JP6545452B2 - Communication intermediary device - Google Patents

Description

  An embodiment of the present invention relates to a communication mediating apparatus.

  In recent years, medical information processing apparatuses perform data communication using a standard called Digital Imaging and Communications in Medicine (DICOM) when medical information is exchanged between devices connected by a communication network. When medical information is communicated using this DICOM standard, each medical information processing apparatus needs to have an AE title (AE: Application Entity) which is apparatus identification information for uniquely identifying each medical information processing apparatus. There is.

  Here, medical information processing apparatuses are maintained and handled at various medical institutions, and cases where medical information is exchanged between a plurality of medical institutions are increasing. Of course, the DICOM standard is used to exchange medical information between a plurality of medical institutions.

  However, since the AE title is set for each medical information processing apparatus used in each medical institution, AE titles may overlap among medical information processing apparatuses of a plurality of medical institutions that exchange medical information. There is sex.

  In such a case, one or both of the AE titles must be changed because it is necessary to uniquely identify the medical information processing apparatus.

Unexamined-Japanese-Patent No. 2012-037993

  However, in the invention disclosed in Patent Document 1, the following points are not taken into consideration.

  That is, medical information processing apparatuses used in medical institutions are often apparatuses of various manufacturers, and persons in charge of the respective manufacturers need to change the AE titles of the respective medical information processing apparatuses. Also, AE titles must be coordinated among medical institutions that exchange medical information with each other. It is troublesome if such changes and adjustments are required every time AE titles overlap.

  Furthermore, particularly when medical information, particularly medical images, are inquired or acquired between medical information processing apparatuses, the designation of the destination of the medical image is specified only by the AE title. Therefore, unless the AE title is changed or adjusted, medical information, particularly medical images, can not be exchanged between medical institutions.

  The present invention has been made to solve the above problems, and an object of the present invention is to provide medical information between two networks when exchanging medical information between medical information processing apparatuses connected to different networks. An object of the present invention is to provide a communication intermediation apparatus capable of requesting and acquiring medical information without changing the original apparatus identification information even when the apparatus identification information between the processing apparatuses is duplicated.

A feature of the invention according to claim 1 is that, in the communication intermediation apparatus, the communication data from the medical information processing apparatus connected to the first communication network is transmitted to the medical information processing apparatus connected to the second communication network And a medical information processing apparatus connected to a second communication network that is analyzed after being received by the first communication unit, and a first communication unit that receives communication data of the first communication network Device identification information in which device identification information representing an AE title in the DICOM standard of a medical information processing device connected to a first communication network included in communication data based on communication data addressed to the device is defined in advance A replacement unit that substitutes another temporary device identification information, and a second communication unit that transmits the communication data converted by the replacement unit to a second communication network.

A feature of the invention according to claim 6 is that, in the communication mediating apparatus, the communication data from the medical information processing apparatus connected to the first communication network is transmitted to the medical information processing apparatus connected to the second communication network An AE title according to the DICOM standard, which uniquely identifies each of a first communication unit that receives communication data of a first communication network, and a medical information processing apparatus connected to the first communication network. A medical information processing apparatus connected to a second communication network analyzed after being received by the first communication unit. based on the communication data destined for one device identification information included in the communication data, medical information processing apparatus connected to the first communication network In order to handle as if connected to the second communication network, virtual device identification information for each medical information processing apparatus connected to the first communication network is generated and grasped while the one device identification information is The virtual device identification information generation unit replaces the generated virtual device identification information, and the second communication unit transmits the communication data converted by the virtual device identification information generation unit to the second communication network.

A feature of the invention according to claim 8 is that, in the communication intermediation apparatus, communication data between the medical information processing apparatus connected to the first communication network and the medical information processing apparatus connected to the second communication network A communication mediating apparatus for mediating transmission and reception, comprising: a first communication unit for receiving communication data of a first communication network; analyzing communication data received by the first communication unit; and connecting to the first communication network Device identification information representing the AE title in the DICOM standard of the medical information processing device and device identification information representing the AE title of the medical information processing device connected to the second communication network Device identification information when it is determined by the determination unit that one device identification information and the other device identification information overlap. New apparatus identification information generating unit for generating new apparatus identification information for replacing the data, and one apparatus identification information included in communication data transmitted from the first communication network to the second communication network And a second communication unit for transmitting the communication data converted by the conversion unit to the second communication network.

BRIEF DESCRIPTION OF THE DRAWINGS It is a block diagram which shows the whole structure of the medical information communication system containing the communication mediating apparatus in embodiment. It is a block diagram which shows the internal structure of the medical information processing apparatus in embodiment. It is a block diagram which shows the internal structure of the communication mediating apparatus in 1st Embodiment. It is a flow chart which shows a flow of exchange of medical information in a 1st embodiment. It is an example of the table memorize | stored in the memory | storage part of the communication intermediation apparatus connected to one communication network in 1st Embodiment. It is an example of the table memorize | stored in the memory | storage part of the communication intermediation apparatus connected to the other communication network in 1st Embodiment. It is a flow chart which shows a flow of exchange of medical information in a 1st embodiment. It is a block diagram which shows the internal structure of the communication mediating apparatus in 2nd Embodiment. It is a flow chart which shows a flow of exchange of medical information in a 2nd embodiment. It is an example of the table memorize | stored in the memory | storage part of the communication intermediation apparatus connected to the other communication network in 2nd Embodiment. It is a block diagram which shows the structure of the other communication network which the medical information processing apparatus in 2nd Embodiment connects. It is a display example which shows the structure of the other communication network displayed in the medical information processing apparatus which comprises the other communication network in 2nd Embodiment. It is a block diagram which shows the internal structure of the communication mediating apparatus in 3rd Embodiment. It is a sequence diagram showing the flow of exchange of medical information in a 3rd embodiment. It is a sequence diagram showing the flow of exchange of medical information in a 3rd embodiment. It is a sequence diagram showing the flow of exchange of medical information in a 3rd embodiment. It is a sequence diagram showing the flow of exchange of medical information in a 3rd embodiment. It is a sequence diagram showing the flow of exchange of medical information in a 3rd embodiment.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

