JP2009075736A - Medical network system, test request management device, and management method thereof - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To easily obtain the completion time of a diagnostic reading report when requesting an institute belonging to a different time zone to read diagnostic results. <P>SOLUTION: In receiving diagnostic reading request information to an institute A1 by a client terminal 19 of a hospital D1, time zones to which the hospital D1 and the institute A are belonging are discriminated. An estimated report completion time in the institute A1 is calculated based on the discrimination result of the time zone and the time (Japan time) of receiving the reading request information. The report completion time of the institute A1 based on the time zone to which the hospital D1 is belonging is calculated based on the calculation result of the estimated report completion time (A country time). Institute delivery information including the calculated report completion time (D country time) is distributed to a client terminal 19 of the hospital D1. The person in charge in the hospital D1 easily obtains the completion time of the diagnostic reading report based on the distributed institute delivery information. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention is a medical network system, an examination request management apparatus, and its management for accepting an examination request via a network and making an examination request to a request destination belonging to a time zone different from the examination request source. It is about the method.

  There is known an image interpretation institution that specializes in image diagnosis (interpretation) by observing a medical image taken with a modality such as a CT apparatus or an MRI apparatus. An interpretation doctor, an interpretation specialist, belongs to the interpretation agency. The interpretation doctor interprets the medical image in response to the request from the requester, creates an interpretation report describing the result, and sends it to the requester. Return to These interpretation institutions are used in small medical facilities such as local clinics where the staff does not have interpretation doctors.

  In order to support such interpretation, a medical network system that relays interpretation request information, medical images, interpretation reports, etc. between remote locations between the medical facility requesting interpretation and the interpretation organization requesting interpretation is known. It has been. This medical network system is connected to client terminals installed in medical facilities and radiogram interpretation institutions, and to each client terminal via an IP (Internet Protocol) network, and provides various services in response to requests from each client terminal. And a data center having a server to be provided.

  A medical facility participating in the medical network system accesses the server from the client terminal and inputs interpretation request information on a predetermined interpretation request input screen displayed on the monitor. As a result, the interpretation request information is transmitted to the data center, and the interpretation request information is distributed to the requested interpretation agency via the data center. The image interpretation organization that has received the image interpretation request downloads a medical image uploaded to the data center from the requesting medical facility and creates an image interpretation report. Then, the requesting medical facility downloads an interpretation report uploaded to the data center from the interpretation organization and refers to it. By using such a service, the medical facility can obtain an interpretation report by a designated time on the next day, for example.

By the way, in recent years, the number of interpretation doctors is insufficient, and there are cases where an interpretation organization that creates an interpretation report by the date desired by the medical facility cannot be found in Japan. In order to solve these problems, a medical network system is known in which a data center and a client terminal of an overseas interpretation organization are connected via an IP network to search for an overseas interpretation organization and make an interpretation request. (See Patent Document 1). Also, by using this medical network system, it is possible to relay an interpretation request from a medical facility in a country with few interpretation doctors to a superior interpretation organization in another country via a data center in Japan.
JP 2005-173785 A

  However, as described in Patent Document 1 above, when a medical facility in Japan makes an interpretation request to an overseas interpretation organization, or from a medical facility in a country with few doctors of interpretation, When an interpretation request is made to an interpretation organization, a time difference occurs between the requesting medical facility and the requested interpretation organization. Thus, if there is a time difference between the two, there arises a problem that the requesting medical facility cannot easily know the completion (upload) date and time of creation of the interpretation report.

  For example, the time difference of the requested interpretation organization is two hours ahead of the time difference of the requesting medical facility, and the interpretation report received by the interpretation organization before the predetermined reception time limit is up to 12:00 the next day. The case of uploading to will be described as an example. In this case, 12:00 of the next day is the scheduled report completion date and time for the time based on the time zone to which the image interpretation organization belongs, but 10:00 of the next day is reported for the time based on the time zone to which the medical facility belongs. Scheduled completion date and time. Thus, when an interpretation request is made to an interpretation organization belonging to a different time zone, there arises a problem that it is necessary to deal with an operation such as obtaining a scheduled completion date and time of an interpretation report by time difference calculation.

  The present invention has been made to solve the above problems, and even when a medical examination request is made to a medical examination facility belonging to a different time zone, the date and time of the result report can be easily grasped. It is an object to provide a network system, an inspection request management apparatus, and a management method thereof.

  In order to solve the above problems, the present invention relates to a requesting terminal for requesting a medical examination and a time zone belonging to a time zone different from the time zone to which the requesting terminal belongs, A reception terminal specified by the request terminal by relaying request information issued from the request terminal to the reception terminal, connected to a plurality of terminals, a request terminal, and a reception terminal via a network. In a medical network system including a server that distributes to a terminal, the server accesses a time zone information storage unit that stores time zone information of the requesting terminal and a receiving terminal, and access related to the examination request from the requesting terminal. An access accepting means for accepting the time zone information storing means when the access accepting means accepts access; The time zone identifying means for identifying the time zones to which the requesting terminal and the receiving terminal respectively belong, and the access acceptance date and time when the access accepting means accepts access based on the identification result of the time zone identifying means. Obtaining time information related to the delivery date of the test result report in at least one of the medical examination facilities where the reception terminal is installed, and converting the obtained time information into a time based on the time zone to which the requesting terminal belongs A delivery date calculating means for obtaining the converted time information; and a time information distributing means for distributing the converted time information to the requesting terminal as an access source.

  When the access accepting unit accepts the examination request, the time zone identifying unit identifies a time zone to which the requesting terminal of the access source and the accepting terminal of the medical examination request destination belong respectively. It is preferable that the delivery date calculation means obtains the time information at the requested medical examination facility and converts it into the conversion time information.

  When the access accepting unit accepts a search request for searching for a request destination of the medical examination, the time zone identifying unit includes a time zone to which the requesting terminal of the access source and all the accepting terminals belong respectively. It is preferable that the delivery date calculation means obtains the time information in all the medical examination facilities and converts it into the converted time information. Thereby, when requesting a medical examination, a request destination can be determined with reference to the delivery date in each medical examination facility.

  The delivery date calculation means obtains a conversion access reception date and time obtained by converting the access reception date and time into a time based on a time zone to which the reception terminal belongs, and the obtained conversion access reception date and time It is preferable to obtain the time information from the period required for the inspection result report.

