JP2005111083A - Medical integrated system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical integrated system in which information is shared while securing the security of patients between a medical worker who performs an operation and a medical worker who performed a medical examination. <P>SOLUTION: An operating room 11 and a hospital 3a in charge of diagnosing are connected through the Internet 4. A general management device 6 of the operating room 11 is connected to the Internet 4 through a signal transmitter 7 and a ciphering gateway 8. To the general management device 6, medical devices 21 and 22, etc., inside the operating room 11 are connected. The medical devices 21 and 22, etc., are provided with an IP interface 9 for easily constructing an in-hospital network. In the hospital 3a in charge of diagnosing, a deciphering gateway 51 connected to the Internet 4, a signal transmitter 52 and a controller 54 are installed. Ciphered data among signals sent through the ciphering gateway 8 to the hospital 3a in charge of diagnosing are sent to the deciphering gateway 51, deciphered and displayed. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a medical integrated system in which various medical information can be shared between medical personnel in a hospital in charge of surgery and medical personnel in a hospital in charge of diagnosis.

  Conventionally, in a surgical operation, a hospital performing a diagnosis and a hospital performing a surgical operation are sometimes different. In such a case, the medical staff of the hospital in charge of the operation was examining the technique and the like with reference to the diagnosis information of the patient sent from the hospital where the examination was performed.

  At this time, if the sent diagnostic information is insufficient, satisfactory examination cannot be performed. In such a case, I tried to make the best response by calling the doctor in the hospital in charge of the examination over the phone or by giving me an opportunity to talk directly.

  In addition, medical devices included in a hospital, such as an endoscope system, can be collectively controlled by connecting to an integrated management device.

  However, it is difficult to obtain satisfactory results through telephone conversations, and satisfactory results can be obtained when doctors meet and study directly, but it takes a lot of effort and time to establish a place. It was necessary.

  Each connector for inputting and outputting signals of medical devices used in the operating room has its own standard. Therefore, when constructing an integrated system, the work up to the construction is troublesome, and a new problem arises in extensibility after the system construction, and it is difficult to share information on medical devices.

  The present invention has been made in view of the above circumstances, and promptly shares patient information and information on medical devices between a medical worker performing a surgery and a medical worker performing a diagnosis, and security is improved. It aims to provide a medical integration system that can be secured.

  A medical integrated system of the present invention is provided in a plurality of medical devices for performing surgery, a first information processing device connected to the medical devices, and the first information processing device. An acquisition means for acquiring data, a transmission means for transmitting data obtained by the acquisition means through a first network interface provided in the first information processing apparatus, and the first network interface are connected. A second information processing apparatus provided with a second network interface for connecting to a network, and data received from the transmitting means provided in the second information processing apparatus by the second network interface Receiving means, and storage means for storing the received data.

A third network interface provided in the medical device;
Transmission means for transmitting data from the medical device to the first information processing device via the third network interface is further provided.

  Furthermore, a plurality of medical devices for performing surgery, a first information processing device connected to the medical devices, and an acquisition unit provided in the first information processing device for acquiring data from the medical devices And selecting means for selecting data to be encrypted with respect to the data obtained by the obtaining means, provided in the first information processing apparatus, and provided in the first information processing apparatus and selected. Encryption means for encrypting the data, and first data provided in the first information processing apparatus, the data including the data encrypted by the encryption means provided in the first information processing apparatus. And a second network interface for connecting to the network to which the first network interface is connected. Provided in the second information processing apparatus, receiving means for receiving data from the transmission means by the second network interface, provided in the second information processing apparatus, Decrypting means for decrypting data including encrypted data obtained by the receiving means.

  According to this configuration, data of the medical device connected to the first information processing device is stored in the second information processing device via the network.

  Data from the medical device is transmitted to the first information processing device.

  Furthermore, the data of the medical device connected to the first information processing device is encrypted and sent to the second information processing device via the network.

  According to the present invention, medical care that can quickly share information such as patient information and medical device information while ensuring patient security between a medical worker performing surgery and a medical worker performing a diagnosis. An integrated system can be provided.

