JP2013094504A - Medical image transmission system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide technologies for appropriately informing a user of a situation if an impediment occurs or a failure is likely to occur.SOLUTION: An impediment detection part 130 detects that the medical image transmission system is in a situation in which an impediment occurs or in a situation in which the impediment is likely to occur. A notice image generating part 114 acquires information on the situation detected by the impediment detection part 130, and generates notice image data for informing the user of the detected situation. When the notice image generating part 114 generates the notice image data, a transmission part 140 transmits the notice image data to a PACS. A medical image generating part 134 generates an image file in a data format in conformity with DICOM, and the notice image generating part 114 also generates a notice image file including the notice image data in the same data format.

Description

  The present invention relates to an image transmission technique, and more particularly to a technique for transmitting a medical image generated by a modality such as an endoscope system.

  DICOM (Digital Imaging and Communication in Medicine) has been established as a global standard for storage and communication of medical image data. DICOM is a format for medical image files taken in clinical practice such as CT (Computed Tomography), MRI (Magnetic Resonance Imaging), endoscopes and ultrasound, and a communication protocol between devices that transmit and receive medical image files. Define. When the modality does not have a DICOM communication function, the DICOM converter converts medical image data imaged by the modality into the DICOM standard and transmits it to PACS (Picture Archiving and Communication Systems).

  Patent Document 1 discloses a technique for determining an abnormal state of automatic light control processing of a video scope of an electronic endoscope apparatus. Patent Document 1 discloses that when it is determined that the automatic light control processing is in an abnormal state, data informing the abnormal state is transmitted from the processor to the computer system of the repair center by e-mail or the like. . Patent Document 2 discloses a technique for transmitting a warning message to a mobile phone of a medical staff in charge when an abnormality is detected in a receiving device that receives a radio signal transmitted from a capsule endoscope. Patent Document 3 discloses a technique for determining an abnormality by detecting an overcurrent and displaying an error message image for failure warning.

JP 2007-175488 A Japanese Patent No. 2007-151809 Japanese Patent No. 2010-5180

  The DICOM converter has a role of converting medical image data taken by an endoscopic examination system or the like into a DICOM format and transferring it to a database provided in a PACS or the like. Since the format conversion function and transfer function of the DICOM converter are automatically executed, there is almost no opportunity for the user to operate the DICOM converter. Under such circumstances, even if a failure occurs in the DICOM converter, there is a problem that the user is difficult to notice the failure.

  The present invention has been made in view of these problems, and an object of the present invention is to provide a technique for appropriately notifying a user of a situation when a failure occurs or when a failure is likely to occur.

  In order to solve the above problems, a medical image transmission system according to an aspect of the present invention includes an image acquisition unit that acquires medical image data, a transmission unit that transmits medical image data, and the medical image transmission system. A failure detection unit that detects that a failure has occurred or that can cause a failure, and a notification for acquiring information about the state detected by the failure detection unit and notifying the user of the detected state A notification image generation unit that generates image data. When the notification image generation unit generates notification image data, the transmission unit transmits the notification image data.

  It should be noted that any combination of the above-described constituent elements and a representation of the present invention converted between a method, an apparatus, a system, etc. are also effective as an aspect of the present invention.

  ADVANTAGE OF THE INVENTION According to this invention, when a failure generate | occur | produces or a failure is likely to occur, the technique which notifies a user of the condition appropriately can be provided.

It is a figure which shows the structure of the medical information management system which concerns on the Example of this invention. It is a figure which shows the structure of a transmitter. It is a figure which shows the format structure of the image file based on DICOM standard. It is a figure which shows the test | inspection list screen displayed on the display apparatus of a client apparatus. It is a figure which shows an example of a notification image. It is a figure which shows the flowchart of a notification image transmission process.

  FIG. 1 shows a configuration of a medical information management system 1 according to an embodiment of the present invention. The medical information management system 1 includes a medical image transmission system 10, an image storage communication system 30, a client device 40, and an MWM (Modality Worklist Management) server 50, and can communicate via a network such as an intranet or a local area network (LAN). Connected to. In the medical information management system 1, at least data transmission / reception between the medical image transmission system 10 and the image storage communication system 30 is performed in accordance with specifications defined in the DICOM standard. The medical image transmission system 10 includes an endoscope system 12 and a transmission device 20.