  The delivery date calculating means is based on a period of one day added to the period required for the test result report when the time of the conversion access reception date and time exceeds a reception limit time predetermined for each medical examination facility. It is preferable to obtain time information. Thereby, a more accurate delivery date can be calculated | required.

  The server includes detailed information storage means for storing detailed information for each medical examination facility, and detailed information of the medical examination facility designated by the request terminal based on a request from the request terminal. It is preferable to include detailed information distribution means for distributing to the request terminal. Furthermore, it is preferable that the detailed information includes doctor information of a doctor who performs the medical examination in the medical examination facility and format information of the result report created in the medical examination facility. Thereby, when requesting a medical examination, a request destination can be determined with reference to each detailed information as well as the delivery date of each medical examination facility.

  It is preferable that the medical examination includes an interpretation request for interpreting a medical image taken by a modality. When requesting medical image interpretation, the medical image can be delivered to the requestee via the network, so there is no need to consider the period until the inspection target is delivered to the requestee, making delivery easier Can be calculated.

  In order to solve the above problems, the present invention relates to a requesting terminal for requesting a medical examination and a time zone belonging to a time zone different from the time zone to which the requesting terminal belongs, In an inspection request management apparatus that is connected to a plurality of terminals consisting of terminals via a network, relays request information issued from a request terminal to a reception terminal, and distributes the information to the reception terminal specified by the request terminal A time zone information storing means for storing time zone information of the requesting terminal and the receiving terminal, an access receiving means for receiving an access related to the inspection request from the requesting terminal, and when the access receiving means receives the access Referring to the time zone information storage means, the time zone to which the requesting terminal and the receiving terminal belong respectively In at least one of the medical examination facilities in which the reception terminal is installed, based on the time zone identification means to be identified and the access reception date and time when the access reception means has received access based on the identification result of the time zone identification means Time information related to the delivery date of the inspection result report is obtained, delivery time calculation means for obtaining conversion time information obtained by converting the obtained time information into time based on the time zone to which the requesting terminal belongs, and the conversion time information as the access source Time information distribution means for distributing to the requesting terminal.

  In order to solve the above problem, the present invention belongs to a time zone different from the time zone to which the requesting terminal belongs from the requesting terminal for requesting the medical examination through the network. In the inspection request management method for relaying request information issued to a reception terminal for reception and distributing to the reception terminal specified by the request terminal, the time zone information of the request terminal and the reception terminal is stored The time zone information storing step, and when the access related to the inspection request is received from the requesting terminal, the requesting terminal and the receiving terminal are referred to by referring to the time zone information stored in the time zone information storing step. A time zone identification step for identifying a time zone to which each terminal belongs, and the time zone identification step; Based on the identification result, the time information regarding the delivery date of the test result report in at least one of the medical test facilities in which the reception terminal is installed is obtained and obtained from the access reception date and time when the access from the request terminal is received. A delivery time calculation step for obtaining conversion time information obtained by converting the time information into a time based on a time zone to which the requesting terminal belongs, and a time information distribution step for distributing the conversion time information to the requesting terminal of the access source It is characterized by having.

  In the present invention, when access from the requesting terminal is received, the time zone information storage unit is referred to identify the time zone to which the requesting terminal and the receiving terminal belong, and the identification result and the access reception date and time. Based on the above, time information on the delivery date of the test result report in at least one medical examination facility where the reception terminal is installed is obtained, and the obtained time information is converted into a time based on the time zone to which the requesting terminal belongs. Since the converted conversion time information is distributed to the access request terminal, even when an inspection request is made to a medical examination facility belonging to a different time zone, the delivery date of the inspection result report can be easily grasped. be able to. As a result, it is not necessary for the side requesting the medical examination to determine the delivery date of the result report by calculating the time difference or the like, so that the work of the person in charge can be reduced.

  A medical network system 2 shown in FIG. 1 connects a data center 10 in Japan and an overseas medical facility (an interpretation organization in A to C, a hospital in D to E) via an IP network 12. It is a system that makes a medical image interpretation request online. It is assumed that Japan and A to E belong to different time zones. Further, the number of medical facilities connected to the data center 10 is not particularly limited.

  The data center 10 is a medical examination reservation schedule management service for a plurality of medical facilities, a data backup service for backing up and storing medical information held by a plurality of medical facilities, and storing case data between medical facilities. It is a center that provides application services such as case reference services that are shared by all.

  The IP network 12 is a closed network in which a dedicated wide area IP network owned by a communication carrier is used as a base network, and a VPN (Virtual Private Network) is constructed on the wide area IP network. By doing so, it is possible to ensure data security so that data passing through the IP network 12 does not leak outside the medical network system 2.

  In country A to country C, there are interpretation institutions A1 to C1, respectively. Interpretation institutions A1 to C1 interpret the requested medical image, create an interpretation report representing the result, and upload the created interpretation report to data center 10. Each of the interpretation institutions A1 to C1 is provided with a communication interface 15, a client terminal 16, and the like, which are connected to each other via a LAN or the like in the interpretation institutions A1 to C1.

  The communication interface 15 connects the LAN of the radiogram interpretation institutions A1 to C1 and the IP network 12 by converting the data format between the format corresponding to the LAN of the radiogram interpretation agencies A1 to C1 and the format corresponding to the IP network 12. Note that the communication interface 15 is, for example, a modem or a router, and is appropriately selected in accordance with the standards of the LANs of the image interpretation institutions A1 to C1 and the IP network 12.

  The client terminal 16 (reception terminal) is configured by, for example, a personal computer or a workstation. The client terminal 16 communicates with the data center 10 and is used for receiving an interpretation request, displaying a medical image on a monitor, uploading an interpretation report to the data center 10, and the like.

  In countries D to E, there are hospitals D1 and E1, respectively. The hospitals D1 and E1 have modality devices 17 such as CT (Computed Tomography) apparatus and MRI (Magnetic Resonance Imaging) apparatus for taking medical images, but have an interpretation department that interprets medical images. It is a medium-sized medical facility with no or few doctors. Accordingly, the hospitals D1 and E1 serve as interpretation request sources and make interpretation requests to the interpretation institutions A1 to C1.

  The hospitals D1 and E1 are each provided with a modality device 17, a communication interface 18, and a client terminal 19 (requesting terminal). These units are connected to each other via, for example, the LANs in the hospitals D1 and E1. The The communication interface 18 is basically the same as the communication interface 15 described above. The client terminal 19 is basically the same as the client terminal 16 described above, and is used for transmitting interpretation request information to the data center 10 and uploading medical images to the data center 10.

