JP3071862B2 - Medical data management system - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[Object of the Invention]

[0002]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical image data management system, and more particularly to an improvement in an image data retrieval system and an image data file system in a distributed image database.

[0003]

2. Description of the Related Art Conventionally, images obtained from modalities such as an X-ray CT apparatus, an MRI apparatus, and a digital X-ray apparatus and associated information such as a patient name and an examination type are stored and used for retrieval. When these databases were constructed, these data were managed by one system. For this reason, when a large-scale database is constructed, it takes time to search, input and output data, and the like, resulting in a long response time.

[0004] Therefore, in the past, a database of medical images has been constructed uniformly or separately for each modality, etc. In this case, the connection between the dispersed databases is coarse, I didn't even know what data other databases stored.

[0005]

The following problems occur when a search is performed in a distributed database which has been conventionally used in a medical image database. When the user manages what data is stored in which database, the user issues a search command to the database after knowing where the data to be searched is located, so that an extra burden is imposed on the user. If the user does not control what data is stored in which database, the user must send search commands to the database one after another until the data to be searched is found.
Extra burden on the user. In this case, the search command is sent to a database that does not actually have the data to be searched, so that the response time becomes longer.

The present invention has been made in view of the above problem, and a first object of the present invention is to improve the efficiency of image search in a distributed image database. A second object is to make it easy to change the filing mode in the distributed image database.

[Structure of the Invention]

[0008]

SUMMARY OF THE INVENTION In order to solve the above-mentioned problems, the present invention provides a medical data generating apparatus that generates medical data by attaching additional information including at least patient identification information, and stores the medical data. Multiple databases to
A filing destination storage unit that stores identification information of a database in which the medical data is to be stored and attributes of the medical data in association with each other, and a radiology information system that manages at least patient identification information and an examination request department in association with each other A medical data management system that, when medical data is generated by the medical data generation device, stores the medical data in a database to be stored according to the attribute of the medical data, wherein the filing destination storage unit includes the medical data When specifying the database to be stored from the accompanying information attached to the medical data by the generator, the patient identification information received from the medical data generator is transmitted to the radiology information system. And specifies the database to be stored upon receiving the patient's examination request department.

According to the present invention, in order to solve the above-mentioned problem, the filing destination storage means is provided, when changing the filing destination of the medical data generated by the medical data generating device, the filing destination storage means. This is done by changing the internal filing destination information.

[0010]

According to the present invention, medical data can be classified and managed according to its attributes. Particularly, when a medical data generator specifies a database to be stored from supplementary information attached to medical data. Then, the patient identification information received from the medical data generator is transmitted to the radiology information system, and a database to be stored upon receiving the examination request department of the patient from the radiology information system is specified. Therefore, any item managed by the radiology information system other than the item of the additional information attached to the medical data generator can be referred to for classification, regardless of the additional information attached to the medical data generator. The medical data can be managed in a desired classification.

[0011]

[0012]

[0013]

In the present invention, the filing destination storage means changes the filing destination information in the filing destination storage means when changing the filing destination of the medical data generated by the medical data generating device. This facilitates changing the filing mode.

[0015]

FIG. 1 is a diagram showing an entire medical image retrieval system 100 to which the first invention of the present invention is applied.

The image retrieval system 100 includes X-ray CTs 10 and 12 and an MRI 14 as modalities, and stores images obtained by each modality and incidental information corresponding thereto in a plurality of databases 20, 22 and 24. It is made to memorize in.

The first workstation 30 and the second workstation 32 are connected to each database 20,
A command for requesting desired data is generated for each of the databases 22, 24, and the data output from each of the databases 20, 22, 24 is displayed.

The directory management means 50 stores each of the modalities 10, 12, and 14 and each of the databases 20, 22, and 24.
The images obtained by the modalities 10, 12, and 14 and the associated information corresponding to the images obtained by the modalities 10, 12, 14 via the local area network 40 connecting the
2 and 24 are stored, and the above-mentioned request command from each workstation is inputted to output information indicating in which database the requested data is stored. I have. The directory file of the directory management means 50 is created as shown in FIG. 2, and is stored for centrally managing the locations of various medical data for each patient.

