JP2002109053A - Radiogram interpretation fee charging system, radiogram interpretation fee charging method, radiogram interpretation service mediation system and radiogram interpretation service mediation method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To charge a radiogram interpretation fee reflecting time needs. SOLUTION: By presenting radiogram interpretation fee information which changes with time to a radiogram interpretation requesting person, the time needs of the radiogram interpretation requesting person are taken into consideration and the request of radiogram interpretation is accepted. Also, since the radiogram interpretation fee is decided on the basis of the time of accepting the radiogram interpretation and the time of ending the radiogram interpretation and a charging processing is performed to the radiogram interpretation requesting person, the radiogram interpretation fee for which the required time is taken into consideration is charged easily for a radiogram interpretation service provider.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a business (interpretation service provider) receiving a request for interpretation of medical images, in particular.
The present invention relates to an image reading fee charging system and an image reading fee charging method for charging an image reading request to an image reading requester. Further, the present invention relates to an image interpretation mediation system and an image interpretation mediation method for mediating an image interpretation request between an image interpretation requester who requests image interpretation and an image interpretation service provider who receives an image interpretation request.

[0002]

2. Description of the Related Art At present, a patient is diagnosed with medical images obtained by various modalities such as an X-ray CT apparatus and an MRI apparatus. Generally, these medical images are interpreted by an interpreting doctor. A report has been created. However, there are many hospitals that do not have a doctor or a doctor who has a shortage of interpreting doctors. In some cases, the interpreting of medical images is entrusted to an interpreting service provider to interpret the medical image. Generally, an image interpretation service provider that receives a request for image interpretation of a medical image is classified by image type (for example, by modality and imaging target site).
, And charges the image reading requester.
On the other hand, on the side requesting image interpretation, there is a time requirement until the image interpretation result is obtained, and even if a high fee is paid, sometimes there is a need to obtain an image interpretation report immediately, for example, within one hour, or vice versa. Even if the time required for image interpretation is long, for example, it takes one week for image interpretation, there are cases where it is desired that the image interpretation be performed at a low price. However, a charging method for answering such a request has not been realized. Conventionally, since the interpretation request is concluded separately between the side requesting the interpretation and the interpretation service provider receiving the request for the interpretation of the medical image, the requesting side has the daily situation, the characteristics of the examination to be requested, etc. Could not easily change the interpretation request destination. For example, on one day, even if the interpretation request to the interpretation service provider with a contract is flooded and the time required for interpretation is long, it is not possible to request another interpretation service provider without a contract It was not easy. A new interpretation service contract had to be concluded with the other interpretation service provider.

[0003]

As described above, in a conventional interpretation request to an interpretation service provider, an interpretation fee that reflects the temporal needs of the side requesting the interpretation and the side requesting the interpretation is provided. There has been a problem that the billing method has not been realized. Also, regarding the method of requesting an image interpretation, a separate contract must be made between the image interpretation business operator and the client, and there is a problem that the image interpretation request destination cannot be changed flexibly in accordance with the daily situation. Was. Therefore, the present invention solves the above-described problems, and provides an image reading fee charging system and a method for charging an image reading fee that realizes charging of an image reading fee reflecting time needs, and further realizes a flexible change of an image reading request destination. It is an object of the present invention to provide an image interpretation mediation system and an image interpretation mediation method.

[0004]

In order to solve the above-mentioned problems, an image interpretation fee charging system according to the present invention provides an image interpretation system which changes in accordance with the image interpretation time from when a request for image interpretation is received to when image interpretation is completed. First storage means for storing fee information, receiving means for receiving an image reading request from an image reading requester, determining means for determining the reception time at which the image reading request was received, and the image reading end time at which image reading was completed, and said reception means An image reading time calculating means for obtaining an image reading time from the reception of the image reading request from the time and the end time until the image reading is completed, and an image reading fee corresponding to the image reading time based on the image reading fee information, And a second storage means for storing the information in association with the information. In addition, the reception unit may present the image reading fee information that changes according to the image reading time until the image reading is completed to the image reading requester, and receive information on a desired time from the image reading requester until the image reading is completed. It is a feature. Further, the present invention is characterized by further comprising changing means for changing the image reading fee information based on a waiting state of image reading that has not been processed. Further, the image processing apparatus further includes an average time calculating unit that calculates an average of time required for image reading for each of the image type and at least one of the image readers, and the changing unit is configured to change the image reading waiting state and the average image reading time according to the waiting time. The present invention is characterized in that an image interpretation processing capability is estimated, and the image interpretation fee information is changed according to the image interpretation processing capability.

Further, the image reading fee is obtained from image reading fee information at a reception time. Further, the apparatus further comprises means for determining the order of image interpretation based on the information on the desired time until the end of the image interpretation, and a request is made later based on the information on the desired time for each image interpretation end time zone in which the image interpretation fee is the same. The interpretation request is set in the latest order of the time zone. In addition, there is provided a means for presenting to the radiogram interpreter information regarding a desired time until the radiogram interpretation request is completed by the radiology requester for each of the received radiology requests.
An image reading fee charging method according to the present invention includes a first step of receiving a request for image reading from a requester for image reading, a second step of determining the end of image reading of the requested image,
A third step of obtaining an image interpretation time from when the image interpretation is received to when the image interpretation is completed from the time at which the image interpretation request is received from the image interpretation requester and the time at which the image interpretation is completed, and an image interpretation fee according to the image interpretation time is obtained. And a fourth step of associating with the image reading requester. Further, the present invention further comprises a step of presenting the image reading fee information, which changes in accordance with the image reading time until the image reading is completed, to the image reading requester. It is characterized by receiving information on time.

Further, the method further comprises a step of changing the image reading fee information depending on a waiting state of image reading that has not been processed. Further, the average of the time required for image interpretation for each of the image type and at least one of the image interpreters is obtained, and the image interpretation processing capability is estimated according to the image interpretation waiting state and the average image interpretation time, and according to the image interpretation processing capability. The image reading fee information is changed. Further, the image reading fee is obtained from image reading fee information at a reception time. In addition, the method further includes a step of setting a later-requested interpretation request to a free time in the time period based on information on a desired time until the end of the image interpretation for each image interpretation end time zone having the same image interpretation fee. It is characterized by the following. In addition, the method further includes a step of presenting, to the radiogram interpreter, information on a desired time until the radiogram interpretation request is completed from the radiology requester for each of the received radiology requests. The image interpretation mediating system according to the present invention includes: a first storage unit that stores information about an image interpretation service provider or an image interpreter; a reception unit that receives an image interpretation request condition from an image interpretation requester; Means for retrieving a suitable interpretation service provider or image interpreter from the first storage means, presenting the search result to the image interpretation requester, and prompting the user to select an image interpretation service provider or image interpreter, Means for transmitting image interpretation request information from the image interpretation requester to the image interpretation service provider or image interpreter.

