JP2011100473A - Storage system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a storage system for managing medical digital information generated by an inspection device used in a hospital. <P>SOLUTION: The management system includes: a storage part for storing a destination list composed of at least one or more pieces of destination information and medical digital information generated by at least one or more inspection devices; and a transmission/reception part connected to a plurality of external apparatuses through a network communication line to transmit the medical digital information and the destination list to the external apparatuses and receive information transmitted from the external apparatuses. The transmission/reception part, when receiving information indicating a destination list transmission request from the first external apparatus out of the plurality of external apparatuses, transmits the destination list to the first external apparatus, receives specific information for specifying any one of medical digital information stored in the storage part from the first external apparatus, and when specification information for specifying any one or more destination information out of pieces of destination information composing the destination list from the first external apparatus after transmitting the destination list, transmits the medical digital information specified by the specific information to a destination corresponding to the specification information. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to the field of goods or information storage operations.

Hospitals, clinics, etc. have a planar shape such as a chest radiograph of a tuberculosis patient or a burned patient, a solid shape such as a tooth shape of a caries patient, or an X-ray tomographic image (CT image) of a brain tumor patient. ) Generate data and other information (intangibles) in daily medical activities.
Hospitals etc. use the generated X-rays etc. for diagnosis, but will not use it for the time being after the diagnosis is completed.
However, there is a case where it is desired to take a new X-ray picture and compare it with the X-ray picture taken in the past by looking at the patient's progress. Further, in a lawsuit for claiming damages related to erroneous treatment or the like, the X-ray photograph or the like can be used as evidence.
Therefore, in a hospital or the like, it is necessary to store the X-ray photograph or the like.
However, it is very difficult for a hospital busy with treatment to manage all the items and information such as X-ray photographs that are generated and accumulated during daily medical care activities.
The present invention relates to a method for managing information such as X-ray tomography image data and X-ray tomography image data generated by a hospital, for example.

FIG. 10 illustrates a conventional management method.
The customer 101 brings or sends an item for which management is consigned to a storage system (for example, a storage company) 102 and applies for consignment.
The receiving unit 103 in the storage system 102 identifies (identifies) the name of the customer and the item to be stored, and receives the application.
The accepting unit 103 sends information including the customer name, the item to be stored, and the accepting date to the managing unit 104, and the managing unit 104 records and saves the information in a recording device (not shown).
In addition, the reception unit 103 stores an object in the object warehouse 105.

When the customer 101 requests browsing of an object stored in the reception unit 103, the reception unit 103 identifies the name of the customer and the object to be stored, and receives the request. Next, the reception unit 103 instructs the article warehouse 105 to withdraw the article. The article warehouse 105 takes out the article and delivers it to the reception unit 103. The accepting unit 103 delivers the product to the customer 101.
Further, the management unit 104 calculates a storage fee and charges the customer 101 through the reception unit 103.

FIG. 11 illustrates a conventional method for managing information (intangibles such as analog data or digital data).
The customer 111 sends a storage application notice and information for entrusting storage to a storage system (for example, storage company) 112 via the Internet or the like.
The reception unit 113 in the storage system 112 identifies (identifies) the name of the customer and the information to be stored, and receives the application.
The reception unit 113 sends information including the customer name, information to be stored, and reception date to the management unit 114, and the management unit 114 records and stores these information in a recording device (not shown).
The reception unit 113 stores the information received from the customer in the electronic warehouse 115.

When the customer 111 requests browsing of information stored in the reception unit 113, the reception unit 113 identifies the customer name and information to be stored, and receives the request. Next, the reception unit 113 instructs the electronic warehouse 115 to withdraw the information. The electronic warehouse 115 takes out the information and delivers it to the reception unit 113. The accepting unit 113 delivers the information to the customer 111.
Further, the management unit 114 calculates a storage fee and charges the customer 111 through the reception unit 113.

Assume that the customer's hospital outsources the storage of the patient's X-rays. At some point, a doctor in the hospital may want to refer to a previously taken radiograph while diagnosing the patient.
However, even if a doctor calls a storage company (for example, a warehouse company) to request the retrieval of X-rays, it takes time to send the X-rays from the warehouse to the hospital. Could not see.

In addition, when a hospital takes a radiograph of a patient and entrusts the storage to a storage company, as a general tendency, it is desired to refer to the radiograph again immediately after the day when the radiograph was taken (for example, one week later). In many cases, it rarely occurs when it is desired to refer to the X-ray photograph again after a long time (for example, three years) after the X-ray photograph was taken.
However, according to the conventional method, when the storage company is entrusted with the storage of the X-rays, the X-rays are immediately transferred to a warehouse far away from the hospital and stored.

When a customer entrusts the storage of an item, the storage company assigns an identifier (typically an identification number) to the customer and the stored item, and attaches a label with the identifier to the stored item and manages it. The identifier is input and stored in the computer that is the section. Therefore, normally, when a customer requests withdrawal of an item entrusted for storage, the item is delivered accurately.
However, in the present invention, which will be described later, when the customer requests browsing of an item entrusted for storage, the first information extracted from the information contained in the item is sent to the customer.
However, for example, if you request to view the chest X-ray of the patient P, or if you send the chest X-ray of the patient Q by mistake, the two photos are generally difficult to distinguish, so the life of the patient It can be taken away and is dangerous.

Further, in the conventional management method, the management of objects and the management of information are completely separate managements.
However, for example, the hospital may request the storage company to store the patient's X-ray picture and the information of the same patient's chart (information obtained by inputting the chart into the computer) together.
However, since the storage of goods and the storage of information are conventionally operated separately, the customer cannot see, for example, a storage list in which the storage list of goods and the storage list of information are integrated.

The storage system of the present invention is a storage system for managing medical digital information generated by an inspection apparatus used in a hospital,
The storage system
A storage unit for storing a destination list composed of at least one or more pieces of destination information and medical digital information generated by at least one inspection device;
A transmission / reception unit connected to a plurality of external devices via a network communication path, transmitting medical digital information and a destination list to the external device, and further receiving information transmitted by the external device;
The transceiver is
When information indicating a destination list transmission request is received from the first external device among the plurality of external devices, the destination list is transmitted to the first external device,
From the first external device, receiving the specific information for specifying any of the medical digital information stored in the storage unit,
After the destination list is transmitted, when the designation information designating any one or more of the destination information constituting the destination list is received from the first external device, the specific information for the destination corresponding to the designation information Send medical digital information specified in.

  Without actually moving the medical photograph of the patient, the examination can be entrusted to the doctor who desires by the mediation service of the storage system.

FIG. 1 is a diagram showing a schematic configuration of a first embodiment of the present invention. FIG. 2 is a diagram showing a schematic configuration of a second embodiment of the present invention. FIG. 3 is a diagram showing a schematic configuration of a third embodiment of the present invention. FIG. 4 is a diagram illustrating a storage list according to the embodiment of this invention. FIG. 5 is a diagram showing a storage list according to another embodiment of the present invention. FIG. 6 is a diagram showing a charging list according to the embodiment of this invention. FIG. 7 is a diagram illustrating a chest X-ray photograph stored in a warehouse of things. FIG. 8 is a diagram showing a schematic configuration of a fourth embodiment of the present invention. FIG. 9 is a diagram showing a schematic configuration of a fifth embodiment of the present invention. FIG. 10 is a diagram illustrating a conventional management method for objects. FIG. 11 is a diagram illustrating a conventional management method. FIG. 12 is a flowchart of the first embodiment of the present invention. FIG. 13 is a flowchart of the fifth embodiment of the present invention.

Hereinafter, examples specifically showing the best mode for carrying out the present invention will be described with reference to the drawings.
Example 1
The first embodiment of the present invention will be described below with reference to FIG.
[Description of schematic configuration of first embodiment (FIG. 1)]
FIG. 1 illustrates a schematic configuration of a first embodiment of the present invention.
FIG. 1 shows a storage system 2 for storing various items and information (data) held by medical providers such as hospitals and clinics.
The customer 1 (for example, a hospital) specifies at least a customer name and an object (or information) for which storage is requested, and requests the storage system (for example, a storage company) 2 to store the object or information.
The “thing” includes, for example, an X-ray photograph or a medical record written on paper.
The “information” includes, for example, image data such as captured image data, a graph such as an electrocardiogram, sound data such as a heart sound, X-ray tomographic image data, or data such as an electronic medical record.
The “information” is information of an intangible data string sent to the storage system 2 via the Internet or the like, and information recorded on a recording medium such as a DVD (physically a thing). ,including.
The storage system of the present embodiment mainly stores materials and information that are materials generated during such medical treatment, but can also store past slips of hospitals and the like.

Generally, when a customer entrusts storage of information, information (for example, image data) generated by an inspection apparatus such as a CT inspection apparatus or an image recorded on an electronic medium such as a DVD is used as a terminal such as a computer on a LAN. Or reproduced by a DVD player connected to the computer, loaded into the computer, and transmitted from the computer to the storage system.
However, when the inspection device has an intelligent communication function, has a customer ID, communicates with the storage system by the inspection device alone, and sends information (image data, etc.) output by the inspection device directly to the storage system There is also.
Similarly, an electronic media player such as a DVD has an intelligent communication function, has a customer ID, communicates with the storage system by the player alone, and outputs information from the player (DVD playback output, etc. ) May be sent directly to the storage system.

The request method includes a method in which a customer brings a request document or a method of mailing, etc., and a method in which a request document is created by a computer at the customer's hand and sent to the receiving unit 3 of the storage system via the Internet.
Generally, data string information is sent from the customer 1 to the reception unit 3 of the storage system 2 using a communication line (for example, the Internet).
Items and recording media are generally mailed from the customer 1 to the reception unit 3 of the storage system 2.

The reception unit 3 assigns a unique identifier (customer ID (customer identifier)) designated by the management unit 4 to the customer, and a unique identifier (deposited item ID (deposited item) designated by the management unit 4 for the stored item or information. Product identifier)) is given and a request for storage is received. In a storage system that manages medical information such as X-ray photographs, it is preferable that a unique identifier (specified by the management unit 4) is also given to a patient who is a subject of the object (for example, an X-ray photograph) or information (for example, an electronic medical record). (Patient ID (patient identifier)).
The reception unit 3 stores the object in the object warehouse 5 when receiving an object (for example, an X-ray photograph), and receives the information when receiving information (for example, a data string or a recording medium (DVD or the like)). Store in the electronic warehouse 6.
The “warehouse” is a warehouse for storing ordinary things.
An “electronic warehouse” is a warehouse that stores intangible information (data) by recording it on a recording medium such as a hard disk or an optical disk.
The management unit 4 confirms that the item or information has been stored in the item warehouse or the electronic warehouse, together with the date of reception, customer identifier, item (or information) identifier, storage location information, patient identifier, etc. Record (FIG. 4 or FIG. 5).