Embodiments of the present invention will be described below with reference to the drawings.
1 to 6 relate to an embodiment of the present invention, FIG. 1 is a diagram for explaining the schematic configuration of a medical integrated system connected via the Internet, and FIG. 2 shows the relationship between a hospital in charge of surgery and the Internet. FIG. 3 is a diagram for specifically explaining a medical integrated system, FIG. 4 is a diagram for explaining an example of a display screen having an encryption selection item display area, and FIG. 5 is a patient from a diagnostic hospital to a surgical hospital. FIG. 6 is a diagram for explaining a flow when transmitting information, and FIG. 6 is a diagram for explaining a flow when transmitting images and information at the time of surgery from a hospital in charge of surgery to a hospital in charge of diagnosis in real time.

  As shown in FIG. 1, in the medical integrated system 1 of the present embodiment, for example, a surgical hospital 2 that is a hospital in charge of surgery, and diagnostic hospitals 3a, 3b,... 3z is connected via the Internet 4 which is a network.

As shown in FIG. 2, the surgical hospital 2 has, for example, a plurality of operating rooms 1
1, 12, 13,... Are provided. Each operating room 11, 12, 13,... Is provided with an operating room communication line 5 for constructing an in-hospital network. The operating room communication line 5 incorporates a signal transmission device 7 and encryption software as a transmission means of a general management device 6 as a first information processing device arranged in each operating room 11, 12, 13,. It is connected via an encryption gateway 8 which is an encryption means. .. Are connected to the general management device 6 to manage the connected medical devices 21, 22,... Disposed in the operating rooms 11, 12, 13,.

  Specifically, the total management device 6 includes, for example, an endoscope device 21 as a medical device, a display device 22 that displays an endoscope observation image captured by the endoscope device 21, an electric knife device 23, An abdominal device 24, an ultrasonic surgical device 25, and an input instruction device 26 such as a touch panel, which is an acquisition means for giving a control instruction to each medical device, are connected. These medical devices 21, 22,... 26 have an Internet protocol interface (IP interface) 9 that is a network interface with a connector standard for inputting and outputting signals for the purpose of easily constructing a hospital network. The addresses are assigned to each device in advance so as not to overlap each other.

  An operating unit server 14 is connected to the operating room communication line 5. Various types of medical treatment information from the respective comprehensive management devices 6 arranged in the respective operating rooms 11, 12, and 13 are accumulated in the operating section server 14, and a medical chart is generated.

  For example, an in-hospital server 15 for referencing medical chart information obtained by the operating section server 14 is installed at a base different from the operating section server 14, and the in-hospital server 15 and the operating section server 14 are in-hospital. They are connected by a communication line 16 between bases for constructing a network. The operating room communication line 5 and the inter-base communication line 16 are connected to the Internet 4 via a WEB server 17. Reference numeral 15 a is a patient registration terminal for registering patient information in the hospital server 15.

  Each of the communication lines 5 and 16 may be any communication line such as a public line, a dedicated line, or a LAN (private communication network). Further, the in-hospital server 15 may be arranged at the same base as the surgical department server 14. Reference numeral 27 denotes a main monitor that is observed during the operation, reference numeral 28 denotes an operating room camera that photographs the state of the operation, and reference numeral 29 denotes another medical device such as a magnetic card reader.

  As shown in FIG. 3, the first operating room 11 and a diagnostic hospital 3 a at a remote location with respect to the first operating room 11 are connected via communication lines 5 and 16 and the Internet 4.

  In the first operating room 11, for example, an endoscopic surgical operation is performed, and an endoscopic device 21 that observes the inside of the body cavity of the patient, and a surgical tool that performs an operation on the patient under the observation of the endoscopic device 21. For example, an electric knife device 23 or the like is used.

  Specifically, for example, an optical endoscope 31 for observing the inside of the abdominal cavity and an electric knife 32 for performing treatment are inserted into the abdomen of the patient. The electric knife 32 is a device that performs treatment such as incision or coagulation, and is connected to the power source 33 via a cord or the like.

  The endoscope 31 is, for example, a rigid endoscope having a rigid insertion portion 31a. An eyepiece 31b provided on the proximal end side of the insertion portion 31a has, for example, a charge coupled device (hereinafter referred to as CCD) as an imaging device. Abbreviation) An endoscopic camera 34 with a built-in 34a is attached.

  A light guide cable 31c extending from the endoscope 31 is connected to a light source device 35, and illumination light of a lamp (not shown) provided in the light source device 35 is used as a light guide and an endoscope in the light guide cable 31c. The light is transmitted through a light guide in the mirror 31 and emitted from an illumination window provided on the distal end side of the insertion portion 31a to illuminate a body cavity organ or the like.