A first storage means for storing information relating to an image interpretation service provider or an image interpreter;
A receiving means for receiving an image reading request condition from an image reading requester;
A search unit that searches the first storage unit for an image interpretation service provider or an image interpreter that meets the image interpretation request condition; and sends the image interpretation request from the image interpretation requester to the searched image interpretation service provider or image interpreter. Transmitting means. A first storage unit for storing information on an image interpretation service provider or an image interpreter; and presenting the information of the image interpretation service provider or the image interpreter to the image interpretation requester, and the image interpretation requester interpreting the image interpretation requester. Means for prompting selection of a radiology service provider or a radiogram interpreter who desires a request, and means for transmitting radiology request information from the radiology requester to the selected radiology service provider or radiogram interpreter. Is what you do. The image processing apparatus further includes a second storage unit that stores the image reading fee generated by the image reading process in association with the image reading requester, the image reading service provider, or the image reading person. Further, the interpretation request condition is information on a time required until the end of the desired image interpretation, a desired image interpretation fee, and a condition of a desired image interpretation service provider or an image interpreter, and a priority of the condition. Things.

[0008] Further, the information on the image interpretation service provider or the image interpreter is at least one of personal information of the image interpreter, image interpretation time and image interpretation fee corresponding to the image interpretation time. is there. The image interpretation mediating method according to the present invention includes: a step of storing information on an image interpretation service provider or an image interpreter as image interpretation service provider information; a step of receiving an image interpretation request condition from an image interpretation requester; An image reading service provider or an image interpreter that conforms to is searched from the stored image reading service provider information, and the search result is presented to the image reading requester to prompt the user to select an image reading service provider or image interpreter to request image interpretation. And a step of requesting the selected image interpretation service provider or image interpreter for an image interpretation request from the image interpretation requester. Storing information on an image interpretation service provider or an image interpreter as image interpretation service provider information; receiving an image interpretation request condition from an image interpretation requester; and an image interpretation service provider meeting the image interpretation request condition. Or a step of retrieving an image interpreter from the stored image interpretation service provider information, and requesting the image interpretation service provider or image interpreter to request an image interpretation request from the image interpretation requester. It is assumed that.

[0009] Further, a step of storing information on an image interpretation service provider or an image interpreter as image interpretation service provider information, and presenting the information of the image interpretation service provider or the image interpreter to an image interpretation requester to interpret the image. The requester prompts the user to select an image interpretation service provider or image interpreter who desires an image interpretation request, and includes a step of requesting the selected image interpretation service provider or image interpreter for an image interpretation request from the image interpretation requester. It is characterized by the following. Further, the method further comprises a step of storing the image interpretation fee generated by the image interpretation processing in association with the image interpretation requester, the image interpretation service provider or the image interpreter. Further, the interpretation request condition is information on a time required until the end of the desired image interpretation, a desired image interpretation fee, and a condition of a desired image interpretation service provider or an image interpreter, and a priority of the condition. Things. Further, the image interpretation service provider information is at least one of personal information of an image interpreter, an image interpretation time, and an image interpretation fee corresponding to the image interpretation time.

[0010]

Embodiments of the present invention will be described below with reference to the drawings. (Embodiment 1) FIG. 1 is a system configuration diagram of a first embodiment including an image interpretation fee charging system according to the present invention. The computer network 10 of the image reading requester and the computer network 30 of the image reading service provider are LAN
(Local Area Network), WAN (Wide Area Network)
ork), the Internet, an intranet, wireless communication, and other communication means 20 for mutual communication. The image reading service provider's computer network 30 corresponds to the image reading fee charging system of the present invention. The image reading requester's computer network 10 includes an image reading request terminal 11 for transmitting a request for image reading to the image reading service provider's computer network 30, and a medical image together with supplementary information (modality, imaging site, imaging conditions, etc.) of the medical image. A medical image storage server 12 for storing medical record information, and an electronic medical record server 13 for storing medical record information as medical treatment information of each patient. From the interpretation request terminal 11, at least a medical image to be interpreted,
It is possible to transmit medical image supplementary information (modality, imaging region, imaging conditions, and the like) and image interpretation requester identification information. If necessary, it is also possible to transmit patient information (electronic medical record information) and points to be considered for image interpretation (for example, “suspicion of XX disease”).

A computer network 30 of an image interpretation provider is used for image interpretation management server 31 for managing and controlling the entire image interpretation fee charging system, and for image interpretation of medical images having display means for displaying medical images and editing function of image interpretation reports. An image interpretation terminal 32 and an image interpretation fee information database 33 that stores image interpretation fee information that changes according to the image interpretation time from the reception of an image interpretation request to the end of image interpretation are concluded. An image reading request information database 34 that stores information of image reading requesters (contract information) and image reading request information of the received image reading request, a charging information database 35 that stores image reading charges in association with the image reading requester, The actual interpretation time, which is stored until the end of interpretation, is stored for each modality and region. It consists of database 36.. When there are a plurality of image interpreters, a plurality of image interpretation terminals 32 are provided, and the image interpretation terminals 32 are assigned to the respective image interpreters. The interpretation fee information database 33 stores modalities as shown in FIG. 2, a standard fee determined for each part, and a magnification for multiplying the standard fee by the interpretation time. In the case of this example, the standard fee is increased by 50% within 2 hours, the standard fee within 24 hours not including 2 hours, and the standard fee is reduced by 50% within 48 hours not including 24 hours.
The setting is not set when the time exceeds 8 hours, and the image interpretation service provider guarantees image interpretation within 48 hours.

As shown in FIG. 3, the image reading request information database 34 stores requester identification information (client I
In addition to storing the name, the interpretation result transmission address, the contract contents (contract period, payment account, etc.) in association with D), the requester ID is associated with the interpretation reception number (reception ID) as the interpretation request information of the accepted interpretation request. , Image file name, medical image supplementary information (modality, radiographed part, radiographing conditions, etc.), patient information file name, points to be considered for radiography (for example, "suspicion of XX disease", etc.), radiology reception time if necessary ,
The image reading end time, the image reading end time, and the image reading result file name are stored. An image file, a patient information file, and an interpretation result file are also stored in different storage areas. The charging information database 35 stores a requester ID, a modality, a part, an image interpretation fee, an image interpretation end time, an image interpreter, and an image interpretation time in association with the reception ID as shown in FIG. The data stored in this database is used for collecting a fee from a requester for interpretation. The real interpretation time database 36
As shown in FIG. 5, the substantial image reading time required from the start of image reading to the end of image reading is stored for each modality and for each part. The data stored in this database is used for scheduling the received interpretation request.