Although the warehouse 5 and the electronic warehouse 6 exist separately, the management unit 4 manages both warehouses in an integrated manner.
For example, if the customer 1, Hospital B, has entrusted storage of a photograph (object) of an affected part (foot) of a burn patient S and an electronic medical record (information), a photograph of the affected part of S Is stored in the goods warehouse 5 and S's electronic medical record is stored in the electronic warehouse 6. However, the management unit 4 comprehensively manages the X-ray film and the electronic medical records relating to the hospital B or S, and displays a comprehensive management list as shown in FIG. 4 or FIG. ) Can be displayed.

Customer 1 has the customer's identifier (for example, 3528643 for Hospital A in FIG. 4), the identifier (or information) for the item (or information) to be retrieved (for example, the radiograph of P patient in FIG. 4 is 2193844) and the object (or information). By sending a request for browsing to the storage system 2, it is possible to request a withdrawal of an item (or information) for which storage has been entrusted.
The receiving unit 3 in the storage system 2 identifies (identifies) the identifier attached to the request and the customer ID and the consignment ID in the storage list (FIG. 4 or FIG. 5). Accept any withdrawal application.
The reception unit 3 sends a customer ID and a consignment ID desired to be browsed to the management unit 4. The management unit 4 records and stores these pieces of information in a recording device (not shown).
The management unit 4 searches the storage list (FIG. 4 or 5) for the same deposit ID as the sent deposit ID.
If the same deposit ID is found, if it is a deposit of the item, the storage location of the item is notified to the warehouse 5 and the withdrawal is instructed. If it is a deposit of information, the electronic warehouse 6 is informed of the storage location of the information and commanded to withdraw it.

As will be shown later, even if a request for browsing a consigned item is made, if the digitized data of the item has been created and the digitized data is stored in the electronic warehouse 6, the electronic warehouse 6 Command the withdrawal of digitized data.
When the item is pulled out from the item warehouse 5, the item is converted into digitized data by the conversion unit 7 (except when the customer explicitly wants to view the item).
Since the storage system 2 in the first embodiment mainly stores medical materials such as X-ray photographs, the information contained in the items is different from a normal storage warehouse (for example, storage of unnecessary office desks). Most people want to know (for example, viewing X-rays). Therefore, rather than sending X-rays to customers by mail or other methods, it is better to generate X-ray photo digitized data (bitmap image data) and immediately send the digitized data to the customer via the Internet. Meet the requirements. Also, sending electronic data is cheaper and less expensive to send.

Therefore, in both cases where the customer requests browsing of the object and information browsing, the information is pulled out (or generated), and the information is delivered to the receiving unit 3 (the customer is the actual one) Except when requesting viewing).
The reception unit 3 sends the information to the customer 1 via a dedicated line or the Internet 26.
The management unit 4 stores the monthly storage fee (determined according to the number of storage points) starting from the date received and the fee when the customer 1 withdraws the object or information (the number of items or information to be withdrawn and the number of withdrawals) ), And bills (charges) the customer every month.
As described above, in the first embodiment, only the customer can access the item or information requested by the customer for storage.

[Explanation of Flowchart of First Embodiment (FIG. 12)]
FIG. 12 shows a flowchart of the first embodiment.
When a request for browsing an object or information is received from a customer, processing is performed according to the procedure shown in FIG.
First, a request for browsing an object or information is received from a customer (step S11).
Next, the customer ID included in the received data is identified. When the storage list (FIG. 4 or FIG. 5) is searched and the same customer ID is found, the browsing request is permitted, and when the same customer ID cannot be found, the browsing request is not allowed (step S12).
If browsing is permitted, the storage location of the deposit (item or information) having the deposit ID included in the browse request is searched (step S13).
If the deposit is information, the process proceeds to step S16, and if the deposit is an article, the process proceeds to step S15 (step S14).
If the deposit is a thing, the digitizer converts the information contained in the deposit into first information (step S15). Typically, an X-ray photograph is converted into bitmap image data.
Information is transmitted to the customer (step S16).

Example 2
Hereinafter, a second embodiment of the present invention will be described with reference to FIG.
[Description of schematic configuration of second embodiment (FIG. 2)]
The storage system of the second embodiment has a first storage location for goods and information in a customer hospital, and is a second storage location for large-scale storage of goods and information away from the hospital. Has a storage location.
The first storage location is a temporary storage location and has a small storage capacity, but the customer can view the stored items or information immediately.
The second storage location is a long-term storage location and has a large storage location. Although the accessibility is inferior to that of the first storage location, the customer can easily access a stored item (or information) using a dedicated line or the Internet.

A hospital 10 as a customer connects various terminals and the like via a LAN. The first server 19 manages the LAN.
The electronic medical record 11 input by the doctor to the terminal 12 is sent to the recording device 16 via the LAN and the terminal 18. The recording device 16 is a DVD recorder, for example. The electronic medical record is recorded on a DVD. At the same time, the first management unit 20 of the first server 19 obtains information that the electronic medical record is recorded on the DVD, and designates a storage location of the DVD on which the electronic medical record is recorded.
The DVD on which the electronic medical record is recorded is stored in a designated storage location of the first electronic warehouse 17.

The CT examination apparatus 13 generates X-ray tomographic image data of the patient that has been computer-processed. The X-ray tomographic image data is sent to the recording device 16 via the terminal 14, the LAN, and the terminal 18. X-ray tomographic image data is recorded on a DVD. At the same time, the first management unit 20 of the first server 19 obtains information that the X-ray tomographic image data is recorded on the DVD, and designates the storage location of the DVD on which the X-ray tomographic image data is recorded.
The DVD on which the X-ray tomographic image data is recorded is stored in a designated storage location of the first electronic warehouse 17.
The X-ray imaging apparatus 24 takes an X-ray picture. The doctor inputs to the terminal 23 that the radiograph has been taken. The first management unit 20 of the first server 19 obtains information that a radiograph has been taken, and designates a storage location of the radiograph in the warehouse 25 of the first object.
The X-ray photograph is stored in a designated storage location in the warehouse 25 of the first object.

A doctor F and a doctor G working at the A hospital can arbitrarily access the items and information stored in the first place and the second place through the terminal 22 and the terminal 21.
For example, the doctor G can display a list of information and the like of hospital A stored in the storage system 30 on the terminal screen (the column of hospital A in the storage list in FIG. 4 or FIG. 5).
When transmitting information (source information) from the storage system 30 to the customer, mutual authentication is always performed. In this embodiment, mutual authentication is performed using a password. The method of mutual authentication is arbitrary, for example, a fingerprint, a handwritten signature, or the like. This prevents leakage of customer secrets.

A large customer such as A hospital assigns a personal identifier for each doctor to whom the doctor F or doctor G belongs, or a terminal device identifier for each terminal such as the terminal 21 or 22 under the customer name and customer ID of A hospital. .
Therefore, when the receiving unit 33 of the storage system 30 receives a browsing request from the A hospital, the hospital A in which only the portion of the customer ID of the A hospital in the customer identifier included in the browsing request is in the storage list. It is possible to disregard the individual IDs of the individual doctors following the customer ID of the hospital A. Thereby, all doctors of A hospital having a personal ID can freely access any thing or information of A hospital.

Although only the customer ID of Hospital A is included in the storage list (the personal ID is not included), the identification of the customer at the reception unit 33 identifies not only the customer ID of Hospital A but also the personal ID. In some cases, only certain authorized physicians in Hospital A may have access to stored items or information.
In FIG. 2, anyone is free to access the object or information in the first place (in the hospital A) (the personal ID is not identified).
However, even in the first place, the first management unit 20 can identify the personal ID when requesting access to an object or information. A doctor who desires access to an object or information sends his / her personal ID to the first management unit 20. The first management unit searches the list of permitted doctors incorporated therein and searches for the same personal ID as the sent personal ID. If there is the same personal ID, the first management unit 20 permits browsing of the doctor's thing or information.

The manager of the first electronic warehouse 17 and the first thing warehouse 25 in the first place may be a storage company that owns the storage system 30 or a customer.
In the case where the manager of the first electronic warehouse 17 and the first article warehouse 25 is a storage company, in many cases, the first electronic warehouse 17 or the first article in the first place is used to store the goods or information. A storage fee is generated from the beginning of storage in the article warehouse 25.
When the manager of the first electronic warehouse 17 or the like is a customer, in many cases, the goods or information is stored in the second electronic warehouse 31 or the second goods warehouse 35 in the second place. A storage fee will be charged from the beginning.
However, the timing of storage charges is arbitrary.

An object (for example, an X-ray photograph) or information (for example, X-ray tomographic image data) stored in the first location is transferred to the second location after a certain period.
A certain period can be specified for each customer. Also, the customer can specify for each item such as an X-ray photograph or information such as an electronic medical record.
It is also possible to collect all the items or information collected so far and store them all in the second warehouse every time the customer requests without providing a specified period.
Information can be sent to the second electronic warehouse in the second place via the Internet 26 to the 31st, but X-ray photographs and other recording media such as DVDs need to be mailed. The customer can send the goods and the recording medium to the storage system 30, but the storage system 30 can periodically circulate and collect the articles and the like after a certain period of time.

The storage system 30 is at the second location. The second place is generally a place far away from the hospital A, which is the customer 10, but it is sufficiently large and both the second warehouse 35 and the electronic warehouse 31 have a sufficiently large storage capacity.
When a recording medium such as a DVD is shipped from the first electronic warehouse 17, the first management unit 20 transmits the shipping information to the second server 32 of the storage system 30. The receiving unit 33 of the second server 32 sends the received transmission information to the second management unit 34. The second management unit 34 designates the storage location of the second electronic warehouse 31 that stores the recording medium to be mailed.
The recording medium sent by mail is stored in a designated location of the second electronic warehouse 31.

Similarly, when an object such as an X-ray photograph is shipped from the warehouse 25 of the first object, the first management unit 20 transmits the shipping information to the second server 32 of the storage system 30. The receiving unit 33 of the second server 32 sends the received transmission information to the second management unit 34. The second management unit 34 designates the storage location of the second item warehouse 35 for storing items to be mailed.
The mailed item is stored in a designated location of the second electronic warehouse 35.