  An objective lens (not shown) that forms an optical image of the subject is attached to the observation window adjacent to the illumination window. This optical image is transmitted to the proximal end side by, for example, a relay lens system that is an optical image transmission means disposed in the insertion portion 31a, and is magnified and observed through an eyepiece (not shown) of the eyepiece portion 31b.

  An optical image transmitted through the imaging lens 34b is formed on the imaging surface of the CCD 34a of the endoscope camera 34 that is detachably attached to the eyepiece 31b. The CCD 34a is connected to a camera control unit (hereinafter abbreviated as CCU) 36 through a signal cable 34c. The CCU 36 performs signal processing on the image signal photoelectrically converted by the CCD 34a to generate a standard video signal.

  The video signal generated by the CCU 36 is output to, for example, the display device 22 via the comprehensive management device 6. As a result, an endoscopic observation image capturing the intra-abdominal organ imaged by the CCD 34a, the distal end side of the electric knife 32, and the like is displayed on the screen of the display device 22.

  The CCU 36, the power supply unit 33, and the light source device 35 are connected to a general management device 6 that performs these controls and the like. In addition to the input instruction device 26 for inputting an instruction for performing control, for example, a magnetic card reader 29 or the like capable of inputting various data is connected to the general management device 6. Therefore, for example, the input instruction device 26 is operated, and control such as a change in color tone by the CCU 36, output control to the power supply unit 33, and the light source device 35 can be performed via the general management device 6.

  That is, for example, when an electric scalpel 32 is connected to the integrated management device 6 as a surgical instrument, output level setting control for incision, coagulation, etc. by the electric scalpel 32 can be performed, and the pneumothorax device 24 is connected. If it is, variable control such as set pressure can be performed. Then, as shown in FIG. 4, for example, on the screen 40 of the main monitor 27 or an input instruction confirmation monitor (not shown), the output level of the electric knife 32 output via the integrated management device 6 and the setting of the pneumoperitoneum device 24. A state, an endoscopic observation image, and the like are displayed.

  Specifically, the display area of the screen 40 includes an image display area 41, a thumbnail display area 42, a medical device information display area 43, a patient information display area 44, a comment display area 45, and an encryption selection item display area 46. It is configured.

  By operating an image selection button (not shown) from the toolbar displayed in the display area of the screen 40, an image window is displayed, and a desired item (patient name, procedure name, etc.) is appropriately selected. A plurality of images related to the item selected on the screen 40 are displayed for each area.

  In the image display area 41, a video signal from the CCU 36 and an image selected in the thumbnail display area 42 are displayed. In the thumbnail display area 42, reduced images and moving images of the image data stored in the surgical unit server 14 and an image (thumbnail image) obtained by reducing a video signal corresponding to the endoscopic observation image from the CCU 36 with a still image. Is displayed. The medical device information display area 43 displays the current status of the electric knife 32, the pneumoperitoneum 24, the CCU 36, and the like in real time. In the patient information display area 44, patient information registered in the comprehensive management apparatus 6 is displayed. In the comment display area 45, comments and the like from the medical staff in charge of the surgery and the medical staff of the hospital in charge of diagnosis 3a are displayed. In the encryption selection item display area 46, items capable of selecting whether or not to encrypt are displayed. In this embodiment, for example, patient data, device status data, and image data are displayed as selection items, and patient information (that is, personal information) is encrypted in advance so as to ensure security for the purpose of protecting privacy. Selected state.

  Equipment data such as the endoscopic observation image, electrosurgical knife, and pneumoperitoneum, comments, and patient information are converted into signals that can be transmitted by the signal transmission device 7 connected to the general management device 6, and the operating room Transmission is possible to the communication line 5, the communication line 16 between bases, and the Internet 4.

  The encryption gateway 8 is used for the endoscopic observation image, device data, comments, patient information, and the like transmitted from the signal transmission device 7 to the operating room communication line 5, the inter-base communication line 16, and the Internet 4. It is a device that encrypts information corresponding to the item selected in the encryption selection item display area 46, and the data selected in the encryption selection item display area 46 on the screen 40 must be transmitted through this encryption gateway 8. The encrypted information is transmitted to the outside.