First Embodiment
FIG. 1 is a block diagram showing an entire configuration of a medical information communication system S including a communication relay apparatus 1 according to an embodiment.

  The communication network constituting the medical information communication system S shown in FIG. 1 has the Internet I in the center, and two communication networks NA and NB are provided on both sides. Medical information processing apparatuses are connected to the first communication network NA and the second communication network NB.

  That is, the first communication network NA and the second communication network NB are, for example, communication networks (hereinafter referred to as the first communication network NA and the second communication network NB collectively constructed in different medical institutions). The term "communication network N" is used as appropriate, and medical information can be exchanged between medical institutions through the Internet I.

  The first communication network NA and the second communication network NB may be constructed, for example, in the same medical institution, in which case the first communication network NA and the second communication network NB may be used. The communication network to be connected is not limited to the Internet I, and may be a network such as a LAN (Local Area Network).

  A communication intermediation apparatus 1A for connecting the first communication network NA to the Internet I is connected to the first communication network NA. Further, medical information processing devices AE1 to AE4 are connected to the first communication network NA, and among these medical information processing devices, exchange of medical information using the DICOM standard in the first communication network NA. Is being done.

  A communication relay device 1B for connecting the second communication network NB to the Internet I is connected to the second communication network NB. Further, the medical information processing devices AE1 and AE2 and the medical information processing device XX1 are connected to the second communication network NB, and among these medical information processing devices, the DICOM standard is established in the second communication network NB. The exchange of medical information using

  The medical information processing apparatuses connected to each of the communication networks N are assigned codes using the AE title, which is apparatus identification information, but when the medical information processing apparatuses are collectively shown, And “Medical information processing apparatus 2” as appropriate.

  The communication relay devices 1A and 1B connect the first communication network NA and the second communication network NB to the Internet I, respectively. Therefore, it has a function to connect each communication network N to an external communication network N, and, for example, a router or a gateway device corresponds.

  That is, the communication intermediation apparatuses 1A and 1B transmit medical information processing request of the transmission destination constituting the other communication network N, and the medical information acquisition request issued from the medical information processing apparatus serving as the transmission source constituting the one communication network N It plays the role of mediating to the device. Further, when transmitting the response to the acquisition request issued from the medical information processing apparatus configuring the other communication network N to the medical information processing apparatus configuring the one communication network N, the mediation is performed.

  Note that, hereinafter, when the communication relay devices 1A and 1B are collectively shown, the communication relay device 1 will be referred to as “the communication relay device 1” as appropriate.

  The medical information processing apparatus 2 is an apparatus that handles various medical information required in a medical institution. Therefore, for example, in addition to an apparatus for acquiring internal information of a subject such as an X-ray CT apparatus (computed tomography: computed tomography apparatus) or a magnetic resonance imaging apparatus (MRI: magnetic resonance imaging), an electronic medical chart is read Also included are workstations used at the same time.

  Each of the medical information processing apparatuses 2 is, for example, a hospital information management system (HIS: Hospital Information System), a radiology department information management system (RIS: Radiological Information System), a medical image management system (PACS: Picture Archiving and Communication System). And the like, or all or part of various management systems built in the medical institution.

  FIG. 2 is a block diagram showing an internal configuration of the medical information processing apparatus 2 in the embodiment.

  The medical information processing apparatus 2 is connected to a central processing unit (CPU) 2a, a read only memory (ROM) 2b, a random access memory (RAM) 2c, and an input / output interface 2d via a bus 2e. An input unit 2f, a display unit 2g, a communication control unit 2h, a storage unit 2i, a removable disk 2j, and a drive control unit 2k are connected to the input / output interface 2d. For example, when the medical information processing apparatus 2 is an X-ray CT apparatus, the drive control section 2 k controls a drive unit such as a gantry or an arm of the X-ray CT apparatus.

  The CPU 2a reads and executes a boot program for activating the medical information processing apparatus 2 from the ROM 2b based on an input signal from the input unit 2f, and reads various operating systems stored in the storage unit 2i. The CPU 2a also controls various devices based on input signals from other external devices (not shown in FIG. 2) via the input unit 2f and the input / output interface 2d.

  Furthermore, the CPU 2a reads programs and data stored in the RAM 2c, the storage unit 2i, etc. and loads them into the RAM 2c, and also performs processing for image acquisition and calculation of data based on commands of the programs read from the RAM 2c. It is a processing device which realizes a series of processing such as processing.