For example, the doctor F of the hospital A sends a customer ID 3528643 of the hospital A to which the personal ID of the doctor F is attached via the terminal 22, and a stored item ID 6912003 (an X-ray image of the carotid artery of the Q patient) desired to be browsed. The browsing request form is sent to the storage system 30 through the Internet 26.
The reception unit 33 searches the storage list (FIG. 4 or 5) and searches for the same customer ID as the sent customer ID. When the same customer ID is found, a request from the doctor F is sent to the second management unit 34.
The second management unit searches the storage list (FIG. 4 or FIG. 5) and searches for the same deposit ID as the sent deposit ID 6912003. When the doctor F finds a column of X-rays of the carotid artery of the Q patient that is requested to be browsed, the doctor F is instructed to withdraw the X-rays stored in the storage location M032-164 to the warehouse 35 of the second object.
When the manager of the second warehouse takes out the X-ray photograph of the carotid artery of the Q patient from the designated storage location, the digitizer 36 (corresponding to the conversion unit 7 in FIG. 1) converts the X-ray photograph into digitized data ( Bitmap image data).
When digitizing is completed, the X-ray image is stored in the original storage location.

Next, the obtained bitmap image data is sent to a recorder 37 (for example, a DVD recorder) and recorded on a DVD. The recorded DVD is played by a playback device 38 (in this embodiment, a DVD playback device). The reproduced image is sent to the reception unit 33. According to the instruction of the second management unit 34, the reception unit 33 sends the reproduced image to the doctor F in the terminal 22 of the hospital A.
In this embodiment, the recorder 37 is constituted by a DVD recorder or a hard disk in accordance with customer needs. In some cases, both a DVD recorder and a hard disk are used.

Preferably, the image to be sent is sent after being compressed and encrypted. As the compression method, any method such as EPSF, GIF, JPEG, PICT, or TIFF can be adopted. As the encryption method, any encryption method such as DES, RSA, and FEAL can be employed.
In this embodiment, the customer and the storage system have the same flash memory card, and the transmission side encrypts and the reception side decrypts the encryption based on the numbers recorded on the flash memory card. Since the flash memory card in which different numbers are recorded for each customer is held, confidentiality between customers is also ensured.
The DVD recorded by the recorder 37 is stored in the storage location of the second electronic warehouse specified by the second management unit 34.

In the customer A hospital, when the chest X-ray of the P patient is taken by the X-ray imaging apparatus 24, the X-ray is stored in the first warehouse for a while.
When a certain period of time has elapsed, the X-ray photograph is transferred from the first location (the warehouse of the first item) to the second location.
Similarly, when X-ray tomographic image data of a V patient is taken by the CT examination apparatus 13, the image data is stored in the first electronic warehouse for a while.
When a certain time has passed, the image data is transferred from the first location (first electronic warehouse) to the second location.
The first place has only a small storage capacity, but the customer can browse the stored items or information immediately.
The second location is far away from the customer, but there is enough storage space to keep things or items in the second location as long as the customer desires.
Although the second place is far from the customer, the customer can easily browse the stored items or information using the Internet 26.

For example, X-ray of the carotid artery of the Q patient recently taken by the doctor F while examining the Q patient (the doctor F has at hand) and the X-ray of the carotid artery of the Q patient taken six months ago (second The doctor F requests the above-mentioned browsing to the storage system 30 via the Internet. After a while, the bitmap image data of the radiograph of the carotid artery of the Q patient taken six months ago is displayed on the display screen of the terminal 22. Thus, even when an object or information is stored in the second place, the doctor F can call the image in front of the patient's eyes and explain the healing situation of the affected part for six months.
Conventionally, when an X-ray photograph is stored in a storage warehouse, the X-ray photograph is not delivered until the next day at the earliest after the request for browsing.
As described above, even when the storage of the product is outsourced, the storage system 30 can convert the information included in the product into data and send the data to the customer using the Internet. You can easily and quickly access items or information stored in this location.

Empirically, when measuring patient data and the like, it is known that the data or the like is often used immediately after the measurement, but the number or probability of using the data or the like decreases with time.
Therefore, for a while after the measurement of the data or the like, the data or the like is stored in a first storage location in the hospital A although the storage capacity is small. Thereby, the doctor of hospital A can take out data immediately at any time during that period, or can make a diagnosis by using an actual X-ray photograph.
When the date of a certain period or more elapses, the data or the like is transferred from the first location to the second warehouse, thereby securing a space for storing new objects or information in the first location.
If you try to retrieve the data sent to the second location, it will take longer to retrieve than the data stored in the first location, but the probability of the need for browsing will be reduced as described above. Therefore, if it is necessary to browse, easy and high-speed access is possible.

The second management unit 34 calculates a storage fee based on the number of items or information entrusted for storage, the number of browsing requests, and the like, and bills the customer A Hospital 10 every month.
When the storage fee is also collected at the first location, the storage and use status at the first location is managed by the first management unit 20, so the second management unit 34 is the first management unit. Communicate regularly with 20 to know the storage status at the first location.
The second management unit 34 includes a storage fee at the first location (the first management unit 20 manages the storage status) and a storage fee at the second location (the second management unit 34 manages the storage status). And charge the total amount to Hospital A.

  In another embodiment, the first management unit 20 does not exist. The second management unit 34 manages not only the storage status of the second location but also the storage status of the first location via the Internet 26. In this case, the first server 19 plays a role like a terminal of the second management unit 34.

Example 3
The third embodiment of the present invention will be described below with reference to FIG.
[Description of secure storage system (Fig. 3)]
FIG. 3 illustrates a secure storage system.
The customer 40 includes a hospital and the like. The user 60 at the right end is also the same customer. The flow of things and information is shown as flowing from left to right.
The customer 40 entrusts storage of goods or information to a storage system (storage / management / distribution system for middle medical record data).
Items or information to be entrusted for storage include medical records 41 (things) such as films such as X-ray photographs, papers such as medical records, and electronic medical records 42 (information).
The electronic medical record 42 is collected in the server 43 through, for example, a hospital LAN 44. Even if a person outside the hospital tries to invade the LAN 44, it is blocked by the firewall 45 and cannot enter.
The server 43 is connected to a DVD recorder, and the collected information is sequentially recorded on the DVD.

When storing a DVD in an electronic warehouse, encryption may or may not be performed. Preferably, encryption is performed so that the contents are not known to unspecified persons in the hospital. The encryption method is arbitrary.
Each DVD medium (medium) is recorded with a unique ID at the manufacturing stage. Different IDs are recorded for each medium.
In the present embodiment, a reliable ID is realized at a low cost by using a unique ID of a DVD (medium).
When recording on a DVD recorder, the ID specific to the DVD medium is read by the playback function of the DVD recorder. Information to be recorded is encrypted using the ID unique to the read DVD medium. When reproducing the information recorded on the DVD recorder, the ID specific to the DVD medium is read by the reproducing function of the DVD recorder. The cipher is decrypted using the ID unique to the read DVD medium.
Most DVD devices in hospitals are DVD players (playback-only devices). The DVD player should not be able to read the unique ID of this DVD medium. As a result, the encrypted information recorded on the DVD medium cannot be decrypted by other DVD players. In this way, confidentiality in the hospital can be maintained.
Since the DVD player in the storage system needs to be able to read the unique ID of the DVD medium, a DVD recorder or the like having a playback function is actually used.

Medical records of objects such as films are regularly collected (eg, twice a month) and transported to a storage system. The medical records of the collected items are registered in the database 46, and those items are stored in the item warehouse 49.
The database registration 46 creates a storage list for each user and stores it in the database 48. However, as will be described later, since the storage list is created by access or the like, which is commercially available database software, it is possible to create a storage list focusing on an arbitrary column based on the database. The created storage list is stored in the database 48.
The database registration 46 refers to the list of customer IDs stored in the database 48 and authenticates the customer who entrusts the storage of the object (user authentication).
The database registration 46 grasps the storage status and browsing status of the items entrusted by each customer, and performs communication history and billing management with the customer. The created communication history, billing data, etc. are stored in the database 48.
The database registration 46 registers a storage location where an article is stored in the article warehouse 49, and stores data of the storage location in the database 48.

Recording media such as DVDs on which electronic medical records are recorded are periodically collected (for example, twice a month) and transported to a storage system. The collected DVDs are registered in the database registration 47, and those DVDs are stored in the electronic warehouse 54.
The database registration 47 creates an information storage list for each user. Based on the database, it is possible to create a storage list that focuses on any field. The created storage list is stored in the database 48.
The database registration 47 refers to a list of customer IDs stored in the database 48 to authenticate a customer who entrusts storage of information such as a DVD (user authentication).
The database registration 47 grasps the storage status and browsing status of DVDs entrusted by each customer, and manages the communication history and billing management with the customer. The created communication history, billing data, etc. are stored in the database 48.
The database registration 47 registers the storage location where the DVD is stored in the electronic warehouse 54 and stores the storage location data in the database 48.
The customer 40 communicates with the database registration 47 through the server 43 and the Internet, and can register and store a recording medium such as a DVD online.

As described above, all data is stored in the database 48 both when registering storage of objects and when registering storage of information (or recording medium). In the database 48, registration data, communication history (including browsing records, etc.), billing data, and other data are integrated between the object and the information.
Therefore, even if the storage of information and the storage of information are performed by separate database registrations 46 and 47 at the time of registration, for example, the customer displays an integrated list of materials and information requested for storage on the terminal screen. I can do it. For example, in the storage list of FIG. 4 or FIG.
In addition, the storage system does not charge the storage fee for the goods and the storage fee for the information separately from the hospital A, but generates a bill for the storage fee integrating the storage of the goods and the storage of the information. To charge.

The user (customer) 60 can browse the items or information entrusted for storage through a communication network 59 such as WEB.
The user logs into the WEB, searches the WEB, and calls the storage system site. The user sends his / her customer ID, the custody ID of the storage item he / she wishes to browse, and a browsing request to the storage system (WEB request).
The WEB server 57 of the storage system searches whether the same customer ID as the sent customer ID exists in the customer ID list stored in the database 48. If it exists, the storage system accepts the user's request and does not respond to the user's request if the same customer ID cannot be retrieved.
By combining a password, hard key, etc., strong security can be realized (63).
Even if a third party tries to break into the database of the storage system, it is blocked by the firewall 58 and cannot penetrate.

  When the user requests browsing of the stored item, the WEB server 57 searches the item warehouse 49 and retrieves the required item. If the object requested to be viewed is a radiograph or the like, it is converted into digital video data by a digitizer (on-demand 51). The obtained digital video data is compressed using a method such as GIF (data compression 52). The compressed data is encrypted by DES or the like (data encryption 53). The WEB server 57 transmits the compressed / encrypted data to the user via the communication network 59. The user receives the data, decrypts the encryption, decrypts the compression, and displays it on the display screen of the user's personal computer (62).