  When photographing with the modality device 17, a patient name, a patient ID unique to each medical facility, and the like are input. The information input in this way is stored as supplementary information in the medical image data file. The medical image data file is stored, for example, in a file format of DICOM (Digital Imaging and Communications) standard, which is a standard for medical digital images and communication. The DICOM standard file has an area for storing supplementary information in addition to an area for storing image data. This supplementary information includes patient information such as patient name, patient ID, sex, and age. And imaging information such as the type of modality device to be imaged, the imaging region to be imaged, and the name of the medical facility that performed the imaging. Further, when a medical image is uploaded to the data center 10, an image ID is assigned to the incidental information. Data fields in which data of these items are stored are defined as tags.

  The data center 10 relays the interpretation request information issued from the client terminals 19 of the hospitals D1 and E1 in the D and E countries to the interpretation institutions A1 to C1 in the A to C countries, and the interpretation agency designated by the requesting source. The interpretation request information is distributed to the client terminals 16 of A1 to C1. The data center 10 stores medical images uploaded from the requesting hospitals D1 and E1, and stores interpretation reports uploaded from the requested interpretation institutions A1 to C1. Further, the data center 10 distributes various information (completion notification information, image registration information, delivery date information, etc.) to the requesting client terminals 16 and 19 in response to requests from the clients 16 and 19.

  The data center 10 includes a reception server 20 (server, inspection request management device), an image server 21, a report server 22, and a communication interface 23. These units are connected by, for example, a LAN in the data center 10 or the like. The reception server 20 relays the above-described interpretation request information and distributes various information.

  The image server 21 stores medical images uploaded to the data center 10 from the hospitals D1 and E1. Medical images are stored so that they can be searched using various search keys after being sorted and classified for each ID such as an image ID. The report server 22 stores the interpretation reports uploaded from the interpretation institutions A1 to C1. Interpretation reports are also sorted and stored for each report ID assigned at the time of upload. The communication interface 23 is for connecting the servers 20 to 22 to the IP network 12 and is basically the same as the communication interfaces 15 and 18.

  As shown in FIG. 2, the reception server 20 is roughly composed of a control unit 25 and a storage unit 26. The control unit 25 is provided with a CPU 27 that comprehensively controls each unit of the reception server 20. The CPU 27 reads out various programs from an HDD (not shown) or the like of the control unit 25 and executes the read programs sequentially to control each unit of the reception server 20 in an integrated manner.

  As shown in FIGS. 2 to 6, the storage unit 26 includes an interpretation acceptance list 30 and tables (hospital table 31, interpretation organization table 32, regional table 33, time table) constituting the time zone information storage means of the present invention. A zone table 34), a report format database (DB) 35 and a registered doctor DB 36 constituting the detailed information storage means of the present invention are constructed.

  The interpretation request information received from the client terminals 19 of the requesting hospitals D1 and E1 is stored in the interpretation acceptance list 30 (see FIG. 3) in the order of acceptance. As this interpretation request information, for example, “acceptance number”, “acceptance date / time”, “patient name”, “image ID”, “requesting hospital ID”, “requested interpreting institution ID”, “imaging site”, etc. are recorded. Is done. “Reception number” is the reception order of interpretation request information, “Reception date / time” is the reception date / time of interpretation request information in the data center 10, and “Patient name” is the name of the patient whose medical image was taken. .

  “Image ID” is an ID number assigned by a CPU 27 (request receiving unit) described later when a medical image is uploaded to the data center 10 as described above. The “request source hospital ID” is an ID number assigned in advance to the hospital that is the interpretation request source, and the “request destination interpretation organization ID” is an ID number assigned in advance to the interpretation organization that is the interpretation request destination. It is. The “imaging part” is a part for requesting interpretation of a medical image.

  In the hospital table 31 (see FIG. 2), “hospital name”, “hospital ID”, “region ID”, and the like are recorded. “Hospital name” is the name of each hospital, and “Hospital ID” is the ID number of each hospital. “Region ID” is an ID number assigned in advance for each country (region) to which each hospital belongs.

  In the interpretation organization table 32 (see FIG. 4), “interpretation organization name”, “interpretation organization ID”, “region ID”, “delivery date”, “reception acceptance time”, and the like are recorded. The “interpretation organization name” is the name of each interpretation organization, and the “interpretation organization ID” is the ID number of each interpretation organization. “Region ID” is an ID number of a country (region) to which each interpretation organization belongs.

  “Delivery date” is a period required from when each interpretation organization accepts an interpretation request to when an interpretation report is uploaded. For example, “1 day (12:00 the next day)”, which is the delivery date of the image interpretation institution A1, is 12:00 on the next day of the date when the image interpretation request is accepted in the time (country A time) based on the time zone of country A. It means that the interpretation report will be uploaded before.

  The “reception limit time” is a reception limit time of an interpretation request that allows each interpretation institution A1 to C1 to upload an interpretation report with the above delivery date. When an interpretation request is made exceeding this reception limit time, it takes a period of one more day to be added to the above delivery period before the interpretation report is uploaded. For example, an interpretation report for an interpretation request received after 18:00 at interpretation agency A1 is uploaded by 12:00 (A country time) on the next day.

  In the region table 33 (see FIG. 2), “region name”, “region ID”, “time zone ID”, and the like are recorded. The “region name” is the name of the entire region that uses a common standard time, and here is the name of the country to which the data center 10 and each medical facility belong. “Region ID” is the ID number of each country. The “time zone ID” is an ID number assigned in advance for each time zone to which each country belongs. When there are a plurality of time zones in one country, a “region ID” may be assigned to each region belonging to each time zone.

  In the time zone table (see FIG. 2), “area ID”, “time difference”, and the like are recorded. “Time difference” is the time difference between the Coordinated Universal Time (UTC) and the local standard time of the time zone to which each country belongs.

  The report format DB 35 (see FIG. 5) stores a format report 35a indicating the format of the interpretation report created in each of the interpretation institutions A1 to C1. Interpretation institutions A1 to C1 in countries A to C create interpretation reports in different formats. For this reason, as will be described in detail later, by storing the report formats of the interpretation engines A1 to C1 in the data center 10 in advance, the requesting hospitals D1 and E1 can make the interpretation institutions A1 before making the interpretation request. The request destination can be determined with reference to the report format of .about.C1. Note that the format report 35a is created for each imaging site in each of the image interpretation institutions A1 to C1, and each report format 35a has a previously assigned format ID attached to the text as supplementary information.

  The report format DB 35 stores a format report list 35b in which the format reports 35a stored in the DB are listed. In the style report list 35b, "style name", "interpretation institution ID", "imaging site", and "style ID" are recorded.

  The registered doctor DB 36 (see FIG. 6) stores a profile 36a for introducing an interpreting doctor who belongs to each of the interpretation institutions A1 to C1, and a registered doctor list 36b that lists each profile 36a. Yes. The profile 36a includes information such as the face photograph of the interpretation doctor, career (years of work), field of expertise, and the like, and a doctor ID assigned in advance for each interpretation doctor is attached to the text as supplementary information. Yes. Thereby, as will be described in detail later, the interpretation request destination can be determined by referring to the interpretation doctor profile 36a of each of the interpretation institutions A1 to C1 before making an interpretation request. In the registered doctor list 36b, "interpretation doctor name", affiliated "interpretation institution ID", "doctor ID", and the like are recorded.

  Returning to FIG. 2, the CPU 27 executes a program installed in the HDD or the like of the control unit 25 to thereby receive a reception unit 39 (access reception unit), an information distribution unit 40 (time information distribution unit, detailed information distribution unit). ), Translation unit 41, time zone identification unit 42 (time zone identification unit), and delivery date calculation unit 43 (delivery date calculation unit).

  The accepting unit 39 accepts access relating to an interpretation request (including uploading of medical images) from each of the client terminals 16 and 19, and executes various processes. Specifically, when receiving the interpretation request information from the client terminals 19 of the hospitals D1 and E1, the reception unit 39 records the received interpretation request information in the interpretation reception list 30. At this time, the reception unit 39 assigns “reception number”, “reception date / time”, and “image ID” to the interpretation request information. At the same time, the reception unit 39 assigns the same image ID to the medical image uploaded together with the interpretation request information.

  Further, the reception unit 39 gives a report ID to the interpretation report when the interpretation report is uploaded to the data center 10 from the client terminals 16 of the interpretation institutions A1 to C1. Further, when the interpretation report is uploaded, the reception unit 39 deletes the interpretation request information corresponding to the uploaded interpretation report from the interpretation acceptance list 30.

  The information distribution unit 40 receives the request (access) of the search request of the interpretation request destination from the client terminal 19 of the hospital D1 or E1, or the client terminal 19 of the request source who has made a new interpretation request. When the access from is received, the delivery date information is distributed to the client terminal 19 of the access source.

  The delivery date information is for notifying the hospitals D1 and E1 as the interpretation request source of the scheduled date and time (hereinafter referred to as the report completion scheduled date and time) when the interpretation report is uploaded. This delivery date information includes integrated delivery date information including information on the scheduled report completion date and time of all the interpretation institutions A1 to C1, and a request including information on the scheduled report completion date and time of only the interpretation institutions A1 to C1 designated as the interpretation request destination. It consists of pre-delivery information. Note that the scheduled report completion date and time notified by the both delivery date information is calculated by the delivery date calculation unit 43, which will be described later, with the time based on the time zone to which the requesting hospitals D1 and E1 belong respectively.

  The integrated delivery date information is distributed to the access source client terminal 19 that has accessed the interpretation request destination search request to the reception unit 39. The requested delivery date information is distributed to the client terminal 19 of the requester who has made a new interpretation request.

  The information distribution unit 40 operates when the reception unit 39 receives a data distribution request (access) from the client terminals 16 and 19, and distributes the latest data to the requesting client terminals 16 and 19. To do. Thereby, request screen display page data, request destination selection page data, interpretation organization introduction page data, and the like are distributed.

  The request screen display page data is page data for displaying an interpretation request screen (see FIG. 10) on the client terminal 19, and is created based on screen layout data installed in the HDD of the control unit 25 or the like. The request destination selection page data is page data for displaying an interpretation request destination selection screen (see FIG. 11) on the client terminal 19, and is created based on information recorded in the interpretation organization table 32. The interpretation organization introduction page data is page data for displaying the interpretation organization introduction screen (see FIG. 12) on the client terminal 19, and is recorded in the report format and the registered doctor lists 35b and 36b (see FIGS. 5 and 6). It is created based on information.

  In addition, when the reception unit 39 receives a data distribution request from the client terminals 16 and 19, the information distribution unit 40 also distributes update information when the interpretation acceptance list 30 or the like is updated. Thereby, request receipt information, completion notification information, image registration information, and the like are distributed as update information.

  The request reception information is for notifying the requested interpretation institutions A1 to C1 that there has been a new interpretation request, and the client terminals 16 of the interpretation institutions A1 to C1 that are the new request destinations When the reception unit 39 is accessed, it is distributed to the access source client terminal 16.

  The completion notification information is for notifying the requesting hospitals D1 and E1 that the interpretation report has been uploaded. When the client terminal 19 of the requesting hospitals D1 and E1 accesses the reception unit 39, It is distributed to the access source client terminal 19.

  The image registration information is for notifying the requested interpretation institutions A1 to C1 that the medical image requested to be interpreted has been stored in the image server 21, and the requested client terminal 16 notifies the receiving unit 39. When accessed, it is distributed to the client terminal 16 of the access source.

  As will be described in detail later, the translation unit 41 uses the languages A to C when the client terminal 19 of the hospital D1 or E1 downloads the report format 35a and the profile 36a stored in the DBs 35 and 36, respectively. The text of the report form 35a and the profile 36a described is translated into the languages of D country and E country. As a result, the report format 35a and the profile 36a are displayed in the languages D and E on the client terminals 19 of the hospitals D1 and E1, respectively.

  When the reception unit 39 receives the interpretation request information issued by the client terminal 19 of the hospital D1, E1, the time zone identification unit 42 determines the time zone of the requesting hospital D1, E1 (D country, E country). The time zones of the interpretation institutions A1 to C1 (A country to C country) designated as the interpretation request destination are identified. Specifically, as shown in FIG. 7, the time zone identification unit 42 searches for “request source hospital ID” and “request destination interpretation organization ID” of the interpretation request information newly recorded in the interpretation acceptance list 30.

  Next, the time zone identification unit 42 searches the hospital table 31 for the “region ID” corresponding to the “hospital ID” that matches the “requesting hospital ID”, and the “request destination interpretation organization” from the interpretation organization table 32. “Region ID” corresponding to “Interpretation ID” matching “ID” is searched. As a result, the “region IDs” of the requesting hospitals D1 and E1 and the requested interpretation engines A1 to C1 are determined.

  When the “region ID” of the request source and the request destination is determined, the time zone identification unit 42 searches the “table ID” corresponding to the “region ID” of the request source and the request destination from the region table 33, respectively. As a result, the “time zone ID” of the requesting hospitals D1 and E1 and the requested interpretation engines A1 to C1 are determined.

  When the “time zone ID” of the request source and the request destination is determined in this way, the time zone identification unit 42 searches the time zone table 34 for time difference information corresponding to the “time zone ID” of the request source and the request destination. . As a result, the time zones (time differences) to which the requesting hospitals D1 and E1 and the requested interpretation engines A1 to C1 belong can be identified.

  In addition, when the receiving unit 39 receives access to the search request of the interpretation request destination from the client terminal 19 of the hospital D1, E1, the time zone identifying unit 42, the time zone to which the access source hospitals D1, E1 belong, Are identified from the time zones to which the interpretation institutions A1 to C1 belong. In this case as well, the procedure as described with reference to FIG.

  Returning to FIG. 2, when the receiving unit 39 receives new interpretation request information from the client terminal 19 of the hospital D1, E1, the delivery date calculating unit 43 uses the time zones to which the requesting hospitals D1, E1 belong as a reference. The report completion scheduled date and time (request destination delivery date information) at the time to be calculated is calculated. The calculation of the report completion scheduled date and time is performed based on the reception date and time of interpretation request information, the identification result by the time zone identification unit 42 described above, and the interpretation organization table 32. Hereinafter, with reference to the flowchart illustrated in FIG. 8, the calculation process of the scheduled report completion date and time when an interpretation request is made from the hospital D1 to the interpretation organization A1 will be described as an example. In FIG. 8, the illustration is omitted until the time zones of the hospital D1 and the radiogram interpretation organization A1 are identified.

  First, the delivery date calculation unit 43 starts from the reception date / time (access reception date / time) of the interpretation request information in the reception server 20 (reception unit 39) to the reception date / time (conversion access reception) based on the time zone of the interpretation organization A1 (country A). Date). Specifically, from the time zone information (+9: 00) of the known reception server 20 (Japan) and the time zone information (+10: 00) of the interpretation organization A1 obtained earlier, country A is from Japan. It can be seen that the time difference is advanced by 1 hour. Therefore, by adding 1 hour to the reception date and time of the reception server 20, the reception date and time at the interpretation organization A1 is calculated.

  Next, the delivery date calculation unit 43 compares the reception date and time at the interpretation organization A1 with the “reception acceptance time” of the interpretation organization A1 in the interpretation organization table 32, and the reception date and time is the reception restriction time (18:00). ) Is exceeded. If the acceptance time limit has not been exceeded, the delivery date calculation unit 43 plans to complete the report at the interpretation organization A1 at 12:00 the day after the acceptance date based on the “delivery date” of the interpretation organization A1 in the interpretation organization table 32. Calculated as date and time (time information). Further, when the reception limit time is exceeded, the delivery date calculation unit 43 calculates 12:00 on the second day after the reception date and time as the scheduled report completion date and time at the interpretation agency A1.

  When the scheduled report completion date and time at the interpretation organization A1 is calculated, the delivery date calculation unit 43 calculates the scheduled report completion date and time at the hospital D1 based on the time zone of country D. Specifically, based on the time zone information (+10: 00) of the interpretation agency A1 obtained earlier and the time zone information (+8: 00) of the hospital D1, the time difference of country D is 2 hours behind that of country A. I understand that. For this reason, the report completion scheduled date and time (conversion time information) in the hospital D1 is calculated by subtracting 2 hours from the report completion scheduled date and time in the interpretation organization A1. The calculated report completion scheduled date and time is distributed to the client terminal 19 of the hospital D1 as the requested delivery date information by the information distribution unit 40 described above.

  Moreover, the delivery date calculation part 43 calculates the report completion scheduled date and time in each of the image interpretation institutions A1 to C1 when the reception part 39 receives access to the search request of the image interpretation request destination from the client terminals 19 of the hospitals D1 and E1. . Next, the delivery date calculation unit 43 calculates the scheduled report completion date and time of each interpretation facility A1 to C1 based on the time zone of the access source hospital D1 and E1 from the calculated report completion schedule date and time of each interpretation facility A1 to C1. Is calculated.

  The calculation of the report completion scheduled date and time of each of the image interpretation institutions A1 to C1 is based on the reception date and time of the search request, and the identification results of the time zones to which the above-mentioned hospitals D1 and E1 and all the image interpretation institutions A1 to C1 belong And the procedure as described with reference to FIG. 8 based on the interpretation engine table 32. Then, the calculated report completion scheduled date and time of each of the image interpretation institutions A1 to C1 is distributed to the client terminals 19 of the access sources hospitals D1 and E1 as integrated delivery date information by the information distribution unit 40 described above.

  As shown in FIG. 9, the client terminal 19 of the hospital D1, E1 is provided with a CPU 46, a console 47, and a storage unit 48. Similar to the CPU 27 of the control unit 25, the CPU 46 controls each part of the client terminal 19 in an integrated manner by sequentially processing the program. The client terminals 16 of the interpretation institutions A1 to C1 basically have the same configuration.

  The console 47 includes an input device 49 and a monitor 50. The input device 49 is a known input device such as a mouse or a keyboard, for example, and receives an operation instruction from the user and inputs a signal corresponding to the operation instruction to the CPU 46. The monitor 50 displays various screens according to the processing of the CPU 46. For the monitor 50, for example, a known display device such as a CRT display or a liquid crystal display is used.

  The storage unit 48 is installed with a web browser 48 a that displays various data and information distributed from the data center 10. By starting the Web browser 48a and specifying the URL of the interpretation request screen 50a for the interpretation request, the Web browser 48a accesses the reception unit 39 of the reception server 20 and distributes the request screen display page data. Make a request. Thereby, the request screen display page data is distributed from the information distribution unit 40 to the client terminal 19 that is the access source. The Web browser 48a displays an interpretation request screen 50a on the monitor 50 in accordance with the description of the distributed request screen display page data. The Web browser 48a (client terminal 19) periodically accesses the reception unit 39 of the reception server 20 and makes a distribution request for the latest data.

  As shown in FIG. 10, the interpretation request screen 50a includes an input box 53, an interpretation request image selection box 54, an interpretation image display area 55, an interpretation request destination selection button 56, a request button 57, and a cancel button 58. And are provided. In the input box 53, basic items such as “patient name”, “sex”, “birth date”, “imaging date”, “imaging region”, and “comment” are input.

  The interpretation request image selection box 54 is used to select a medical image for which interpretation is requested. By specifying and clicking the inverted triangle mark at the right end of the interpretation request image selection box 54 with the pointer 59, the images are taken at the hospitals D1 and E1 and stored in the hospital image servers (not shown) of the individual hospitals. A list of existing medical images is displayed in a pull-down menu format. When a medical image for which interpretation is requested is selected, the selected medical image is downloaded from the hospital image server and displayed in the interpretation image display area 55.

  The interpretation request destination selection button 56 is used to select the interpretation institutions A1 to C1 that request interpretation. When this interpretation request destination selection button 56 is designated with a pointer 59 and clicked, the Web browser 48a accesses the reception unit 39 of the reception server 20 for an interpretation request destination search request, and displays integrated delivery date information and a request screen. Request delivery of page data.

  When the search request for the interpretation request destination is received by the reception unit 39, the time zone identification unit 42 determines the time zone to which the access source hospitals D1 and E1 belong, and the time zone to which all the interpretation engines A1 to C1 belong, respectively. Is identified. Next, the delivery date calculation unit 43 calculates the report completion scheduled date and time of each of the radiogram interpretation institutions A1 to C1 based on the time zones of the hospitals D1 and E1 that are the access sources. As a result, the integrated delivery date information and the request screen display page data are distributed from the information distribution unit 40 to the client terminal 19 that is the access source.

  As shown in FIG. 11, the Web browser 48a newly pops up an image interpretation request destination selection screen 50b based on the request screen display page data distributed from the information distribution unit 40. This interpretation request destination selection screen 50b is provided with an interpretation institution list 61 for displaying general information of each of the interpretation institutions A1 to C1. As this summary information, “country name”, “interpretation institution name”, “scheduled report completion date”, “reception time limit”, and the like are displayed.

  The “report completion scheduled date and time” includes the scheduled report completion date and time of each of the image interpretation institutions A1 to C1 based on the time zone to which the hospitals D1 and E1 to which access is based, based on the integrated delivery date information distributed from the information distribution unit 40. Is displayed. Thereby, the person in charge of the hospitals D1 and E1 can select the interpretation engines A1 to C1 based on the scheduled report completion date and time displayed on the interpretation request destination selection screen 50b.

  In “Reception Restricted Time”, the reception restricted time of each of the image interpretation institutions A1 to C1 based on the time zone to which the access source hospitals D1 and E1 belong is displayed. Note that the time displayed in the figure is based on the time zone to which the hospital A1 belongs. These reception times are calculated by, for example, the delivery date calculation unit 43 based on the time zone identification result by the time zone identification unit 42 described above and the “reception time limit” (see FIG. 4) recorded in the radiological interpretation table 32. To do. As a result, the person in charge at the hospitals D1 and E1 that are the access sources can easily grasp by what time an interpretation request should be made when obtaining an interpretation report at the scheduled report completion date and time displayed. .

  In addition, a selection button 62 and a reference button 63 are provided at both ends of the summary information of each of the interpretation institutions A1 to C1 in the interpretation agency list 61. The selection button 62 is used to determine the interpretation institutions A1 to C1 that request interpretation.

  The reference button 63 is used to display an introduction screen of an interpretation doctor and a report format in each of the interpretation institutions A1 to C1. For example, when the reference button 63 of the interpretation organization A1 is designated and clicked with the pointer 59, the web browser 48a accesses the reception unit 39 of the acceptance server 20 and makes a distribution request for the interpretation organization introduction page data of the interpretation organization A1. Thereby, the interpretation organization introduction page data of the interpretation organization A1 is delivered from the information delivery unit 40 to the client terminal 19 that is the access source.

  As shown in FIG. 12, the Web browser 48a newly pops up the interpretation organization introduction screen 50c of the interpretation organization A1 based on the interpretation organization introduction page data of the interpretation organization A1 delivered from the information delivery unit 40. An interpretation doctor list 65 and a report format list 66 are displayed on the interpretation organization introduction screen 50c.

  In the interpretation doctor list 65, a list of names of interpretation doctors belonging to the interpretation organization A1 is displayed. When the display button 68 provided next to the name of each interpretation doctor is designated and clicked with the pointer 59, the Web browser 48a accesses the reception unit 39 of the reception server 20 to select the selected interpretation doctor. A distribution request for the profile 36a (see FIG. 6) is made. The report format list 66 displays a list of report formats for each imaging region in the radiogram interpretation institution A1. Similarly, when the display button 69 beside the imaging region is clicked, a delivery request for the report format 35a (see FIG. 5) of the selected imaging region is made to the reception unit 39 of the reception server 20.

  When the distribution unit 41 receives the distribution request for the profile 36a and the report format 35a, the translation unit 41 searches the registered doctor DB 36 for the profile 36a corresponding to the doctor ID of the selected interpretation doctor, and the profile 36a Translate the text into the languages of country D and country E. Similarly, the translation unit 41 searches the report format DB 35 for a report format 35a corresponding to the format ID of the selected report format, and translates the text of the report format 35a into the access source language. Next, the information distribution unit 40 distributes the translated profile 36a and report format 35a to the client terminal 19 that is the access source. The web browser 48a displays a radiogram interpretation doctor's profile screen and a report format screen (not shown) based on the distributed profile 36a and the report format 35a.

  As described above, in this embodiment, it is possible to compare the interpretation doctor's profile and report format for each of the interpretation institutions A1 to C1. For this reason, hospitals D1 and E1 that make an interpretation request consider the profile and report format of the interpretation doctor in addition to the scheduled report completion date and time (see FIG. 11) displayed on the above-mentioned interpretation request destination selection screen 50b. Interpretation institutions A1 to C1 requesting interpretation can be determined. When the selection button 62 (see FIG. 11) of the interpretation institutions A1 to C1 selected as the interpretation request destination is designated and clicked with the pointer 59, the interpretation institutions A1 to C1 requesting the interpretation are determined and the interpretation request destination screen is displayed. 50b closes.

  Returning to FIG. 10, when the interpretation request destination is determined, the request button 57 is designated by the pointer 59 and clicked. Thereby, based on the information set on the interpretation request screen 50a, interpretation request information is issued, transmitted to the reception server 20, and recorded in the interpretation reception list 30. At the same time, the medical image displayed in the interpretation image display area 55 is uploaded to the data center 10 and stored in the image server 21. When canceling the interpretation request, the cancel button 58 is clicked.

  Returning to FIG. 2, when the interpretation request information is accepted by the accepting unit 39, as described above, the time zone identifying unit 42 identifies the request source and the request destination time zone, and then the delivery date calculating unit 43. The report completion scheduled date and time of the request destination based on the requester's time zone is calculated. As a result, the requested delivery date information is distributed to the client terminal 19 of the request source. The web browser 48a displays an information display screen (not shown) for displaying the delivered request delivery date information.

  Next, operations of the medical network system 2 and the reception server 20 will be described with reference to FIG. In this description, the case where an interpretation request is made from the hospital D1 to the interpretation organization A1 will be described as an example.

  When the person in charge of the hospital D1 makes an interpretation request, the person in charge of the hospital D1 activates the Web browser 48a of the client terminal 19 and causes the monitor 50 to display the interpretation request screen 50a. Next, various information is input to the input box 53 while viewing the interpretation request screen 50a, and a medical image for which interpretation is requested is selected. When these are completed, the interpretation request destination selection button 56 is clicked, and (1) a search request for the interpretation request destination is made to the reception server 20.

  When the search request is accepted by the accepting unit 39, the time zone identifying unit 42 identifies the time zone to which the hospital D1 and all the image interpretation institutions A1 to C1 belong. Next, the delivery date calculation unit 43 calculates the report completion scheduled date and time of each of the image interpretation institutions A1 to C1 with reference to the time zone of the hospital D1. Thereby, (2) integrated delivery date information and request screen display page data are distributed from the information distribution unit 40 to the client terminal 19 of the hospital D1, and the interpretation request destination selection screen 50b (see FIG. 11) is displayed on the monitor 50. Is done.

  The person in charge of the hospital D1 selects the interpretation institutions A1 to C1 that request the interpretation based on the scheduled report completion date and time (see FIG. 11) displayed on the interpretation request destination selection screen 50b. At this time, the person in charge clicks the reference button 63 as necessary to display the interpretation institution introduction screen 50c (see FIG. 12) of each of the interpretation institutions A1 to C1, and the interpretation doctors of each of the interpretation institutions A1 to C1. The interpretation engines A1 to C1 are selected with reference to the profile and report format.

  When the person in charge decides to make an image interpretation request to the image interpretation institution A1, the person in charge clicks the selection button 62 of the image interpretation institution A1, and then clicks the request button 57 on the image interpretation request screen 50a. Thereby, (3) interpretation request information is transmitted to the acceptance server 20 and recorded in the interpretation acceptance list 30, and a medical image is stored in the image server 21. Then, when the client server 16 of the image interpretation institution A1 accesses the reception server 20, (4) request reception information and image registration information are distributed to the client terminal 16.

  When the interpretation request information is received by the reception server 20 (reception unit 39), the time zone identification unit 42 identifies the time zones to which the hospital D1 and the interpretation organization A1 respectively belong (see FIG. 7). Next, the delivery date calculation unit 43 calculates the report completion scheduled date and time of the radiogram interpretation organization A1 based on the time zone of the hospital D1 (see FIG. 8). Then, when access to the reception server 20 is performed from the client terminal 19 of the hospital D1, (5) requested delivery date information is distributed from the information distribution unit 40 to the client terminal 19 of the hospital D1. As a result, an information display screen (not shown) for displaying the requested delivery date information is displayed on the monitor 50 of the client terminal 19 of the hospital D1. The person in charge of the hospital D1 can grasp the report completion scheduled date and time of the image interpretation institution A1 based on the time zone of country D.

  The person in charge of the requested interpretation organization A1 downloads the medical image requested for interpretation (6) from the image server 21, interprets the medical image, and creates an interpretation report. Next, the person in charge of the interpretation engine A1 uploads the created (7) interpretation report to the data center 10 and stores it in the report server 22. Thereby, a series of interpretation (medical examination) is completed, and the corresponding interpretation request information is deleted from the interpretation acceptance list 30. Then, when the client server 19 of the hospital D1 accesses the reception server 20, (8) completion notification information is distributed from the information distribution unit 40 to the client terminal 19. The person in charge of the hospital D1 downloads an interpretation report from the report server 22 and refers to it.

  As described above, according to the present invention, when an interpretation request is made to an interpretation organization belonging to a different time zone, the report completion scheduled date and time of the interpretation organization based on the time zone to which the hospital requesting the interpretation belongs is calculated. Because the delivery date information (request delivery date information) based on the calculated scheduled report completion date is notified to the request source, even if there is a time difference between the request source hospital and the requested interpretation organization The person in charge of the requester can easily grasp the scheduled report completion date and time of the interpretation report. As a result, the person in charge at the request source does not need to obtain the scheduled completion date and time of the interpretation report by calculating the time difference, and the work of the person in charge can be reduced.

  In the embodiment described above, the hospitals D1 and E1 requesting interpretation, the interpretation institutions A1 to C1 that accept interpretation requests, and the data center 10 are described as examples. However, the present invention is not limited to this, and any one of the hospitals D1 and E1 or any of the image interpretation institutions A1 to C1 may belong to the same time zone 10 as the data center 10.

  In the above-described embodiment, the translation unit 41 translates the report format 35a of each interpretation institution A1 to C1 and the profile 36a of the interpretation doctor into the languages of the access source countries D and E, respectively. It is not limited to this. For example, report formats and profile data created in advance in the languages of Japan and other countries A to E may be stored in the DBs 35 and 36, respectively. Furthermore, the interpretation report created by the interpretation institutions A1 to C1 by the translation unit 41 may be translated into the languages of D and E countries.

  In the above embodiment, the case where a medical image is simultaneously uploaded to the data center 10 by performing an interpretation request on the interpretation request screen 50a has been described as an example. However, the present invention is not limited thereto. Instead, a medical image may be uploaded after an interpretation request is made.

  In the above embodiment, the case where the medium-term hospitals D1 and E1 that do not have an interpretation department make an interpretation request to the interpretation institutions A1 to C1 has been described as an example. However, the present invention can be applied to a case where a large-scale hospital having an image interpretation department makes an image interpretation request to an image interpretation institution or hospital belonging to a different time zone.