The image interpretation management server 31 controls the entire computer network 30 of the image interpretation service provider. As shown in FIG. 6, a CPU 311 for controlling the image interpretation management server 31 as a whole, Transmission / reception means 312 for transmitting / receiving data between
Receiving means 313 for creating and holding various screens for prompting the image reading terminal to input image reading request information, and issuing a reception ID and receiving image reading request information from the image reading request terminal. The interpretation request received is distributed to each image interpreter, an image interpretation list creating unit 314 for creating and holding an image interpretation list as shown in FIG. 7 for each image interpreter, and receiving and interpreting the image interpretation request by an internal clock. It comprises time determining means 315 for determining the end time, and image reading fee calculating means 316 for obtaining the image reading time from the image reading request reception time and the image reading end time and obtaining the image reading fee based on the image reading fee information. The image interpretation list in FIG. 7 is for the image interpreter A as an example, and an image interpretation request assigned to the image interpreter A is listed. The scheduled end time is shown for those for which image interpretation has not been completed, and the time at which the image interpretation has actually been completed for those for which image interpretation has been completed. Also, the desired end time of the image reading requester is shown. Further, it is made possible to determine whether the interpretation has been completed or not. In this example, “completed” and “not yet” are given.

Next, with reference to FIG. 8, the operation of the image interpretation management server 31 will be described with reference to the operation of the image interpretation management server 31 as to how an image interpretation request is made and one image interpretation request is processed and billing is performed. I will explain while. Note that “DB” in the figure is an abbreviation for database. In addition, the numbers of the steps enclosed in parentheses below are shown as if they were enclosed numbers (,...) In the figure.
The same applies to other embodiments. (1) Receive a request for an image interpretation request from the image interpretation request terminal 11. (2) Reading out the image reading fee information from the image reading fee information database 33. (3) The display screen created by the reception unit 313 as shown in FIG. 9 reflecting the read image interpretation fee information is transmitted from the transmission / reception unit 312 to the image interpretation request terminal 11 to urge the user to input information necessary for the image interpretation request. At least, this screen only needs to display information on how the fee is set according to the interpretation time. In the example of FIG. 9, the check box “within 24 hours” is checked and selected. (4) The radiology requester receives the radiology request information including the desired radiology time selected based on the screen shown in FIG. 9 and the target image of the radiology. (5) The reception unit 313 issues a reception ID, and registers the received interpretation request information in the interpretation request information database 34. At this time, the image interpretation management server 31
The time at which the image interpretation request information determined by step 15 is received is registered as a reception time in the image interpretation request information database 34 in addition to the image interpretation request information.

(6) Based on the image reading request information registered in the image reading request information database 34 in (5) and the actual image reading time obtained from the actual image reading time database 36, the image reading list creating means 314 performs image reading as shown in FIG. An image interpretation list to which an image interpretation request is assigned for each person is created and transmitted to the image interpretation terminal 32. In this list, the time at which the interpretation must be completed is displayed. Regarding how to assign the interpretation request, for example, the interpretation request can be averaged, or can be assigned according to the type (modality, site) of the image. However, it is necessary to use the acquired real interpretation time and to perform the sorting in consideration of the desired interpretation time, and details thereof will be described later. By selecting this list displayed on the image interpretation terminal 32, the image interpreter receives image interpretation request information from the image interpretation request information database 34, causes the image to be interpreted to be displayed on the image interpretation terminal 32, and creates an image interpretation report. I do. (7) Receive the notification of the interpretation completion and the interpretation report from the interpretation terminal 32. FIG. 10 shows an example of a screen displayed on the image interpretation terminal 32 when a notification of image interpretation end is sent to the image interpretation management server 31. When the image interpreter determines the image interpretation end on this screen, the image interpretation end notification is displayed. The image is transmitted from the image interpretation terminal 32 to the image interpretation management server 31. At this time, “not” in the interpretation list in FIG. 7 is changed to “completed”.

(8) The time at which the image reading completion notification determined by the time determining means 315 is received is registered in the image reading request information database 34 as the image reading end time in association with the image reading request information of the image reading request. The radiology report is also registered. Also, a flag is set to indicate that the interpretation has been completed for the interpretation request for which the interpretation list held in the interpretation list creating means 314 has been completed. At this time, the scheduled completion time of the not-yet-completed interpretation request of the interpretation list created by the interpretation list creation unit 314 is corrected based on the actual end time. The corrected interpretation list is transmitted to the interpretation request terminal 32. (9) The reception time of the image reading request and the image reading end time are read from the image reading request information database 34, and the time taken from the reception of the image reading request to the end of the image reading, that is, the image reading time, is calculated by the image reading fee calculating means 316. At this time, at least the modality indicating the attribute of the image included in the interpretation request information and the information of the imaging region are also acquired from the interpretation request information database 34. (10) The image reading fee information corresponding to the obtained image reading time and image attributes is acquired from the image reading fee information database 33. (11) Charging information is calculated by the image interpretation fee calculating means 316 from the data obtained in (9) and (10). If the image reading fee information is determined as shown in FIG.
As shown in the example, if the interpretation of the X-ray CT apparatus and the chest image is completed in 1 hour and 30 minutes, 1.000 yen for 1.000 yen.
Five times it costs 7,500 yen. The calculated charging information is associated with the requester of the image interpretation request, and the charging information database 35
Register with.

(12) As an image interpretation result, an image interpretation report is transmitted from the image interpretation request information database 34 to the image interpretation result transmission address associated with the image interpretation requester. (13) The accounting information is transmitted to the image interpretation result transmission address associated with the image interpretation requester acquired from the image interpretation request information database 34. This accounting information may be transmitted together with the interpretation result, or may be transmitted collectively for each interpretation requester later. Next, creation of an image interpretation list will be described. The image interpretation list creation means 314 stores in advance the actual image interpretation time database 36 which stores an estimate of the time from the start of image interpretation to the end of image interpretation for each image type (modality, site).
Then, the real interpretation time corresponding to the accepted interpretation is obtained. Up to now, the actual interpretation time has also been determined and scheduled for the accepted interpretation. This is shown in FIG. FIG. 11 shows only the image reading waiting state in which the image reading must be completed within two hours in the case where there are two image readers A and B. Now, an example will be described in which a request for interpretation of an X-ray CT head within two hours is received. The actual interpretation time is stored in the actual interpretation time database 3
6 to 30 minutes are obtained. Then, when the free time of each interpreter within two hours is obtained, the interpreter A has 35 minutes and the interpreter B has 45 minutes. The longer the vacant time is, the larger the interpretation processing capability is, and if the vacant time is short, the interpretation processing capability is small. In this case, it is expected that the interpretation can be completed within 2 hours, regardless of which of the readers is assigned. However, the assignment is made to the reader B who has more time available. In this manner, the order of image interpretation is determined, and those whose reception is late are assigned after those already waiting for image interpretation. In this case, 14: 1 of the interpreter B
Assigned from 5 onwards. If neither radiographer can perform processing in terms of time, a notification indicating that processing cannot be performed within the desired time may be sent to the radiology requester. The same applies to other interpretation end time zones. In addition,
The schedule of the interpretation request that is in the state of waiting for interpretation is corrected based on the actual interpretation end time of the interpretation request that was being interpreted.