  When the user requests browsing of stored information (recording medium), the WEB server 57 searches the electronic warehouse 54 and pulls out the requested recording medium. The extracted recording medium is applied to a player (for example, a DVD player) to obtain reproduced digital video data. The obtained digital video data is compressed using a method such as GIF (data compression 55). The compressed data is encrypted by DES or the like (data encryption 56). The WEB server 57 transmits the compressed / encrypted data to the user via the communication network 59. The user receives the data, decrypts the encryption, decrypts the compression, and displays it on the display screen of the user's personal computer (62).

When the user requests to browse the stored item, the WEB server 57 searches the item warehouse 49 and retrieves the required item. An item requested to be browsed is sent out via a courier service or the like (data actual shipment 50).
The user receives the actual thing.

[Explanation of storage list (FIGS. 4 and 5)]
4 and 5 show storage lists held by the management unit 4 in this embodiment.
Items and information entrusted to be stored are listed in the list in such a manner that the items and information are integrated as shown in FIG. 4 or 5 (the item storage list and the information storage list are not separate and independent) .
4 and 5 explicitly show the data coupling state in this embodiment.
In FIGS. 4 and 5, lists are collected for each customer name (or customer ID). In this embodiment, the storage list is created using commercially available database software for Windows (for example, “Access” sold by Microsoft Corporation). Therefore, the storage list can be displayed based on an arbitrary column. For example, if the storage list is displayed based on the patient ID (FIG. 5), the materials related to the P patient are displayed together (the P patient may be examined at a plurality of hospitals or clinics).

In FIG. 4 (and FIG. 5), all the items and information that the customer A hospital consigns storage are displayed together. All customers have customer IDs to prevent customer verification and entry into third party databases. The storage list can include each customer's password in addition to the customer ID. When a customer requests to browse an item entrusted with storage, a third party can be prevented from entering the database by requesting not only a customer ID but also a password.
The customer name, the name of the consignment, etc. are filled with the name of the customer, the name of the consignment, etc., which is convenient when displaying the storage list on the screen.
Every deposit item has a unique deposit item ID.
All deposits are stored in the goods warehouse 5 or the electronic warehouse 6. The item / data column is a column for distinguishing whether each deposit is an item or information (data).

The data column is a column indicating whether or not there is digitized data (bitmap image data) converted by the digitizer (converter 7) when the consignment is a product. The indication “present” indicates that not only the goods that are the original consignment items are stored in the goods warehouse 5 but also the digitized data is stored in the electronic warehouse 6.
The storage location indicates where in the warehouse 5 or the electronic warehouse 6 each stored item is stored. For example, the chest X-ray of the patient P is stored at the address 253 of the rack M006 in the item warehouse 5 (M006-253). The head MRI data of the R patient is recorded on a DVD at address 925 in the E087 rack of the electronic warehouse 6. In general, a plurality of data is recorded on one DVD, and R patient's head MRI data is recorded at address B in the DVD (E087-925B).

The custody date indicates the start date of storage. The browsing history is the basis data for the charging of the storage system 2 and provides convenience when the hospital A investigates the usage history of the stored materials so far.
In FIG. 4, the actual chest X-ray photograph of P patient and its digitized data are described in separate columns and are given the same deposit ID 2193844. In the calculation of the storage fee, the actual chest X-ray photograph of the P patient and the digitized data thereof are the same product, and are stored separately in the storage management of the warehouse 5 and the electronic warehouse 6.
The actual chest X-ray of P patient and its digitized data can have separate deposit IDs.
In the storage system 2 or 30 or the like, the full screen of FIG. 4 or FIG. 5 can be displayed. In the hospital A, which is a customer, it is possible to display a list consisting only of items and information columns that the hospital A entrusted with storage.

In the storage list of FIG. 5, the actual chest radiograph of P patient and the digitized data are listed in the same column.
Further, the storage list of FIG. 5 has columns of patient ID and patient name. As will be described later, when the patient himself / herself requests to view his / her chest radiograph, it is convenient to confirm whether the patient is himself / herself and to charge the patient himself / herself for a viewing fee later. Similarly, when the P patient has moved from the A hospital to the D hospital, when all consignment items related to the P patient are transferred from the A hospital to the D hospital, a storage list is generated based on the patient P column, and the patient P column is displayed. The customer names and customer IDs of all the consignment items included can be collectively converted into the names and customer IDs of the D hospital.

When the hospital A requests to view the chest X-ray of the patient P, the storage system 2 extracts the chest X-ray of the patient P from the item warehouse 5 and converts it into electronic data by the conversion unit 7 (digitizer). , Send electronic data to hospital A.
Since the creation of digitized data by the conversion unit 7 is time-consuming, it is desirable to store the generated digitized data while the chest X-ray photograph of the P patient is stored. If the computerized data is stored, if Hospital A next requests to view the chest X-ray of the P patient (because A Hospital has consigned the storage of the chest X-ray of the P patient, which is a thing only) , Requesting to view the chest X-ray of the patient P instead of the digitized data.) The digitized data of the chest X-ray of the patient P in the electronic warehouse 6 can be retrieved and immediately sent to the hospital A. .

Specifically, the presence / absence of digitized data is searched in the following procedure.
When the hospital A sends the customer ID 3528643, the consignment ID 2193844, and the request for browsing the chest X-ray photograph of the P patient to the storage system 2, the reception unit 3 receives the customer ID and the customer ID of the storage list. Is confirmed, and the request is transmitted to the management unit 4.
In the storage list of FIG. 4, the management unit 4 first searches for the consignment ID 2193844 from the information stored in the electronic warehouse 6. When the same consignment ID is found, the electronic warehouse 6 is instructed to withdraw the digitized data from the storage location E091-478A. The extracted electronic data is sent to Hospital A.
In the above search method, the management unit 4 always searches from the information deposit even when the customer requests browsing of the deposit, so there is a deposit of the item and its digitized data. The computerized data is preferentially selected. Only when there is no electronic data with the same deposit ID, the deposit of the item is searched.
Of course, when the customer requests browsing of the actual item, the management unit 4 searches for the item's deposit without searching for the information's deposit.

When searching for deposits based on the storage list of FIG. 5, a search method different from the above is adopted.
The management unit 4 searches for the consignment ID 2193844 in the storage list of FIG. If the same consignment ID is found, it is checked whether the data column is “present” or “not present”. In the case of “Yes”, since there is electronic data of the consigned item, the management unit 4 instructs the electronic warehouse 6 to extract the electronic data from the storage location E091-478A. The extracted electronic data is sent to Hospital A.

In the above search method, when the customer requests browsing of the consignment of goods, the management department always checks whether the electronic data of the goods exists, If data exists, digitized data is preferentially selected. Only when there is no digitized data, the consignment of the item is pulled out from the warehouse of the item, and the conversion unit 7 generates the digitized data.
Of course, when the customer requests browsing of the goods that are the actual thing, the management unit 4 pulls out the goods that are kept from the goods warehouse 5 without checking whether the electronic data of the thing exists. Command.
By the above method, even when the customer is requested to browse the object, if the digitized data is generated, the digitized data is sent. Thereby, it is possible to eliminate redundant conversion work (work to digitize X-ray photographs).

[Explanation of billing method (Fig. 6)]
FIG. 6 shows a charging list of the present embodiment.
The storage system 2 stores the entrusted items and information, sends the items (or computerized information of the items) or information stored in the warehouse in response to the browsing request from the customer, and the customer Charges according to the service such as mediating the interpretation service by the third party doctor requested.

FIG. 6 shows a breakdown of the invoice for September 2000 sent by the storage system 2 to the hospital A.
In September 2000, Hospital A entrusted 20 items to be stored and 10 items of information (data) to the storage system 2. The storage system 2 charges according to the number of storage points. As shown in FIG. 6, the deposit unit price of goods and the deposit unit price of information can be set to different amounts. The difference in unit price is mainly due to the difference in storage costs.
The custody period is calculated from the time when the customer sends an item (or information) entrusted for storage to the storage system 2 or when the storage system 2 receives the item entrusted for storage around the customer's house.
If there is a first storage location in a large hospital that is a customer and a second storage location in another location as shown in FIG. 2, the customer starts depositing the item etc. in the first location. The deposit period may be calculated, or the deposit period may be calculated from the time when an item or the like that was in the first place is transferred from the first place to the second place.

In September 2000, Hospital A browsed things once and browsed information three times. The storage system 2 charges an amount proportional to the number of times of browsing the object and browsing the information.
The unit price for the object browsing and the information browsing may be set to the same unit price, or may be set to different unit prices as shown in FIG.
“Browsing (thing) once” indicates that Hospital A requested to browse the actual X-ray image once. In this embodiment, when electronic data of X-ray photographs (bitmap image data generated by a digitizer) is sent to Hospital A, a charge is made in the column for viewing (data). Whether to charge the electronic data of the X-ray photograph as the browsing of the object or as the browsing of the information is arbitrary.

Hospital A has requested doctor X to interpret radiographs, which will be described later, in September (in the column “Analysis (Professor X)”), and storage system 2 charges hospital A for the cost.
Interpretation service means that hospital A requests an external veteran doctor to interpret radiographs and the like.
The storage system 2 pays an interpretation fee to a doctor entrusted with interpretation on behalf of a client such as Hospital A, and charges an interpretation fee to a client such as Hospital A on behalf of the doctor entrusted with interpretation. Generally, the billing amount includes the brokerage fee for the storage system 2.
In the conventional method, for each individual interpretation request subject, the requesting hospital pays an interpretation fee to the doctor who is the requestee.
In the present embodiment, the storage system 2 mediates not only greatly simplifying the trouble of sending an X-ray photograph as described later, but also in place of payment of an interpretation fee for each subject. Since the subject lines are collectively paid and billed, the expense processing can be greatly simplified.

In addition to the billing as shown in FIG. 6, there is another billing method described in a later embodiment.
For example, C Clinic does not entrust storage of its own items or information to the storage system 2, but may request to view a photograph of the foot of the S patient requested by B Hospital. In such a case, the storage system 2 charges only a fee based on browsing to the C clinic.
Similarly, P patient (P patient does not entrust storage of his / her own items or information to the storage system 2) may request to view a photograph of his / her foot. In such a case, the storage system 2 charges only the fee based on the browsing to the P patient.

[Explanation of storage of goods (Fig. 7)]
FIG. 7 shows a chest X-ray photograph of P patient stored in the warehouse 5 of the present example.
The chest X-ray photograph includes a chest X-ray photograph 71, an identification label 72 pasted thereon, and a barcode 73.
The identification label 72 includes a customer ID, a customer name, a custody ID, a name (name) of the custody, a patient ID, and a patient name. Preferably, the hospital A as a customer describes the customer name, the name of the deposit and the patient name on the identification label, and affixes the identification label 72 to the X-ray photograph. The storage system 2 writes in other fields such as the customer ID. Since X-rays and the like are all similar to third parties, in this way, it is possible to prevent any mistakes.