  The input unit 2 f is configured by an input device such as a keyboard or a dial through which an operator (for example, a doctor or an inspection engineer) of the medical information processing apparatus 2 inputs various operations, and an input signal is input based on the operator's operation. Are transmitted to the CPU 2a via the bus 2e.

  The display unit 2g is, for example, a liquid crystal display. The display unit 2g receives an output signal from the CPU 2a via the bus 2e, and, for example, an image or the like necessary for setting conditions for performing a processing request of a certain image to the medical information processing apparatus 2, or a processing result of the CPU 2a Display etc.

  The communication control unit 2 h is a means such as a LAN card or a modem, and is a means capable of connecting the medical information processing apparatus 2 to a communication network N such as the Internet I or LAN. Data transmitted to and received from the communication network N via the communication control unit 2 h is transmitted to and received from the CPU 2 a via the input / output interface 2 d and the bus 2 e as an input signal or an output signal.

  The storage unit 2i is configured of a semiconductor or a magnetic disk, and stores programs and data executed by the CPU 2a.

  The removable disk 2j is an optical disk or a flexible disk, and signals read and written by the disk drive are transmitted to and received from the CPU 2a via the input / output interface 2d and the bus 2e.

  Next, the flow of medical information when exchanging medical information between a plurality of communication networks N and the change in device identification information accompanying the flow will be described.

  In the first embodiment, the medical information processing apparatus connected to one communication network requests medical information processing apparatus connected to the other communication network as follows. The exchange of medical information in the embodiment of the present invention will be described by taking the example of.

  That is, the medical information processing apparatus constituting the first communication network NA issues a medical information acquisition request to the medical information processing apparatus constituting the second communication network NB, and the second communication network NB is constituted. The medical information processing apparatus retrieves and acquires desired medical information, and transmits the medical information to the medical information processing apparatus constituting the first communication network NA.

  However, conversely, the medical information processing apparatus constituting the second communication network NB sends a medical information acquisition request to the medical information processing apparatus constituting the first communication network NA to acquire desired medical information. Naturally it is also possible.

  FIG. 3 is a block diagram showing an internal configuration of the communication mediating apparatus 1A in the first embodiment. The communication mediating apparatus 1A constitutes a first communication network NA, and is connected to an external communication network N (here, a second communication network NB) via the Internet I. Therefore, when the medical information processing apparatus in the first communication network NA issues an acquisition request for medical information to a medical information processing apparatus connected to another communication network N, the acquisition request is always communication mediation It will pass the device 1A.

  The communication intermediation apparatus 1A includes a first communication unit 11, a grasping unit 12, a determination unit 13, a replacement unit 14, a storage unit 15, and a second communication unit 16. The functions of the units constituting the communication intermediation apparatus 1A will be appropriately described while describing the flow of medical information exchange described later.

  FIG. 4 is a flow chart showing the flow of exchange of medical information in the first embodiment. As described above, in the first embodiment, the medical information processing apparatus AE2 that is the medical information processing apparatus that configures the first communication network NA to the medical information processing apparatus that configures the second communication network NB, in particular The process of asking the medical information processing apparatus AE1 to obtain a medical image as medical information will be described as an example.

  That is, here, the communication network to which the medical information processing apparatus requesting acquisition of medical images is connected is referred to as “first communication network NA”, and the medical information processing apparatus transmitting medical images upon reception of a request is connected. Existing communication network is referred to as "second communication network NB". Therefore, it can be said that the designations of “first communication network NA” and “second communication network NB” appropriately change in accordance with the flow of medical information.

  Here, “medical information” means, for example, information related to a patient such as a patient ID, a medical image acquired by the medical information processing apparatus 2, or a medical relationship to be handled in a medical institution, such as a patient's examination reservation. Contains all of the information in In addition, a communication information that includes the medical information and includes information necessary for transmitting medical information, such as an IP address and an AE title, of the medical information processing apparatus serving as a transmission destination is represented as "communication data". Therefore, although it is called "communication data" to be exchanged between a plurality of medical information processing apparatuses, for convenience, in the following description, regardless of the embodiment, "medical information" is exchanged among a plurality of medical information processing apparatuses. Explain that "exchange".

  First, from the medical information processing apparatus AE2 constituting the first communication network NA, a request for acquiring medical information required by the operator of the medical information processing apparatus AE2 is issued. As described above, the medical information processing apparatus AE2 issues the acquisition request to the medical information processing apparatus AE1 that configures the second communication network NB. Therefore, the medical information processing apparatus AE2 of the first communication network NA is the “transmission source” of the acquisition request, and the second communication network NB medical information processing apparatus AE1 is the “transmission destination”.

The acquisition request addressed to the medical information processing apparatus AE1 issued from the medical information processing apparatus AE2 first reaches the communication relay apparatus 1A, and in the communication relay apparatus 1A, the information from the medical information processing apparatus AE2 serving as the transmission source (medical information Receive request for acquisition of (ST1)
The communication intermediation apparatus 1A transmits the acquisition request of medical information from the medical information processing apparatus AE2 received by the first communication unit 11 to the grasping unit 12. The grasping unit 12 grasps the received request for acquiring medical information, that is, the IP address and AE title (the other apparatus identification information) of the medical information processing apparatus 2 (medical information processing apparatus AE1) as the transmission destination from the communication data. To do (ST2). For convenience of explanation, the IP address of the medical information processing apparatus AE1 connected to the second communication network NB is “192.168.1.21”, and the AE title is “AE1”.