As described above, according to the image reading fee charging system or the image reading fee charging method according to the present invention, a request for image reading can be accepted in consideration of the temporal needs of the image reading requester, and the image reading service can be accepted. As a provider, it is possible to easily charge an image reading fee in consideration of the image reading time. In the above-described embodiment, the medical image and the electronic medical record are transmitted to the image reading service provider as a file, but the password for enabling the image reading service provider to access the medical image storage server 12 or the electronic medical record server 13 is used. Can be transmitted. In this case, the image reading requester does not need to transmit these files to the image reading service provider, and the image reading service provider can save the trouble of managing the medical image file and the electronic medical record file within its own network. In addition, the image reading end time was set when the operation of confirming the image reading was performed.
It may be time to transmit the interpretation result to the interpretation requester. There may be cases where there is a time loss between the operation of determining the end of image interpretation and the transmission of the image interpretation result, or that the image interpretation fee is not correctly charged when viewed from the image interpretation requester. In the interpretation service provider, even if the interpretation is to be completed within two hours after the reception, it takes time until the result is actually transmitted, and the result is delivered to the interpretation requester for more than two hours. This is because it is possible. Such trouble can be prevented by determining the interpretation end time when transmitting the interpretation result.

(Embodiment 2) Next, a second embodiment including an image interpretation fee charging system according to the present invention will be described. The difference from the first embodiment is that the image interpretation management server 31 has a function of changing the rate of increase or decrease of the image interpretation fee depending on the image interpretation time, depending on the degree of congestion of the number of image interpretation requests that need to be processed. I have. The image reading fee information database 33 stores, in addition to the standard image reading fee information shown in FIG. 2, data for changing the rate of the image reading fee in accordance with the degree of congestion of the image reading. Is stored for each image reading end time zone. Other configurations are the same as in the first embodiment. FIG.
2 shows a configuration diagram of the image interpretation management server 31. The difference from the first embodiment is that an interpretation fee information changing unit 317 is provided. The image reading fee information changing unit 317 is for obtaining the image reading congestion degree from the image reading schedule list held by the image reading list creating unit 314, and changing the image reading fee information based on it. The image reading congestion degree can be grasped by the free time for each image reading end time zone, and the image reading fee information database 33 stores a premium rate that changes according to the free time as shown in FIG. In FIG. 13, two readers are assumed. Further, as shown in FIG. 13, an additional rate for each image reading end time zone in consideration of the degree of congestion is stored. In this example, only the multiplier for the standard fee within two hours is changed from 1.5 to 2.0.

The operation of changing the image interpretation fee information of the image interpretation management server 31 in the second embodiment will be described with reference to FIG. Note that, for simplicity, the explanation will focus on interpretation within two hours, but the same applies to other time zones. (1) The image reading fee information changing unit 317 acquires the image reading list held by the image reading list creating unit 314. (2) The image interpretation fee information changing unit 317 obtains the image interpretation request status, that is, the degree of congestion, from the acquired image interpretation list.
For example, it is assumed that a schedule as shown in FIG. 11 is set. When the congestion degree is grasped based on the free time within 2 hours, the interpreter A has 35 minutes, the interpreter B has 45 minutes, and the total free time is 80 minutes. (3) From the image interpretation fee information database 33, data on the extra rate that changes according to the free time shown in FIG. 13 and the extra rate for each standard interpretation end time zone shown in FIG. 2 are acquired. (4) Based on the free time obtained in (2) and the data obtained in (3), the image reading fee information changing unit 317 calculates an additional rate for each image reading end time zone in consideration of the degree of congestion. In the case of FIG. 11 in which the free time within two hours is 80 minutes, the coefficient added to the magnification within two hours is 0.5, and the magnification is 2.0. (5) The premium rate for each image reading end time zone in consideration of the calculated congestion degree is registered in the image reading fee information database 36.

If the above operation is performed synchronously when the congestion state changes, that is, when the interpretation is completed, or when a new interpretation is received, the image interpretation billing information is always calculated in consideration of the latest congestion state. When an image interpretation request is made, charging information according to the congestion state can be provided to the image interpretation requester, and charging can be performed according to the congestion state. In order to charge an image reading fee based on the image reading fee information at the time of receiving the image reading request, an additional rate considering the degree of congestion is read from the image reading fee information database 33 when the image reading request is received. And stored in the interpretation request information database 34. By doing so, it is possible to charge at the image reading fee at the time of reception. (Embodiment 3) Next, a third embodiment including an image interpretation fee charging system according to the present invention will be described. In the second embodiment, the interpretation time required to process one interpretation request is fixed at a predetermined time for each image type, and the interpretation list is created (scheduled) and the degree of congestion is evaluated. However, in the third embodiment, the average of the image reading times from the start to the end of the image reading actually taken by the image reader is used.

FIG. 15 shows a configuration diagram of the image interpretation management server 31. The difference from the second embodiment is that the average time calculation means 3
18 is provided. Then, a notification that image reading has been started is received from the image reading terminal 32, the time at which image reading was actually started is determined by the time determination unit 315, temporarily stored in the average time calculation unit 318, and the image reading is terminated from the image reading terminal 32. The received notification is received, and the time at which the image reading is actually ended is determined by the time determination unit 315, and the average time calculation unit 318
Store temporarily. The average time calculation means 318 obtains the time actually required for image interpretation from the start time and the end time. The image interpretation start notification includes information on the image interpreter, the modality, and the region, and based on this information, updates the data of the effective image interpretation time database 36 described later. The image interpretation start notification is sent from the image interpretation terminal 32 to the image interpretation management server 31 in synchronization with the operation of selecting an image interpretation request to be interpreted from the image interpretation list displayed on the image interpretation terminal 32. As shown in FIG. 16, the actual interpretation time database 36 stores the average actual interpretation time as the average of the actual interpretation time for each modality and each region as shown in FIG. 16 and the number of image interpretations used when calculating the average. I remember about The average real interpretation time is calculated by the average time calculation means 318.
It is.