The bar code 73 includes the same information as the information included in the identification label 72. Only the barcode 73 can be attached to the chest radiograph and the identification label 72 can be omitted. Alternatively, only the identification label 72 can be attached to the chest radiograph and the bar code 73 can be omitted.
However, it is preferable that the electronic identification is reliably performed by the bar code and the human being can visually identify by the identification label, so that an accidental mistake is surely eliminated.
Many X-ray machines automatically copy arbitrary characters such as a patient's name and numbers such as an ID to a photographed X-ray. Preferably, the imprinted characters, numbers such as IDs are automatically read to generate a label, and the generated label is attached to the X-ray photograph. This eliminates all errors.

When the hospital A requests to browse the chest X-ray of the P patient, the chest X-ray is converted into digitized data (bitmap image data), and the bitmap image data is sent to the hospital A.
In this embodiment, when the chest X-ray photograph of P patient is converted into digitized data (bitmap image data) and sent to hospital A, the identification label 72 is always included in the bitmap image data.
When the bitmap image data is sent to the A hospital, the identification label 72 is sent to the image data with the name of the A hospital, the customer identifier, the name of the deposit and the deposit ID. There is no need to include it in the data.

When the hospital A sends the customer ID 3528643, the consignment ID 2193844, and the request for browsing to the storage system 2, the storage system 2 sends bitmap image data of the chest X-ray of the P patient to the hospital A.
The storage system 2 compares the custody ID 2193844 of the custody requested to be viewed with the custody ID included in the barcode attached to the chest X-ray of the P patient, and confirms that they match. Then, bitmap image data is generated by the conversion unit, and the bitmap image data is sent to hospital A. Therefore, it is not normally possible to confuse it with another person's X-ray photograph, but there is no guarantee that there will be no accident. Also, there is a possibility that the doctor at hospital A enters the wrong consignment ID (for example, a chest radiograph of Mr. T who is admitted to the same hospital A).
However, in this embodiment, since the identification label 72 is always included in the bitmap image data, the doctor always sees the identification label on the image data when the doctor of Hospital A interprets the bitmap image data. . Thus, the doctor can visually determine whether the sent bitmap image data matches the requested data.
Misuse of medical data can be life-threatening and must be prevented. By the above method, it is possible to prevent accidents by mistake.

Since all the information stored in the electronic warehouse 6 is automatically put in and out by the computer, there is no possibility of mistaking the information and there is no substance, so generally the identification label 72 and the bar as shown in FIG. The code 73 is not necessary.
However, when the information is recorded on a recording medium such as a DVD, the operation of taking out the DVD and applying it to the player is performed manually. Therefore, an identification ramel 72 as shown in FIG. And it is preferable to stick the barcode 73.
Alternatively, a unique ID for each medium recorded on each DVD medium is read by a DVD player, and it is confirmed that the desired DVD medium has been correctly taken out.

Example 4
A fourth embodiment of the present invention will be described with reference to FIG.
In the fourth embodiment, the B hospital 81 and the C clinic 82 entrust the storage system 2 to store X-ray images, X-ray tomographic image data, electronic medical records, etc. generated in daily medical activities. ing. S patient 83 who had burned a foot and was admitted to B hospital 81 was discharged, and after discharge, S patient 83 decided to go to C clinic 82 in his neighborhood.
The storage system 2 includes a reception unit 3, a management unit 4, an article warehouse 5, an electronic warehouse 6, and a conversion unit 7. Since the configuration of the storage system 2 is basically the same as that of the first embodiment, description thereof is omitted. Here, only differences from the first embodiment will be described.
When the patient S was admitted to the B hospital 81, the B hospital 81 made a photograph of the foot of the S patient 83 and an electronic medical record while treating or diagnosing the S patient 83 (FIGS. 4 and 5). ).

  When the S patient 83 leaves the B hospital 81 and starts to the C clinic 82, in order for the C clinic 82 to fully understand the treatment process so far, It is desirable to hand over the photograph and electronic medical record of the foot of the S patient acquired so far to the C clinic 82. Assume that B hospital 81 has agreed to hand over the foot of S patient 83 and an electronic medical record to C clinic 82.

Conventionally, the B hospital 81 once terminates the entrustment of storage of the photograph of the foot of the S patient and the electronic medical record. The management system 2 returns the foot photograph to the B hospital 81 by mail, and sends the electronic medical record to the personal computer of the B hospital 81 using the Internet.
The B hospital 81 passes the photograph of the foot part returned and the electronic medical record recorded on the floppy to the C clinic 82.
The C clinic 82 sends the received foot photograph, electronic medical record, customer identifier of the C hospital, and a request for storage of these items and data to the storage system 2. The receiving unit 3 of the storage system 2 receives these items and data. The photograph of the foot is again stored in the article warehouse 5, and the electronic medical record is stored in the electronic warehouse 6.
Conventionally, the above troublesome labor is required.

On the other hand, in the fourth embodiment of the present invention, photographs and electronic medical records of the foot of the S patient can be transferred from the B hospital to the C clinic by a much simpler procedure.
Hospital B sends to the storage system 2 customer ID 9187725 of hospital B, consignment IDs 5879825 and 1268354, and instructions to transfer the photos and electronic medical records of the S patient to the C clinic.
C Clinic has C Clinic customer ID 0025864, and Custody IDs 5879825 and 1268354 (notified in advance from Hospital B. In other embodiments, custody ID may not be present), S patient's leg. A consent form for accepting storage of photographs and electronic medical records is sent to the storage system 2.
The receiving unit 3 of the storage system 2 receives these documents, searches the storage list (FIG. 4 or FIG. 5) for each customer identifier and confirms them, and then stores a photograph of the foot of the S patient stored and an electronic medical record. Customer name and customer ID (customer identifier) are changed from hospital B to clinic C (FIGS. 4 and 5).
This completes the transfer.
Preferably, before performing the above procedure, the C clinic registers a customer in the storage system 2. The name of the C clinic and the customer identifier are registered in the storage list of the storage system 2.

When the storage list of the storage system 2 includes a patient ID (patient identifier) 4915134 (FIG. 5), an instruction that Hospital B will transfer all of its customer ID 9187725, patient ID 4915134, and S patient data to C Clinic When the C office submits the customer ID 0025864 of the C office and the consent to accept the storage of all materials related to the S patient, the management unit 4 is attached with the patient ID of the S patient. The customer ID and customer name of all existing items and information can be collectively converted from hospital B to clinic C. In this way, the transfer of the data of the S patient can be completed without omission by a simple procedure.
In this embodiment, since the management unit 4 manages the items stored in the item warehouse 5 and the information stored in the electronic warehouse 6, the items and the information are collectively collected. Can be transferred from hospital B to clinic C.

When the S patient moves from the B hospital to the C clinic, the B hospital often refuses to deliver the S patient's photograph and electronic medical record to the C clinic.
In such a case, conventionally, C Clinic had no choice but to understand the progress so far by reading a letter from Hospital B brought by S patient. In addition, C Clinic newly takes a picture of the foot of S patient and creates a new electronic medical chart (or paper chart).
As described above, when the S patient moved from the hospital, there were various problems in taking over, and duplicated labor and cost were generated.

On the other hand, in the fourth embodiment, the hospital B can take over the patient S from the hospital B to the clinic C in a much simpler procedure without giving up the photos and electronic medical records of the patient S. I can do it.
Hospital B sends to the storage system 2 a customer ID 9187725 of Hospital B, consignment IDs 5879825 and 1268354, and an instruction to allow the C clinic to accept photographs of the feet of S patients and electronic browsing of electronic medical records.
C Clinic will give C Clinic customer ID 0025864, Custody IDs 5879825 and 1268354 (in other embodiments, custody IDs are not required), and consent forms regarding the viewing of S patient's foot photos and electronic medical record storage. To the storage system 2.
The reception unit 3 of the storage system 2 receives these documents, searches the storage list (FIG. 4 or FIG. 5), confirms each customer identifier, and then photographs the foot of the S patient on the storage list and the electronic medical record. Write the name of C Clinic and the customer ID of C Clinic in the columns of browsing permitted customer name and browsing permitted customer ID (customer identifier). The columns of the browsing-permitted customer name and the browsing-permitted customer ID (customer identifier) are new columns added to the right end of the storage list in FIGS.

Preferably, Hospital B allows the C clinic to view the actual footage of the S patient's foot and view the electronic data converted by the conversion unit 7, or the C hospital converted the electronic data to the C unit. It is possible to select whether browsing is permitted only for the photos of the feet of the S patient.
The C clinic receives the customer ID 0025864, the deposit IDs 5879825 and 1268354 (in other embodiments, the deposit ID is not required), and the storage system 2 accepts a photograph of the foot of the S patient and a request to view the electronic medical record. Send to part 3. The receiving unit 3 receives the customer identifier of the C clinic described in the column of the photograph of the foot of the S patient in the storage list (FIG. 4 or FIG. 5) and the customer ID (customer identifier) permitted to view the electronic medical record. After confirming that it matches the customer ID, the electronic data and electronic medical record of the photograph of the foot of the S patient are sent to the C clinic. Preferably, the reception unit 3 also confirms that the received customer name (C clinic) matches the photograph of the foot of the S patient on the storage list and the customer name permitted to view the electronic medical record.
According to the above procedure, the right to manage photographs and electronic medical records of the S patient is located in the hospital B, but the C clinic can examine and examine the photographs and electronic medical records of the foot of the S patient.

In another embodiment, Hospital B will deliver Hospital C's customer ID 9187725, deposit IDs 5879825 and 1268354, digitized data of the foot of S patient and a copy of the electronic medical record to C Clinic. Is sent to the storage system 2.
C Clinic receives C Clinic customer ID 0025864, Custody IDs 5879825 and 1268354 (in other embodiments, Custody ID is not required), S Patient's foot photo digitized data and electronic medical record copy. And a request form for entrusting storage to the storage system 2 is sent to the storage system 2.
After the receiving unit 3 searches the storage list (FIG. 4 or FIG. 5) for each customer identifier and confirms it, the foot of the S patient who is the storage consignment of the B hospital from the warehouse 5 according to the instruction of the management unit 4 The photograph is taken out, and the conversion unit 7 obtains the digitized data (bitmap image data read by the digitizer). The photograph of the actual foot is returned to the object warehouse 5. The digitized data is newly stored in the digitized warehouse 6. The customer of the digitized data which is the new storage information newly described in the storage list is C clinic.
Similarly, a copy of the electronic medical record of the S patient in the electronic warehouse 6 is created, and the copy is newly stored in the electronic warehouse 6. In the storage list, the copy is registered in association with the customer name and customer identifier of the C clinic.
The C clinic can view these information registered with its own customer identifier at any time.
The storage system 2 charges the storage fee for these copies to the C clinic.