  The endoscope system 12 includes an endoscope device, an image processing device, and a display device. The endoscope apparatus is inserted into a body cavity of a patient, captures an internal image by a solid-state image sensor such as a CCD at the tip, and outputs the captured image to the image processing apparatus as an imaging signal. The image processing apparatus performs amplification, noise removal, analog / digital conversion, gain adjustment, brightness ratio adjustment, filter processing, and the like on the imaging signal input from the endoscope apparatus, and captures the solid-state imaging device. The image is displayed on the display device as a live image. When the doctor operates the operation unit of the endoscope device to generate a captured image capture instruction while viewing a live image displayed on the screen of the display device, the image processing device, based on the image capture instruction, Captured image data is generated and transmitted to the transmission device 20.

  The transmission device 20 is a DICOM converter, which converts captured image data generated by the endoscope system 12 into image data that conforms to the DICOM standard, and that uses an image storage communication system (PACS) according to a communication protocol that conforms to the DICOM standard. : Picture Archiving and Communication System) 30. In the medical image transmission system 10, the image data conversion function by the transmission device 20 may be provided in the endoscope system 12, but when the endoscope system 12 does not support the DICOM standard, a DICOM converter is used. A certain transmitting device 20 acquires captured image data from the endoscope system 12, converts it into image data that conforms to the DICOM format, and transmits the image data to the image storage communication system 30.

  In the present embodiment, the endoscope system 12 is an example of a modality that outputs medical image data. In the medical information management system 1, instead of the endoscope system 12, a computer tomography apparatus, a magnetic resonance diagnostic apparatus, a digital X-ray imaging apparatus, a computer radiography, an angiographic X-ray diagnostic apparatus, an ultrasonic diagnostic apparatus, etc. Modalities may be provided.

  The image storage communication system 30 has a database 32 and stores medical image data transmitted from the medical image transmission system 10. The client device 40 is a terminal device that is used by medical personnel such as doctors and browses and uses medical images stored in the database 32. The doctor accesses the database 32 after the examination is completed, and creates a report using the medical image taken in the examination.

  The endoscopic examination is performed according to an examination order that specifies patient identification information (hereinafter referred to as “patient ID”), examination type, and the like. The order is not limited to the endoscopic examination, but defines the contents of medical practice including other types of examinations and operations, and the doctor performs the medical practice on the premise of the presence of the order. Inspection orders are issued by an ordering system and managed by a hospital information system (HIS). When the examination order is notified to the endoscope system 12, the display device displays the patient name, patient ID, sex, age, examination type, examination room name, scheduled examination start time, scheduled examination end time included in the examination order. Such information is displayed and confirmed by a doctor, and then a test according to the contents of the test order is performed.

  The MWM server 50 acquires the inspection order from the HIS, and transmits the inspection order to the transmission device 20 in response to an inquiry from the transmission device 20. A plurality of tags that require input are defined in the DICOM image format, and the transmission device 20 associates the medical image data provided from the endoscope system 12 with the examination order so that the tag information is obtained. Acquired from the inspection order and embedded in the DICOM image file. The transmission device 20 determines correspondence between the patient ID transmitted together with the medical image data from the endoscope system 12 and the patient ID included in the examination order, thereby associating the medical image data with the examination order. Do. As a result, the transmission device 20 generates a medical image file in a format compliant with the DICOM standard and transmits it to the image storage communication system 30.

  FIG. 2 shows the configuration of the transmission apparatus 20. The transmission device 20 includes an examination information acquisition unit 100, a processing unit 110, a failure detection unit 130, an order acquisition unit 132, a medical image generation unit 134, a storage management unit 136, a transmission unit 140, an input unit 142, and a storage device 150. The examination information acquisition unit 100 includes a time information acquisition unit 102, a patient ID acquisition unit 104, and an image data acquisition unit 106, and has a function of acquiring examination information from the endoscope system 12. The processing unit 110 includes a history writing unit 112, a notification image generation unit 114, a pseudo patient ID acquisition unit 116, and a pseudo order generation unit 118, and has an operation history generation function and a failure handling function. The storage device 150 is a large-capacity auxiliary storage device configured by a hard disk drive (HDD) or the like.