FIG. 3 shows a logical configuration of the first workstation 30. As shown in FIG. 3, a user interface unit 30A, a LAN interface unit 30B, a command interface unit 30C, a command processing unit 30
D, the logical configuration of the directory search processing unit 30E and the database search processing unit 30F
Has been built.

FIG. 4 shows the logical configuration of the directory management means 50. As shown, a LAN interface unit 50A, a command interface unit 50B, a command processing unit 50C, a directory search processing unit 50D, a directory registration processing unit 50E, Directory body 50F
The directory management means 50 is constructed with the logical configuration described above.

FIG. 5 shows the logical configuration of the first database 20. As shown, a LAN interface unit 60A, a command interface unit 60B, a command processing unit 60C, a database search processing unit 60D, a database registration processing unit 60E, The first database 20 is constructed with the logical configuration of the database body 60F.

Next, as in the image search system 100, the directory management means 50 is
2, 24 and the workstations 30 and 32, the first image search method will be described with reference to the following three flowcharts of FIGS. 6, 7, and 8. FIG.

FIG. 6 is a flowchart of an image search operation in the workstation. FIG.
2 shows a flowchart of a search operation in the directory management means. FIG. 8 shows a flowchart of a search operation in the database.

At the workstations 30 and 32, as shown in FIG. 6, a search request input screen is first displayed (ST-10), and when an image search request is input (ST-10).
11 is affirmative), and a search key is extracted (ST-12). At the same time, the directory inspection request is
A transmission process to ST-20 in FIG. 7 for transmission to ST-20 is executed (ST-13). Thereafter, the directory search result obtained in the process of ST-23 in FIG. 7 is received (ST-14),
The address of the database (DB) is extracted from the directory search result (ST-15). Next, transmission processing to ST-30 in FIG. 8 for transmitting the database search result to the database is executed (ST-16). Then, S in FIG.
The database search result obtained in the process of T-33 is received (ST-17), and the image of the search result is displayed (ST-17).
-18), the image search operation at the workstation ends (ST-19).

As shown in FIG. 7, the directory management means 50 first receives the directory search request sent by the transmission process of ST-13 in FIG.
20), and extract the search key (ST-21). Next, an image address is searched from the directory (ST-2).
2), a transmission process to ST-14 of FIG. 6 for transmitting the search result to the workstation is executed (ST-2).
3).

As shown in FIG. 8, the databases 20, 22, and 24 first receive a database search request sent by the transmission process of ST-16 in FIG. 6 (ST-30), and enter the search key into the database. Extract (ST-3)
1). Next, an image is searched from the database (ST-3).
1) A transmission process for transmitting the search result to the workstation to ST-17 in FIG. 6 is executed.

As described above, in the first image retrieval method, the images obtained by the modality and the accompanying information corresponding thereto are distributed and managed by a plurality of databases. The information is collectively managed by the directory management means. Then, under the condition that it is unknown which database manages the desired image, the location of the desired image is inquired from the requesting workstation to the directory management means,
A search operation can be executed in a database that manages the desired image based on the logical address taught from the requesting workstation to the logical address indicating the desired image.

For example, it is assumed that the directory management means 50 manages a directory as an example of the directory file in FIG. When the workstation 30 wants to search for an image of the examination of patient No. 01, patient name: Sato, examination date: H1-2-14, the information is sent to the directory management means 50. Directory management means 50
Then, search the directory, DBNO: "1", address:
Obtain the logical address "01" and send it to the workstation 30. Workstation is DBNO:
The image of the address: “01” is requested for “1”. The database 20 (or 22, 24) retrieves the image and sends it to the workstation 30 (as for the workstation 32).