  Here, FIG. 5 is an example of a table stored in the storage unit of the communication mediating apparatus connected to one communication network in the first embodiment. That is, this is an example of a table stored in the storage unit 15 of the communication intermediation apparatus 1A connected to the first communication network NA.

  In the table, “IP address”, “AE title”, and “post-replacement AE title” are defined in advance for each device name of each medical information processing apparatus 2 connected to the first communication network NA. It is memorized.

  For example, for the “medical information processing apparatus AE2” that has issued the medical information acquisition request in the above example, the “IP address” is “192.168.1.12” and the AE title (one-device identification information) is It is "AE2". In addition, contents corresponding to the above items are stored in the medical information processing apparatuses AE1, AE3 and AE4 connected to the first communication network NA. In addition, the IP address of the communication mediating apparatus 1A is also stored.

  On the other hand, FIG. 6 is an example of a table stored in the storage unit of the communication mediating apparatus connected to the other communication network in the first embodiment. That is, this is an example of a table stored in the storage unit 15 of the communication relay device 1B connected to the second communication network NB. As described above, the “IP address”, “AE title”, and “AE title after replacement” of each of the medical information processing apparatuses 2 connected to the second communication network NB are defined and stored in advance as described above. ing.

  Here, the “post-replacement AE title” refers to the overlapping AE titles when the AE titles overlap in the medical information processing apparatuses 2 constituting the plurality of communication networks N, as described later. In order to avoid the inability to exchange medical information between the medical information processing apparatuses 2, this is an AE title provided separately so that AE titles do not overlap between medical information processing apparatuses exchanging medical information.

  Further, with regard to the information of each medical information processing apparatus 2, such as the IP address of the communication intermediation apparatus 1A connected to the first communication network NA and the IP address of the communication intermediation apparatus 1B connected to the second communication network NB The apparatus 1A stores not only information on the medical information processing apparatus 2 connected to the first communication network NA, but also information on the medical information processing apparatus 2 connected to the second communication network NB. On the other hand, in the same manner, the communication intermediation apparatus 1B not only carries out information about the medical information processing apparatus 2 connected to the second communication network NB, but also information on the medical information processing apparatus 2 connected to the first communication network NA. I also remember.

  The grasping unit 12 of the communication intermediation apparatus 1A sends the “IP address” and the “AE title” of the medical information processing apparatus AE1 which is the transmission destination of the grasped medical information acquisition request to the judgment unit 13. The determination unit 13 is connected to the first communication network NA to which the “AE title (other device identification information)” of the medical information processing apparatus AE1 as the recognized transmission destination and the medical information processing apparatus AE2 of the transmission source are connected. The AE title (one-side device identification information) of the medical information processing device 2 to be compared is compared (ST3).

  That is, when the medical information processing apparatus 2 to which the AE title of the other party who issues the acquisition request is attached is connected to the first communication network NA to which the medical information processing apparatus AE2 serving as the transmission source is connected, The duplication occurs, and the acquisition request can not be appropriately sent to the medical information processing apparatus AE1 as the other party.

  Here, an acquisition request for medical information is issued from the medical information processing apparatus AE2 connected to the first communication network NA to the medical information processing apparatus AE1 connected to the second communication network NB. However, a medical information processing apparatus provided with the same AE title as the transmission destination medical information processing apparatus AE1 is connected to the first communication network NA to which the transmission source medical information processing apparatus AE2 is connected. In this case, AE titles used to uniquely identify each medical information processing apparatus 2 as device identification information are assigned to the plurality of medical information processing apparatuses 2, and the medical information processing apparatus 2 is uniquely identified. The role of the AE title can not be played.

  However, the process of re-assigning the AE title again to solve such a situation is not realistic for various reasons as described above.

  Therefore, first, in the first communication network NA to which the medical information processing apparatus AE2 as the transmission source is connected, an AE title (one-side apparatus) attached to the medical information processing apparatus AE1 (the other apparatus identification information) as the transmission destination Whether or not there is a medical information processing apparatus 2 to which the same AE title as the identification information is attached is compared and confirmed.

  According to the comparison of the AE titles by the determination unit 13 (ST4), the AE attached to the medical information processing apparatus AE1 serving as the transmission destination in the first communication network NA to which the medical information processing apparatus AE2 serving as the transmission source is connected. If it is determined that the medical information processing apparatus 2 to which the same AE title as the title is attached exists (YES in ST4), the determination unit 13 receives the medical information processing apparatus AE1 that is the transmission destination received from the grasping unit 12 Information on the AE title and the IP address is transmitted to the substitution unit 14 (ST5).

  Therefore, in the first embodiment, it is assumed that the AE title of the overlapping medical information processing apparatus AE1 as the transmission destination is replaced with a temporary AE title (provisional apparatus identification information). The replacing unit 14 that has received from the determining unit 13 the information on the IP address and AE title for the medical information processing apparatus AE1 as the transmission destination is the temporary apparatus identification information set in advance for the medical information processing apparatus AE1. A temporary AE title is searched (ST6).

  Specifically, the replacing unit 14 accesses the storage unit 15, and the IP address and AE title of each medical information processing apparatus 2 connected to the second communication network NB stored in the storage unit 15 are stored. Search the set table. The AE titles and the like of the medical information processing apparatuses 2 connected to the second communication network NB are shown in FIG. Referring to the table shown in FIG. 6, the AE title after replacement of the transmission destination medical information processing apparatus AE1 is defined as “NF1”.