In another embodiment, a plurality of customer names and customer identifiers can be registered in the customer name and customer identifier fields of the storage list. The storage system 2 that has received the above-mentioned instructions and the like newly registers the name of the C clinic and the customer identifier in a column such as a photograph of the foot portion of the storage list. Hospital B and C Clinic share a picture and electronic chart of the foot of S patient (however, C Clinic is the owner of only electronic data). In this case, it is not necessary to create a digitized photo data of the foot and a copy of the electronic medical record, which are storage information entrusted by C Clinic.
The fact that C Clinic does not have the right to manage the actual foot photo, but only the digitized data of the foot photo, has the right to manage the photo itself. It can be easily realized by providing the management list with a column for identifying whether or not it has a management right only for digitized data.
It should be noted that this can only be realized by the management unit 4 managing the physical warehouse 5 and the electronic warehouse 6 in an integrated manner. If the management of the warehouse 5 and the electronic warehouse 6 is separate, it is registered in a single management list that they do not have management rights for the goods but have management rights for the electronic copies. Because you can't.

In still another embodiment, the S patient 83 himself / herself receives the patient ID 4915134 and the instruction to transfer his / her foot photo and electronic medical record from the B hospital to the C clinic. Can be sent to Preferably, the customer ID, the consignment ID, and the consent form are sent from the B hospital and the C hospital to the storage system 2.
The accepting unit 3 confirms that the patient identifier attached to the instruction sheet matches the patient identifier (patient ID in FIG. 5) in the column such as the photograph of the foot of the S patient in the storage list, and the S patient The customer name and customer identifier, such as a photo of the foot of, are changed to C clinic.
In this way, according to the present embodiment, it is possible to easily instruct transfer of the management right such as a photograph of the foot from the B hospital and the S patient to the C clinic.

Example 5
A fifth embodiment of the present invention will be described with reference to FIG.
Although the conventional storage system for goods or information is merely used for storing goods or information, in the fifth embodiment, the storage system 2 stores medical information in addition to the storage of goods and information. It also provides a mediation service for an appraisal service by three parties (for example, commission of interpretation of X-ray tomography image data).
At present, many X-ray tomography apparatuses are rapidly installed in hospitals in various parts of Japan, but interpretation of X-ray tomography image data (diagnosis based on image data) is difficult, so doctors in the hospital There are many market demands for interpreting X-ray tomographic image data and for having an experienced doctor interpret the X-ray tomographic image data at the same time.
Conventionally, a hospital where a patient is hospitalized or going to the hospital relied on a veteran doctor to read an interpretation, and after obtaining consent, the X-ray tomography image data was mailed to the veteran doctor. After interpretation, the veteran doctor wrote a medical certificate and returned the X-ray tomographic image data and medical certificate to the hospital by mail. The hospital remits the interpretation fee to an experienced doctor.
As mentioned above, it takes a lot of time and effort to request an interpretation to the outside, and the scope to search for doctors entrusting interpretation is limited, so it is not always possible to find a veteran doctor as desired It is.

The fifth embodiment shows a method capable of easily requesting a doctor who belongs to a hospital other than the hospital where the patient is hospitalized or going to the hospital to interpret the X-ray tomography image data and the like.
In FIG. 9, the patient P is admitted to the hospital A, and the hospital A entrusts storage of the chest X-ray photograph of the patient P to the storage system 2 (FIG. 4 or FIG. 5).
Hospital A wanted to ask an external veteran doctor to interpret the chest X-ray of P patient. Hospital A sends to its storage system 2 its own customer ID 3528643, a P patient chest radiograph receipt ID 2193844, and a P patient chest radiograph interpretation request. The reception unit 3 searches the storage list for the customer ID of the hospital A, and then sends a list of interpretation service contract doctors of the management unit 4 to the hospital A.

Hospital A selects Doctor X from the list of interpretation service contract doctors.
The storage system 2 immediately pulls out the chest X-ray of the patient P from the warehouse 5 of the object, converts it into digitized data (bitmap image data) by the conversion unit 7, and sends the obtained bitmap image data to the X doctor 93. To do.
At this time, the custody ID is given to the bitmap image data to be sent, but data specifying the individual patient such as the patient ID and the patient's name is not attached. Thereby, a patient's secret can be leaked. Compared to the case where a hospital relies on an individual to request an interpretation service from another doctor, a much more secure confidentiality can be achieved.

The X doctor 93 interprets the sent bitmap image data of the chest radiograph and writes a medical certificate. Preferably, the medical certificate is also created as an electronic file instead of paper.
Doctor X sends the medical certificate to the storage system 2.
The storage system 2 receives the medical certificate and sends the medical certificate to hospital A. Hospital A can request the storage system 2 to store the medical certificate.
The storage system 2 pays an interpretation fee to the doctor X including other interpretation fees (for example, an interpretation request from the hospital B to the doctor X) every month. In addition, the storage system 2 charges the hospital A for an interpretation fee by the doctor X included in the monthly bill.
As described above, the hospital A can entrust interpretation to a veteran doctor who desires it through the mediation service of the storage system 2 without actually moving the chest X-ray of the P patient.

In addition, Hospital A can entrust interpretation to a plurality of doctors at the same time. Hospital A can select a plurality of doctors (Doctor X and Doctor Y) from the list of interpretation service contract doctors sent from the storage system 2.
The storage system 2 sends the digitized data of the chest X-ray of the P patient to the doctors X and Y. Doctor X and Doctor Y interpret the sent electronic data, write a medical certificate, and send the medical certificate to the storage system 2. The storage system 2 sends two medical certificates to the hospital A, and stores two medical certificates if the hospital A desires.
In the past, X-rays, which are things, were sent to doctors, so interpretation could only be entrusted to one doctor. In the fifth embodiment, since the digitized data is sent to the doctor entrusting the interpretation, the interpretation service of a plurality of doctors can be received.

It should be noted that the fifth embodiment can be easily realized by the management unit 4 managing the article warehouse and the electronic warehouse in an integrated manner.
For example, when Hospital A first requests only the interpretation of Dr. X and Hospital A asks Dr. Y to add an interpretation of the X-ray image later, the storage system 2 extracts the X-ray image from the warehouse 5 and converts it. Without being converted again into digitized data by the unit 7, the digitized data (created when the digitized data is sent to the doctor X) can be extracted from the electronic warehouse 6 and sent to the doctor Y as it is. .
In addition, when the doctor of hospital A searches the management list (the display screen of the terminal in hospital A displays the customer name extracted from the storage list of FIG. Because the X-ray picture that is an object and the medical certificate that is information (assuming it is an electronic file) are displayed at the same time, it is possible to check the entire document related to P patient at a glance. It is easy to understand the interrelationships between materials and materials.

  Further, in another embodiment, the patient P has his / her patient ID 6073899, his / her chest radiograph receipt ID 2193844, and a request form and storage system 2 for requesting an external doctor to interpret the chest radiograph. (See FIG. 5). The reception unit 3 confirms that the sent patient ID matches the patient ID in the management list, and sends the list of interpretation service contract doctors possessed by the management unit 4 to the P patient in the same manner as described above.

P patient selects doctor X from the list of interpretation service contract doctors.
The storage system 2 sends the digitized data (bitmap image data) of the chest X-ray of the P patient to the X doctor 93 as described above.
The X doctor 93 interprets the sent bitmap image data of the chest radiograph and sends the medical certificate to the storage system 2.
The storage system 2 receives the medical certificate and sends the medical certificate to the P patient.
The storage system 2 pays an interpretation fee to the doctor X and charges the patient P with an interpretation fee by the doctor X.
As described above, without actually moving the chest X-ray of the patient P, the patient P can entrust the interpretation to the experienced doctor by the mediation service of the storage system 2. In the conventional method, it was almost impossible for a patient to find an external veteran doctor and request an interpretation. However, according to the fifth embodiment, the patient can easily receive a veteran doctor's interpretation service. I can do it.

  As shown in FIG. 9, hospital A, patient P, doctor X, doctor Y, and storage system 2 are connected to each other via WEB 95, and can communicate information with each other using the Internet. Preferably, information transmission between each other uses encryption such as ZIP.

[Explanation of Flowchart of Fifth Embodiment (FIG. 13)]
FIG. 13 shows a flowchart of the fifth embodiment.
When a request for analyzing an object or information (for example, interpretation of X-ray tomographic image data) is received from a customer, the processing is performed according to the procedure shown in FIG.
First, a request for analyzing an object or information is received from a customer (or patient) (step S21).
Next, the customer ID included in the received data is identified. By searching the storage list (FIG. 4 or FIG. 5), if the same customer ID is found, the browsing request is permitted, and if the same customer ID cannot be found, the browsing request is not permitted (step S22).
When browsing is permitted, the storage location of the deposit (item or information) having the deposit ID included in the browse request is searched (step S23).

If the consignment is information (X-ray tomographic image data or the like), the process proceeds to step S26, and if the consignment is an object (such as an X-ray photograph), the process proceeds to step S25 (step S24).
If the deposit is a thing, the digitizer converts the information contained in the deposit to the first information (step S25). Typically, an X-ray photograph is converted into bitmap image data.
Information is transmitted to the analyst (step S26).
The analyst performs analysis work (step S27). Typically, an experienced doctor interprets X-ray image data or X-ray tomographic image data.
The analyst transmits the analysis result (medical certificate) to the storage system (or directly to the customer) (step S28). If the analysis result is sent directly to the customer, the process ends at this step.
When the analyst transmits the analysis result (medical certificate) to the storage system (or directly to the customer) in step S28, the storage system transmits the analysis result to the customer (step S29).

  The following inventions can be read from the respective embodiments.

The management method of medical image related information of the first invention is:
A storage step of storing the medical image-related information as the film image when the medical image-related information generated from a hospital diagnosis apparatus is output as a film image;
A first storage step of storing a first identifier for identifying the hospital and a second identifier for identifying the medical image related information in a storage device in association with the medical image related information;
A reception step of receiving a request for browsing the medical image related information, which is a request including the first identifier and the second identifier sent by the hospital;
The first identifier included in the request is compared with the first identifier stored in the storage device, and if the two first identifiers are not substantially the same, the request is not satisfied. Steps,
A search step of searching for the medical image related information based on at least the second identifier;
Converting the information included in the medical image related information into first information which is analog data or digital data;
A sending step of sending the first information to the hospital;
including.