Next, the second image retrieval system will be described. In this case, the workstation has a logical configuration such as the workstation 34 in FIG. 9 and the directory management unit has a logical configuration such as the directory management unit 52 in FIG.
And a part thereof is different from the directory management means. That is, in the workstation 34 of FIG. 9, a database search result reception processing unit 30G is provided in place of the database search processing unit in the workstation of FIG. 3, and the other units are constructed similarly to FIG. Further, in the directory management unit 52 of FIG. 10, a database search processing unit 50G is provided in addition to the components of the directory management unit of FIG. The workstation 34 shown in FIG. 9 and the directory management unit 52 shown in FIG. 10 are applied to the image search system 100 shown in FIG.

This second image retrieval system is described in FIG.
Description will be made with reference to three flowcharts of FIGS.

FIG. 11 shows a flowchart of the image search operation in the workstation. In the figure, first, a search request input screen is displayed (ST-40), and when an image search request is input (YES at ST-41), a search key is extracted (ST-42). At the same time, transmission processing to ST-50 in FIG. 12 for transmitting the search request to the directory management means 52 is executed (ST-43). Thereafter, the search result obtained in the process of ST-64 in FIG. 13 is received from the database (ST-44), the image of the search result is displayed (ST-45), and the image search operation at the workstation ends. Becomes

In the directory management means 52, first, as shown in the flowchart of FIG.
The search request transmitted by the transmission process of T-43 is received (ST-50), and the search key is extracted (ST-5).
1). Next, an image address is searched from the directory (ST-52), and a transmission process to ST-60 in FIG. 13 for transmitting to the database using the search result is executed (ST53). Thereafter, the movement completion notification obtained in the process of ST-65 in FIG. 13 is received from the database (ST-65).
54), the search operation ends (ST-55).

In the database, as shown in the flowchart of FIG. 13, first, the image movement request sent by the transmission processing of FIG. 12 is received (ST-60), and the movement destination is extracted (ST-61). At the same time, the search key is extracted (ST-62). Next, an image is retrieved from the database (ST-64), and the transmission result to the workstation is transmitted to ST-44 in FIG. 11 (ST-64). A transmission process to ST-54 in FIG.

As described above, in the second image search method, if the desired image does not exist at the requesting workstation, the desired image is managed immediately by simply inquiring the desired image to the directory management means. You can execute a search operation in the database you are doing.

For example, it is assumed that the directory management means 52 manages a directory as an example of the directory file in FIG. Patient N at workstation
O. : 01, patient name: Sato, examination date: If the user wants to search for an examination image of H1-2-14, the information is sent to the directory management means. The directory management means searches the directory, obtains a logical address of DBNO: “1” and address “01”, and moves the image of address “01” to the workstation with respect to DBNO: “1”. Send request. Database address: "01"
Is retrieved, the retrieved image is sent to the workstation, and the directory management means is notified of the completion of the movement.

Next, the third image retrieval system will be described. This is a case where both the first and second image search methods described above are provided, and are switched and used as needed. In this case, the database search processing unit 30F is used as a workstation, such as the workstation 36 in FIG.
And a database search result reception processing unit 30G, and the other units are constructed similarly to FIG. Such a workstation of FIG. 14 is applied to the image search system 100 of FIG.

This third image retrieval system is described in FIG.
Description will be made with reference to two flowcharts of FIG.

FIG. 15 shows a flowchart of the image search operation in the workstation 36. In the figure, first, a search request input screen is displayed (ST-7).
0) When an image search request is input (YES at ST-71), a search key is extracted (ST-72). At this time,
If the disk capacity is sufficient (YES at ST-73), a search request is sent to the directory management means with the search method set to MOVE (ST-74), and the search result is received from the database (ST-75). While displaying the image (ST-76), the search list is displayed (ST-7).
7) The image search operation ends.

If the disc capacity is not sufficient in the step ST-73, the process proceeds to a routine after the step ST-80, in which the search method is set to SELECT and a directory search request is transmitted to the directory management means (S10).
T-80), a directory search result is received from the directory management means (ST-81). Next, the address of the database is extracted from the directory search result (ST-8).
2) After transmitting the database search request to the database (ST-83), receive the database search result (ST-83).
-84), while displaying the image of the search result (ST-
76) The search list is displayed (ST-77), and the image search operation ends.