The endoscope observation image can be directly transmitted from the CCU 36 via the signal transmission device without using the general management device 6 for the purpose of preventing image degradation as much as possible.

  As shown in FIG. 3, the diagnostic hospital 3a includes a decryption gateway 51, which is decryption means in which decryption software corresponding to the encryption gateway 8 connected to the Internet 4 is incorporated, and reception means. A signal transmission device 52, a first monitor 53 a that is connected to the signal transmission device 52 and displays information transmitted from the first operating room 11, for example, and diagnostic information connected to the signal transmission device 52 A controller 54, which is a second information processing apparatus that also serves as a recording apparatus, is installed.

  The controller 54 includes a central processing unit (not shown) (hereinafter abbreviated as “CPU”) that performs control operations, a hard disk drive (hereinafter abbreviated as “HDD”) that stores an operation program of the CPU, diagnostic images, diagnostic information, and the like. Memory used in temporary storage and work area, video capture control unit for video signal (video signal) capture operation and superimposed display operation, etc. are provided, input instruction device such as keyboard 55 and mouse 56, display A second monitor 53b, which is a device, is connected.

  The signal transmission device 52 of the diagnosis responsible hospital 3a receives the encrypted signal transmitted via the signal transmission device 7 and the encryption gateway 8 of the surgery responsible hospital 2. The signal transmission device 52 decodes the received signal by the decoding gateway 51. Further, the signal transmission device 52 transmits the decoded signal to the controller 54 of the hospital in charge of diagnosis 3a. The controller 54 receives the decoded signal, converts the decoded signal into a video signal, and transmits the video signal to the first monitor 53a and the second monitor 53b. The first monitor 53a and the second monitor 53b receive video signals and display them on a display screen.

  For example, diagnostic image data stored in the HDD of the controller 54 on the side of the diagnostic hospital 3a or a comment typed by a medical staff is sent from the signal transmission device 52 to the surgical hospital 2 via the Internet 4. It is supposed to be transmitted.

The operation of the medical integrated system 1 configured as described above will be described. ◎
With reference to FIG. 5, the flow at the time of transmitting patient information from the diagnostic hospital 3a in charge of diagnosis to the surgical hospital 2 in charge of the operation will be described.

  First, as shown in step 50, the controller 54 of the hospital 3a in charge of diagnosis sends the diagnosis result data related to the diagnostic image and diagnosis information stored in the HDD provided in the controller 54 to the general management device 6 of the hospital 2 in charge of surgery. The diagnosis result data to be transmitted is selected. At this time, the selection may be made automatically based on the selection criteria stored in advance in the controller 54, or a selection screen is displayed for the operator of the controller 54 to select desired diagnosis result data. You may be encouraged.

  Next, as shown in step 51, the controller 54 sends the IP address of the transmission destination to which the diagnosis result data selected in step 51 is transmitted (in this case, the IP address assigned to the general management apparatus 6 of the surgical hospital 2). ) And the destination IP address is set.

  Next, as shown in step 52, the diagnosis result data selected in step 50 is transmitted to the destination IP address set in step 51 via the signal transmission device 52.

  Next, as shown in step 53, the signal transmission device 52 receives the diagnostic result data transmitted in step 52, encrypts the received diagnostic result data by the encryption gateway 8, and transmits it to the destination IP address. .

  Next, as shown in step 54, the signal transmission device 7 of the surgical hospital 2 receives the encrypted diagnostic result data from the signal transmission device 52 of the diagnostic hospital 3a, and receives the received encrypted diagnostic result data. Is decrypted.

  Next, as shown in step 55, the signal transmission device 7 transfers the decoded diagnosis result data to the general management device 6 to which the transmission destination IP address is assigned. The comprehensive management device 6 receives the decrypted diagnostic result data and stores the diagnostic result data in an HDD provided in the comprehensive management device 6.

  The step of selecting the diagnosis result data stored in the HDD provided in the controller 54 is performed on the controller 54 side, but it is configured to request necessary data from the general management device 6 of the hospital 2 in charge of surgery. May be. In that case, the comprehensive management apparatus 6 displays a diagnosis result data list receiving means for receiving a diagnosis result data list from the controller 54 of the hospital in charge of diagnosis 3 a in advance, and displays the diagnosis result data list on the main monitor 27. Selection means for prompting selection and selection result transmission means for transmitting the selection result obtained by the selection means to the controller 54 are provided.