  Each configuration of the transmission device 20 can be realized by an arbitrary processor, memory, or other LSI in terms of hardware, and can be realized by a program loaded in the memory in terms of software. Depicts functional blocks realized by. Therefore, those skilled in the art will understand that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof.

  First, the basic operation of the transmission device 20 as a DICOM converter will be described. The transmission device 20 generates a medical image file having a data format conforming to the DICOM standard from the medical image data acquired from the endoscope system 12, and transfers the medical image file to the image storage communication system 30 using a communication protocol conforming to the DICOM standard. Details are shown below.

  Prior to the start of the examination in the endoscope system 12, the order obtaining unit 132 obtains an examination order for endoscopic examination from the MWM server 50. For example, the order acquisition unit 132 acquires the inspection order for one day from the MWM server 50 before starting the first inspection. The order acquisition unit 132 stores the acquired plurality of inspection orders for one day in the order storage unit 152. Each examination order includes the order ID, patient name, patient ID, patient gender, patient age, examination type, examination room name, attending doctor name, attending doctor identification information (hereinafter referred to as "in-charge doctor ID"), examination It includes information such as scheduled start time and scheduled test end time.

  When the examination is started in the endoscope system 12, the time information acquisition unit 102 receives information indicating the start time of the examination from the endoscope system 12, and the examination is started at the time specified by the information. Judge that. Note that the time information acquisition unit 102 may receive information indicating the start of an endoscopic examination and determine that the examination has been started at the accepted time. The patient ID acquisition unit 104 acquires the patient ID of the patient to be examined from the endoscope system 12.

  The medical image generation unit 134 receives the examination start time from the time information acquisition unit 102 and receives the patient ID from the patient ID acquisition unit 104. When receiving the patient ID, the medical image generation unit 134 searches the examination order stored in the order storage unit 152 and extracts the examination order including the received patient ID. Thereby, the medical image generation unit 134 can specify the order of the examination performed in the endoscope system 12. The medical image generation unit 134 refers to the scheduled examination start time included in the extracted examination order, and the time difference from the examination start time received from the time information acquisition unit 102 is within a predetermined time (for example, 1 hour). In addition, it may be confirmed that there is no mistake in the extracted inspection order.

  The image data acquisition unit 106 acquires digital data of a captured endoscopic image from the endoscope system 12. The endoscope system 12 may transmit endoscopic image data to the transmission device 20 each time an image is taken, or may transmit a plurality of images collectively to the transmission device 20. The image data acquisition unit 106 provides the acquired image data to the medical image generation unit 134.

The DICOM image data format will be described below. The DICOM data format holds meta information related to medical images in the header portion. DICOM meta information and image data are managed using tags, and the contents of the tags are specified by a Group number and an Element number. The relationship between the 4-digit group number and the information content of the group is illustrated.
(0008) -Information about image (0010) -Information about patient (0018) -Information about collection (0020) -Information associated with image (0040) -Information about procedure

The following are examples of typical DICOM tags that are easy to understand and their contents. The tag number is expressed by (Group number, Element number).
(0008, 0020)-Inspection date (0008, 0030)-Inspection time (0008, 0050)-Order ID
(0008, 0060)-Modality (0010, 0010)-Patient name (0010, 0020)-Patient ID
(0010, 0030)-Patient's birthday (0010, 0040)-Patient's gender (0010, 1010)-Patient's age (0018, 0015)-Exam site (0020, 000D)-Exam ID
(0020, 0011)-Series number (0040, 0006)-Name of doctor in charge

  FIG. 3 shows a format configuration of an image file conforming to the DICOM standard. The image file includes a header and image data (Image Data), and the header includes a plurality of data elements (Data Elements). Each data element is composed of a tag representing a tag number, a VR indicating a data format (value expression) such as a numerical value, a character string, and a time included in the value field, a value length indicating the byte length of the value field, and a value field indicating the value area. Is done. In the image file, meta information to be input is determined in advance, and which tag needs to be input may be determined for each hospital facility.