FIG. 16 shows a flowchart of a search operation in the directory management means 52. In the figure, when a search request is received (ST-90), a search key is extracted (ST-91). At this time, if the search method is SELECT (ST-92), the directory image address is searched (ST-93), the search result is transmitted to the workstation 36, and the search operation ends (ST-94). .

If the search method is MOVE in the step ST-92, the process proceeds to the routine after the step ST-96, where an image address is searched from the directory 52 (ST-96), and the search result is stored in the database using the search result. After transmitting the image movement request (ST-97), a movement completion notification is received (ST-98), and the search operation ends.

For example, it is assumed that the directory management means 52 manages a directory as an example of the directory file in FIG. When the workstation 36 wants to search for images of all examinations with the patient ID: P00001, if the disk capacity in the own workstation is small, the search is performed by the first image search method. The criterion for determining whether there is enough free space is, for example, the average amount of retained images of one patient. Here, it is assumed to be 50 MB. If the current disk space of the workstation is only 20 MB, the workstation determines that the disk space is not sufficient and selects the search method SELECT for selection. In the case of this selection, the directory management means 52 searches the directory for the examination ID, the database name, and the image capacity (of the examination) and sends them. Calculate and decide the inspection that will retrieve the image. When deciding an inspection, a rule that the priority is higher in descending order is decided. Here, assuming that the number of the examination ID indicates that the examination is old or new, the workstation first checks the latest examination E002.
Looking at 10, it can be seen that since the image capacity is 18 MB and the next E00143 is 5 MB, only E00210 can be stored in 20 MB. The workstation issues a search request to send the image of E00210 to the database 2 and receives and displays the image. The search list is displayed with a mark indicating to the user that the image has not been searched.

Next, each database is stored in its own database, for example, an example of the surgical directory file in FIG. 18, an example of the internal medicine directory file in FIG. 19, and an example of the obstetrics and gynecology directory file in FIG. The directory management means has a file such as an example of the directory file shown in FIG. 2 separately from the directory of the data, and the workstation determines the database to be queried first by the fourth image search method. An example of the case will be described.

In this case, the entire processing proceeds according to the flowcharts shown in FIGS. First,
A desired image is inquired from the workstation to the directory management means (ST-110). In response, the directory management means obtains information indicating the desired image (S
T-111). If the information is the logical address indicating the desired image (YES at ST-112), the desired image stored in the database can be obtained according to the logical address (ST-113). Next, a process of transferring a desired image from the database to the workstation is performed (ST-114), and the transfer is completed (ST-11).
According to 5), a desired image is displayed on the workstation.

If it is not a logical address indicating a desired image in the step of ST-112, ST-11 of FIG.
The routine proceeds to the routine after step 6, and returns the logical address from the directory management means to the workstation (S
T-116) Then, when a desired image is inquired of the directory management means in accordance with the logical address returned from the workstation (ST-117), a process of obtaining the desired image in another database is executed (ST-11).
8) A process of transferring a desired image from the database to the own workstation is performed in step ST-114 of FIG. 21. Upon completion of the transfer (ST-115), the desired image is displayed on the own workstation. it can.

FIG. 23 is a diagram showing the whole medical image filing system 200 to which the second invention of the present invention is applied.

This image filing system 200 includes:
X-ray CTs 10 and 12 and an MRI 14 are provided as modalities, and images obtained by each modality and supplementary information corresponding thereto are stored in a plurality of databases 20 and 22.

The first workstation 30 and the second workstation 32 are connected to the respective databases 20,
A command for requesting desired data for each of the databases 22 is generated, and data output from each of the databases 20 and 22 is displayed.