  The comprehensive management device 6 receives the diagnostic result data list from the controller of the hospital in charge of diagnosis 3a by the diagnostic result data list receiving means, and stores it in the HDD of the comprehensive management device 6. Next, the comprehensive management apparatus 6 displays a list of diagnosis result data on the main monitor 27 and prompts the operator to select necessary data. At the time of selection, selection is accepted by input from the input instruction device 26. Next, the comprehensive management device 6 transmits the selection result by the operator to the controller 54 via the signal transmission device 7 and the encryption gateway 8. The controller 54 extracts necessary data from the diagnosis result data stored in the HDD of the controller 54 based on the received selection result. Since the extracted data is processed according to the flow after step 51, description thereof is omitted.

  With reference to FIG. 6, a flow of transmitting images and information at the time of operation from the surgical hospital 2 to the diagnostic hospital 3a in real time will be described.

  First, as shown in step 60, the comprehensive management apparatus 6 displays a screen for selecting items to be encrypted on the display screen of the main monitor 27. FIG. 4 shows a screen 40 displayed on the display screen of the main monitor 27. The screen 40 includes an encryption selection item display area 46.

  Next, as shown in step 61, the user is prompted to select a necessary item from items displayed in the encryption selection item display area 46, and an item that requires encryption is specified.

  Next, as shown in step 62, data to be encrypted among the data to be transmitted is encrypted. The total management apparatus 6 encrypts the target data using the encryption gateway 8 or the transmission data encryption means provided in the total management apparatus 6.

  Next, as shown in step 63, the integrated management device 6 inputs the IP address of the transmission destination for transmitting the encrypted data (in this case, the IP address assigned to the controller 54 of the diagnostic hospital 3a). Prompt and set the destination IP address.

  Next, as shown in step 64, the integrated management device 6 transmits the encrypted data to the transmission destination IP address set in step 63 via the signal transmission device 52.

  Next, as shown in step 65, the signal transmission device 7 transfers the data to the destination IP address.

  Next, as shown in step 66, the signal transmission device 52 of the diagnostic hospital 3 a receives the encrypted data from the signal transmission device 7 of the surgical hospital 2 and transfers it to the controller 54.

  Next, as shown in step 67, the controller 54 decrypts the received encrypted data by the decryption gateway 51 or the transmission data decryption means provided in the controller 54.

  Next, as shown in step 68, the integrated management device 6 converts the decoded data into an image signal, transmits it, and displays it on the display screens of the first monitor 53a and the second monitor 53b.

  In step 61, each time a transmission request is made, the screen for selecting an item to be encrypted is displayed. However, the general management device 6 displays information related to the specified item in the general management device 6. There may be provided encryption item storage means for storing in the HDD. If there is an encrypted item stored by the encrypted item storage means, the integrated management device 6 identifies the item to be encrypted based on the stored encrypted item, and automates selection by the operator. May be.

  In this embodiment, when selecting an item to be encrypted, selection is prompted from all items. However, an item that needs to be encrypted is registered in advance and prompted to select from among them. May be. In that case, the comprehensive management apparatus 6 stores the encrypted item list in the HDD of the comprehensive management apparatus 6. At this time, patient information may be included as an encrypted item for the purpose of privacy protection. In addition, considering the processing capability of the general management device 6 in terms of real-time characteristics, if encryption is not performed for large-capacity screen information, the image data is encrypted from the encryption item list. May be filtered and not displayed.

  As a result, only patient information (patient identification information), which is a small amount of information compared to image information, is encrypted and transmitted, so that high-speed information transmission can be performed with little deterioration in transmission speed. This can be done in 3a.

  Further, if necessary, the device status data in the encryption selection item display area 46 may be checked, and control information related to the medical device may be encrypted and transmitted. In this case, control information is transmitted by an IP interface provided in each medical device, an IP interface provided in the comprehensive management device 6, and a network cable that connects these IP interfaces and transmits signals.

  Furthermore, when patient data is superimposed on the image information to be transmitted, there is a problem that the transmission speed is deteriorated. However, the priority is given to the protection of patient privacy by selecting the image data in the encryption selection item display area 46. Then, the encrypted image data is transmitted.