  Therefore, the current AE title "AE1" being grasped of the medical information processing apparatus AE1 which is the transmission destination is replaced with "NF1" (ST7). By this processing, the temporary AE title of the medical information processing apparatus AE1 which is the transmission destination becomes "NF1". The IP address does not need to be replaced, so the original address “192.168.1.21” remains.

  When the process of replacing the AE title with the temporary AE title is completed, the IP address is also sent together with the temporary AE title to the second communication unit 16, and the second communication network NB is transmitted via the Internet I. It transmits to the communication mediating apparatus 1B which connects the internet I and the said 2nd communication network NB (ST8).

  The process in the communication intermediation apparatus 1A connected to the first communication network NA to which the medical information processing apparatus AE2 serving as the transmission source is connected is completed. That is, the communication mediating apparatus 1A replaces the AE title of the medical information processing apparatus AE1 as the transmission destination with the temporary AE title "NF1", and obtains the medical information acquisition request transmitted from the medical information processing apparatus AE2 It mediates to the communication mediating apparatus 1B of the second communication network NB.

  Next, the operation of the communication mediating apparatus 1B connected to the second communication network NB will be described next. FIG. 7 is a flowchart showing the flow of medical information exchange in the first embodiment, and in particular, the other communication in which the acquisition request for medical information is acquired from the medical information processing apparatus 2 connected to one communication network N. A flow of processing of the communication mediating apparatus 1B connected to the network N is shown.

  The communication intermediation apparatus 1B connected to the second communication network NB receives an acquisition request for medical information from the communication intermediation apparatus 1A connected to the first communication network NA via the Internet I (ST9). The internal configuration of the communication mediating apparatus 1B is also the same as the internal configuration of the communication mediating apparatus 1A shown in the block diagram of FIG.

  The grasping unit 12 of the communication intermediation apparatus 1B receives the information from the communication intermediation apparatus 1A connected to the first communication network NA, that is, the IP address included in the acquisition request of the medical information issued from the medical information processing apparatus AE2. And grasp the AE title (ST10). Here, the IP address is “192.168.1.21”, and the AE title is “NF1” which is a temporary AE title.

  Based on the recognized IP address and AE title, the determination unit 13 confirms the original AE title of the transmission destination medical information processing apparatus AE1 included in the acquisition request of the medical information (ST11). Referring to the table of FIG. 6, from the IP address and the temporary AE title grasped above, it is confirmed that the original AE title of the medical information processing apparatus AE1 as the transmission destination is "AE1".

  Therefore, the determination unit 13 transmits the confirmed information to the replacement unit 14. The replacing unit 14 replaces the AE title as the device identification information of the medical information processing apparatus AE1 again from the temporary AE address “NF1” with the original AE title “AE1” (ST12). . Then, it transmits to the second communication unit 16.

  Based on the IP address of the received medical image, the second communication unit 16 transmits a medical information acquisition request to the medical information processing apparatus AE1 set as the transmission destination (ST13).

  As described above, if the determination unit 13 determines that the medical information processing apparatus requesting acquisition of the medical information output from the medical information processing apparatus AE2 does not have duplicate AE titles (NO in ST4), Since the process of replacing the AE title is unnecessary, the received acquisition request is sent to the second communication unit 16 so as to be transmitted to the medical information processing apparatus as the transmission destination. As a result, an acquisition request for medical information is transmitted from the communication intermediation apparatus 1A to the medical information processing apparatus as the transmission destination via the Internet I and the communication intermediation apparatus 1B (ST14).

  Through the above processing, it becomes possible to exchange medical information between medical information processing apparatuses connected to each communication network N via communication intermediation apparatuses connected to different communication networks N.

  That is, when medical information is exchanged between medical information processing apparatuses connected to different networks, even if the apparatus identification information between the medical information processing apparatuses in both networks overlaps, the original apparatus identification It is possible to provide a communication intermediary device capable of requesting and acquiring medical information without changing the information.

Second Embodiment
Next, a second embodiment of the present invention will be described. In the second embodiment, the same components as those described in the first embodiment are denoted by the same reference numerals, and the description of the same components will be omitted.

  In the first embodiment, when medical information is exchanged between medical information processing apparatuses, a medical information processing apparatus to which an AE title overlapping in the communication network N to which both medical information processing apparatuses belong is attached is used. If it exists, it is possible to exchange medical information by replacing the AE title of the medical information processing apparatus as the transmission destination with a temporary AE title.

  In the second embodiment, as described below, a virtual AE title is generated as virtual device identification information for a medical information processing apparatus connected to a communication network N to which a medical information processing apparatus as a transmission source is connected. Then, as a medical information acquisition request from the medical information processing apparatus having the virtual AE title, it is transmitted to the medical information processing apparatus as the transmission destination.

  Also in the second embodiment, the medical information processing apparatus AE2 connected to the first communication network NA requests the medical information processing apparatus AE1 connected to the second communication network NB to acquire medical information. It will be described by taking the issue as an example.

  As also shown in the overall configuration diagram of FIG. 1, the two communication networks N constituting the medical information communication system S are all connected to the medical information processing apparatus 2 whose AE title is "AE1". . Therefore, when it is attempted to exchange medical information between the two communication networks, the medical information can not be exchanged because a plurality of medical information processing apparatuses having overlapping AE titles exist.