Filing destination storage means 80 and RIS
A (radiology information system) 90 is connected to the local area network 40 that connects the modalities 10, 12, 14 and the databases 20, 22. Then, the filing destination storage unit 80 compares the correspondence between the medical data obtained in each modality, for example, the attribute such as incidental information corresponding to an image such as a tomographic image, and the database in which the image is to be stored, in the database. It is stored together with the identification information as filing destination information, and is stored on a table, for example, as an example of a filing destination information file in FIG.
Therefore, each modality inquires the filing destination storage means 80 for the filing destination when data is generated,
Data can be sent to the obtained filing destination. The RIS 90 is a reference when the search key and the additional information (for example, patient ID) issued from each modality are different. The filing destination storage unit 80 instructs the RIS 90 to search for the requested department from the patient ID and receives the result. The filing destination storage unit 80 searches for a filing destination using the result retrieved from the RIS 90,
The filing destination is indicated to the modality.

FIG. 25 shows the logical configuration of the filing destination storage means 80. As shown, the user interface section 80A, LAN interface section 80B, command interface section 80C, command processing section 80
D, filing destination information search processing unit 80E, filing destination information registration processing unit 80F, filing destination information body 8
The storage means 80 is constructed with a logical configuration of 0G.

FIG. 26 shows the logical configuration of the modality (X-CT) 10. As shown, the user interface unit 10A, LAN interface unit 10B, command interface unit 10C, command processing unit 10
The modality 10 is constructed by a logical configuration of D, an image input interface unit 10E, an image storage processing unit 10F, a filing destination information search unit 10G, an image registration processing unit 10H, and an image information body 10I.

Next, the operation of registering data generated from each modality in the database will be described with reference to the flowcharts of FIGS. However, it is assumed that the filing destination storage unit 80 stores a filing information file as an example of the filing destination information file in FIG.

FIG. 27A shows a flowchart of the registration operation of the modality 10, and FIG.
(B) shows a flowchart of the search operation of the filing destination storage means 80.

In the modality 10, FIG.
As described above, when an examination is performed (ST-210) and an image is generated (ST-211), information necessary for searching for a filing destination, for example, patient ID: P00001, examination I
D: E00105, Request department: Internal medicine, Inspection device name: CT,
Inspection device ID: MO14 or the like is extracted (ST-21)
2). ST-220 which transmits filing destination search information from modality 10 to storage means 8 when this extraction is performed.
(ST-213). Then, S
The filing destination search result obtained in T-223 is received (ST-214), and if this search result is filing destination apparatus A, this filing destination apparatus A receives ST-211.
Register the image obtained in step (ST-215),
The modality registration operation ends (ST-215).

As shown in FIG. 27B, the recording means 80 first receives the filing destination search request sent by the transmission process of ST-213 in FIG.
T-220), and extract the search key (ST-22).
1). Next, a filing destination is searched from the filing destination information file in accordance with the search key (ST-222), the search result is sent to the modality 10, and furthermore, S in FIG.
The transmission process to T-214 is performed (ST-223), and the search operation ends (ST-224).

[0056] filing destination information is used here file is used at the time of the operation, such as previously decided to say in advance which database to register the data of any family. This file is created by an operator (user) input. The input method is as follows. First, on the screen as an example of the input screen of FIG. If it is desired to put the images of the MRI apparatus in one database and then divide them by request department, enter 1 for the judgment order of the examination device name and 2 for the judgment order of the request department. When the input is completed, an example of the input screen of FIG.
An input screen of the correspondence relationship according to each criterion as shown in FIG. 31 is displayed in the order of the judgment order, so that necessary items are input. When all the input is completed, finally, FIG.
Is displayed as an example of the confirmation screen of the above. If OK, a table such as an example of the filing destination information file in FIG. 33 is automatically generated. Further, a search method using a criterion for dividing each database is created in advance in the storage device, and the search method is operated in accordance with the input order of priority. This is the end.

Next, the operation of creating filing destination information will be described with reference to the flowchart of FIG.

FIG. 34 is a flow chart for registering filing destination information in the storage means 80. In the figure, the steps from ST-230 to ST-236 indicate the rutile of the basic operation for filing operation, and in the subsequent step of ST-237, the processing of converting the input data into a table and storing it is executed. Next, a process (ST-238) for determining the order of the search operation when searching for filing destination information is performed, and the process ends (ST-239). Therefore, when changing the filing destination information, the filing destination information may be registered again in the same manner as the registration of the filing destination information described above. When a new registration is made, the order of the internal filing destination information table and the search operation when searching for filing destination information is also changed, so the filing destination information without any change on the modality where the image occurs The filing destination can be changed only by changing the storage means.

Next, the filing destination is known by the modality, and the filing destination storage means (directory management means) when the image + image accompanying information is registered in the database.
The operation of registration in the 80 will be described with reference to the flowcharts of FIGS.

FIG. 35 (A) shows the database 20, 2
2 shows a flowchart of the directory registration operation, and FIG. 35B shows a flowchart of the directory registration operation in the filing destination storage means (directory management means 80).

In the database, as shown in FIG. 35A, first, information necessary for a directory is extracted from image accompanying information (ST-240).

Next, a process of transmitting the registration request to the directory management means to ST-250 in FIG. 35B is performed (ST-241). Next, ST-25 of FIG.
3 (ST-242), and the directory registration operation ends (ST-243).

In the directory management means, FIG.
As shown in FIG. 35B, a registration request from ST-241 in FIG. 35A is received (ST-250), necessary information is extracted (ST-251), and the information is registered in a directory (ST-251). -252), a process of transmitting registration completion to the database is performed to ST-242 in FIG. 35 (A) (ST-253), and the directory registration operation ends (ST-254).

Next, another example of the registration operation to the storage means (directory management means) 80 when the filing destination is known by the modality and the image + image supplementary information is registered in the database is shown in FIGS. A description will be given according to the flowchart of B). However, this is the case where each database described in the example of the search operation has a directory of data stored in its own database, and separately from that, the directory management means has directories of all databases.

FIG. 36A shows that the databases 20, 2
2 shows a flowchart of the directory registration operation, and FIG. 36B shows a flowchart of the directory registration operation in the storage means (directory management means) 80.

In the database, as shown in FIG. 36A, first, information necessary for a directory is extracted from image accompanying information (ST-260). After extracting this information, a directory is created (ST-261), and a transmission process to ST-270 of FIG. 36B for transmitting a registration request for the created directory to the directory management unit is executed (ST-262). Next, registration completion is received from ST-273 in FIG. 36B (ST-263), and the directory registration operation ends (ST-264).

In the directory management means, FIG.
As shown in FIG. 36B, a registration request from ST-262 in FIG. 36A is received (ST-270), and necessary information is extracted (ST-271). After the information is registered in the directory (ST-272), transmission processing to ST-263 of FIG. 36A for transmitting the completion of registration to the database is executed (ST-273), and the directory registration operation ends (ST-273). ST-274).

If the directory file is as shown in FIG. 37, it can be used in common with the filing destination information file. In this case, the user is required to input the file in the same manner as the method of creating filing destination information, and this directory file may be used as the filing destination information file when registering an image. When searching for images, you can use this directory file to know which database to query.

[0069]

As described above, according to the present invention, when medical data is distributed and stored in a database, incidental information added by the medical data generating means and information managed by the radiology information system. , A database can be constructed with a desired classification.

[Brief description of the drawings]

FIG. 1 is a diagram showing an entire medical image search system to which a first invention of the present invention is applied.

FIG. 2 is a diagram illustrating an example of a directory file.

FIG. 3 is a logical configuration diagram of a workstation used in the first embodiment in the medical image search system.

FIG. 4 is a logical configuration diagram of a directory management unit used in the first embodiment in the medical image search system.

FIG. 5 is a logical configuration diagram of a database used in the first embodiment in the medical image search system.

FIG. 6 is a flowchart of an image search operation in a workstation.

FIG. 7 is a flowchart of a search operation in a directory management unit.

FIG. 8 is a flowchart of a search operation in a database.

FIG. 9 is a logical configuration diagram of a workstation used in a second embodiment in the medical image search system.