The operation of the third embodiment will be described with reference to FIG. (1) An image interpretation start notification is received from the image interpretation terminal 32. The data of the image interpreter, the modality of the image to be interpreted, and the imaging site are also received at the same time. (2) The interpretation start time is determined by the time determination unit 315, and stored in the average time calculation unit 318 in association with the data of the image interpreter, the modality of the image to be interpreted, and the imaging region. (3) Receive an image interpretation end notification from the image interpretation terminal 32. The data of the image interpreter, the modality of the image to be interpreted, and the imaging site are also received. (4) The image reading end time is determined by the time determining means 315, and is stored in the average time calculating means 318 in association with the data of the image reader, the modality of the image to be read, and the imaged part. (5) The average time calculation unit 315 calculates the image reading time actually required for image reading from the stored image reading start time and image reading end time. (6) From the effective interpretation time database 36, the average time and the number of cases in which the interpreter, the modality, and the part match are acquired. (7) The average time calculation means 318 recalculates the average time using the data acquired in (6) and the image interpretation time calculated in (5). (8) The calculated average time is used as the effective interpretation time database 3
Register in 6. At this time, the number of cases is increased by one. By the above operation, the average time of the actual time required for the image interpretation by the image interpreter can be managed for each image interpreter, each modality, and each region, and when creating an image interpretation list (when scheduling), these data can be managed. By using this, it is possible to perform scheduling more accurately, and to perform charging based on an image interpretation fee in consideration of a more accurate congestion degree.

In Embodiments 2 and 3 described above, the degree of congestion is defined as idle time, and the surcharge rate of the image reading fee is changed based on the idle time. It may be changed based on the number of cases of the same type as the interpretation request to be performed). Further, when obtaining the free time, the actual reading time of the reading request to be received may be subtracted to obtain the free time. In the above-described first to third embodiments, whether or not the interpretation is completed within the time desired by the interpretation requester may be notified. With this notification, the requester of the image interpretation can know whether or not the result can be received as desired. However, in the above-described embodiment, since the image interpretation list is created after the image interpretation request is received, a notification as to whether the image interpretation can be completed within the desired time must be transmitted to the image interpretation requester until the notification is received. Can not. If the desired time and the image type (modality, site) are transmitted to the image interpretation management server 31 before sending the medical image file or the electronic medical record file, that is, before confirming the image interpretation request, the image interpretation management server 31 The image interpretation list is confirmed based on the received data, and it can be determined whether the image interpretation can be completed as desired. By notifying the interpretation requester of this determination, it is possible to give the interpretation requester an opportunity to determine whether to request an interpretation before finalizing the interpretation request.

In the first to third embodiments,
Although each database has been described as being independent, the databases need not necessarily be provided independently. (Embodiment 4) Next, a fourth embodiment including an image interpretation mediating system according to the present invention will be described. FIG. 18 is a system configuration diagram of a fourth embodiment including an image interpretation mediating system according to the present invention. The computer network 10 of the image reading requester, the computer network 30 of the image reading service provider, and the computer network 4 of the image reading agent
0 is LAN (Local Area Network), WAN (Wide
Area Network), Internet, Intranet,
Communication is possible with each other by communication means 20 such as wireless communication. The computer network 10 of the image reading requester and the computer network 30 of the image reading service provider
Has a configuration similar to that of the embodiment described above. The image mediation computer network 40 corresponds to the image interpretation mediation system of the present invention. In the fourth embodiment, an image reading request is sent from the image reading requester's computer network 10 to the image reading service provider's computer network 30 via the image reading mediator's computer network 40. Then, the result of the image interpretation is sent from the computer network 30 of the image interpretation service provider to the computer network 10 of the image interpretation requester via the computer network 40 of the image interpretation mediator. Further, the reading fee for the reading requested through the reading agent is managed by the computer network 40 of the reading agent, and the reading agent collects the reading fee from the reading requester and is paid to the reading service provider.

Computer Network 4 of Interpretation Intermediary
0 is a mediation management server 41 for managing the whole image interpretation mediation system, an image interpretation service provider information database 42 for storing information on image interpretation service providers,
An image interpretation requester information database 43 for storing information of image interpretation requesters registered as members for the image interpretation mediation service and image interpretation request information of received image interpretation requests, and a charging information database 44 for storing charging information for image interpretation requesters.
It is composed of The image interpretation service provider information database 42 stores information on image interpretation service providers as shown in FIG. Corresponding to the radiology provider ID, the name of the radiology service provider, the transmission address of the radiology request to which the received radiology request is transferred, the file name of the fee system information file containing the information on the radiology fee acquired from the radiology service provider, the provision of the radiology service The file name of the schedule information including the image interpretation schedule acquired from the trader, the image interpreter ID, and the name of the image interpreter and the history of the image interpreter as personal information of the image interpreter are stored. Different storage area,
A fee system information file and a schedule information file are also stored. The contents of the fee system information file are the same as the data stored in the image interpretation fee information database 33 described in the first embodiment, and the contents of the schedule information file are the same as those in FIG. 7 described in the first embodiment. Since it is the same as the interpretation list shown, the description is omitted here.

The image reading requester information database 43 stores information on image reading requesters who are registered as members of the image reading mediation service as shown in FIG. 20, and image reading request information received from the image reading requester. I have. The stored contents are almost the same as the contents of FIG. 3 stored in the interpretation request information database 34 described in the first embodiment, and a detailed description thereof will be omitted. In the present embodiment, since the interpretation request is sent to the interpretation service provider via the interpretation agent, the interpretation operator ID is added to the interpretation request information. The billing information database 44 stores billing information for the image reading requester as shown in FIG. The stored contents are almost the same as the contents of FIG. 4 stored in the charging information database 35 described in the first embodiment, and a detailed description will be omitted. In the present embodiment, since the image interpretation requester pays the fee to the image interpretation company via the intermediary, the individual billing information is also associated with the image interpretation company ID. Further, the brokerage fee obtained by the broker is also stored. In the example of FIG.
The percentage is set as the brokerage commission. The radiogram interpreter will be paid by the mediator a value obtained by subtracting this mediation fee from the radiology fee collected from the radiology requester.

The mediation management server 41 is for controlling and managing the entire computer network 40 of the image interpretation mediator. As shown in FIG. 22, the CPU 411 for controlling the entire image interpretation management server 41 is connected to the outside. Transmission / reception means 412 for transmitting and receiving data between the user and a variety of screens for prompting the interpretation requester to input the conditions of the radiology service provider who desires the request, holding the screens, and holding the screens. Computer network 30
Creates various screens for prompting the user to input the image interpretation request information to be transmitted to the user, holds the screens, issues a reception ID, and issues a reception ID to the computer network 1 of the image interpretation requester.
Receiving unit 31 for accepting image interpretation request information from 0
3, a search unit 414 for searching the image interpretation service provider information database 42 based on the conditions of the desired image interpretation service provider sent from the image interpretation requester, and an internal clock for requesting the time at which the image interpretation request was received. Time determination means 415 for determining the time at which the interpretation result was received from the image interpretation provider as the shadow end time as the reception time.
And an image reading fee calculating unit 416 for obtaining an image reading time from an image reading request reception time and an image reading end time, and obtaining an image reading fee based on image reading fee information.

