the terminal device to the relay device;
The relay device compares the site of the diagnostic image included in the medical care record and the doctor information on the doctor who created the diagnostic image with header information of the medical care record, by comparing the information with a plurality of physicians. Select and select at least one doctor in the medical department or specialization that is appropriate for the type of medical record from the doctor who made the medical record and the doctor who made the medical record except the doctors in the hospital to which it belongs Transferring the medical record received from the terminal device to the image reading apparatus associated with the identified doctor;
Displaying the diagnostic result when the terminal device receives the diagnostic result of the medical care record transferred from the diagnostic device to the terminal device via the relay device;
Medical records transfer method including: