JP2011008829A - Medical information providing system, transmission terminal, receiving terminal, distribution terminal and agency terminal - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical information providing system which shares medical image information through a network with many partners, without a complicated contract and a complicated investigation.SOLUTION: An SR1 individual 41 gives a demand to receive the medical image information which an SR1 hospital 11 holds using a consultation terminal to an agency terminal of a medical information agency center 100. The medical information agency center 100 negotiates for the SR1 individual 41 to receive the medical image information which the SR1 hospital 11 holds, through the network 1 using the agency terminal with the consultation terminal of the SR1 individual 41 and a transmission terminal of the SR1 hospital 11. The agency terminal of the medical information agency center 100 receives the medical image information from the transmission terminal of the SR1 hospital 11 through the network 1, and transmits it to the consultation terminal of the SR1 individual 41 through the network 1.

Description

  The present invention relates to a medical information provision method, a medical information provision system, a transmission terminal, a reception terminal, a mediation terminal, a distribution terminal, and a storage medium. More specifically, a medical information provision method, a medical information provision system, a transmission terminal, and a reception terminal capable of transmitting or receiving medical information via a network with a large number of partners without requiring a complicated contract or investigation. The present invention relates to an intermediary terminal, a distribution terminal, and a storage medium.

  2. Description of the Related Art There is known a medical information providing system that transmits a medical image via a network from a terminal of a hospital to a terminal of another hospital in order to use a medical image captured at a hospital at another hospital.

The conventional medical information providing system has the following problems.
(1) The sending side and the receiving side need to have a contract. In other words, it is necessary to make a contract for the number of partners, which is complicated. This effectively limits the number of opponents to a small number.
(2) It is necessary to connect by inputting the partner address at the terminal. However, since the operator cannot remember the address of the partner when there are a large number of partners, it takes time and effort to investigate the partner address. This effectively limits the number of opponents to a small number. Accordingly, an object of the present invention is to provide a medical information providing method and system capable of transmitting or receiving medical information via a network with a large number of partners without requiring a complicated contract or investigation. is there. Another object of the present invention is to provide a transmitting terminal, a receiving terminal, an intermediary terminal, a distribution terminal, and a storage medium.

  In a first aspect, the present invention relates to a medical subscriber's medical information held by connecting a transmitting subscriber capable of transmitting medical information, a receiving subscriber capable of receiving medical information, and a medical information mediation center via a network. The medical information intermediary center performs a negotiation for the receiving subscriber to receive the information via the network. In the medical information providing method according to the first aspect, the medical information brokerage center negotiates for the receiving subscriber to receive the medical information held by the transmitting subscriber via the network. Therefore, the transmitting subscriber only needs to make a contract with the medical information brokerage center, and does not need to make an individual contract with the receiving subscriber. Similarly, the receiving subscriber only needs to make a contract with the medical information brokerage center, and does not need to make an individual contract with the sending subscriber. Therefore, medical information can be transmitted or received via a network with a large number of partners without requiring a complicated contract. Furthermore, since security can be strictly managed on the medical information mediation center side, the burden of security management on the transmitting subscriber and receiving subscriber side can be reduced.

  In a second aspect, the present invention provides the medical information providing method configured as described above, wherein at least one of the transmission subscriber and the reception subscriber can request the medical information mediation center to start the negotiation. Provide a method for providing medical information. In the medical information providing method according to the second aspect, if the hospital where the patient currently visits wants to deliver the patient's medical information to the hospital where the patient will go in the near future, the sending subscriber will receive the medical information. This can be done by requesting the brokerage center to start negotiations. In addition, when a hospital that is currently in the hospital wants to obtain medical information from a hospital that has been in the past, the receiving subscriber can respond by requesting the medical information brokerage center to start negotiations.

  In a third aspect, the present invention provides the medical information providing method configured as described above, wherein a third party other than the transmitting subscriber and the receiving subscriber can request the medical information mediation center to start the negotiation. A characteristic medical information providing method is provided. In the medical information providing method according to the third aspect, when the patient wants to deliver his / her medical information to a hospital that will go to the hospital in the near future from the hospital where he / she has visited in the past, The patient can respond by requesting the medical information brokerage center to start negotiations.

  In a fourth aspect, the present invention provides the medical information providing method configured as described above, wherein the medical information intermediary center provides subscriber information to a person who requests the start of the negotiation and requests the start of the negotiation. The present invention provides a medical information provision method characterized in that at least one of a transmission subscriber and a reception subscriber is specified based on the subscriber information. In the medical information providing method according to the fourth aspect, the medical information intermediary center provides subscriber information via the network, and based on this, the transmitting subscriber and the receiving subscriber can be specified. The requester does not need to check each other's address. Therefore, medical information can be transmitted or received via a network with a large number of partners without requiring a complicated investigation.

  In a fifth aspect, the present invention connects a transmitting subscriber capable of transmitting medical information, a receiving subscriber capable of receiving medical information, and a medical information brokering center via a network, and the transmitting subscriber is connected to the medical information brokering. A medical information providing method is provided, wherein medical information is transmitted to a center via a network, and the medical information mediation center transfers the medical information to the receiving subscriber via the network. In the medical information providing method according to the fifth aspect, since the medical information brokerage center transfers the medical information via the network, the transmission subscriber may transmit the medical information to the medical information brokerage center via the network. In addition, the receiving subscriber may receive medical information from the medical information mediation center via the network. Therefore, the transmitting subscriber only needs to make a contract with the medical information brokerage center, and does not need to make an individual contract with the receiving subscriber. Similarly, the receiving subscriber only needs to make a contract with the medical information brokerage center, and does not need to make an individual contract with the sending subscriber. Therefore, medical information can be transmitted or received via a network with a large number of partners without requiring a complicated contract. Furthermore, since security can be strictly managed on the medical information mediation center side, the burden of security management on the transmitting subscriber and receiving subscriber side can be reduced.

  In a sixth aspect, the present invention provides a transmitting terminal capable of transmitting medical information via a network, a receiving terminal capable of receiving the medical information via a network, and receiving the medical information held by the transmitting terminal. There is provided a medical information providing system including an intermediary terminal that negotiates for reception by a terminal via a network. In the medical information provision system according to the sixth aspect, the medical information provision method according to the first aspect can be suitably implemented.

  In a seventh aspect, the present invention provides the medical information providing system configured as described above, wherein at least one of the transmission terminal and the reception terminal can request the mediation terminal to start the negotiation. Provide a system. In the medical information provision system according to the seventh aspect, the medical information provision method according to the second aspect can be suitably implemented.

  In an eighth aspect, the present invention provides the medical information providing system configured as described above, wherein the distribution terminal is a terminal other than the transmission terminal and the reception terminal and can request the mediation terminal to start the negotiation via a network. A medical information providing system characterized by comprising: In the medical information provision system according to the eighth aspect, the medical information provision method according to the third aspect can be suitably implemented.

  In a ninth aspect, the present invention provides the medical information providing system configured as described above, wherein the intermediary terminal provides terminal information to the terminal that has requested the start of the negotiation, and the terminal that has requested the start of the negotiation Provided is a medical information provision system characterized by specifying at least one of a transmission terminal and a reception terminal based on terminal information. In the medical information provision system according to the ninth aspect, the medical information provision method according to the fourth aspect can be suitably implemented.

  In a tenth aspect, the present invention relates to a transmitting terminal capable of transmitting medical information via a network, a receiving terminal capable of receiving the medical information via a network, and medical information transmitted by the transmitting terminal to a network. And a mediation terminal that receives the data via the network and transfers the data to the receiving terminal via a network. In the medical information provision system according to the tenth aspect, the medical information provision method according to the fifth aspect can be suitably implemented.

  In an eleventh aspect, the present invention provides a medical information providing system comprising a transmitting terminal capable of transmitting medical information via a network and a receiving terminal capable of receiving the medical information via the network, The terminal includes related information processing means for presenting a list of receiving terminals that can be a receiving side of medical information to the operator, and medical information processing means for transmitting the medical information to the receiving terminal selected by the operator based on the list. A medical information providing system is provided. In the medical information providing system according to the eleventh aspect, the transmitting terminal presents a list of receiving terminals that can be the receiving side of medical information to the operator, and based on this, the operator of the transmitting terminal can specify the receiving terminal. The operator of the transmitting terminal does not need to check the address of the receiving terminal. Therefore, even if there are a large number of receiving terminals, medical information can be transmitted through the network without requiring a complicated investigation.

  In a twelfth aspect, the present invention provides a medical information providing system comprising a transmitting terminal capable of transmitting medical information via a network and a receiving terminal capable of receiving the medical information via the network, The terminal includes related information processing means for presenting a list of transmission terminals that can be a transmission side of medical information to the operator, and medical information processing means for receiving medical information from the transmission terminal selected by the operator based on the list. A medical information providing system is provided. In the medical information providing system according to the twelfth aspect, the receiving terminal presents a list of transmitting terminals that can be the transmitting side of medical information to the operator, and based on this, the operator of the receiving terminal can specify the transmitting terminal. The operator of the receiving terminal does not need to check the address of the transmitting terminal one by one. Therefore, even if there are a large number of transmission terminals, medical information can be received via the network without requiring a complicated investigation.

  In a thirteenth aspect, the present invention provides the medical information providing system configured as described above, wherein the transmitting terminal and the receiving terminal apply for a new subscription to the mediation terminal via the network when the transmission terminal and the receiving terminal are newly activated. An application means is provided, and the intermediary terminal includes a terminal information update means for receiving the application and updating the terminal information. In the medical information providing system according to the thirteenth aspect, the terminal information held by the mediation terminal can be automatically updated when the terminal is newly activated.

  In a fourteenth aspect, the present invention provides the medical information providing system configured as described above, wherein when the receiving terminal is newly activated, new receiving application means for applying for a new subscription to the transmitting terminal via the network is provided. And the transmitting terminal includes a receiving terminal list updating unit that receives the application and updates the list of the receiving terminals. In the medical information providing system according to the fourteenth aspect, the list of receiving terminals held by the transmitting terminal can be automatically updated when the receiving terminal is newly activated.

  In a fifteenth aspect, the present invention provides the medical information providing system configured as described above, wherein when the transmission terminal is newly activated, a new subscription application means for applying for a new subscription to the reception terminal via the network is provided. The receiving terminal further includes a transmitting terminal list updating unit that receives the application and updates the list of the transmitting terminals, and provides a medical information providing system. In the medical information provision system according to the fifteenth aspect, when the transmission terminal is newly activated, the list of transmission terminals held by the reception terminal can be automatically updated.

  In a sixteenth aspect, the present invention provides a transmission terminal used in the medical information providing system configured as described above. The medical information providing system having the above-described configuration can be suitably configured by the transmission terminal according to the sixteenth aspect.

  In a seventeenth aspect, the present invention provides a receiving terminal used in the medical information providing system configured as described above. The medical information providing system having the above configuration can be suitably configured by the receiving terminal according to the seventeenth aspect.

  In an eighteenth aspect, the present invention provides an intermediary terminal used in the medical information providing system configured as described above. With the intermediary terminal according to the eighteenth aspect, the medical information providing system having the above configuration can be suitably configured.

  In a nineteenth aspect, the present invention provides a distribution terminal used in the medical information providing system configured as described above. The delivery terminal according to the nineteenth aspect can suitably configure the medical information providing system having the above configuration.

  In a twentieth aspect, the present invention provides the medical information providing method according to the above-described configuration, wherein the order in which a plurality of subscribers are presented in the subscriber list is changed according to an operator's selection. Provide a method. In the medical information providing method according to the twentieth aspect, since a plurality of subscribers are presented in an order according to the operator's selection, it becomes easy to find a desired subscriber.

  In a twenty-first aspect, the present invention provides the medical information providing system configured as described above, wherein an order of presenting a plurality of terminals in the terminal information can be changed according to an operator's selection. . In the medical information providing method according to the twenty-first aspect, since a plurality of terminals are presented in an order according to the operator's selection, it is easy to find a desired terminal.

  In a twenty-second aspect, the present invention provides the medical information providing system configured as described above, wherein the order of presenting a plurality of receiving terminals in the list of receiving terminals can be changed according to an operator's selection. Provide an information provision system. In the medical information providing system according to the twenty-second aspect, since a plurality of receiving terminals are presented in an order according to the operator's selection, it is easy to find a desired receiving terminal.

  In a twenty-third aspect, the present invention provides the medical information providing system configured as described above, wherein the order in which a plurality of transmission terminals are presented in the list of transmission terminals can be changed according to an operator's selection. Provide an information provision system. In the medical information providing system according to the twenty-third aspect, a plurality of transmission terminals are presented in an order according to the operator's selection, so that a desired transmission terminal can be easily found.

  In a twenty-fourth aspect, the present invention provides a medical information providing method characterized in that, in the medical information providing method configured as described above, a subscriber's address is also presented in the subscriber list. In the medical information providing method according to the twenty-fourth aspect, since the subscriber's address is also presented, it becomes easy to find a desired subscriber.

  In a twenty-fifth aspect, the present invention provides a medical information providing system characterized by presenting locations of the plurality of terminals in the medical information providing system configured as described above. In the medical information providing system according to the twenty-fifth aspect, the location of the terminal is also presented, so that it is easy to find a desired terminal.

  In a twenty-sixth aspect, the present invention provides a medical information providing system characterized in that the location of the receiving terminal is also presented in the medical information providing system configured as described above. In the medical information providing system according to the twenty-sixth aspect, since the location of the receiving terminal is also presented, it becomes easier to find a desired receiving terminal.

  In a twenty-seventh aspect, the present invention provides a medical information providing system characterized in that, in the medical information providing system configured as described above, the location of the transmission terminal is also presented. In the medical information providing system according to the twenty-seventh aspect, since the location of the transmission terminal is also presented, it becomes easier to find a desired transmission terminal.

  In a twenty-eighth aspect, the present invention is characterized in that in the medical information providing method configured as described above, the amount of medical information that can be received or transmitted in one connection is limited based on the creation date and time of the medical information. Provide a method for providing medical information. In the medical information providing method according to the twenty-eighth aspect, since the amount of medical information that can be received or transmitted by one connection can be limited to, for example, three years, security can be improved.

  In a twenty-ninth aspect, the present invention is characterized in that in the medical information providing system configured as described above, the amount of medical information that can be received or transmitted in one connection is limited based on the creation date and time of the medical information. A medical information provision system is provided. In the medical information providing system according to the twenty-ninth aspect, since the amount of medical information that can be received or transmitted by one connection can be limited to, for example, three years, security can be improved.

  In a thirtieth aspect, the present invention provides the medical information providing method configured as described above, wherein the medical information includes a medical image, and the medical image includes X-ray CT (Computed Tomography), MRI (Magnetic Resonance Imaging), ultrasound, Providing medical information characterized by being an image related to at least one of PET (Positron Emission computed Tomography), digitized X-ray (digital X-ray imaging and digitization of X-ray film), and CR (Computed Radiography) Provide a method. In the medical information providing method according to the thirtieth aspect, medical images can be used effectively.

  In a thirty-first aspect, the present invention provides the medical information providing system configured as described above, wherein the medical information includes a medical image, and the medical image includes X-ray CT, MRI, ultrasound, PET, digitized X-ray, and There is provided a medical information providing system characterized by being an image related to at least one of CRs. In the medical information providing system according to the thirty-first aspect, medical images can be used effectively.

  In a thirty-second aspect, the present invention is a transmitting terminal capable of transmitting medical information via a network, wherein the transmitting terminal presents a list of receiving terminals that can be a receiving side of medical information to an operator. There is provided a transmitting terminal comprising processing means and medical information processing means for transmitting medical information to a receiving terminal selected by an operator based on the list. In the transmitting terminal according to the thirty-second aspect, the list of receiving terminals that can be the receiving side of medical information is presented to the operator, and based on this, the operator of the transmitting terminal can specify the receiving terminal. The user does not need to check the address of the receiving terminal. Therefore, even if there are a large number of receiving terminals, medical information can be transmitted through the network without requiring a complicated investigation.

  In a thirty-third aspect, the present invention is a receiving terminal capable of receiving medical information via a network, wherein the receiving terminal presents a list of transmitting terminals that can be a sending side of medical information to an operator. Provided is a receiving terminal comprising processing means and medical information processing means for receiving medical information from a transmitting terminal selected by an operator based on the list. In the receiving terminal according to the thirty-third aspect, the list of transmitting terminals that can be the sending side of medical information is presented to the operator, and the operator of the receiving terminal can specify the transmitting terminal based on this list. The person does not need to check the address of the sending terminal. Therefore, even if there are a large number of transmission terminals, medical information can be transmitted via the network without requiring a complicated investigation.

  In a thirty-fourth aspect, the present invention provides a transmission terminal characterized in that, in the transmission terminal configured as described above, the order in which a plurality of reception terminals are presented in the list of reception terminals can be changed according to an operator's selection. provide. In the transmission terminal according to the thirty-fourth aspect, a plurality of reception terminals are presented in the order according to the operator's selection, so that a desired reception terminal can be easily found.

  In a thirty-fifth aspect, the present invention provides a receiving terminal characterized in that, in the receiving terminal configured as described above, the order of presenting a plurality of transmitting terminals in the list of transmitting terminals can be changed according to an operator's selection. provide. In the receiving terminal according to the thirty-fifth aspect, a plurality of transmitting terminals are presented in the order corresponding to the operator's selection, so that a desired transmitting terminal can be easily found.

  In a thirty-sixth aspect, the present invention provides a transmission terminal characterized in that, in the transmission terminal configured as described above, the location of the reception terminal is also presented in the list of reception terminals. In the transmission terminal according to the thirty-sixth aspect, the location of the reception terminal is also presented, so that it is easy to find a desired reception terminal.

  In a thirty-seventh aspect, the present invention provides a receiving terminal characterized in that, in the receiving terminal configured as described above, the location of the transmitting terminal is also presented in the list of transmitting terminals. In the receiving terminal according to the thirty-seventh aspect, since the location of the transmitting terminal is also presented, it becomes easier to find a desired transmitting terminal.

  In a thirty-eighth aspect, the present invention provides a transmission terminal characterized in that the amount of medical information that can be transmitted in one connection is limited based on the creation date of the medical information in the transmission terminal configured as described above. To do. In the transmission terminal according to the thirty-eighth aspect, the amount of medical information that can be transmitted in one connection can be limited to, for example, three years, so that security can be improved.

  In a thirty-ninth aspect, the present invention is a receiving terminal characterized in that the receiving terminal configured as described above limits the amount of medical information that can be received in one connection based on the creation date and time of the medical information. In the receiving terminal according to the thirty-ninth aspect, the amount of medical information that can be received with one connection can be limited to, for example, three years, so that security can be improved.

  In a 40th aspect, the present invention provides the transmission terminal configured as described above, wherein the medical information includes a medical image, and the medical image includes X-ray CT, MRI, ultrasound, PET, digitized X-ray, and CR. Provided is a transmission terminal characterized by being an image related to at least one. In the transmission terminal according to the fortyth aspect, medical images can be used effectively.

  In a forty-first aspect, the present invention provides the receiving terminal configured as described above, wherein the medical information includes a medical image, and the medical image includes X-ray CT, MRI, ultrasound, PET, digitized X-ray, and CR. Provided is a receiving terminal characterized by being an image related to at least one. The receiving terminal according to the forty-first aspect can effectively use medical images.

  In a forty-second aspect, the present invention provides a storage medium storing a program that when executed by a terminal, the terminal functions as a transmission terminal having the above-described configuration. By using the storage medium according to the forty-second aspect, the transmission terminal having the above configuration can be suitably configured.

  In a forty-third aspect, the present invention provides a storage medium storing a program that, when executed by a terminal, functions as the receiving terminal having the above-described configuration. By using the storage medium according to the forty-third aspect, the receiving terminal having the above configuration can be suitably configured.

  In a forty-fourth aspect, the present invention provides a storage medium storing a program that, when executed by a terminal, functions as the distribution terminal having the above-described configuration. By using the storage medium according to the forty-fourth aspect, the distribution terminal having the above configuration can be suitably configured.

  According to the medical image providing method, the medical information providing system, the transmission terminal, the receiving terminal, the mediation terminal, the distribution terminal, and the storage medium of the present invention, a large number of partners can be connected via a network without requiring a complicated contract or investigation. Medical information can be shared.

It is a block diagram of the medical information provision system concerning one Embodiment of this invention. It is a block diagram of the medical information mediation center concerning one Embodiment of this invention. It is a flowchart of the process in which SR1 individual downloads medical information from SR1 hospital via a medical information mediation center. FIG. 4 is a flowchart subsequent to FIG. 3. It is an illustration figure of the related information processing screen G1. It is an illustration figure of the related information processing screen G2. It is an illustration figure of the related information processing screen G3. It is an illustration figure of the related information processing screen G4. It is an illustration figure of related information processing screen G5. It is an illustration figure of the related information processing screen G6. It is an illustration figure of the medical information processing screen H1. It is a flowchart of a process in which SR1 individual uploads medical information to SR2 hospital via a medical information mediation center. It is an illustration figure of the related information processing screen G7. It is an illustration figure of the related information processing screen G8. It is an illustration figure of the related information processing screen G9. It is an illustration figure of the related information processing screen G10. It is an illustration figure of related information processing screen G11. It is an illustration figure of the medical information processing screen H2. It is a flowchart of the process in which SR1 individual delivers medical information from SR1 hospital to SR2 hospital via a medical information mediation center. FIG. 20 is a flowchart continued from FIG. 19. It is an illustration figure of related information processing screen G12. It is an illustration figure of related information processing screen G13. It is an illustration figure of related information processing screen G14. It is an illustration figure of related information processing screen G15. It is an illustration figure of the related information processing screen G16. It is an illustration figure of related information processing screen G17. It is an illustration figure of the medical information processing screen H3. FIG. 11 is a flowchart of a process in which an SR1 individual negotiates with an SR1 hospital via a medical information mediation center and downloads medical information from the SR1 hospital. FIG. 11 is a flowchart of a process in which an SR1 individual negotiates with an SR2 hospital via a medical information mediation center and uploads medical information to the SR2 hospital. It is another flowchart of the process in which SR1 individual negotiates with SR2 hospital via a medical information mediation center, and uploads medical information to SR2 hospital. It is a flowchart of the process in which SR1 individual negotiates with SR1 hospital and downloads medical information. It is a flowchart of the process in which SR1 individual negotiates with SR2 hospital and uploads medical information.

  Hereinafter, the present invention will be described in detail with reference to embodiments shown in the drawings. Note that the present invention is not limited thereby.

  First Embodiment FIG. 1 is a block diagram showing a medical information providing system 1000 according to a first embodiment of the present invention. This medical information providing system 1000 includes a network 1 such as the Internet, a LAN (Local Area Network), and a WAN (Wide Area Network), and SR1 hospital 11, SR2 hospital 12, S1 hospital 21, S2 connected to the network 1. The hospital 22, the R 1 hospital 31, the R 2 hospital 32, the SR 1 individual 41, the SR 2 individual 42 and the medical information mediation center 100 are provided. When the network 1 is the Internet, a non-subscriber 50 that is a terminal not contracted with the medical information brokerage center 100 is also connected to the network 1. From the viewpoint of security, it is preferable to use SSL (Secure Socket Layer Protocol) or the like.

  The SR1 hospital 11, the SR2 hospital 12, the SR1 individual 41, and the SR2 individual have contracted with the medical information brokerage center 100 as a sending subscriber and a receiving subscriber, respectively, and the memory distributed from the medical information brokerage center 100 A terminal for transmission / reception subscribers recorded on a medium (CD-ROM, FD, etc.) or a program for transmission / reception subscribers distributed via the network 1 functions as a transmission subscriber and a reception subscriber by executing at each terminal. It is possible to transmit medical images and receive medical images via the network 1.

  The S1 hospital 21 and the S2 hospital 22 are contracted with the medical information mediation center 100 as transmission subscribers, respectively, and the transmission subscriber program or network 1 recorded in the storage medium distributed from the medical information mediation center 100 By executing the transmission subscriber program distributed via the terminal at each terminal, it functions as a transmission subscriber, and can transmit a medical image via the network 1.

  The R1 hospital 31 and the R2 hospital 32 are contracted with the medical information mediation center 100 as receiving subscribers, respectively. The receiving subscriber program or network 1 recorded in the storage medium distributed from the medical information mediation center 100 By executing the receiving subscriber program distributed via the terminal at each terminal, the receiving subscriber functions as a receiving subscriber and can receive a medical image via the network 1.

  The medical information mediation center 100 concludes a contract with the transmitting subscriber and the receiving subscriber individually to mediate reception of the medical image held by the transmitting subscriber by the receiving subscriber. As a reflection of this contract, the subscribers are not (and do not have to) contract with each other. The medical information mediation center 100 negotiates for the receiving subscriber to receive the medical image held by the transmitting subscriber via the network 1 and transmits the medical image from the transmitting subscriber via the network 1. Then, the data is transferred to the receiving subscriber via the network 1. It also manages security.

The medical information mediation center 100 holds subscriber information. The subscriber information is created / updated as follows.
(1) The new subscriber contracts with the medical information brokerage center and receives a storage medium storing a program corresponding to the contract content. Alternatively, the program is downloaded via the network 1.
(2) When a new subscriber installs a program and starts for the first time, it automatically requests the medical information brokerage center 100 to update the subscriber information via the network 1. Then, the medical information brokerage center 100 adds a new subscriber to the subscriber information.
(3) Based on the cancellation of the subscriber's contract, the medical information brokerage center 100 deletes the subscriber from the subscriber information.

The medical information brokerage center receives a subscription fee at the time of contract. In addition, management fees for services such as maintenance update of subscriber information and provision of unauthorized access route information to subscribers in the event of unauthorized access are received at regular intervals or irregularly. Furthermore, the program is also sold.

  FIG. 2 is a configuration block diagram of the SR1 hospital 11 and the medical information mediation center 100. The SR1 hospital 11 includes a communication unit 10A, an input unit 10B, an output unit 10C, a security management unit 10D, a related information processing unit 10E, a medical information processing unit 10F, a database management unit 10G, and a data buffer unit 10H. And a database unit 10I, and operate under the control of the program for transmission / reception subscribers. The database unit 10H is a magnetic disk or the like that stores medical information. The data buffer unit 10H temporarily stores medical information to be transmitted and received medical information, and is used to perform processing such as virus check as necessary. After the processing, medical information is transmitted or stored in the database unit 10H.

  The medical information is a medical image and a medical record diagnosis record. The medical image is an image related to at least one of X-ray CT, MRI, ultrasound, PET, digitized X-ray, and CR.

  The configurations of the SR2 hospital 12, the S1 hospital 21, the S2 hospital 22, the R1 hospital 31, the R2 hospital 32, the SR1 individual 41, and the SR2 individual 42 are the same. However, the S1 hospital 21 and the S2 hospital 22 operate under the control of the transmission subscriber program. The R1 hospital 31 and the R2 hospital 32 operate under the control of the receiving subscriber program. Further, the SR1 individual 41 and the SR2 individual 42 often do not have a database system.

  The medical information mediation center 100 includes a communication unit 10A, an input unit 10B, an output unit 10C, a security management unit 10D, a related information processing unit 10E, and a medical information processing unit 10F. Operating under program control.

  Next, with reference to FIGS. 3 to 11, an operation in which the receiving subscriber downloads the medical image from the transmitting subscriber will be described. Note that an SR1 individual 41 is assumed as a receiving subscriber, and an SR1 hospital 11 is assumed as a transmitting subscriber. Initially, in the SR1 individual 41 (terminal) as a receiving subscriber, the related information processing unit 10E of the SR1 individual 41 displays the related information processing screen G1 as shown in FIG. 5 on the output unit 10C. When the operator operates the input unit 10B of the SR1 individual 41 and selects “Receive”, the related information processing unit 10E of the SR1 individual 41 displays the related information processing screen G2 as shown in FIG. 6 on the output unit 10C. To do. The operator operates the input unit 10B to identify an appropriate department that receives the medical image, and selects “Next”. Then, the process proceeds to step r1 in FIG. If “Return” is selected, the process returns to the process of displaying the related information processing screen G1 of FIG. If there is only one department that receives the medical image, the process proceeds from the related information processing screen G1 in FIG. 5 to the step r1 without going through the related information processing screen G2 in FIG.

  In step r1, the related information processing unit 10E of the SR1 individual 41 connects the communication line on the network 1 to the medical information mediation center 100, and the subscriber information when “Receive” is selected is transmitted via the network 1. Request.

  In step c1, the related information processing unit 10E of the medical information brokerage center 100 (terminal thereof) receives the subscriber information request when the “reception” is selected. In step c2, the security management unit 10D of the medical information brokerage center 100 checks the validity of the request. If it is not valid, the process proceeds to step c3. If it is valid, the process proceeds to step c4. This validity check uses a known validity check method for connecting a communication line, such as a network address or telephone number check, a password check, and an ID card check. Furthermore, the SR1 individual 41 displays an unillustrated price billing screen on the terminal of the SR1 individual 41 to charge a connection fee, and the SR1 individual 41 performs an operation of making a payment from a deposit account, a credit card or a payment agency service on the price billing screen. If it does, it is justified. In step c3, the communication line is disconnected. In step c4, the related information processing unit 10E of the medical information mediation center 100 transmits the subscriber information when “Receive” is selected to the SR1 individual 41 via the network 1. Here, the subscriber information when “Receive” is selected is a list of transmission subscribers and addresses.

  In step r2, the related information processing unit 10E of the SR1 individual 41 receives the subscriber information when “Receive” is selected. In step r3, the related information processing unit 10E of the SR1 individual 41 displays a related information processing screen G3 as shown in FIG. 7 on the output unit 10C based on the subscriber information at the time of selecting “Receive”. On this related information processing screen G3, a list of transmission subscribers and their addresses is displayed. When the operator selects “alphabetical order”, the list is sorted in alphabetical order. When “Regional order” is selected, the list is sorted in order of area from north to south (order of prefectures). In addition, when “reverse order” is selected, sorting is performed in reverse alphabetical order or regional order from south to north. “Alphabetical order” or the like may be provided. Therefore, the operator scrolls through the list and selects a desired transmission subscriber, or searches for a transmission subscriber by a key such as a name, address, or telephone number, specifies the transmission subscriber, and clicks “Next”. select. If “Return” is selected, the communication line is disconnected, and the process returns to the process of displaying the related information processing screen G1 in FIG. When the operator specifies the transmission subscriber and selects “Next”, the related information processing unit 10E displays a related information processing screen G4 as shown in FIG. 8 on the output unit 10C. Therefore, the operator inputs patient information (name, gender, date of birth, address, insurance card number) and a personal identification number for accessing the patient's medical image via the network 1, and clicks “Next”. select. Here, instead of or in addition to the input of the personal identification number, the record information of the patient card issued by the SR1 hospital 11 may be read by a card reader. If “return” is selected, the process returns to the process of displaying the related information processing screen G3 in FIG. When the operator selects “next” on the related information processing screen G4 in FIG. 8, the related information processing unit 10E displays the related information processing screen G5 as shown in FIG. 9 on the output unit 10C. Therefore, the operator selects a department that will hold the medical information to be received, specifies the period of the medical information to be received, and selects “Next”. Here, from the viewpoint of security, the period of medical information that can be received at one time is limited (up to three years in FIG. 9). If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G4 in FIG. When “Next” is selected on the related information processing screen G5 as shown in FIG. 9, the related information processing unit 10E sends the specified information to the medical information brokerage center 100 via the network 1, the sending subscriber and the patient. Send information, PIN, department and period.

  In step c5, the related information processing unit 10E of the medical information mediation center 100 receives the specified transmission subscriber, patient information, password, and period. In step c6, the related information processing unit 10E of the medical information mediation center 100 connects a communication line on the network 1 to the identified transmission subscriber SR1 hospital 11, and the patient information is transmitted via the network 1. Request information for search related to PIN, department, and period.

  In step s1, the related information processing unit 10E of the SR1 hospital 11 (terminal thereof) receives the search information request. In step s2, the security management unit 10D of the SR1 hospital 11 checks the validity of the request. If it is not valid, the process proceeds to step s3, and if it is valid, the process proceeds to step s4. This validity check is performed by collating the patient information, password (and / or patient card record information), department, and period with the management information of medical information stored in the SR1 hospital 11. In step s3, the communication line is disconnected. In step s4, the related information processing unit 10E of the SR1 hospital 11 transmits the patient information, the search information related to the department, and the period to the medical information mediation center 100 via the network 1. This search information includes a list of medical information. However, if there is no corresponding medical information, the message “no medical information” is used as search information.

  In step c7, the related information processing unit 10E of the medical information brokerage center 100 receives the search information. However, if the search information “no medical information” is repeated three times, from the viewpoint of security, the connection with the SR1 individual 41 is disconnected, and the suspicious access information (access date / time and access route information) is sent to the SR1 hospital 11. Notice. The terminal of the SR1 individual 41 may be forcibly returned to the process of displaying the related information processing screen G4 in FIG. 8 without disconnecting the connection with the SR1 individual 41. In step c8, the related information processing unit 10E of the medical information brokerage center 100 transmits the search information to the SR1 individual 41 via the network 1.

  In step r4, the related information processing unit 10E of the SR1 individual 41 receives the search information. In step r5, the related information processing unit 10E of the SR1 individual 41 displays a related information processing screen G6 as shown in FIG. 10 on the output unit 10C. In the related information processing screen G6, a list of medical information having a time stamp within a desired reception period related to the patient stored in the selected department is displayed. Here, there are two types of medical information: medical images and medical chart diagnosis information. Therefore, the operator specifies medical information from the list and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G4 in FIG. In step r6, the related information processing unit 10E of the SR1 individual 41 requests the specified medical information from the medical information mediation center 100 via the network 1.

  In step c9, the related information processing unit 10E of the medical information mediation center 100 receives the specified medical information request. Then, an SR1 individual 41 terminal displays an unillustrated price billing screen to charge an information reception fee, and the SR1 individual 41 performs an operation of paying by transfer from a deposit account, credit card or payment agency service on the price billing screen. If so, the process proceeds to step c9. If not, the connection with the SR1 individual 41 is disconnected. Next, proceeding to FIG. 4, if the requested medical information is a medical image, the medical information mediation center 100 proceeds to step c10, the SR1 hospital 11 proceeds to step s5, and the SR1 individual 41 proceeds to step r7. On the other hand, if the requested medical information is a medical record diagnosis record, the medical information mediation center 100 proceeds to step c14, the SR1 hospital 11 proceeds to step s7, and the SR1 individual 41 proceeds to step r9. Even if the requested medical information is a medical image, the medical information mediation center 100 may proceed to step c14, the SR1 hospital 11 may proceed to step s7, and the SR1 individual 41 may proceed to step r9.

  In step c10, the related information processing unit 10E of the medical information mediation center 100 requests the SR1 hospital 11 for a simplified medical image of the specified medical image via the network 1.

  In step s5, the related information processing unit 10E of the SR1 hospital 11 receives the simplified medical image request for the specified medical image. In step s6, the medical information processing unit 10F of the SR1 hospital 11 creates a simple medical image in which the data amount of the specified medical image is reduced, and transmits it to the medical information mediation center 100 via the network 1. To do. Note that a method for reducing the data amount is one or both of a method for reducing the total number of pixels and a method for reducing gradation.

  In step c11, the medical information processing unit 10F of the medical information mediation center 100 receives a simple medical image. In step c12, the medical information processing unit 10F of the medical information mediation center 100 transmits a simple medical image to the SR1 individual 41 via the network 1.

  In step r7, the medical information processing unit 10F of the SR1 individual 41 receives the simplified medical image and displays a medical information processing screen H1 as shown in FIG. 11 on the output unit 10C. On this medical information processing screen H1, the operator confirms whether or not the medical image is a desired medical image, and selects “DOWNLOAD” if it is a desired medical image. If it is not a desired medical image, “return to home screen” or “return to image selection screen” is selected. When “return to home screen” is selected, the process returns to the process of displaying the related information processing screen G4 in FIG. If “return to image selection screen” is selected, the process returns to the process of displaying the related information processing screen G6 of FIG. In step r8, the medical information processing unit 10F of the SR1 individual 41 requests the medical information mediation center 100 to download the specified medical image via the network 1. At this time, if a purpose or comment is input on the medical information processing screen H1 in FIG. 11, the purpose or comment is sent to the SR1 hospital 11 by e-mail.

  In step c13, the medical information processing unit 10F of the medical information brokerage center 100 receives the download request.

  In step c14, the medical information processing unit 10F of the medical information mediation center 100 requests the identified medical information from the SR1 hospital 11 via the network 1.

  In step s7, the medical information processing unit 10F of the SR1 hospital 11 receives the medical information request. In step s8, the medical information processing unit 10F of the SR1 hospital 11 transmits the specified medical information to the medical information mediation center 100 via the network 1.

  In step c15, the medical information processing unit 10F of the medical information mediation center 100 receives the specified medical information. In step c16, the medical information processing unit 10F of the medical information mediation center 100 transmits the specified medical information to the SR1 individual 41 via the network 1.

  In step r9, the medical information processing unit 10F of the SR1 individual 41 receives the specified medical information and stores it in the specified department.

  As described above, if the SR1 hospital 11 and the SR1 individual 41 are contracted with the medical information mediation center 100, the SR1 hospital 11 holds even if the SR1 hospital 11 and the SR1 individual 41 are not directly contracted. The medical information can be obtained by the SR1 individual 41 via the network 1.

  Next, with reference to FIGS. 12 to 18, an operation in which the transmitting subscriber uploads medical information to the receiving subscriber will be described. Note that an SR1 individual 41 is assumed as a transmission subscriber, and an SR2 hospital 12 is assumed as a reception subscriber. Initially, in the SR1 individual 41 who is a transmission subscriber, a related information processing screen G1 as shown in FIG. 5 is displayed on the output unit 10C. When the operator operates the input unit 10B and selects “Send”, the process proceeds to step s11.

  In step s11, the related information processing unit 10E of the SR1 individual 41 connects the communication line on the network 1 to the medical information mediation center 100, and the subscriber information when “transmission” is selected is transmitted via the network 1. Request.

  In step c21, the related information processing unit 10E of the medical information mediation center 100 receives the subscriber information request when the “transmission” is selected. In step c22, the security management unit 10D of the medical information brokerage center 100 checks the validity of the request, and if not valid, proceeds to step c3, and if valid, proceeds to step c4. This validity check is the same as in step c2. In step c23, the communication line is disconnected. In step c24, the related information processing unit 10E of the medical information mediation center 100 transmits the subscriber information when “transmission” is selected to the SR1 individual 41 via the network 1. Here, the subscriber information when “transmission” is selected is a list of receiving subscribers, their addresses and departments.

  In step s12, the related information processing unit 10E of the SR1 individual 41 receives the subscriber information when the “transmission” is selected.

  In step s13, the related information processing unit 10E of the SR1 individual 41 displays a related information processing screen G7 as shown in FIG. 13 on the output unit 10C based on the subscriber information when the “transmission” is selected. Here, the operator can sort the list of subscriber information in a desired display order. Then, the operator selects the receiving subscriber from the scrolling list, searches for the receiving subscriber by using a key such as a name, address, and telephone number, specifies the receiving subscriber, and selects “Next”. If “Return” is selected, the communication line is disconnected, and the process returns to the process of displaying the related information processing screen G1 in FIG. When the operator specifies the receiving subscriber and selects “next”, the related information processing unit 10E sends the related information processing as shown in FIG. 14 to the output unit 10C based on the subscriber information when the “transmission” is selected. The screen G8 is displayed. Therefore, select a department from the list and select “Next”. If “Return” is selected, the communication line is disconnected, and the process returns to the process of displaying the related information processing screen G1 in FIG. When the operator specifies a transmission destination department and selects “next”, the related information processing unit 10E displays a related information processing screen G9 as shown in FIG. 15 on the output unit 10C. Therefore, the operator inputs patient information and a password, and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G7 in FIG.

  When the operator inputs patient information or a password and selects “Next”, the related information processing unit 10E displays a related information processing screen G10 as shown in FIG. 16 on the output unit 10C. That is, a list of departments storing medical information of the patient and a period of medical information to be transmitted are displayed. In FIG. 16, only “Internal Medicine” is displayed because only “Internal Medicine” is stored, but if multiple departments are stored, multiple departments are displayed. Therefore, the operator specifies a department in which medical information to be transmitted exists from the list, specifies a period, and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G9 in FIG. When the operator specifies a department and a period in which medical information to be transmitted exists from the list and selects “next”, the related information processing unit 10E displays a related information processing screen G11 as illustrated in FIG. 17 on the output unit 10C. indicate. That is, a list of medical information having time stamps within the period related to the patient stored in the department is displayed. Therefore, the operator specifies medical information to be transmitted from the list and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G10 of FIG. When the operator specifies medical information to be transmitted and selects “Next”, the medical information processing unit 10F displays a medical information processing screen H2 as shown in FIG. 18 on the output unit 10C. Here, if the medical information is a medical image, the medical information processing unit 10F creates a simple medical image in which the data amount of the medical image is reduced, and displays it as shown in FIG. If the medical information is a medical record diagnosis record, the contents of the medical record diagnosis record are displayed instead of the simple medical image. Therefore, the operator confirms that the medical information is to be transmitted, and selects “Upload”. If the medical information is not desired, “return to home screen” or “return to image selection screen” is selected. When “return to home screen” is selected, the process returns to the process of displaying the related information processing screen G9 of FIG. If “return to image selection screen” is selected, the process returns to the process of displaying the related information processing screen G11 of FIG. When the operator confirms the medical information to be transmitted and selects “upload”, the related information processing unit 10E sends the specified receiving subscriber and department and the transmission permission request to the medical information mediation center 100 via the network 1. Send. At this time, if a purpose or comment is input on the medical information processing screen H2 in FIG. 18, the purpose or comment is sent to the SR2 hospital 12 by e-mail.

  In step c25, the related information processing unit 10E of the medical information brokerage center 100 receives the transmission permission request with the specified receiving subscriber and department. The SR1 individual 41 displays an unillustrated price billing screen on the terminal of the SR1 individual 41, charges an information transmission fee, and the SR1 individual 41 performs an operation of paying by a transfer from a deposit account, a credit card or a payment agency service on the price billing screen. If so, the process proceeds to step c26, and if not, the connection with the SR1 individual 41 is disconnected. In step c26, the related information processing unit 10E of the medical information brokerage center 100 connects the communication line on the network 1 to the identified receiving subscriber SR2 hospital 12, and sends a transmission permission request via the network 1. Send.

  In step r11, the related information processing unit 10E of the SR2 hospital 12 (terminal thereof) receives the transmission permission request. In step r12, the security management unit 10D of the SR2 hospital 12 checks the validity of the request. If it is not valid, the process proceeds to step r13, and if it is valid, the process proceeds to step r14. In step r13, the communication line is disconnected. In step r <b> 14, the related information processing unit 10 </ b> E of the SR2 hospital 12 transmits permission to the medical information mediation center 100 via the network 1.

  In step c27, the related information processing unit 10E of the medical information mediation center 100 receives permission. In step c28, the related information processing unit 10E of the medical information mediation center 100 transmits permission to the SR1 individual 41 via the network 1.

  In step s14, the related information processing unit 10E of the SR1 individual 41 receives the permission. In step s15, the medical information processing unit 10F of the SR1 individual 41 transmits the previously specified medical information to the medical information mediation center 100 via the network 1.

  In step c29, the related information processing unit 10E of the medical information brokerage center 100 receives the medical information. In step c30, the related information processing unit 10E of the medical information mediation center 100 transmits the medical information to the SR2 hospital 12 via the network 1.

  In step r15, the medical information processing unit 10F of the SR2 hospital 12 receives the medical information and stores it in the specified department.

  As described above, if the SR2 hospital 12 and the SR1 individual 41 have contracted with the medical information mediation center 100, the SR1 individual 41 holds even if the SR2 hospital 11 and the SR1 individual 41 have not contracted directly. Medical information can be delivered to the SR2 hospital 12 via the network 1.

  In the above description, the purpose and comment input on the medical information processing screen H2 of FIG. 18 are sent to the SR2 hospital 12 by e-mail, and medical information is sent to the SR2 hospital 12 via the network 1 separately. However, the medical information may be sent by attaching it to the e-mail of the purpose or comment.

  Next, with reference to FIGS. 19 to 27, an operation in which the distribution subscriber transmits medical information from the transmission subscriber to the reception subscriber will be described. Note that an SR1 individual 41 is assumed as a distribution subscriber, an SR1 hospital 11 is assumed as a transmission subscriber, and an SR2 hospital 12 is assumed as a reception subscriber. Initially, in the SR1 individual 41 who is a distribution subscriber, a related information processing screen G1 as shown in FIG. 5 is displayed on the output unit 10C. When the operator operates the input unit 10B and selects “distribution”, the process proceeds to step d1 in FIG.

  In step d1, the related information processing unit 10E of the SR1 individual 41 connects the communication line on the network 1 to the medical information mediation center 100, and the subscriber information when “distribution” is selected is transmitted via the network 1. Request.

  In step c31, the related information processing unit 10E of the medical information brokerage center 100 receives the subscriber information request when the “distribution” is selected. In step c32, the security management unit 10D of the medical information brokerage center 100 checks the validity of the request, and if not valid, proceeds to step c33, and if valid, proceeds to step c34. This validity check is the same as in step c2. In step c33, the communication line is disconnected. In step c34, the related information processing unit 10E of the medical information mediation center 100 transmits the subscriber information when “distribution” is selected to the SR1 individual 41 via the network 1. Here, the subscriber information when “Delivery” is selected is a list of receiving subscribers and their addresses and departments, and a list of transmitting subscribers and their addresses.

  In step d2, the related information processing unit 10E of the SR1 individual 41 receives the subscriber information when the “distribution” is selected. In step d3, the related information processing unit 10E of the SR1 individual 41 displays a related information processing screen G12 as shown in FIG. 21 on the output unit 10C based on the subscriber information when the “distribution” is selected. Therefore, the operator selects from the list of receiving subscribers or searches with a key such as a name, address or telephone number, specifies the receiving subscriber as a delivery destination, and selects “Next”. If “Return” is selected, the communication line is disconnected, and the process returns to the process of displaying the related information processing screen G1 in FIG. When the operator specifies the receiving subscriber and selects “next”, the related information processing unit 10E sends the related information processing as shown in FIG. 22 to the output unit 10C on the basis of the subscriber information at the time of the “distribution” selection. A screen G13 is displayed. Therefore, select the delivery department from the list and select “Next”. If “Return” is selected, the communication line is disconnected, and the process returns to the process of displaying the related information processing screen G1 in FIG. When the operator specifies the department of the receiving subscriber and selects “Next”, the related information processing unit 10E displays a related information processing screen G14 as shown in FIG. 23 on the output unit 10C. Therefore, the operator selects from a list of transmission subscribers or searches by a key such as a name, address, or telephone number, specifies a transmission subscriber as a distribution source, and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G12 of FIG.

  When the operator specifies the transmission subscriber and selects “Next”, the related information processing unit 10E displays a related information processing screen G15 as shown in FIG. 24 on the output unit 10C. Therefore, the operator inputs a password for accessing the patient information and the medical image of the patient via the network 1 and selects “Next”. Here, instead of or in addition to the input of the personal identification number, the record information of the patient card issued by the SR1 hospital 11 may be read by a card reader. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G14 of FIG. When the operator selects “next” on the related information processing screen G15 in FIG. 24, the related information processing unit 10E displays the related information processing screen G16 as shown in FIG. 25 on the output unit 10C. Therefore, the operator selects a department that will hold medical information to be distributed, designates a period of medical information to be distributed, and selects “Next”. Here, from the viewpoint of security, the period of medical information that can be distributed at one time is limited (up to three years in FIG. 25). If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G15 in FIG. When “next” is selected on the related information processing screen G16 as shown in FIG. 25, the related information processing unit 10E sends the specified receiving subscriber and department to the medical information mediation center 100 via the network 1. Then, the specified transmission subscriber, patient information, personal identification number, department, and period are transmitted.

  In step c35, the related information processing unit 10E of the medical information mediation center 100 receives the specified receiving subscriber and department and the specified transmitting subscriber, patient information, password, department and period. The processes up to steps c6, s1, s2, s3, s4, c7, and c8 are the same as those described with reference to FIG.

  In step d4, the related information processing unit 10E of the SR1 individual 41 receives the search information. In step d5, the related information processing unit 10E of the SR1 individual 41 displays a related information processing screen G17 as shown in FIG. 26 on the output unit 10C. In the related information processing screen G17, a list of medical information having a time stamp within a desired distribution period related to the patient stored in the distribution source department is displayed. Here, there are two types of medical information: medical images and medical chart diagnosis information. Therefore, the operator specifies medical information from the list and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G16 in FIG. In step d6, the related information processing unit 10E of the SR1 individual 41 requests the medical information mediation center 100 for the specified medical image via the network 1.

  The processes up to steps c9, c10, s5, s6, c11, and c12 are the same as those described with reference to FIG.

  In step d7, the medical information processing unit 10F of the SR1 individual 41 receives the simplified medical image and displays a medical information processing screen H3 as shown in FIG. 27 on the output unit 10C. On this medical information processing screen H3, the operator confirms whether or not the medical information is desired, and selects “distribution execution” if the medical information is desired. If the medical information is not desired, “return to home screen” or “return to image selection screen” is selected. If “return to home screen” is selected, the process returns to the process of displaying the related information processing screen G15 of FIG. If “return to image selection screen” is selected, the process returns to the process of displaying the related information processing screen G17 of FIG. In step d8, the medical information processing unit 10F of the SR1 individual 41 requests the medical information brokerage center 100 to execute distribution of the specified medical information via the network 1.

  In step c36, the medical information processing unit 10F of the medical information mediation center 100 receives the distribution execution request. The processes up to steps c14, s7, s8, and c15 in FIG. 20 are the same as those described with reference to FIG.

  The processes up to steps c26, r11, r12, r13, r14, c27 and the processes of steps c30, r15 in FIG. 20 are the same as those described with reference to FIG.

As described above, if the SR1 hospital 11, the SR2 hospital 12, and the SR1 individual 41 have contracted with the medical information brokerage center 100, respectively, the SR1 hospital 11, the SR2 hospital 11, and the SR1 individual 41 have not contracted directly. The medical information held by the SR1 hospital 11 can be delivered to the SR2 hospital 12 via the network 1 at the request of the SR1 individual 41.

  According to the medical information providing system 1000 according to the first embodiment, each subscriber only needs to make a contract with the medical information mediation center 100 and does not need to make a contract with each other. Therefore, medical images can be transmitted or received via the network 1 with a large number of partners without requiring a complicated contract. Furthermore, since security can be strictly managed on the medical information mediation center 100 side, the burden of security management on the subscriber side can be reduced.

  Second Embodiment In the second embodiment, the medical information mediation center 100 only negotiates transmission / reception of medical information and does not transfer medical information. That is, the medical information is transmitted directly from the transmitting subscriber to the receiving subscriber.

  The operation in which the receiving subscriber downloads the medical image from the transmitting subscriber is as shown in FIGS. Description of FIG. 3 is omitted. Steps c10, s5, s6, c11, c12, r7, r8, c13 in FIG. 28 are the same as those described with reference to FIG. In step c14 ′, the medical information processing unit 10F of the medical information mediation center 100 requests the SR1 hospital 11 to transmit the specified medical information to the SR1 individual 41 via the network 1. .

  In step s7 ', the medical information processing unit 10F of the SR1 hospital 11 receives a request to transmit the specified medical information to the SR1 individual 41. In step s8 ', the medical information processing unit 10F of the SR1 hospital 11 connects the communication line on the network 1 to the SR1 individual 41, and transmits the specified medical information via the network 1.

  In step r9 ', the medical information processing unit 10F of the SR1 individual 41 receives the medical information.

  The operation in which the transmitting subscriber uploads the medical image to the receiving subscriber is as shown in FIG. Except for steps s15 'and r15' in FIG. 29, the processing is the same as the corresponding processing described with reference to FIG. In step s15 ', the medical information processing unit 10F of the SR1 individual 41 connects the communication line on the network 1 to the SR2 hospital 12 and transmits medical information via the network 1.

  In step r15 ', the medical information processing unit 10F of the SR2 hospital 12 receives the medical information.

  The operation in which the transmitting subscriber uploads the medical image to the receiving subscriber may be as shown in FIG. 30 except for steps r14 ′, s14 ′, s15 ″ and r15 ′ in FIG.30 is the same as the corresponding processing described with reference to FIG.12, and description thereof will be omitted. The processing unit 10E connects the communication line on the network 1 to the SR1 individual 41 and transmits permission through the network 1.

  In step s14 ', the related information processing unit 10E of the SR1 individual 41 receives permission. In step s15 ″, the medical information processing unit 10F of the SR1 individual 41 transmits medical information via the network 1.

  In step r15 ', the medical information processing unit 10F of the SR2 hospital 12 receives the medical information.

  According to the medical information providing system according to the second embodiment, it is possible to reduce the processing load of the medical information mediation center 100.

  Third Embodiment In the third embodiment, a transmitting subscriber and a receiving subscriber directly negotiate transmission / reception of medical information, and directly transmit / receive medical information. Since the medical information mediation center 100 only manages subscribers, it may or may not be on the network 1.

The sending subscriber and the receiving subscriber hold subscriber information. The subscriber information is created / updated as follows.
(1) The medical information brokerage center creates subscriber information in which the new subscriber is added based on the contract, and distributes the latest subscriber information to all the subscribers via the network 1.
(2) The new subscriber receives a storage medium storing a program corresponding to the contract contents and a storage medium storing the latest subscriber information. Alternatively, it is downloaded via the network 1.
(3) Based on the cancellation of the subscriber's contract, the medical information brokerage center 100 creates subscriber information in which the subscriber is deleted, and distributes the latest subscriber information to all the subscribers via the network 1. To do.
(4) When there is no medical information mediation center on the network 1, every time subscriber information is updated, a storage medium storing the latest subscriber information is distributed to all subscribers by mail.

  FIG. 31 is a flowchart for explaining an operation in which a receiving subscriber downloads a medical image from a transmitting subscriber. Note that an SR1 individual 41 is assumed as a receiving subscriber, and an SR1 hospital 11 is assumed as a transmitting subscriber. Initially, in the SR1 individual 41 who is a receiving subscriber, the related information processing unit 10E of the SR1 individual 41 displays the related information processing screen G1 as shown in FIG. 5 on the output unit 10C. When the operator operates the input unit 10B of the SR1 individual 41 and selects “Receive”, the related information processing unit 10E of the SR1 individual 41 displays the related information processing screen G2 as shown in FIG. 6 on the output unit 10C. To do. The operator operates the input unit 10B to identify an appropriate department that receives the medical image, and selects “Next”. Then, the related information processing unit 10E of the SR1 individual 41 displays a related information processing screen G3 as shown in FIG. 7 on the output unit 10C based on the stored subscriber information. Therefore, the operator selects a transmission subscriber from the list, searches for a transmission subscriber by a key such as a name, an address, and a telephone number, specifies the transmission subscriber, and selects “Next”. If “Return” is selected, the communication line is disconnected, and the process returns to the process of displaying the related information processing screen G1 in FIG. When the operator specifies the transmission subscriber and selects “Next”, the related information processing unit 10E displays a related information processing screen G4 as shown in FIG. 8 on the output unit 10C. Therefore, the operator inputs a password for accessing the patient information and the medical image of the patient via the network 1 and selects “Next”. If “return” is selected, the process returns to the process of displaying the related information processing screen G3 in FIG. When the operator inputs patient information and a password and selects “Next”, the related information processing unit 10E displays a related information processing screen G5 as shown in FIG. 9 on the output unit 10C. Therefore, the operator selects a department that will hold the medical information to be received, specifies the period of the medical information to be received, and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G4 in FIG. When “next” is selected on the related information processing screen G5 as shown in FIG. 9, the process proceeds to step r31 in FIG.

  In step r31, the related information processing unit 10E of the SR1 individual 41 connects a communication line on the network 1 to the SR1 hospital 11 which is the identified transmission subscriber, and the patient information and password are connected via the network 1. Send number, department and period and request search information.

  In step s31, the related information processing unit 10E of the SR1 hospital 11 receives the patient information, the password, the department and the period, and the search information request. In step s32, the security management unit 10D of the SR1 hospital 11 checks the validity of the request. If it is not valid, the process proceeds to step s33, and if it is valid, the process proceeds to step s34. This validity check is the same as in step c2. In step s33, the communication line is disconnected. In step s34, the related information processing unit 10E of the SR1 hospital 11 transmits the patient information, the department information, and the search information related to the period to the SR1 individual 41 via the network 1. This search information includes a list of medical information. However, if there is no corresponding medical information, the message “no medical information” is used as search information. When the search information “no medical information” continues three times, the connection with the SR1 individual 41 is disconnected from the viewpoint of security. The terminal of the SR1 individual 41 may be forcibly returned to the process of displaying the related information processing screen G4 in FIG. 8 without disconnecting the connection with the SR1 individual 41.

  In step r32, the related information processing unit 10E of the SR1 individual 41 receives the search information. In step r33, the related information processing unit 10E of the SR1 individual 41 displays a related information processing screen G6 as shown in FIG. 10 on the output unit 10C. In the related information processing screen G6, a list of medical information having a time stamp within the period related to the patient stored in the selected department is displayed. Therefore, the operator specifies medical information from the list and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G4 in FIG. Next, if the specified medical information is a medical image, the SR1 individual 41 proceeds to step r34, and the SR1 hospital 11 proceeds to step s35. On the other hand, if the specified medical information is a medical record diagnosis record, the SR1 individual 41 proceeds to step r36, and the SR1 hospital 11 proceeds to step s37. Even if the requested medical information is a medical image, the SR1 individual 41 may proceed to step r36, and the SR1 hospital 11 may proceed to step s37.

  In step r <b> 34, the related information processing unit 10 </ b> E of the SR1 individual 41 requests the SR1 hospital 11 for a simple medical image of the specified medical image via the network 1.

  In step s36, the related information processing unit 10E of the SR1 hospital 11 receives the simplified medical image request for the specified medical image. In step s37, the medical information processing unit 10F of the SR1 hospital 11 creates a simple medical image in which the data amount of the specified medical image is reduced, and transmits it to the SR1 individual 41 via the network 1.

  In step r35, the medical information processing unit 10F of the SR1 individual 41 receives the simplified medical image and displays a medical information processing screen H1 as shown in FIG. 11 on the output unit 10C. On this medical information processing screen H1, the operator confirms whether or not the medical image is a desired medical image, and selects “DOWNLOAD” if it is a desired medical image. If it is not a desired medical image, “return to home screen” or “return to image selection screen” is selected. When “return to home screen” is selected, the process returns to the process of displaying the related information processing screen G4 in FIG. If “return to image selection screen” is selected, the process returns to the process of displaying the related information processing screen G6 of FIG. In step r36, the medical information processing unit 10F of the SR1 individual 41 requests the SR1 hospital 11 to download the specified medical information via the network 1. At this time, if a purpose or comment is input on the medical information processing screen H1 in FIG. 11, the purpose or comment is sent to the SR1 hospital 11 by e-mail.

  In step s37, the medical information processing unit 10F of the SR1 hospital 11 receives the download request. Then, an SR1 individual 41 terminal displays an unillustrated price billing screen to charge an information reception fee, and the SR1 individual 41 performs an operation of paying by transfer from a deposit account, credit card or payment agency service on the price billing screen. If so, the process proceeds to step s38. If not, the connection with the SR1 individual 41 is disconnected. In step s38, the medical information processing unit 10F of the SR1 hospital 11 transmits the specified medical information to the SR1 individual 41 via the network 1.

  In step r37, the medical information processing unit 10F of the SR1 individual 41 receives the specified medical information and stores it in the specified department.

  As described above, the SR1 individual 41 can easily obtain the medical images held by the SR1 hospital 11 via the network 1 using the list of transmission subscribers.

  FIG. 32 is a flowchart for explaining an operation in which a transmission subscriber uploads a medical image to a reception subscriber. Note that an SR1 individual 41 is assumed as a transmission subscriber, and an SR2 hospital 12 is assumed as a reception subscriber. Initially, in the SR1 individual 41 who is a transmission subscriber, a related information processing screen G1 as shown in FIG. 5 is displayed on the output unit 10C. When the operator operates the input unit 10B and selects “Send”, the related information processing unit 10E of the SR1 individual 41, based on the subscriber information held by the output unit 10C, as shown in FIG. The related information processing screen G7 is displayed. Therefore, the operator selects the receiving subscriber from the scrolling list, searches for the receiving subscriber by using a key such as a name, an address, and a telephone number, specifies the receiving subscriber, and selects “Next”. If “Return” is selected, the communication line is disconnected, and the process returns to the process of displaying the related information processing screen G1 in FIG. When the operator specifies the receiving subscriber and selects “next”, the related information processing unit 10E displays a related information processing screen G8 as shown in FIG. 14 on the output unit 10C based on the subscriber information held. indicate. Therefore, select a department from the list and select “Next”. If “Return” is selected, the communication line is disconnected, and the process returns to the process of displaying the related information processing screen G1 in FIG. When the operator specifies a transmission destination department and selects “next”, the related information processing unit 10E displays a related information processing screen G9 as shown in FIG. 15 on the output unit 10C. Therefore, the operator inputs patient information and a password, and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G8 in FIG. When the operator inputs patient information or a password and selects “Next”, the related information processing unit 10E displays a related information processing screen G10 as shown in FIG. 16 on the output unit 10C. That is, a list of departments storing medical information of the patient is displayed. Therefore, the operator specifies the department in which the medical image to be transmitted exists from the list, specifies the period for transmission, and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G9 in FIG. When the operator specifies a department in which a medical image to be transmitted exists from the list and selects “next”, the related information processing unit 10E displays a related information processing screen G11 as illustrated in FIG. 17 on the output unit 10C. . That is, a list of medical information having a time stamp within the period related to the patient stored in the department is displayed. Therefore, the operator specifies medical information to be transmitted from the list and selects “Next”. If “RETURN” is selected, the process returns to the process of displaying the related information processing screen G10 of FIG. When the operator specifies medical information to be transmitted and selects “Next”, when the medical information is a medical image, the medical information processing unit 10F creates a simple medical image with a reduced amount of medical image data, and outputs it. A medical information processing screen H2 as shown in FIG. 18 is displayed on the unit 10C. When the medical information is a medical record diagnosis record, the contents are displayed instead of the simple medical image. Therefore, the operator confirms that the medical information is to be transmitted, and selects “Upload”. If the medical information is not desired, “return to home screen” or “return to image selection screen” is selected. When “return to home screen” is selected, the process returns to the process of displaying the related information processing screen G9 of FIG. If “return to image selection screen” is selected, the process returns to the process of displaying the related information processing screen G11 of FIG. When the operator confirms the medical image to be transmitted and selects “upload”, the process proceeds to step s41.

  In step s41, the medical information processing unit 10F of the SR1 individual 41 connects the communication line on the network 1 to the SR2 hospital 12 that is the specified receiving subscriber, and the specified receiving department and the network via the network 1 A transmission permission request is transmitted.

  In step r41, the related information processing unit 10E of the SR2 hospital 12 receives the specified receiving department and transmission permission request. In step r42, the security management unit 10D of the SR2 hospital 12 checks the validity of the request. If it is not valid, the process proceeds to step r43, and if it is valid, the process proceeds to step r44. In this legitimacy check, in addition to the legitimacy check similar to step c2, a billing screen (not shown) is displayed on the terminal of the SR1 individual 41 to charge an information transmission fee, If the SR1 individual 41 performs an operation of paying with a credit card or a payment proxy service on the payment request screen, it is considered valid, and if not performed, it is considered invalid. In step r43, the communication line is disconnected. In step r44, the related information processing unit 10E of the SR2 hospital 12 transmits permission to the SR1 individual 41 via the network 1.

  In step s42, the medical information processing unit 10F of the SR1 individual 41 receives the permission. In step s43, the medical information processing unit 10F of the SR1 individual 41 transmits the previously specified medical information to the medical information mediation center 100 via the network 1.

  In step r45, the medical information processing unit 10F of the SR2 hospital 12 receives the medical information and stores it in the specified department.

  As described above, the medical information held by the SR1 individual 41 can be delivered to the SR2 hospital 12 via the network 1 using the list of receiving subscribers.

  It is also possible to distribute medical images from the SR1 hospital 11 as the transmission subscriber to the SR2 hospital 12 as the reception subscriber by the request of the SR1 individual 41 as the distribution subscriber by the combination of the above transmission and reception. is there.

  -4th Embodiment-In 4th Embodiment, the non-subscriber 50 of FIG. 1 transmits / receives medical information. That is, the non-subscriber 50 cannot use the medical information mediation center 100. Therefore, for example, by directly accessing the home page of SR1 hospital, receiving a list of departments (transmission terminals) holding his / her medical information, selecting a desired department from the list, and selecting his / her own department Receive medical information. It also receives a list of departments (receiving terminals) that can transmit its own medical information, selects a desired department from the list, and transmits its own medical information to the department. However, it is necessary to examine whether or not such a service can be received at a desired hospital, and the procedure for receiving such a service at the desired hospital (for example, transfer of fees) is performed by itself. There is a need.

DESCRIPTION OF SYMBOLS 1 Network 10A Communication part 10B Input part 10C Output part 10D Security management part 10E Related information processing part 10F Medical information processing part 100 Medical information mediation center 1000 Medical information provision system G1-G17 Related information processing screen H1-H3 Medical information processing screen

Claims (31)

A medical information providing system in which a transmitting terminal, a receiving terminal, and an intermediary terminal are connected via a network,
The transmitting terminal is
A first communication unit for transmitting and receiving data via the network;
A first input unit for inputting information;
A first output unit for displaying an image;
A first storage unit for storing data;
A first control unit that controls the first communication unit, the first input unit, the first output unit, and the first storage unit;
The first storage unit stores medical image data taken by an image diagnostic apparatus,
The receiving terminal is
A second communication unit for transmitting and receiving data via the network;
A second input unit for inputting information;
A second output unit for displaying an image;
A second storage unit for storing data;
A second control unit that controls the second communication unit, the second input unit, the second output unit, and the second storage unit;
The intermediary terminal is
A third communication unit for transmitting and receiving data via the network;
A third input unit for inputting information;
A third output unit for displaying an image;
A third storage unit for storing data;
A third control unit that controls the third communication unit, the third input unit, the third output unit, and the third storage unit;
The second control unit is a transmission subscriber using the transmission terminal together with information on the reception subscriber according to an input by an operation of the reception subscriber using the reception terminal using the second input unit. A signal requesting the information of the information is transmitted from the reception terminal to the mediation terminal via the second communication unit,
The third control unit checks the validity of the request for the transmission subscriber information from the information on the reception subscriber received via the third communication unit, and if the result of the check is valid , Transmitting the transmission subscriber information from the intermediary terminal to the receiving terminal via the third communication unit,
The second control unit, in the transmission terminal, according to an input by an operation of the receiving subscriber using the second input unit based on the information of the transmitting subscriber received via the second communication unit. A signal requesting a medical image stored in the first storage unit is transmitted from the reception terminal to the mediation terminal via the second communication unit;
The third control unit receives a signal requesting the medical image via the third communication unit, and transmits a signal requesting the medical image to the transmission subscriber via the third communication unit. Transmitting from the intermediary terminal to the transmitting terminal,
The first control unit receives a signal for requesting the medical image via the first communication unit, reads the requested medical image from the first storage unit, and reads the read medical image as the medical image. Transmitting from the transmission terminal to the mediation terminal via the first communication unit,
The third control unit receives the medical image from the transmission terminal via the third communication unit, and transmits the received medical image from the mediation terminal to the reception terminal via the third communication unit. Send
The second control unit displays the medical image from the transmission subscriber received via the second communication unit on an image of the second output unit in the receiving terminal. Offer system. In the medical information provision system according to claim 1,
The information of the receiving subscriber in the validity check of the request for transmitting subscriber information performed by the third control unit is the network address of the receiving terminal input from the second input unit in the receiving terminal. A system for providing medical information, characterized in that it is telephone number, password or ID number information. In the medical information provision system according to claim 1 or 2,
When there are a plurality of transmission subscribers, the second control unit in the reception terminal includes an image including a list that can select one of the plurality of transmission subscribers transmitted from the mediation terminal and received. Displayed on the second output unit and stored in the first storage unit in the transmitting terminal of the selected transmission subscriber according to one transmission subscriber selected using the second input unit A medical information providing system, wherein a signal requesting a medical image is transmitted from the reception terminal to the mediation terminal via the second communication unit. In the medical information provision system according to claim 3,
The image displayed on the second output unit of the receiving terminal can list a telephone number or address of the transmitting subscriber in addition to the names of the plurality of transmitting subscribers. . In the medical information provision system according to claim 4,
In the image displayed on the second output unit of the receiving terminal, the names of the plurality of transmission subscribers listed are listed in alphabetical order, alphabetical order or regional order, or listed order. A medical information providing system characterized in that a switch for displaying a list is displayed, and an image on which the switch is displayed can list a plurality of transmission subscribers in an order according to the operated switch. In the medical information provision system according to claim 4 or 5,
The image displayed on the second output unit of the receiving terminal has a column for inputting a plurality of names, telephone numbers or addresses of the transmission subscribers, and the input name, telephone number or address A medical information providing system capable of searching for a transmission subscriber. In the medical information provision system in any one of Claims 1-6,
When requesting a medical image of the transmission subscriber using the second input unit of the receiving terminal, the second input unit is used to indicate a medical image of the subject, as well as a gender. The medical information providing system is characterized in that the subject of the medical image is specified by inputting the date of birth, address or insurance card number. In the medical information provision system according to claim 7,
When requesting the medical image of the identified subject using the second input unit of the receiving terminal, the department of the transmission subscriber who requests the medical image using the second input unit is determined. A list of a plurality of medical images to be selected and stored in the selected department is displayed on the image of the second output unit, and the list of the displayed plurality of medical images is displayed using the second input unit. A medical information providing system in which a requested medical image is specified by selecting a requested medical image from The medical information providing system according to claim 8,
When selecting the department of the transmitting subscriber who requests the medical image using the second input unit of the receiving terminal, each stored in the selected department using the second input unit A medical information providing system in which a period of a requested medical image is specified by inputting a period for the date on which the medical image is recorded. The medical information provision system according to claim 9,
In the second input unit of the receiving terminal, the maximum period that can be input is determined in the period for the date when the medical image input using the second input unit is recorded. A system for providing medical information. In the medical information provision system in any one of Claims 1-10,
When requesting the medical image of the transmission subscriber using the second input unit of the receiving terminal, the purpose of the receiving subscriber to receive the medical image or the comment on the medical image using the second input unit A medical information providing system characterized by inputting information. In the medical information provision system in any one of Claims 1-11,
When the first control unit of the transmission terminal detects that the requested medical image is not stored in the first storage unit, a signal indicating that the requested medical image is not stored in the first communication unit The medical information providing system is characterized in that the information is transmitted from the transmission terminal to the mediation terminal via the above. The medical information providing system according to claim 12,
When the third control unit of the intermediary terminal receives the signal indicating that it is not stored via the third communication unit continuously a plurality of times, the connection between the intermediary terminal and the reception terminal Medical information provision system characterized by canceling The medical information provision system according to claim 1,
The third control unit of the mediation terminal transmits a requested simple image of the medical image from the mediation terminal to the reception terminal via the third communication unit,
The second control unit of the receiving terminal displays the simple image received via the second communication unit on the second output unit and downloads a medical image serving as original data of the simple image. A medical information providing system characterized by displaying a switch. A medical information providing system in which a transmission terminal, a reception terminal, a distribution terminal, and an intermediary terminal are connected via a network,
The transmitting terminal is
A first communication unit for transmitting and receiving data via the network;
A first input unit for inputting information;
A first output unit for displaying an image;
A first storage unit for storing data;
A first control unit that controls the first communication unit, the first input unit, the first output unit, and the first storage unit;
The first storage unit stores medical image data taken by an image diagnostic apparatus,
The receiving terminal is
A second communication unit for transmitting and receiving data via the network;
A second input unit for inputting information;
A second output unit for displaying an image;
A second storage unit for storing data;
A second control unit that controls the second communication unit, the second input unit, the second output unit, and the second storage unit;
The intermediary terminal is
A third communication unit for transmitting and receiving data via the network;
A third input unit for inputting information;
A third output unit for displaying an image;
A third storage unit for storing data;
A third control unit that controls the third communication unit, the third input unit, the third output unit, and the third storage unit;
The distribution terminal is
A fourth communication unit for transmitting and receiving data via the network;
A fourth input unit for inputting information;
A fourth output unit for displaying an image;
A fourth storage unit for storing data;
A fourth control unit that controls the fourth communication unit, the fourth input unit, the fourth output unit, and the fourth storage unit;
The fourth control unit is a transmission subscriber who uses the transmission terminal together with information on the distribution subscriber according to an input by an operation of the distribution subscriber who uses the distribution terminal using the fourth input unit. And a signal requesting information of a receiving subscriber who uses the receiving terminal from the distribution terminal to the intermediary terminal via the fourth communication unit,
The third control unit checks validity of the request for the transmission subscriber information and the reception subscriber information from the information of the distribution subscriber received via the third communication unit, and the result of the check If so, the transmitting subscriber information and the receiving subscriber information are transmitted from the intermediary terminal to the distribution terminal via the third communication unit,
The fourth control unit is an input by the operation of the distribution subscriber using the fourth input unit based on the information of the transmitting subscriber received through the fourth communication unit and the information of the receiving subscriber. To transmit a signal requesting transmission of the medical image stored in the first storage unit in the transmission terminal to the reception terminal from the distribution terminal to the mediation terminal via the fourth communication unit. ,
The third control unit receives a signal requesting to transmit the medical image to the receiving terminal via the third communication unit, and sends the medical image to the receiving terminal to the transmitting subscriber. A signal requesting transmission is transmitted from the mediation terminal to the transmission terminal via the third communication unit;
The first control unit receives a signal requesting to transmit the medical image to the receiving terminal via the first communication unit, and reads the requested medical image from the first storage unit. , The read medical image is transmitted from the transmission terminal to the mediation terminal via the first communication unit,
The third control unit receives the medical image from the transmission terminal via the third communication unit, and transmits the received medical image from the mediation terminal to the reception terminal via the third communication unit. Send
The second control unit displays the medical image from the transmission subscriber received via the second communication unit on an image of the second output unit in the receiving terminal. Offer system. The medical information providing system according to claim 15,
The information on the distribution subscriber in the validity check of the request for the transmission subscriber information and the reception subscriber information performed by the third control unit is input from the fourth input unit in the distribution terminal, A medical information providing system characterized in that the information is network address, telephone number, password or ID number of the distribution terminal. A medical information providing system in which a transmitting terminal and a receiving terminal are connected via a network,
The transmitting terminal is
A first communication unit for transmitting and receiving data via the network;
A first input unit for inputting information;
A first output unit for displaying an image;
A first storage unit for storing data;
A first control unit that controls the first communication unit, the first input unit, the first output unit, and the first storage unit;
The first storage unit stores medical image data taken by an image diagnostic apparatus,
The receiving terminal is
A second communication unit for transmitting and receiving data via the network;
A second input unit for inputting information;
A second output unit for displaying an image;
A second storage unit for storing data;
A second control unit that controls the second communication unit, the second input unit, the second output unit, and the second storage unit;
The second control unit is a transmission subscriber using the transmission terminal together with information on the reception subscriber according to an input by an operation of the reception subscriber using the reception terminal using the second input unit. A signal requesting information on the information is transmitted from the receiving terminal to the transmitting terminal via the second communication unit,
The first control unit checks the validity of the request for the transmission subscriber information from the information of the receiving subscriber received via the first communication unit, and if the result of the check is valid , Transmitting the transmitting subscriber information from the transmitting terminal to the receiving terminal via the first communication unit,
The second control unit, in the transmission terminal, according to an input by an operation of the receiving subscriber using the second input unit based on the information of the transmitting subscriber received via the second communication unit. A signal requesting a medical image stored in the first storage unit is transmitted to the transmission terminal via the second communication unit;
The first control unit receives a signal for requesting the medical image via the first communication unit, reads the requested medical image from the first storage unit, and reads the read medical image as the medical image. Transmitting from the transmitting terminal to the receiving terminal via the first communication unit,
The second control unit displays the medical image from the transmission subscriber received via the second communication unit on an image of the second output unit in the receiving terminal,
When the second control unit transmits a signal requesting the medical image to the transmission terminal, the reception terminal stores the signal in the first storage unit using the second input unit. The period of the medical image to be requested is specified by inputting the period about the date when each medical image is recorded, and the image of the specified period is included in the image of the second output unit. A medical information providing system, characterized in that a list is displayed and a requested medical image is specified from the displayed list of medical images using the second input unit. The medical information providing system according to claim 17,
The receiving subscriber information in the validity check of the transmitting subscriber information request performed by the first control unit is a network address of the receiving terminal input from the second input unit in the receiving terminal. A system for providing medical information, characterized in that the information is telephone number, password or ID number. The medical information providing system according to claim 17 or 18,
When there are a plurality of transmission subscribers, the second control unit in the reception terminal includes an image including a list that can select one of the plurality of transmission subscribers transmitted and received from the transmission terminal. Displayed on the second output unit and stored in the first storage unit in the transmitting terminal of the selected transmission subscriber according to one transmission subscriber selected using the second input unit A medical information providing system, wherein a signal requesting a medical image is transmitted from the receiving terminal to the transmitting terminal via the second communication unit. The medical information provision system according to claim 17-19,
The image displayed on the second output unit of the receiving terminal can list a telephone number or address of the transmitting subscriber in addition to the names of the plurality of transmitting subscribers. . The medical information providing system according to claim 20,
In the image displayed on the second output unit of the receiving terminal, the names of the plurality of transmission subscribers listed are listed in alphabetical order, alphabetical order or regional order, or listed order. A medical information providing system characterized in that a switch for displaying a list is displayed, and an image on which the switch is displayed can list a plurality of transmission subscribers in an order according to the operated switch. In the medical information provision system in any one of Claims 17-21,
When requesting a medical image of the transmission subscriber using the second input unit of the receiving terminal, the second input unit is used to indicate a medical image of the subject, as well as a gender. The medical information providing system is characterized in that the subject of the medical image is specified by inputting the date of birth, address or insurance card number. The medical information providing system according to claim 22,
When requesting the medical image of the identified subject using the second input unit of the receiving terminal, the department of the transmission subscriber who requests the medical image using the second input unit is determined. A list of a plurality of medical images to be selected and stored in the selected department is displayed on the image of the second output unit, and the list of the displayed plurality of medical images is displayed using the second input unit. A medical information providing system in which a requested medical image is specified by selecting a requested medical image from In the medical information provision system according to any one of claims 17 to 23,
In the second input unit of the receiving terminal, the maximum period that can be input is determined in the period for the date when the medical image input using the second input unit is recorded. A system for providing medical information. In the medical information provision system according to any one of claims 17 to 24,
When the first control unit of the transmission terminal detects that the requested medical image is not stored in the first storage unit, a signal indicating that the requested medical image is not stored in the first communication unit Then, the medical information providing system transmits the data from the transmitting terminal to the receiving terminal. The medical information provision system according to claim 25,
The first control unit of the transmission terminal connects the transmission terminal and the reception terminal when receiving a signal indicating that the data is not stored via the first communication unit a plurality of times continuously. Medical information provision system characterized by canceling The medical information providing system according to any one of claims 1 to 26,
The medical information providing system, wherein the medical image is an image related to at least one of X-ray CT, MRI, ultrasound, PET, digitized X-ray, and CR.   The transmission terminal used with the medical information provision system in any one of Claims 1-27.   A receiving terminal used in the medical information providing system according to any one of claims 1 to 27.   An intermediary terminal used in the medical information providing system according to any one of claims 1 to 27.   The delivery terminal used with the medical information provision system of Claim 15 or Claim 16.

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