Conventionally, when a customer such as a hospital has entrusted storage of an item and the customer requests browsing of the stored item, the customer must browse the item until the medical image related information is mailed. I couldn't.
In the first invention, when a customer such as a hospital entrusts storage of an object and the customer requests browsing of the stored object, the medical image related information itself is not sent to the customer, Information included in the medical image related information is converted into first information, and the first information is sent to the customer through the Internet or the like.
As a result, the first invention has the effect of realizing a management method capable of easily and quickly browsing information included in the medical image related information stored by the customer.
In addition, the conventional management method in which the medical image related information itself is sent from the storage warehouse to the customer and the customer who has finished browsing returns the product to the warehouse again has a high cost for browsing.
In the first invention, in particular, by using a communication line such as the Internet, it is possible to send information from the warehouse to the customer at a very low cost, and the customer does not need to return to the warehouse (returning cost is unnecessary). .) Has the effect of realizing a management method.

The conversion step may be executed after receiving the medical image related information from the customer and before receiving the browsing request from the customer. Or you may perform a conversion step, after receiving the browsing request from a customer.
Preferably, it is executed after receiving a browsing request from a customer. Since the customer does not always request the first information of the medical image related information requested to be stored at a later date, the amount of conversion can be reduced as a whole by converting only the items requested at a later date into the first information. This is because it can reduce the storage labor and cost.
“Two first identifiers are substantially the same” means that, for example, a doctor F of a hospital A having many doctors attaches a customer ID with his / her own personal identifier to the customer ID of the hospital A When requesting browsing of medical image related information, if the customer ID of hospital A in the storage list matches the customer ID attached to the request, it means that the request for browsing of doctor F is permitted. Yes (do not check the personal identifier part of Doctor F).
“Information included in medical image related information” is, for example, image information of an X-ray photograph.

  In addition, after sending the first information to the customer, the state where the first information is stored in the storage device may be maintained, or the first information may be deleted from the storage device. In general, it is often preferable to maintain the state in which the first information is stored in the storage device.

The first invention can be applied to any medical image-related information storage method, and is particularly suitable as a storage method for materials generated during medical treatment, diagnosis, or prevention.
In medical care, many materials are generated during daily treatment, diagnosis, or prevention. However, hospitals and the like, which are medical professional groups, have a strong demand for outsourcing storage of materials. However, you may want to compare materials with old radiographs while observing the patient after having stored materials (for example, information such as radiographs or information such as CT scanner images) in an external warehouse. In such a case, the user wants to immediately display the image data of the X-ray photograph in the warehouse on the display of the terminal in the hospital (there is no need to obtain the actual X-ray photograph).
Although the conventional storage method could not meet the above request, the first invention has an effect of realizing a management method of medical image related information that can meet the above request.

The management method of medical image related information of the second invention is:
When the medical image related information generated from the hospital diagnosis device is output as digital information,
A first identifier for identifying at least the hospital and a second identifier for identifying the medical image related information are stored in a storage medium having a medium unique ID included in the storage device in association with the medical image related information. 1 memory step;
An encryption step of encrypting the medical image related information using the medium unique ID when storing the medical image related information in the recording medium;
A record storage step of recording and storing the encrypted medical image related information in the storage medium.
Further, in addition to the above-described configuration, a reception step of accepting a request for browsing the medical image related information, which is a request including the first identifier and the second identifier sent by the hospital;
The first identifier included in the request is compared with the first identifier stored in the storage device, and if the two first identifiers are not substantially the same, the request is not satisfied. Steps,
A search step of searching for the medical image related information based on at least the second identifier;
A sending step of sending the medical image related information to the hospital.

Conventionally, storage of medical image related information has been operated separately for each hospital. Therefore, for example, the hospital commissions and stores a photograph (material) of the foot of an S patient who has been burned to an article warehouse, and entrusts the electronic medical record (information) of the same S patient to an electronic warehouse for storage. I had you do it. For this reason, the materials generated in the course of treatment for the S patient were stored separately in the two warehouses, and there was no list that integrated all the materials related to the S patient. For this reason, it is difficult for hospitals to compare and compare materials, and sometimes duplicate materials are created.
The second invention has an effect that a method for comprehensively storing medical image related information can be realized. Therefore, the hospital can obtain a list of all materials (including objects and information) related to the S patient, and the comparative study of the materials created so far becomes easy.

Conventionally, when a hospital entrusts storage of medical image related information and the customer requests browsing of the stored medical image related information, the customer is requested to read the medical image until the medical image related information is mailed or the like. I could not browse related information.
In the second invention, when the customer entrusts storage of medical image related information and the customer requests browsing of the stored medical image related information, the medical image related information itself is not sent to the customer. Instead, the information contained in the medical image related information is converted into first information, and the first information is sent to the customer via the Internet or the like.
As a result, the second invention has an effect of realizing a management method in which information included in the medical image related information stored by the customer can be browsed easily and quickly.
In addition, by storing the first information generated at this time in an information warehouse (electronic warehouse), when a customer again requests browsing of the same medical image related information, a new medical image related The first information stored in the electronic warehouse can be sent immediately without converting the information into the first information. Thereby, the labor and time of conversion can be reduced.
The second invention has the effect of realizing an efficient management method or information management method by organically associating a warehouse for medical image related information and an electronic warehouse.

Further, the conventional management method in which the medical image related information itself is sent from the storage warehouse to the customer and the customer who has finished browsing returns the medical image related information to the warehouse again has a high cost for browsing.
In the second invention, in particular, by using a communication line such as the Internet, it is possible to send information from the warehouse to the customer at an extremely low cost, and the customer does not need to return to the warehouse. .) Has the effect of realizing a management method.

The management method of medical image related information of the third invention is:
The method further includes providing the customer with an image display of a storage list that includes both the stored medical image related information and the second information.

  With this configuration, it is possible to realize a method for comprehensively storing medical image related information. Therefore, the hospital can obtain a list of all materials (including objects and information) related to the S patient, and the comparative study of the materials created so far becomes easy.

The management method for medical image related information according to the fourth invention is:
The reception in the reception step and the transmission in the transmission step are executed by transmitting a digital data string through a communication line.

  According to a fourth aspect of the present invention, there is provided a medical image related information management method that enables high-speed communication between a remote customer and a storage system (including a warehouse) by using a communication line, and the customer can immediately store it. It has the effect of realizing a management method of medical image related information that allows browsing of existing information and the like.

The management method of medical image related information of the fifth invention is:
The digital data string is encrypted.

  By using this encryption, there is an effect of realizing a management method of medical image related information capable of keeping confidential customer information.

The sixth method for managing medical image related information is:
The first information includes the name of the customer, the customer identifier, the attribute information of the medical image related information, the identifier of the medical image related information, or the optical information having at least one of the identifier of the first identifier or the second identifier. The second information includes a customer name, customer identifier, second information attribute information, second information identifier, or first information A visual indication of at least one of the identifier or the optical identifier having information of at least one of the second identifier.

When the stored information or the like is displayed on the terminal screen, the customer can visually confirm that the sent information is definitely the information he / she wishes to view.
In particular, in the management method of medical image related information that stores materials generated during treatment, diagnosis, or prevention by hospitals, etc., confirmation of the correctness of information is possible because mistakes in information may be related to the lives of patients. How to do it is extremely important.
With this configuration, there is an effect of realizing a management method of medical image related information that can easily visually confirm that the transmitted information is correct.

  The optical identifier is, for example, a barcode.

The management method of medical image related information according to the seventh invention is:
Counting the number of times the customer views medical image related information, first information or second information;
Billing the customer for an amount that includes the amount of money,
Further included.

  7th invention has the effect | action that the management method of said medical image relevant information containing a charging method is realizable.

The management method of medical image related information according to the eighth invention is:
When the information included in the medical image related information is converted into the first information, a second storage step of storing the first information in the storage device;
A step of storing, in the storage device, third information, which is information that can identify whether or not the first information obtained by converting the information included in the medical image related information is stored, corresponding to the medical image related information When,
Further comprising
In the search step, when the third information corresponding to the medical image related information to be searched indicates that the first information is stored, the first information is searched,
If the first information is stored, the first information stored in the sending step is read and sent.

With this configuration, when browsing of medical image related information is requested in the past, the first information converted from the medical image related information is stored in an electronic warehouse.
When the first information is stored, the first information is prioritized over the medical image related information and is taken out from the warehouse (except when the medical image related information is requested to be browsed in-kind). ), There is an effect that an efficient one or an information management method can be realized without an overlapping conversion work (first information generation work).

The management method of medical image related information according to the ninth invention is:
When the information included in the management method of medical image related information is converted into the first information, the information processing method further includes a second storage step of storing the first information in the storage device,
In the search step, the first information is preferentially searched, and when there is no first information, the medical image related information is searched,
If the first information is stored, the first information stored in the sending step is read and sent.

With this configuration, the present invention relates to a medical image related information storage method that stores, in an electronic warehouse, first information converted from medical image related information when browsing of an object has been requested in the past.
If the first information is stored, the first information is prioritized over the management method of the medical image related information and is taken out from the warehouse (the management method of the medical image related information can be viewed in kind. Except for a case where it is requested), there is an effect that it is possible to realize an efficient one or an information management method without a duplicate conversion work (first information generation work).

The management method of medical image related information according to the tenth invention is
If the medical image related information is received from the customer, the customer can select and specify the medical image related information to be sent in the sending step or the first information to be sent in the requesting step;
If the customer specifies sending medical image related information, send the medical image related information to the customer in the sending step,
If the customer specifies sending the first information, the sending step sends the first information to the customer; and
If the customer only wants to send medical image related information in the sending step, the conversion step is not performed.

Customers entrusting storage of medical image related information in this configuration to a storage company or the like can select whether to browse medical image related information in-kind or information included in medical image related information . For example, when submitting a radiograph as a physical evidence in a medical trial, the customer can view the actual product, and when the customer wants to refer to a past radiograph immediately, the customer views the first information immediately. I can do it.
Therefore, this configuration has an effect of realizing a management method of medical image related information that can select a browsing target in accordance with customer needs.
Further, when the customer desires to view the actual product, no conversion work (first information generation work) is performed. Thereby, it has the effect | action of implement | achieving the management method of an efficient thing or information without waste.

The management method of medical image related information according to the eleventh invention is
Receiving a request for returning medical image related information from a customer;
Returning medical image related information to the customer;
Searching for the first information corresponding to the medical image related information; and, if the first information is stored, erasing the first information;
Is further included.

The medical image-related information stored is the property of the customer, and the storage company is also obliged to keep it confidential. In particular, it is important to keep the secret of medical image related information entrusted for storage by a hospital or the like. The above first information is generated with the consent of the customer, but even after returning the medical image related information, there is a possibility that the customer's confidentiality cannot be maintained by continuing to store the first information. is there.
With this configuration, there is an effect of realizing a management method of an object or information that can securely keep the secret of the customer.