  In the embodiment described above, the interpretation of medical images has been described as an example of the medical examination of the present invention. However, the present invention is not limited to this, and various medical examinations such as examination of pathological samples, for example. The present invention can be applied to an inspection request. When requesting the examination of a pathological sample, the above report completion date and time may be calculated in consideration of the period until the pathological sample sent from the requester arrives at the request destination.

It is explanatory drawing which shows the structure of a medical network system roughly. It is a functional block diagram which shows the structure of a reception server schematically. It is explanatory drawing which shows the structure of an interpretation acceptance list roughly. It is explanatory drawing which shows the structure of an interpretation organization table roughly. It is explanatory drawing which shows the structure of report format DB roughly. It is explanatory drawing which shows the structure of registration doctor DB roughly. It is explanatory drawing for demonstrating the procedure of the identification of the time zone by a time zone identification part. It is the flowchart which showed the procedure of calculation of the report completion scheduled date by the delivery date calculating part. It is a functional block diagram which shows the structure of a client terminal roughly. It is explanatory drawing which shows an example of an interpretation request screen. It is explanatory drawing which shows an example of an image interpretation request destination screen. It is explanatory drawing which shows an example of an interpretation organization introduction screen. It is explanatory drawing for demonstrating the process sequence of the reception server when an image interpretation request | requirement is performed with respect to the image interpretation organization which belongs to a different time zone.

Explanation of symbols

2 Medical Network System 10 Data Center 16, 19 Client Terminal 20 Reception Server 27 CPU
26 Storage unit 30 Interpretation acceptance list 32 Interpretation organization table 33 Regional table 34 Time zone table 35 Report format DB
36 Registered Doctor DB
39 reception part 40 information distribution part 42 time zone identification part 43 delivery date calculation part 50a interpretation request screen 50b interpretation request destination selection screen 50c interpretation organization introduction screen

Claims (10)

A request terminal for requesting a medical examination, a plurality of terminals that belong to a time zone different from the time zone to which the request terminal belongs and a reception terminal for accepting the test request, and a request terminal And a network that is connected to the reception terminal via the network, relays request information issued from the request terminal to the reception terminal, and distributes the information to the reception terminal designated by the request terminal. In
The server
Time zone information storage means for storing time zone information of the request terminal and the reception terminal;
Access accepting means for accepting access related to the inspection request from the requesting terminal;
When the access receiving means accepts access, referring to the time zone information storage means, a time zone identifying means for identifying the time zones to which the requesting terminal and the accepting terminal respectively belong;
Based on the identification result of the time zone identification means, the time information on the delivery date of the examination result report in at least one of the medical examination facilities where the acceptance terminal is installed, from the access acceptance date / time when the access acceptance means accepted the access A delivery date calculating means for obtaining conversion time information obtained by converting the obtained time information into a time based on a time zone to which the requesting terminal belongs,
A medical network system comprising: time information distribution means for distributing the conversion time information to the requesting terminal as an access source.   When the access accepting unit accepts the examination request, the time zone identifying unit identifies a time zone to which the requesting terminal of the access source and the accepting terminal of the medical examination request destination belong respectively. The medical network system according to claim 1, wherein the delivery date calculation unit obtains the time information in the requested medical examination facility and converts it into the conversion time information.   When the access accepting unit accepts a search request for searching for a request destination of the medical examination, the time zone identifying unit includes a time zone to which the requesting terminal of the access source and all the accepting terminals belong respectively. 3. The medical network system according to claim 1, wherein the delivery date calculation unit obtains the time information in all the medical examination facilities and converts the time information into the converted time information.   The delivery date calculation means obtains a conversion access reception date and time obtained by converting the access reception date and time into a time based on a time zone to which the reception terminal belongs, and the obtained conversion access reception date and time The medical network system according to any one of claims 1 to 3, wherein the time information is obtained from a period required for the test result report.   The delivery date calculating means is based on a period of one day added to the period required for the test result report when the time of the conversion access reception date and time exceeds a reception limit time predetermined for each medical examination facility. 5. The medical network system according to claim 4, wherein time information is obtained.   The server includes detailed information storage means for storing detailed information for each medical examination facility, and detailed information of the medical examination facility designated by the request terminal based on a request from the request terminal. 6. The medical network system according to claim 1, further comprising detailed information distribution means for distributing to the requesting terminal.   The medical network according to claim 6, wherein the detailed information includes doctor information of a doctor who performs the medical examination at the medical examination facility and format information of the result report created at the medical examination facility. system.   The medical network system according to claim 1, wherein the medical examination includes an interpretation request for interpreting a medical image captured by a modality. A request terminal for making a medical examination request, and a time zone belonging to a time zone different from the time zone to which the request terminal belongs, via a network and a plurality of terminals consisting of reception terminals for accepting examination requests In the inspection request management apparatus that is connected and relays the request information issued from the request terminal to the reception terminal and distributes it to the reception terminal specified by the request terminal.
Time zone information storage means for storing time zone information of the request terminal and the reception terminal;
Access accepting means for accepting access related to the inspection request from the requesting terminal;
When the access receiving means accepts access, referring to the time zone information storage means, a time zone identifying means for identifying the time zones to which the requesting terminal and the accepting terminal respectively belong;
Based on the identification result of the time zone identification means, the time information on the delivery date of the examination result report in at least one of the medical examination facilities where the acceptance terminal is installed, from the access acceptance date / time when the access acceptance means accepted the access A delivery date calculating means for obtaining conversion time information obtained by converting the obtained time information into a time based on a time zone to which the requesting terminal belongs,
An inspection request management apparatus comprising: time information distribution means for distributing the conversion time information to the requesting terminal as an access source. A request issued from a requesting terminal for making a medical examination request via the network to a receiving terminal for receiving an examination request that belongs to a time zone different from the time zone to which the requesting terminal belongs. In the inspection request management method for relaying information and distributing it to the reception terminal designated by the requesting terminal,
A time zone information storing step for storing time zone information of the requesting terminal and the receiving terminal;
When the access related to the inspection request is received from the requesting terminal, the time zone to which the requesting terminal and the receiving terminal belong is identified with reference to the time zone information stored in the time zone information storing step A time zone identification step,
Based on the identification result in the time zone identification step, the time related to the delivery date of the examination result report in at least one of the medical examination facilities where the acceptance terminal is installed from the access acceptance date / time when the access from the request terminal is accepted A delivery date calculating step for obtaining conversion time information obtained by obtaining information, and converting the obtained time information into time based on a time zone to which the requesting terminal belongs;
And a time information distribution step of distributing the conversion time information to the requesting terminal as an access source.

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