Next, in such a system, referring to FIG. 23, focusing on the operation of the mediation management server 41, how an image reading request is made and one image reading request is processed and billing is performed. I will explain while. (1) Receive information of an image interpretation service provider. (2) Register the information received from the radiology service provider in the radiology service provider information database 42. The operations (1) and (2) may be transmitted from the radiology service provider when data such as schedule information and fee information is updated. In addition, data of an image interpretation service provider having a contract with an intermediary is registered. (3) Receive a request for an interpretation request from the interpretation request terminal 11. (4) The receiving unit 413 transmits the
A screen for prompting the user to input a desired condition for an image reading request is transmitted to the image reading request terminal 11 that has made the request. For example, a screen as shown in FIG. 24 is transmitted. The interpretation requester can input a condition for each item and further input a priority. At this time,
The user is also prompted to enter a modality, a part, and the like as the requested image type. (5) In order to seek an interpreter that meets the desired conditions received,
The search means 414 searches the image interpretation service provider information database 42. A plurality of search results are obtained from those that match well.

(6) The search result is transmitted to the image interpretation request terminal 11. For example, it is displayed on the interpretation request terminal 11 as a screen as shown in FIG. In FIG. 25, three search results are displayed in the order that matches the search condition. The image reading requester can select the image reading person based on this screen. (7) The radiographing request terminal 11 receives radiographing request information such as the selected radiographer and the target image. (8) The reception unit 413 issues a reception ID, and registers the received interpretation request information in the interpretation requester information database 43. At this time, the time at which the image reading request information determined by the time determining means 415 is received is registered in the image reading requester information database 43 in addition to the image reading request information as a reception time. (9) Send the image interpretation request information to the image interpretation management server 31 of the image interpretation service provider to be requested. (10) Receive a radiology report from the radiology service provider that requested it. (11) The time at which the interpretation result was received is determined by the time determination unit 415 as the interpretation end time. The image reading end time is registered in the image reading requester information database 43 in association with the image reading request information of the image reading request. The radiology report is also registered. (12) The reception time of the image reading request and the image reading end time are read from the image reading requester information database 43, and the time taken from the reception of the image reading request to the end of image reading, that is, the image reading time, is calculated by the image reading fee calculation means 416. At this time, from the image interpretation requester information database 43, at least information on the modality and the imaging part indicating the attribute of the image included in the image interpretation request information is also acquired.

(13) From the image reading fee information of the image reading service provider that has processed the image reading request, image reading fee information corresponding to the obtained image reading time and image attribute is acquired from the image reading service provider information database 42. (14) Charging information is calculated by the image interpretation fee calculating means 416 from the data obtained in (12) and (13). Assuming that the interpretation fee information is determined as shown in FIG. 2, for example, as shown in the example of FIG. 21, if the interpretation of the X-ray CT apparatus and the chest image is completed in 1 hour and 30 minutes, 5.00
1.5 times of 0 yen is 7,500 yen. The calculated accounting information is registered in the accounting information database 44 in association with the requester of the image interpretation request and the image interpretation service provider. Also, at this time, the obtained interpretation fee is multiplied by a certain ratio and registered as an intermediary fee. FIG. 21 shows a case where the mediation fee is set to 5% of the image interpretation fee. (15) The image interpretation report is transmitted to the image interpretation result transmission address associated with the image interpretation requester acquired from the image interpretation requester information database 43 as the image interpretation result. (16) The accounting information is transmitted to the image interpretation result transmission address associated with the image interpretation requester acquired from the image interpretation requester information database 43. This accounting information may be transmitted together with the interpretation result, or may be transmitted collectively for each interpretation requester later.

(17) Obtain the image interpreter address from the image interpretation service provider information database 42 and transmit fee information obtained by subtracting the mediation fee from the image interpretation fee to the image interpretation service provider. This information may be transmitted when the image interpretation result is transmitted to the image interpretation requester, or may be transmitted collectively for each image interpretation service provider later. As described above, according to the image interpretation mediating system or the image interpretation mediating method according to the present invention, it is possible to easily request an image interpretation provider that meets the conditions desired by the image interpretation requester to perform image interpretation via the agent. Also, since the intermediary collects and performs the billing, even if the image interpretation requester requests the image interpretation to a plurality of image interpretation service providers, it is only necessary to pay the agent. In addition, since the image interpretation providing service provider can collect the image interpretation fee from the intermediary, it is not necessary to collect the image interpretation fee from the individual image interpretation requester. In the above-described embodiment, the mediator transmits the medical image and the electronic medical record to the image reading service provider as a file. However, the image reading service provider can access the medical image storage server 12 or the electronic medical record server 13. You can also send a password for In this case, the requester does not need to send these files,
The intermediary can save the trouble of managing medical image files and electronic medical record files within the own network. In addition, the mediator may manage the medical image file and the electronic medical record file, and transmit a password for accessing these files to the radiology service provider.

(Embodiment 5) Next, a fifth embodiment including an image interpretation mediating system according to the present invention will be described. In the fourth embodiment, the requester of the image interpretation inputs a desired condition regarding the image interpreter, and an image interpreter who meets the condition is introduced and selected. However, in the present embodiment, all image interpretation services contracted by the mediator are performed. The information about the provider or the radiogram interpreter is presented to the radiology requester to prompt the selection. In the data shown in FIG. 19, the data required when the image reading requester selects the image reading service provider or the image reading person may be displayed.
For example, an image interpretation service provider name, an image interpreter name, and a history of the image interpreter are displayed. In the fifth embodiment, the mediation management server 41 does not require the search unit 414. The other configuration is the same as that of the fourth embodiment, and the description is omitted. On the radiology service provider selection screen, the radiology requester can check all the radiology service providers who have contracted with the intermediary by himself and select a desired radiology service provider. In the fourth embodiment, the information of the radiology service provider is not presented to the radiology requester unless a search is performed. However, in the fifth embodiment, the information of all radiology service providers contracted with the mediator is transmitted to the radiology requester. Because it is presented, even if it is not searched, it will be an advertisement of your service.

(Embodiment 6) Next, a sixth embodiment including an image interpretation mediating system according to the present invention will be described. In the fourth embodiment, the interpretation is finally selected by the interpretation requester. However, in the sixth embodiment, the image interpreter who is ranked first in the hit order as a result of the search in the fourth embodiment is interpreted. It is to ask for. In the sixth embodiment, the step of transmitting the search result to the image interpretation request terminal can be omitted, and the other configuration is the same as that of the fourth embodiment, so that the description is omitted. The image reading requester does not need to perform the selecting operation of the image reading person, and can easily send the image reading request to the desired image reading person. (Embodiment 7) Next, a seventh embodiment including an image interpretation mediating system according to the present invention will be described. In the fourth to sixth embodiments, the calculation of the image interpretation fee is performed by an intermediary.
In the seventh embodiment, the image interpretation fee is calculated by the image interpretation service provider, and the mediator only receives the information on the image interpretation fee from the image interpretation service provider. In the seventh embodiment, the image reading fee calculating means 416 of the mediation server 41 does not calculate the image reading fee, but only calculates the mediation fee. Other configurations are the same as those of the fourth to sixth embodiments, and thus description thereof is omitted.