  The medical image generation unit 134 generates a medical image file with the data format shown in FIG. If necessary, the medical image generation unit 134 converts the image data acquired by the image data acquisition unit 106 into a format conforming to the DICOM standard. The medical image generation unit 134 extracts information necessary for the image data format, that is, information specified by the tag, from the examination order extracted from the order storage unit 152, and adds the information to the image file. As a result, an image file in DICOM format is generated. When the medical image generation unit 134 generates an image file, the storage management unit 136 stores the generated image file in the image data storage unit 160 in association with the examination order. This association may be performed by associating the storage location of the image file with the inspection order.

  The transmission unit 140 transmits the image file stored in the image data storage unit 160 to the image storage communication system 30. When the image storage communication system 30 receives the image file, the image storage communication system 30 stores the image file in the database 32 and returns an ACK signal indicating the reception to the transmission device 20. As a result, the image storage communication system 30 can store the medical image data captured with the modality in the database 32. Since the order ID is included in the image file, the image storage communication system 30 refers to the order ID of the image file so that a plurality of image files having the same order ID are stored together in the database 32. To do.

  Note that the transmission unit 140 retransmits the same image file after a predetermined time if it does not receive an ACK signal from the image storage communication system 30 after transmitting the image file. The above is the procedure for the transmission apparatus 20 to operate as a DICOM converter. Each processing content executed in the transmission device 20 is notified to the processing unit 110, and the history writing unit 112 sequentially writes the operation history in the operation history storage unit 154 as an operation history.

  As described above, the transmission device 20 autonomously converts the image data transmitted from the modality into the DICOM data format and transmits the image data to the image storage communication system 30. The user frequently accesses the image data stored in the image storage communication system 30, but does not access the image data stored in the transmission device 20, and thus the user cares about the operation state of the transmission device 20. There are few opportunities to spend.

  In general, the modality such as the endoscope system 12 and the transmission device 20 are connected by a cable or the like and exist in a remote place. Therefore, even if a message indicating an abnormal state is displayed on the monitor connected to the transmission device 20 when a failure has occurred in the transmission device 20 or in a state where a failure can occur, the user can It is likely that you will not notice. Therefore, in this embodiment, when the transmission device 20 is in an abnormal state using the function of the transmission device 20 transmitting the image file to the image storage communication system 30, a process for efficiently notifying the user of the state is performed. Is realized. Specifically, the notification image generation unit 114 generates message image data for notifying the abnormal state, the transmission unit 140 transmits the message image data to the image storage communication system 30, and the doctor stores the image storage communication system 30. The doctor can check the message image on the client device 40 when accessing the URL.

  The failure detection unit 130 detects that the medical image transmission system 10 is in a state where a failure has occurred or is in a state where a failure can occur. For example, the failure detection unit 130 is in a state where the medical image transmission system 10 has failed when the order acquisition unit 132 cannot acquire the examination order or when the examination information acquisition unit 100 cannot acquire the patient ID. Detect something. Further, the failure detection unit 130 detects that the medical image transmission system 10 is in a state where a failure can occur when the storage device 150 has a small remaining capacity. Hereinafter, the fact that the medical image transmission system 10 is in a state where a failure has occurred or is in a state where a failure can occur is collectively expressed as “in an abnormal state”.

  When the failure detection unit 130 detects an abnormal state, the failure detection unit 130 notifies the processing unit 110 of the content and time of occurrence of the failure. In the processing unit 110, the history writing unit 112 writes, as an operation history, that an abnormal state has occurred in the operation history storage unit 154.

  The pseudo patient ID holding unit 156 holds a pseudo patient ID. The pseudo patient ID is a special ID that is not assigned to a patient. For example, the pseudo patient ID holding unit 156 holds “FFFFFFFF” as the pseudo patient ID, and when the failure detection unit 130 detects an abnormal state, the pseudo patient ID acquisition unit 116 sets the pseudo patient ID holding unit. From 156, this pseudo patient ID is read out. The pseudo patient ID is used when generating a fault notification image file or a pseudo order to be associated with the image file in the storage device 150.

  The failure information master holding unit 158 holds a failure type master that classifies the types of failure information and a failure item master that classifies the types classified by the failure type master into detailed items. The failure type specifies the target (location, hardware, software, information, etc.) where the abnormal state has occurred, and the failure item specifies the specific failure content. For example, for a failure in which the free capacity of the storage device 150 is insufficient, the failure information is specified with the failure type being “HDD” and the failure item being “insufficient free space”. In addition, the failure information for the failure for which the patient ID has not been acquired is specified with the failure type as “examination information” and the failure item as “no patient ID”. The failure information master holding unit 158 holds the notification message in association with the failure item.

  The notification image generation unit 114 acquires information related to the abnormal state detected by the failure detection unit 130, and generates notification image data for notifying the user of the detected state according to the content of the failure that has occurred. The notification image generation unit 114 identifies the failure type and the failure item held in the failure information master holding unit 158 according to the content of the failure, reads the notification message associated with the failure item, and obtains the notification image data. It may be generated. In the storage device 150, a table in which the failure content and the notification message are associated with each other may be prepared. In this case, the notification image generation unit 114 displays the notification message associated with the failure content. Read out to generate notification image data.

  For example, in response to a shortage of free space in the storage device 150, which is a hard disk drive (HDD), the message “An error has occurred in the HDD of the DICOM converter. Please contact the service center immediately.” Yes. When notified from the failure detection unit 130 that the storage device 150 is in a state of insufficient free space, the notification image generation unit 114 reads this message and generates notification image data. Note that the notification message is stored in a storage device different from the storage device 150, assuming that the notification message may not be read from the storage device 150 when a failure occurs in the storage device 150. Also good.

  The notification image generation unit 114 embeds necessary information in the ValueField of the data element according to the data format shown in FIG. The pseudo patient ID acquired by the pseudo patient ID acquisition unit 116 is input to the patient ID tags (0010, 0020). Further, the notification image generation unit 114 inputs the failure occurrence time acquired from the failure detection unit 130 into the inspection time tag (0008, 0030). The notification image generation unit 114 acquires other necessary information and inputs it to an intended tag. For example, as the name of the doctor in charge (0040, 0006), the name of the doctor in charge included in the ongoing examination order may be used. As described above, the notification image generation unit 114 generates an image file including notification image data. This image file conforms to the DICOM standard. Details of information input to the tag by the notification image generation unit 114 will be described later when the description of FIG. 4 is performed.

  When the failure detection unit 130 detects an abnormal state, the pseudo order generation unit 118 generates a pseudo order. In the storage device 150, since the image data and the order need to be stored in association with each other, the pseudo order generation unit 118 generates a pseudo order for associating with the notification image data generated by the notification image generation unit 114. . The order ID of the pseudo order is set so as not to overlap with the order ID of the inspection order generated in the HIS. The pseudo order generation unit 118 includes the pseudo patient ID, the detection time of the failure (abnormality), and the content of the failure in the pseudo order.

  The storage management unit 136 stores the generated notification image file in the image data storage unit 160 in association with the pseudo order. By storing the notification image file in the image data storage unit 160 in association with the pseudo order in this way, the user can easily specify the pseudo order from the notification image file. Each of the notification image file and the pseudo order includes a pseudo patient ID. The user extracts the notification image file by searching the image data storage unit 160 using the pseudo patient ID as a key, It is also possible to extract pseudo-orders associated therewith.

  The transmission unit 140 transmits the notification image file stored in the image data storage unit 160 to the image storage communication system 30. When the image storage communication system 30 receives the image file, the image storage communication system 30 stores the image file in the database 32 and returns an ACK signal indicating the reception to the transmission device 20. Thereby, the image storage communication system 30 can store the image file for notifying the occurrence of the failure in the database 32. If the transmission unit 140 does not receive an ACK signal from the image storage communication system 30 after transmitting the notification image file, the transmission unit 140 performs a retransmission process on the notification image file.

  The doctor accesses the image data stored in the image storage communication system 30 from the client device 40 when creating the report. A list of examinations for one day is displayed on the display device of the client device 40.

  FIG. 4 shows an examination list screen displayed on the display device of the client device 40. Display items such as a patient ID, a patient name, an examination item, an examination start time, and an examination end time are set on the examination list screen. On the examination list screen, the first, second, and fourth lines from the top indicate examination information related to the captured medical image. When a doctor selects a patient name for which a report is to be created using a mouse or the like, a medical image captured with a modality is displayed. Note that the item to be selected may not be the patient name but may be another item.

  In the examination list screen, examination information with the patient ID “FFFFFFFF” is shown in the third line. As described above, the patient ID “FFFFFFFF” is a pseudo-patient ID, and is associated with image data for notifying the content of the failure. Further, the patient name is “error notification”, and the doctor can know that some trouble has occurred in the medical image transmission system 10 by looking at the patient ID or the patient name in the examination list. The examination item may be described as “HDD”, and the location where the failure has occurred may be transmitted to the doctor. When the doctor selects the third row in the examination list, a notification image is displayed.

  Thus, when the examination list is displayed on the client device 40, the doctor can recognize at a glance that some abnormality has occurred by devising the contents of the display items shown in FIG. In order to generate the list screen illustrated in FIG. 4, the notification image generation unit 114 in the transmission device 20 inputs “error notification” to the patient name tag (0008, 0030), and “HDD” to the examination item tag. ". In this way, the notification image generation unit 114 inputs information for notifying that an abnormal state has occurred to the tag corresponding to the display item displayed on the examination information list screen, so that the doctor can display the list screen. By just looking at, you will know the occurrence of an abnormal condition.

  FIG. 5 shows an example of the notification image. The doctor can know that a failure has occurred in the HDD of the transmission device 20 by looking at the notification image, and can take action to recover the failure.

  FIG. 6 shows a flowchart of the notification image transmission process. The failure detection unit 130 monitors the operating state of the medical image transmission system 10 (N in S10). When the failure detection unit 130 detects that the medical image transmission system 10 is in a state where a failure has occurred or is in a state where a failure can occur (Y in S10), the notification image generation unit 114 detects the failure detection unit 130. The information regarding the detected state is acquired, and a notification image file for notifying the user of the detected state is generated according to the DICOM data format (S12). Further, the pseudo order generation unit 118 generates a pseudo order different from the inspection order (S14), and the storage management unit 136 associates the notification image file with the pseudo order and stores them in the storage device 150 (S16). The transmission unit 140 transmits the notification image file to the image storage communication system 30 (S18).

  In the above, this invention was demonstrated based on the Example. The present invention is not limited to the above-described embodiments, and any combination of the elements of the embodiments as appropriate is also effective as an embodiment of the present invention. New embodiments resulting from the combination of embodiments have the combined effects of the combined embodiments. Various modifications such as design changes can be added to the embodiments based on the knowledge of those skilled in the art, and embodiments to which such modifications are added can be included in the scope of the present invention.

  The notification image generation unit 114 generates a notification image file when the failure detection unit 130 detects an abnormal state and is provided with the state. For example, in a state where the HDD free space is insufficient, the failure detection unit 130 always provides an abnormal state to the notification image generation unit 114 until the HDD free space increases. The notification image file will continue to be generated. For this reason, once the failure detection unit 130 detects that the free space of the HDD is insufficient and notifies the processing unit 110, the failure detection unit 130 does not perform the notification again until the shortage is resolved. . Thus, it is preferable that the failure detection unit 130 determines whether to notify the processing unit 110 according to the content of the detected abnormal state.

  When the failure detection unit 130 detects an abnormal state related to the examination, the notification image generation unit 114 preferably generates a notification image file so as to notify the doctor in charge that an abnormal state has occurred. For example, it is assumed that when the doctor A is a doctor in charge, the medical image generation unit 134 cannot generate a medical image file for some reason. At this time, the notification image generation unit 114 generates a notification image file including the notification image data stating that “the image file could not be generated.” However, when the doctor A viewed the examination list, he / she was in charge of the notification image file. It is preferable to be able to understand at a glance that a patient image file has not been generated.