  Therefore, by attaching a virtual AE title to the medical information processing apparatus 2 connected to any of the communication networks N, it is possible to prevent the AE titles of the medical information processing apparatus 2 from being duplicated between the two communication networks N. Do.

  Specifically, the communication intermediary device of the communication network N to which the medical information processing device 2 serving as the transmission destination of the medical information acquisition request is connected is provided with the function of giving such a virtual AE title It is. As described above, in the second embodiment, the medical information processing apparatus 2 as the transmission destination is connected to the second communication network NB, and the second communication network NB is a communication relay apparatus. 1B is connected.

  FIG. 8 is a block diagram showing an internal configuration of the communication mediating apparatus 1B in the second embodiment. Unlike the communication intermediary device 1A in the first embodiment, a virtual device identification information generation unit 21 (hereinafter referred to as “virtual device identification information generation” for giving a virtual AE title to a medical information processing device as a transmission source) The section 21 ′ ′ differs in that “a virtual AE title generation section 21” is included including FIG. 8).

  The flow of medical information exchange in the second embodiment will be described below. As described above, also in the second embodiment, the transmission source that issues the medical information acquisition request is the medical information processing apparatus AE2. The medical information processing apparatus AE2 is connected to the first communication network NA. The acquisition request of medical information transmitted from the medical information processing apparatus AE2 is transmitted to the communication intermediation apparatus 1B of the second communication network NB via the communication intermediation apparatus 1A connected to the first communication network NA and the Internet I Be done.

  FIG. 9 is a flow chart showing the flow of medical information exchange in the second embodiment. The flowchart starts from the point at which the above-described communication intermediation apparatus 1B receives an acquisition request for medical information from the medical information processing apparatus AE2 connected to the first communication network NA (ST21). That is, the flowchart shown in FIG. 9 shows the flow of processing in the communication mediating apparatus 1B.

  The grasping unit 12 of the communication intermediation apparatus 1B grasps the IP address and AE title of the medical information processing apparatus AE2 as the transmission source from the received acquisition request, and is connected to the second communication network NB as the transmission destination. The IP address and AE title of the existing medical information processing apparatus AE1 are grasped (ST22).

  Information on the IP address and the AE title that has been grasped is transmitted to the determination unit 13. The determination unit 13 checks whether the medical information processing apparatus AE2 serving as the transmission source exchanges medical information for the first time with the medical information processing apparatus configuring the second communication network NB (ST23). ).

  In the case where the medical information processing apparatus AE2 as the transmission source exchanges medical information for the first time with the medical information processing apparatus constituting the second communication network NB as a result of the judgment of the judgment unit 13 (YES in ST23) In step S24, the determination unit 13 transmits, to the virtual AE title generation unit 21, the information on the IP addresses and AE titles for both the transmission source and transmission destination medical information processing apparatuses received from the grasping unit 12 (ST24). The virtual AE title generation unit 21 generates a new AE title by associating it with the received IP address and AE title of the medical information processing apparatus AE 2 as the transmission source (ST 25).

  FIG. 10 is an example of a table stored in the storage unit of the communication mediating apparatus connected to the other communication network in the second embodiment. That is, this is an example of a table stored in the storage unit 15 of the communication relay device 1B of the second communication network NB.

  At the top of the table shown in FIG. 10, the IP addresses and AE titles of the medical information processing apparatuses AE1 to AE4 connected to the first communication network NA are shown. The communication intermediation device 1B is a device connected to the second communication network NB, and is not necessarily connected to the first communication network NA, but medical information connected to the second communication network NB. Since the processing apparatus 2 and the medical information processing apparatus 2 connected to the first communication network NA may exchange medical information, the medical information processing apparatus AE1 connected to the first communication network NA The information on AE 4 is stored in the storage unit 15.

  In the lower part of the table, below the column in which the IP address of the communication mediating apparatus 1A is shown, virtual apparatus identification information generated for the medical information processing apparatuses AE1 to AE4 connected to the first communication network NA The virtual AE title which is is shown. That is, for example, “INC1” is generated and assigned as the virtual AE title to the medical information processing apparatus AE1. That is, the medical information processing apparatus AE1 connected to the first communication network NA whose AE title is "AE1" exchanges medical information with the medical information processing apparatus connected to the second communication network NB. If the AE title is to be set, the AE title is set to “INC1” which is a virtual AE title stored in the communication mediating apparatus 1B. Similarly, the medical information processing devices AE2 to AE4 respectively set their virtual AE titles to "INC2" to "INC4".

  That is, assuming that the medical information processing devices AE1 to AE4 connected to the first communication network NA are connected to the second communication network NB to form one large communication network N, If AE titles of the medical information processing devices AE1 to AE4 are used as they are, medical information processing devices having the same AE title exist in the same communication network N.

  However, in this state, since medical information can not be exchanged between medical information processing apparatuses, virtual AE titles are respectively given to the medical information processing apparatuses AE1 to AE4 connected to the first communication network NA. Create, give, pretend as if there are no duplicate AE titles in the first place. From this point on, the AE titles generated and assigned to the medical information processing apparatuses AE1 to AE4 are represented as "virtual apparatus identification information (virtual AE titles)".