Since the mediator does not need to calculate the image interpretation fee, the load on the mediation management server 41 is reduced. (Embodiment 8) Next, an eighth embodiment including an image interpretation mediating system according to the present invention will be described. In the fourth to seventh embodiments, the transmission of the interpretation result is transmitted to the interpretation requester via the intermediary. However, in the eighth embodiment, the interpretation result is directly transmitted from the interpretation service provider to the interpretation requester. is there.
In the eighth embodiment, when transmitting the image interpretation request information to the image interpretation service provider, an image interpretation result transmission address is also transmitted, and the image interpretation service provider transmits the image interpretation result to the address. In other configurations,
The description is omitted because it is similar to the fourth to seventh embodiments. Note that a configuration may be such that a notification that the interpretation result has been received is transmitted to the mediation management server 41 from the interpretation request terminal 11. The interpretation requester can receive the interpretation result directly from the interpretation service provider without a time lag via the intermediary. (Embodiment 9) Next, a ninth embodiment including an image interpretation mediating system according to the present invention will be described. In the fourth to eighth embodiments, the intermediary charges the image interpretation fee. In the ninth embodiment, the image interpretation service provider performs the accounting process directly to the image interpretation requester.

In the ninth embodiment, as in the first embodiment, accounting information is managed for each image reading requester by the computer network 30 of the image reading service provider. The image interpretation fee calculation means 416 of the mediation server 41 is unnecessary, and the billing information database 44 is not required. Other configurations are the same as those of the fourth to eighth embodiments, and thus description thereof is omitted. The image interpretation request information may also be sent directly to the image interpretation service provider without the intervention of an intermediary. The mediation fee may be managed by the radiology service provider, or may be determined by the mediator based on the number of radiograms and collected from the radiology service provider. In this case, the mediator merely mediates the interpretation request, and does not need to manage the image or the billing information. In each of the fourth to ninth embodiments, each database is described as being independent. However, the databases need not always be provided independently. In the above-described fourth to ninth embodiments, as the personal information of the radiogram interpreter,
Information on a specialized field may be stored and used for search or displayed on the image interpretation request terminal 11. With such a configuration, it is possible to search for and identify an interpreter suitable for interpreting the image based on the type of the image input from the interpreter.

Further, in the first to fourth embodiments, the reception time of the interpretation request, the interpretation start time and the interpretation end time are determined by the internal clock, but the external standard clock which can be used via the communication means 20 is used. May be used. By using the standard time, the interpretation time can be accurately calculated.

[0038]

As described above in detail, according to the present invention, it is possible to accept a request for image interpretation in consideration of the temporal needs of the image interpretation requester. It is possible to easily charge the interpretation fee in consideration of the above. Further, it is possible to easily request an image interpretation provider that meets the conditions desired by the image interpretation requester to perform image interpretation via an intermediary.

[Brief description of the drawings]

FIG. 1 is a first diagram including an image interpretation fee charging system according to the present invention.
FIG. 2 is a system configuration diagram of the embodiment of FIG.

FIG. 2 is a diagram showing data stored in an image interpretation fee information database 33.

FIG. 3 is a diagram showing data stored in an image interpretation requester information database 34;

4 is a diagram showing data stored in a billing information database 35. FIG.

FIG. 5 is a diagram showing data stored in a substantial interpretation time database 36;

FIG. 6 is a system configuration diagram of an image interpretation management server 31 according to the first embodiment.

FIG. 7 is a diagram showing an image interpretation list.

FIG. 8 is a flowchart mainly showing the operation of the image interpretation management server 31 according to the first embodiment.

FIG. 9 is a diagram showing a display screen reflecting image reading fee information presented to the image reading requester.

FIG. 10 shows an image interpretation terminal 32 when transmitting an image interpretation end notification.
FIG. 6 is a diagram showing a display screen displayed on the screen.

FIG. 11 is a diagram for explaining scheduling of image interpretation.

FIG. 12 is a system configuration diagram of an image interpretation management server 31 according to a second embodiment.

FIG. 13 is a diagram showing radiographing fee information changed according to a surcharge rate and a congestion degree that change according to a free time.

FIG. 14 is a flowchart showing a radiogram interpretation fee changing operation of the radiology management server 31 according to the second embodiment.

FIG. 15 is a system configuration diagram of an image interpretation management server 31 according to a third embodiment.

FIG. 16 is a diagram showing data stored in a real interpretation time database 36 according to the third embodiment.

FIG. 17 is a flowchart illustrating an average time calculation operation of the image interpretation management server 31 according to the third embodiment.

FIG. 18 is a system configuration diagram of a fourth embodiment including an image interpretation mediation system according to the present invention.

FIG. 19: Image interpretation service provider information database 42
FIG. 4 is a diagram showing data stored in the storage device.

20 is a diagram showing data stored in an image interpretation requester information database 43. FIG.

FIG. 21 is a diagram showing data stored in a billing information database 44.

FIG. 22 is a system configuration diagram of an intermediary management server 41 according to a fourth embodiment.

FIG. 23 is a flowchart mainly showing the operation of the mediation management server 41 according to the fourth embodiment.

FIG. 24 is a diagram showing a display screen for prompting input of a desired condition for image interpretation.

FIG. 25 is a diagram showing a display screen for displaying search results.

[Explanation of symbols]

REFERENCE SIGNS LIST 10 computer network of requesting image reading 11 image reading request terminal 12 medical image storage server 13 electronic medical record server 20 communication means 30 computer network of image reading service provider 31 image reading management server 32 image reading terminal 33 image reading fee information database 34 image reading request information database 35 Charging information database 36 Real interpretation time database 311 CPU 312 Transmission / reception means 313 Reception means 314 Interpretation list creation means 315 Time determination means 316 Image interpretation fee calculation means 317 Image interpretation fee information change means 318 Average time calculation means 40 Computer for image interpretation mediator Network 41 Intermediary management server 42 Image interpretation service provider information database 43 Image interpretation requester information database 44 Billing information database 411 CPU 412 Transmission / reception Means 413 receiving means 414 search means 415 time determining means 416 radiology fee calculation means

──────────────────────────────────────────────────続 き Continued on the front page (51) Int.Cl. ⁷ Identification symbol FI Theme coat ゛ (Reference) G06F 17/60 332 G06F 17/60 332

Claims (26)