  Therefore, the pseudo patient ID holding unit 156 holds a plurality of pseudo patient IDs. The pseudo patient ID is assigned to each of a plurality of doctors. For example, a pseudo patient ID of “FFFFFFFF0” is assigned to the doctor A, “FFFFFFF1” is assigned to the doctor B, and “FFFFFFFF2” is assigned to the doctor C. A pseudo patient ID of “FFFFFFFF” is assigned to an abnormal state not related to the examination such as an HDD failure.

  For example, when the medical image generation unit 134 cannot generate a medical image file, the pseudo patient ID acquisition unit 116 acquires a pseudo patient ID corresponding to the medical doctor ID included in the examination order. The notification image generation unit 114 and the pseudo order generation unit 118 generate a notification image file and a pseudo order including the pseudo patient ID, respectively. As shown in FIG. 4, since the patient ID is displayed on the examination list screen, the doctor can see the patient ID and know whether an abnormal state has occurred in the examination performed by himself / herself. In addition, if the notification image generation unit 114 inputs, for example, “error notification to the doctor A” in the patient name tag (0008, 0030), “error for doctor A” is displayed in the patient name display item on the examination list screen. Since “Notification” is displayed, the doctor A can know the presence of the notification image addressed to himself / herself by looking at the examination list screen.

  In the transmission apparatus 20, when the user performs failure recovery, the user can input a failure memo such as a failure cause and a recovery procedure from the input unit 142. The cause of the failure may be text input, but may be anything that can appropriately express the cause, such as an operation history file or a screen shot. At this time, the storage management unit 136 stores the input failure memo in the failure memo storage unit 162 in association with the pseudo order. Thus, the user can easily refer to the past failure memo associated with the pseudo order by searching for the pseudo order including the pseudo patient ID, for example.

DESCRIPTION OF SYMBOLS 1 ... Medical information management system, 10 ... Medical image transmission system, 12 ... Endoscope system, 20 ... Transmission apparatus, 30 ... Image storage communication system, 32 ... Database, 40 ... Client device, 50 ... MWM server, 100 ... Examination information acquisition unit, 102 ... Time information acquisition unit, 104 ... Patient ID acquisition unit, 106 ... Image data acquisition unit, 110 ... Processing unit, 112 ... History writing unit, 114 ... Notification image generation unit, 116 ... Pseudo patient ID acquisition unit, 118 ... Pseudo order generation unit, 130 ... Fault detection unit 132 ... Order acquisition unit, 134 ... Medical image generation unit, 136 ... Storage management unit, 140 ... Transmission unit, 142 ... Input unit, 150 ... Storage device, 152 ...・ Order storage unit, 154 ... Work history storage unit, 156 ... Pseudo patient ID holding unit, 158 ... fault information master holding unit, 160 ... image data storage unit, 162 ... failure note storage unit.

Claims (5)

A medical image transmission system,
An image acquisition unit for acquiring medical image data;
A transmission unit for transmitting medical image data;
A failure detection unit for detecting that the medical image transmission system is in a state where a failure has occurred or is capable of generating a failure;
A notification image generation unit that acquires information about the state detected by the failure detection unit and generates notification image data for notifying the user of the detected state;
When the notification image generation unit generates notification image data, the transmission unit transmits the notification image data. A medical image generation unit that generates an image file of a predetermined data format using the medical image data acquired by the image acquisition unit,
The medical image transmission system according to claim 1, wherein the notification image generation unit generates an image file including notification image data in the predetermined data format. An order acquisition unit for acquiring inspection orders;
The medical image generation unit extracts information necessary for the predetermined data format from an examination order and adds the information to a medical image file,
The medical image transmission system according to claim 2, wherein the notification image generation unit acquires information required by the predetermined data format and adds the information to the notification image file. A pseudo-order generation unit that generates a pseudo-order;
A storage management unit for storing the pseudo-order and the notification image data in association with each other;
The medical image transmission system according to claim 1, further comprising: A pseudo patient ID acquisition unit for acquiring a pseudo patient ID;
The medical image transmission system according to any one of claims 1 to 4, wherein the notification image generation unit generates an image file including a pseudo patient ID.

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