  However, the medical information processing apparatuses AE1 to AE4 actually connected to the first communication network NA are not necessarily connected to the second communication network NB. Here, medical information processing apparatuses INC1 to INC4 having virtual AE titles are virtually provided in the communication relay apparatus 1B.

  FIG. 11 is a block diagram showing a configuration of a second communication network NB to which the medical information processing apparatus connected to the first communication network NA in the second embodiment connects. FIG. 11 illustrates the above-described concept in a drawing. FIG. 11 shows the medical information processing devices AE1, AE2, XX1 and the communication mediating device 1B connected to the second communication network NB. Each of these devices is connected by a solid line, and the solid line indicates a second communication network NB.

  In the communication mediating apparatus 1B, medical information processing apparatuses AE1 to AE4 connected to a first communication network NA indicated by a dotted line are shown. As described above, this indicates that virtual AE titles are generated, and the provided medical information processing apparatuses AE1 to AE4 are virtually connected to the second communication network NB. Although the medical information processing apparatuses AE1 to AE4 which are originally connected to the first communication network NA and are not directly connected to the second communication network NB, the virtual AE titles provide virtual It can be treated as if connected to the second communication network NB.

  Further, when this state is displayed on the display unit of the medical information processing apparatus XX1 originally connected to the second communication network NB, for example, the display is as shown in FIG.

  FIG. 12 is a display example showing a configuration of the second communication network NB displayed in the medical information processing apparatus XX1 configuring the second communication network NB in the second embodiment.

  FIG. 12 shows the configuration of the second communication network NB displayed on the display unit of the medical information processing apparatus XX1 within the balloon so as to cover the configuration of the second communication network NB shown in FIG. It is done. In the balloon, a plurality of medical information processing apparatuses connected to the second communication network NB are shown. In addition, the AE titles of the respective medical information processing apparatuses and the original affiliation (which communication network N is connected to) are shown.

  For example, for the medical information processing apparatus AE1 shown at the top, “AE1 @ own hospital” is shown in its code. Since the medical information processing apparatus AE1 is an apparatus installed at a medical institution where the second communication network NB is constructed, it is displayed as "own hospital".

  On the other hand, for the medical information processing apparatuses AE1 to AE4 connected to the first communication network NA originally built in another medical institution, a virtual AE title is generated and assigned virtually. It is treated as if it were connected to the telecommunication network NB. Therefore, the displays of the medical information processing apparatuses AE1 to AE4 are shown by dotted lines, and the AE title indicated by the code is "INC" which is a virtual AE title. Further, the display indicating the affiliation of these medical information processing apparatuses is "other hospitals".

  As described above, when handling an acquisition request for medical information transmitted from another communication network N, the virtual AE title generation unit 21 generates and attaches a virtual AE title to the medical information processing apparatus as the transmission source. Do. Then, the virtual AE title generation unit 21 stores the virtual AE title in the storage unit 15 in association with the IP address of the medical information processing apparatus serving as the transmission source and the original AE title (ST26).

  The virtual AE title generation unit 21 uses the generated virtual AE title (here, “INC2” of the virtual AE title for the medical information processing apparatus AE2 as the transmission source) to use the medical system of the first communication network NA. The medical information acquisition request transmitted from the information processing device AE2 is transmitted to the medical information processing device AE1 as the transmission destination (ST27).

  In step ST26, the virtual AE title is stored in the storage unit 15 in association with the IP address provided in the medical information processing apparatus serving as the transmission source and the original AE title. Therefore, even if a medical information processing apparatus connected to the first communication network NA subsequently issues a medical information acquisition request to the medical information processing apparatus connected to the second communication network NB, In particular, when a virtual AE title is newly generated and received in the communication relay device 1B, an acquisition request is transmitted to the medical information processing device of the transmission destination with the assigned virtual AE title.

  That is, when the determining unit 13 determines that the request for acquiring medical information from the medical information processing apparatus of the transmission source to the medical information processing apparatus connected to the second communication network NB connected to the communication intermediary apparatus 1B is not the first (NO in ST23), the original AE title is replaced with the virtual AE title already generated and stored in the storage unit 15 (ST28). Then, the determination unit 13 uses the virtual AE title stored therein to perform medical information processing on the medical information acquisition request transmitted from the medical information processing apparatus AE2 of the first communication network NA as a transmission destination. It transmits to apparatus AE1 (ST29).

  Through the above processing, it becomes possible to exchange medical information between medical information processing apparatuses connected to each communication network N via communication intermediation apparatuses connected to different communication networks N.

  That is, if a virtual AE title is generated and assigned to the AE title of the medical information processing apparatus serving as the transmission source, and medical information is exchanged using the virtual AE title, the AE titles overlap. This makes it possible to avoid the situation where medical information can not be exchanged. Further, since the virtual AE title is stored in association with the IP address of the medical information processing apparatus of the transmission source and the original AE title, once the virtual AE title is generated, the virtual AE title is subsequently stored. It is possible to exchange medical information using titles.

Third Embodiment
Next, a third embodiment of the present invention will be described. In the third embodiment, the same components as those described in the first or second embodiment are denoted by the same reference numerals, and the description of the same components will be repeated. I will omit it.

  In the first or second embodiment described above, when medical information is exchanged between medical information processing apparatuses connected to a plurality of communication networks, AE titles overlap. In order to avoid the inability to exchange medical information, this has been dealt with by replacing it with a new AE title or by generating and giving a virtual AE title.