The management method of medical image related information of the twelfth invention
The first address information in the first location includes the second information that is the medical image related information received from the hospital, the first identifier that identifies the customer, and the second identifier that identifies the second information. A first storage step for storing at an address having
A transmission step of transmitting information including a first identifier, a second identifier, and first address information to the management unit;
If the customer is a request including the first identifier and the second identifier and requests to browse the second information, the second information is output from the storage device at the first location. A response step;
When the storage period at the first location exceeds a certain period, when the amount of information stored in the storage device at the first location exceeds a certain amount, or when there is a request for movement from the customer, In any of the cases, the management unit instructs to move the second information from the first location to the second location;
Storing the second information at an address having the second address information at the second location;
A step of storing the second address information in association with the first identifier and the second identifier;
If the customer sends a request for browsing the second information with a request including the first identifier and the second identifier, search for the second information in the second location according to the instruction of the management unit. Sending the second information to the customer through the communication line; and
including.

The present invention can be applied to management of arbitrary information, but is particularly effective when managing information generated in medicine.
Medical image-related information generated during medical treatment, diagnosis, or prevention is likely to be viewed immediately after generation, and the chance of being viewed quickly decreases as the date passes. Tend.
Therefore, in this configuration, the document (information) is stored in a first place near a customer such as a hospital for a certain period after generation, and after a certain period after the document is generated, the user is away from the hospital. But keep the material in a large second place.
In other words, the material is stored in a nearby first place while the probability of browsing is high, and the material is stored in a wide second place when the probability of browsing decreases.
This configuration has an effect of realizing a highly convenient information management method by storing information in different places depending on the possibility of browsing.

The starting point of a certain period is not questioned. For example, when receiving a product delivered from a customer, when storing the received medical image related information in a first location, the medical image related information stored last in the first location is changed according to the customer's request. Either when it is delivered to the customer or when the medical image related information delivered to the customer is received again from the customer for the last time.
The length of a certain period does not matter.
The management unit at the first location and the management unit at the second location may be the same medical image related information (generally installed at the second location), and the management unit at the first location, The management units at the two locations may be separate devices, and both may be linked through a communication line or the like.

The management method of medical image related information according to the thirteenth invention is
A first medium that stores medical information related information received from a customer or a medium that records second information that is medical image related information received from a customer at an address having first address information in a first location. A storage step;
Information including a first identifier for identifying a customer, a second identifier for identifying medical image related information or a medium, and first address information is transmitted to the management unit, and the management unit stores the information. 1 memory step;
When the storage period at the first location exceeds a certain period, when the amount of medical image-related information or media stored at the first location exceeds a certain amount, or when there is a request for movement of the customer In any case, the management unit instructs the medical image related information or medium to move from the first location to the second location;
A second storage step of moving the medical image related information or medium from the first location to the second location and storing it at the address having the second address information at the second location;
A second storing step in which the management unit stores the second address information in association with the first identifier and the second identifier;
If the customer sends a request including the first identifier and the second identifier and sends a request for browsing medical image related information or second information, the medical care is performed at the second location according to the instructions of the management unit. Search for image-related information or medium, and convert first information that is medical image-related information obtained by converting information included in medical image-related information, or second information reproduced from the medium to a communication line Sending a first or second information to a customer through a sending step;
It is good also as a structure containing.

The above configuration can be applied to management of arbitrary information, but is particularly effective when managing information generated in medicine.
Products or information generated during medical treatment, diagnosis or prevention are likely to be viewed immediately after generation, and the likelihood of being viewed rapidly decreases as the date passes. There is.
Therefore, in the above configuration, a document (medical image-related information) is stored in a first place near a customer such as a hospital for a certain period after generation, and after a certain period of time has elapsed after the document is generated, Store the material in a second, large but remote location.
In other words, the material is stored in a nearby first place while the probability of browsing is high, and the material is stored in a wide second place when the probability of browsing decreases.
This configuration has an effect of realizing a highly convenient management method of medical image related information by storing medical image related information in different places depending on the possibility of browsing.

  “The medium on which the second information that is analog data or digital data received from the customer is recorded” means that the customer himself / herself records the second information on the medium, receives the second information from the customer, And recording the received second information on a medium.

The management method of medical image related information according to the fourteenth invention is:
The management unit may include a first computer having a communication device installed at a first location and a second computer having a communication device installed at a second location.

  This configuration has an effect of realizing a highly convenient information management method by storing information in different places depending on the possibility of browsing.

The management method of medical image related information according to the fifteenth aspect of the present invention is
The second computer has a first data space that the customer cannot access and a second data space,
The customer accessing data in the second data space through the Internet after identifying the first identifier;
It is good also as a structure containing.

  With this configuration, there is an effect that it is possible to realize a management method of an object or information that can securely keep the secret of the customer.

The following effects can be obtained from the invention that can be read from the embodiments.
The invention that can be read from the embodiment is that when the customer entrusts the storage of the object (object or information) and the customer requests the inspection of the stored object, the object itself is not sent to the customer. Instead, the information contained in the object is converted into first information, and the first information is sent to the customer via the Internet or the like.
According to the invention that can be read from the embodiment, there is an advantageous effect of realizing an object (object or information) management method in which a customer can easily and quickly browse information contained in the stored object. It is done.
In addition, the conventional management method in which the object itself is sent from the storage warehouse to the customer and the customer who has finished browsing returns the article to the warehouse again has a high cost for browsing.
With the invention that can be read from the embodiment, it is possible to send information from the warehouse to the customer at a very low cost, particularly by using a communication line such as the Internet, and the customer does not need to return to the warehouse (return This is advantageous in that the management method is realized.

The invention that can be read from the embodiments can be applied to a method for storing any object, but is particularly suitable as a method for storing a material generated during medical treatment, diagnosis, or prevention.
According to the invention described in the embodiments, it is possible to realize an object or information management method that allows a doctor to immediately display image data of an old X-ray photograph in a warehouse on a display of a terminal in a hospital while examining a patient. Effects can be obtained.

  According to the invention that can be read from the embodiment, an advantageous effect that a method of comprehensively storing objects and information can be realized. Therefore, the hospital can obtain a list of all materials (including objects and information) related to the S patient, and the comparative study of the materials created so far becomes easy.

In addition, by storing the generated first information in an information warehouse (electronic warehouse), when the customer again requests browsing of the same item, the new item information is changed to the first information. The first information stored in the electronic warehouse can be sent immediately without conversion to. Thereby, the labor and time of conversion can be reduced.
According to the invention that can be read from the embodiment, an advantageous effect of realizing an efficient management method of information or information by organically associating a warehouse of goods and an electronic warehouse can be obtained.

  According to the invention that can be read from the embodiment, by using a communication line, high-speed communication between a remote customer and a storage system (including a warehouse) is possible, and information stored immediately by the customer An advantageous effect of realizing a management method of an object or information that can be browsed is obtained.

  According to the invention that can be read from the embodiment, the advantage of realizing an object or information management method capable of maintaining confidentiality of customer information by using encryption can be obtained.

In particular, in the method of materials or information that stores materials generated by hospitals, etc. during treatment, diagnosis or prevention, a method of confirming that the information is correct because misunderstanding of information may be related to the life of the patient. Is extremely important.
The invention that can be read from the embodiment provides an advantageous effect of realizing a management method of an object or method that can easily visually confirm that the information sent is correct.

  According to the invention that can be read from the embodiment, there is an advantageous effect that the above-described object or information management method including the accounting method can be realized.

  In the invention that can be read from the embodiment, the first information is stored in the storage method in which the first information converted from the object is stored in the electronic warehouse when browsing of the object is requested in the past. If the first information is taken out of the warehouse in preference to the object (except when the object is requested to be viewed in-kind), duplicate conversion work (of the first information) There is an advantageous effect that it is possible to realize an efficient or information management method without generating work).

In the management method of the product or information of the invention that can be read from the embodiment, does the customer who consigns storage of the product to a storage company etc. browse the product as it is or browses the information contained in the product? Can be selected.
According to the invention that can be read from the embodiment, an advantageous effect of realizing a management method of an object or information that can select a browsing target according to the needs of a customer can be obtained.
Further, when the customer desires to view the actual product, no conversion work (first information generation work) is performed. As a result, an advantageous effect of realizing an efficient management method of information or information without waste is obtained.

What is stored is the property of the customer, and the storage company is also obliged to maintain confidentiality. In particular, it is important to keep secrets such as those entrusted for storage by hospitals.
According to the invention described in the embodiments, an advantageous effect of realizing a management method of an object or information that can securely keep a customer's secret can be obtained.

Products or information generated during medical treatment, diagnosis or prevention are likely to be viewed immediately after generation, and the likelihood of being viewed rapidly decreases as the date passes. There is.
The invention that can be read from the embodiment realizes a highly convenient object or information management method by storing information in different places (first place and second place) depending on the possibility of browsing An advantageous effect is obtained.

DESCRIPTION OF SYMBOLS 1 Customer 2 Storage system 3 Reception part 4 Management part 5 Warehouse of goods 6 Electronic warehouse 7 Conversion part

Claims (4)

A storage system for managing medical digital information generated by an inspection device used in a hospital,
The storage system includes:
A storage unit for storing a destination list composed of at least one or more pieces of destination information and medical digital information generated by at least one inspection device;
A transmission / reception unit connected to a plurality of external devices via a network communication path, transmitting the medical digital information and the destination list to the external device, and further receiving information transmitted by the external device,
The transceiver unit is
When information indicating a transmission request for the destination list is received from a first external device among the plurality of external devices, the destination list is transmitted to the first external device;
From the first external device, receiving the specific information for specifying any of the medical digital information stored in the storage unit,
After the transmission of the destination list, when receiving the designation information designating any one or more of the destination information constituting the destination list from the first external device, for the destination corresponding to the designation information, A storage system for transmitting medical digital information specified by the specific information.   The transmission / reception unit transmits the medical digital information specified by the specific information to a destination corresponding to the specified information without adding information specifying a patient individual of the medical digital information to be transmitted. The storage system according to claim 1, wherein the storage system is transmitted to one external device.   The transmitting / receiving unit transmits information related to a diagnosis result of medical digital information transmitted from a destination corresponding to the designated information after transmitting the medical digital information identified by the specific information to a destination corresponding to the designated information. The storage system according to claim 1, wherein, when received, the storage system stores information related to the diagnosis result and medical digital information specified by the specific information in a state in which the information is associated with each other.   The said transmission / reception part transmits the information regarding a cost claim with respect to a said 1st external device, after receiving the information regarding the diagnosis result of the medical digital information transmitted from the address | destination corresponding to the said designation | designated information. Storage system.

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