  The transmitting side encrypts and transmits the patient information, and the receiving side needs a means for decrypting the encrypted patient information, but the time for transmitting the patient information in the time for performing a large amount of image transmission is Since the amount of information is small, it takes a short time, and the means for encryption and decryption can be used practically even at low speed, and the cost can be reduced.

  In addition, when there is a comment or the like from the medical staff of the diagnosis hospital 3a, the comment is displayed in the comment display area 45.

  In this way, by connecting hospitals with each other over the Internet, it is possible to smoothly deliver patient diagnostic information, etc., and share diagnostic information while staying in the hospital for quick confirmation and examination. Can be done.

  In addition, patient information (patient identification information), which is a small amount of information compared to image information, is transmitted after being encrypted, thus protecting the privacy of the patient, preventing deterioration in transmission speed, and transmitting high-speed information. It can be carried out.

  Furthermore, by appropriately selecting information to be encrypted and transmitted from the encryption selection item display area, it is possible to reliably encrypt only the target data and transmit it to the outside.

  Also, by unifying the connector for inputting and outputting signals of each medical device connected to the integrated management device into an IP interface, there is only one type of cable for connection, and it is also connected when connecting a new medical device. The medical integrated system can be easily constructed and reconstructed.

  In the above description, an encryption gateway is installed on the side of the hospital in charge of surgery, and a decryption gateway is installed on the hospital side that performed the diagnosis. However, an encryption gateway and a decryption gateway are installed on both hospitals. You may do it. As a result, even if an operation for transmitting patient information is performed from the hospital side where the diagnosis is made, the patient information is encrypted and transmitted, so that the privacy of the patient is protected.

  Further, the endoscope 31 is not limited to the one that transmits an optical image using a relay lens system, but may be one that employs an image guide that transmits an optical image using a fiber bundle. Furthermore, although not shown, audio signals may be transmitted and received between the operating room and the hospital where the diagnosis is performed.

  It should be noted that the present invention is not limited to the embodiments described above, and various modifications can be made without departing from the spirit of the invention.

The figure explaining schematic structure of the medical integrated system connected via the Internet Diagram explaining the relationship between the hospital in charge of surgery and the Internet Diagram specifically explaining the medical integration system The figure explaining an example of the display screen which has an encryption selection item display area Diagram explaining the flow when sending patient information from the hospital in charge of diagnosis to the hospital in charge of surgery The figure explaining the flow at the time of transmitting the image and information at the time of an operation from the operation charge hospital to the diagnosis charge hospital in real time

Explanation of symbols

1 ... Medical integrated system
2 ... Hospital in charge of surgery 3a ... Hospital in charge of diagnosis 4 ... Internet 6 ... Integrated management device
8 ... Encryption gateway
51 ... Decryption gateway 54 ... Controller Agent Patent attorney Susumu Ito

Claims (3)

A plurality of medical devices for performing surgery;
A first information processing device connected to the medical device;
An acquisition means provided in the first information processing apparatus for acquiring data from the medical device;
Transmitting means for transmitting the data obtained by the obtaining means through a first network interface provided in the first information processing apparatus;
A second information processing apparatus provided with a second network interface for connecting to a network to which the first network interface is connected;
A receiving means provided in the second information processing apparatus for receiving data from the transmitting means by the second network interface;
Storage means for storing the received data;
A medical integrated system characterized by comprising: A third network interface provided in the medical device;
The medical integrated system according to claim 1, further comprising transmission means for transmitting data from the medical device to the first information processing device via the third network interface. A plurality of medical devices for performing surgery;
A first information processing device connected to the medical device;
An acquisition means provided in the first information processing apparatus for acquiring data from the medical device;
A selection unit that is provided in the first information processing apparatus and that selects data to be encrypted with respect to the data obtained by the acquisition unit;
An encryption unit provided in the first information processing apparatus for encrypting the selected data;
Transmission means provided in the first information processing apparatus and for transmitting data including data encrypted by the encryption means via a first network interface provided in the first information processing apparatus;
A second information processing apparatus provided with a second network interface for connecting to a network to which the first network interface is connected;
A receiving means provided in the second information processing apparatus for receiving data from the transmitting means by the second network interface;
Decryption means provided in the second information processing apparatus, for decrypting data including encrypted data obtained by the reception means;
A medical integrated system characterized by comprising:

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