FIG. 10 is a logical configuration diagram of a directory management unit used in the second embodiment in the medical image search system.

FIG. 11 is a flowchart of an image search operation in a workstation.

FIG. 12 is a flowchart of a search operation in a directory management unit.

FIG. 13 is a flowchart of a search operation in a database.

FIG. 14 is a logical configuration diagram of a workstation used in a third embodiment in a medical image search system.

FIG. 15 is a flowchart of an image search operation in the workstation.

FIG. 16 is a flowchart of a search operation in a directory management unit.

FIG. 17 is a diagram showing another example of a directory file.

FIG. 18 is a diagram showing an example of a surgical directory file.

FIG. 19 is a diagram showing an example of an internal medicine directory file.

FIG. 20 is a diagram illustrating an example of an obstetrics and gynecology directory.

FIG. 21 is a part of a flowchart of the system operation of the fourth embodiment in the medical image search system.

FIG. 22 is another part of the flowchart of the system operation of the fourth embodiment in the medical image search system.

FIG. 23 is a diagram showing an entire medical image filing system to which the second invention of the present invention is applied.

FIG. 24 is a diagram showing an example of a destination information file.

FIG. 25 is a logical configuration diagram of a filing destination storage unit in the medical image filing system.

FIG. 26 is a logical configuration diagram of a modality in the medical image filing system.

FIG. 27 is a flowchart illustrating a modality registration operation and a filing destination storage unit search operation in the first embodiment of the medical image filing system.

FIG. 28 is a diagram showing another example of the filing destination information file.

FIG. 29 is a diagram showing a first example of an input screen.

FIG. 30 is a diagram showing a second example of the input screen.

FIG. 31 is a diagram showing a third example of the input screen.

FIG. 32 is a diagram showing an example of a confirmation screen.

FIG. 33 is a diagram showing another example of the filing destination information file.

FIG. 34 is a flowchart of a filing destination information registration operation of the storage means.

FIG. 35 is a flowchart showing a directory registration operation in the database and a directory registration operation in the directory management means in the second embodiment of the medical image filing system.

FIG. 36 is a flowchart showing a directory registration operation in the database and a directory registration operation in the directory management means in the third embodiment of the medical image filing system.

FIG. 37 is a diagram showing still another example of the directory file.

[Explanation of symbols]

 10, 12, 14 Modality 20, 22, 24 Database 30, 32, 34, 36 Workstation 40 Local area network 50, 52 Directory management means 80 Filing destination storage means 100 Medical image retrieval system 200 Medical image filling system

────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Takehiro Ema 1385-1 Shimoishigami, Otawara City, Tochigi Prefecture Toshiba Medical Engineering Co., Ltd. -17154 (JP, A) JP-A-2-140876 (JP, A) JP-A-63-10269 (JP, A) Supervised by Noguchi, Hikita, "COM Series Illustration, Introduction to Distributed Database System" Published by Ohmsha Co., Ltd. , P. 70-79 (Hei 1-5-25) (58) Fields surveyed (Int. Cl. ⁷ , DB name) G06F 19/00 G06F 17/30 JICST file (JOIS)

Claims (2)

(57) [Claims] 1. A medical data generating apparatus which generates medical data by adding supplementary information including at least patient identification information to medical data,
A plurality of databases that store the medical data, a filing destination storage unit that stores identification information of the database in which the medical data is to be stored and attributes of the medical data in association with each other, and at least patient identification information and an examination request department; A radiology information system that is managed in association with
When medical data is generated by the medical data generating apparatus, the medical data management system stores the medical data in a database to be stored according to the attribute of the medical data. When specifying a database to be stored from the accompanying information attached to the data, the patient identification information received from the medical data generator is transmitted to the radiology information system, and the patient information of the patient is transmitted from the radiology information system. A medical data management system wherein a database to be stored in response to an examination request department is specified. 2. The method according to claim 1, wherein the filing destination storage unit changes the filing destination of the medical data generated by the medical data generation device by changing filing destination information in the filing destination storage unit. The medical data management system according to claim 1, wherein