[Claims] A first storage unit for storing image reading fee information that changes according to an image reading time from when an image reading request is received until image reading is completed, and a reception that receives an image reading request from an image reading requester Means for determining the reception time at which the interpretation request was accepted and the interpretation end time at which the interpretation was completed, and the interpretation time from the reception of the interpretation request to the end of the interpretation based on the reception time and the end time. An image reading time calculating means, and a second storage means for obtaining an image reading fee corresponding to the image reading time based on the image reading fee information, and storing the image reading fee in association with the image reading requester. system. 2. The image processing apparatus according to claim 1, wherein the reception unit presents the image reading fee information, which changes according to the image reading time until the image reading is completed, to the image reading requester, and receives information about a desired time from the image reading requester until the image reading ends. 2. The system according to claim 1, wherein the charge is received. 3. The image reading fee charging system according to claim 1, further comprising a change unit that changes the image reading fee information based on a waiting state of image reading that has not been processed. 4. An average time calculating means for calculating an average of the time required for image reading for each of at least one of an image type and an image reading person, wherein the changing means is adapted to respond to the image reading waiting state and the average image reading time. 4. An image interpretation fee charging system according to claim 3, wherein the image interpretation fee is estimated based on the image interpretation fee, and the image interpretation fee information is changed in accordance with the image interpretation capability. 5. The image reading fee charging system according to claim 3, wherein the image reading fee is obtained from image reading fee information at a reception time. 6. A means for determining an image reading order based on information on a desired time until the end of image reading, wherein a request is made later based on the information on the desired time for each image reading end time zone having the same image reading fee. 3. The image reading fee charging system according to claim 2, wherein the requested image reading request is set to a free time in the time zone. 7. The system according to claim 2, further comprising means for presenting, to the image interpreter, information on a desired time from the image interpretation requester to the end of image interpretation for each of the received image interpretation requests. 8. A first step of receiving a request for image interpretation from a requester for image interpretation, a second step of determining the end of image reading of the requested image, and a request for image interpretation from the requester of image interpretation A third step of obtaining an image reading time from the time and the time at which the image reading is completed until the image reading is received until the image reading is completed; and a fourth step of obtaining an image reading fee according to the image reading time and associating the image reading fee with the image reading requester. And a step of charging the image reading fee. 9. A step of presenting the image reading fee information, which changes in accordance with the image reading time until the image reading is completed, to the image reading requester, wherein the first step is performed until the image reading from the image reading requester ends. 9. The method according to claim 8, wherein information on a desired time is received. 10. The image reading fee charging method according to claim 8, further comprising a step of changing the image reading fee information according to a waiting state of image reading that has not been processed. 11. An image processing apparatus obtains an average of time required for image reading for each of at least one of an image type and an image reading person, and estimates image reading processing capacity in accordance with the image reading waiting state and the average image reading time. The image reading fee charging method according to claim 10, wherein the image reading fee information is changed according to: 12. The image reading fee is obtained from image reading fee information at a reception time.
Or the radiogram interpretation fee charging method described in 11. 13. The method according to claim 1, further comprising the step of setting, based on the information on the desired time until the completion of the image interpretation, for each image interpretation end time zone having the same image interpretation fee, a later-requested image interpretation request as an idle time in that time zone. 10. The method according to claim 9, wherein
The interpretation fee billing method described. 14. The method according to claim 9, further comprising the step of presenting to the image interpreter information regarding a desired time until the image interpretation is completed by the image interpretation requester for each of the received image interpretation requests. 15. An image interpretation service provider or a first storage unit for storing information on an image interpreter, an accepting unit for accepting an image interpretation request condition from an image interpretation requester, and an image interpretation service conforming to the image interpretation request condition. Means for retrieving a provider or a radiogram interpreter from the first storage means, presenting the search result to the radiology requester, and prompting the radiographic service provider or radiographer to request radiology interpretation; and providing the selected radiology service. Means for transmitting image interpretation request information from the image interpretation requester to a trader or image interpreter. 16. An image interpretation service provider or a first storage unit for storing information on an image interpreter, an accepting unit for accepting an image interpretation request condition from an image interpretation requester, and an image interpretation service adapted to the image interpretation request condition A search unit that searches the first storage unit for a provider or an image interpreter; and a unit that transmits an image interpretation request from the image interpretation requester to the searched image interpretation service provider or image interpreter. Interpretation service mediation system featuring 17. A first storage means for storing information on an image interpretation service provider or an image interpreter, and presenting information on the image interpretation service provider or the image interpreter to the image interpretation requester, Means for prompting the user to select an image interpretation service provider or image interpreter who desires an image interpretation request, and means for transmitting image interpretation request information from the image interpretation requester to the selected image interpretation service provider or image interpreter. An image interpretation service mediation system characterized by the following. 18. The image processing apparatus according to claim 15, further comprising a second storage unit configured to store an image reading fee generated by image reading processing in association with an image reading requester, an image reading service provider, or an image reading person. Interpretation service mediation system. 19. The image reading request condition is that at least one of information on a time required until the end of the image reading, a desired image reading fee, and a condition of a desired image reading service provider or image reader, and a priority of the condition. 17. The image interpretation service mediation system according to claim 15, wherein: 20. The information on the image interpretation service provider or the image interpreter is at least one of personal information of the image interpreter, an image interpretation time, and an image interpretation fee corresponding to the image interpretation time. An image interpretation service mediation system according to any one of Items 15 to 17. 21. A step of storing information relating to an image interpretation service provider or an image interpreter as image interpretation service provider information; a step of receiving an image interpretation request condition from an image interpretation requester; Searching for a service provider or a radiogram interpreter from the stored radiology service provider information, presenting the search result to a radiology requester, and prompting the radiographic service provider or radiographer to request radiogram interpretation; Requesting the interpreting service provider or the interpreter to perform an interpreting request from the interpreting requester. 22. A step of storing information on an image interpretation service provider or an image interpreter as image interpretation service provider information; accepting an image interpretation request condition from an image interpretation requester; Retrieving a service provider or an image interpreter from the stored image interpretation service provider information, and requesting the retrieved image interpretation service provider or image interpreter for an image interpretation request from the image interpretation requester. An image interpretation service mediation method, characterized in that: 23. A step of storing information relating to an image interpretation service provider or an image interpreter as image interpretation service provider information, and presenting the information of the image interpretation service provider or the image interpreter to an image interpretation requester, and interpreting the image. The requester prompts the user to select an image interpretation service provider or an image interpreter who desires an image interpretation request; anda step of requesting the selected image interpretation service provider or image interpreter for an image interpretation request from the image interpretation requester. An image interpretation service mediation method, characterized in that: 24. The image interpretation service mediating method according to claim 21, further comprising the step of storing an image interpretation fee generated by image interpretation processing in association with an image interpretation requester, an image interpretation service provider, or an image interpreter. . 25. The image reading request condition is that at least one of information on a time required until the end of the image reading, a desired image reading fee, and a condition of a desired image reading service provider or image reader, and a priority of the condition. 23. The image interpretation service mediation method according to claim 21 or 22, wherein: 26. The radiographic interpretation service provider information is at least one of personal information of a radiological interpreter, a radiographic interpretation time, and a radiology charge according to the radiographic interpretation time.
24. The image interpretation service mediation method according to any one of claims to 23.