  In the third embodiment, after the medical information can not be exchanged due to the overlapping AE titles, the medical information exchange between the medical information processing apparatuses in which the communication intermediary apparatus can not communicate automatically is used. A process is made available. Hereinafter, description will be made using the drawings.

  FIG. 13 is a block diagram showing an internal configuration of the communication mediating apparatus 1 in the third embodiment. The internal configuration of the communication relay device 1 is the communication relay device 1 (the communication relay device 1A shown in FIG. 3) connected to the communication network N to which the medical information processing device of the transmission source described above is connected. Alternatively, it is basically the same as the communication intermediation apparatus 1 (the communication intermediation apparatus 1B shown in FIG. 3) connected to the communication network N to which the medical information processing apparatus of the transmission destination is connected. The difference is that a new device identification information generation unit 31 and a conversion unit 32 are provided.

  The functions of the new device identification information generation unit 31 and the conversion unit 32 will be appropriately described below while describing the exchange of medical information. Also, hereinafter, the “new apparatus identification information generation unit 31” will be referred to as a “new AE title generation unit 31” including the drawings.

  FIGS. 14 to 18 are sequence diagrams showing the flow of medical information exchange in the third embodiment. In the sequence diagram, the processing flow of four devices is shown. These four devices follow the positional relationship shown in FIG. 1 and on the right side are devices of the first communication network NA (the communication intermediary device 1A and the connected medical information processing device 2A), and on the left side the second communication network The NB apparatus (the communication relay apparatus 1B and the connected medical information processing apparatus 2B) is shown.

  In the following, exchange of medical information between the medical information processing apparatus connected to the first communication network NA and the medical information processing apparatus connected to the second communication network NB will be described. Therefore, the description will be made without particularly specifying the medical information processing apparatus settings connected to the first communication network NA and the second communication network NB. However, although the present invention is not limited to any medical information processing apparatus, for the convenience of explanation, the medical information processing apparatus connected to the first communication network NA and connected to the second communication network NB is medically operated. A medical information processing apparatus that exchanges information is referred to as "medical information processing apparatus 2A". On the other hand, a medical information processing apparatus that exchanges medical information with the medical information processing apparatus 2A connected to the second communication network NB and connected to the first communication network NA is referred to as “medical information processing apparatus 2B. Represents ".

  A medical information processing apparatus connected to each communication network N and not corresponding to a medical information processing apparatus that exchanges medical information will be appropriately referred to as a "medical information processing apparatus 2".

  First, here, a medical information acquisition request (communication data) is transmitted from the medical information processing apparatus 2A connected to the first communication network NA to the medical information processing apparatus 2B connected to the second communication network NB. (ST41). The transmitted acquisition request is transmitted to the communication intermediation apparatus 1A of the first communication network NA via the first communication network NA, and is received by the communication intermediation apparatus 1A. The communication mediating apparatus 1A further transmits the acquisition request to the communication mediating apparatus 1B connected to the second communication network NB (ST42).

  In addition, when the acquisition request of medical information is transmitted / received between different communication networks N, in the embodiment of the present invention, for example, as shown in FIG. However, in the sequence diagrams of FIG. 14 to FIG. 17 used when describing the third embodiment, the display of the Internet I is omitted.

  The communication intermediation apparatus 1B receives the acquisition request transmitted via the Internet I (not shown), and the grasping unit 12 receives the IP address and AE title (one-apparatus identification information) of the medical information processing apparatus 2A as the transmission source. Confirm (ST43). Next, the determination unit 13 overlaps the AE title (the other apparatus identification information) of the medical information processing apparatus 2 connected to the second communication network NB, which is the transmission destination, of the AE title of the medical information processing apparatus 2A as the transmission source. It is determined whether or not (ST44). In the sequence diagram shown in FIG. 14, as a result of the determination of the determination unit 13, it is assumed that both AE titles overlap.

  If it is determined in the determination unit 13 that the AE title of the medical information processing apparatus 2A as the transmission source and the AE title of the medical information processing apparatus 2 connected to the second communication network NB as the transmission destination overlap, transmission is performed The medical information acquisition request can not be transmitted from the original medical information processing apparatus 2A to the medical information processing apparatus 2B connected to the second communication network NB as the transmission destination. The determination unit 13 confirms this point (ST45), and sends the determination that the acquisition request can not be transmitted to the transmission destination to the medical information processing apparatus 2A as the transmission source (ST46).

  Specifically, it is transmitted from the communication intermediation apparatus 1B to the communication intermediation apparatus 1A connected to the first communication network NA via the Internet I (not shown) (ST 47) and further to the medical information processing apparatus 2A as the transmission source ( ST 48) Each device receives the decision.

  Next, the medical information processing apparatus 2B connected to the second communication network NB issues a medical information acquisition request (communication data) to the medical information processing apparatus 2A connected to the first communication network NA (FIG. 15). ST49).

  The timing at which the medical information processing apparatus 2A connected to the first communication network NA issues a medical information acquisition request to the medical information processing apparatus 2B connected to the second communication network NB, and the second communication network The timing at which the medical information processing apparatus 2B connected to the NB issues a medical information acquisition request to the medical information processing apparatus 2A connected to the first communication network NA is not particularly limited, and may be separated even if it is close May be

  The acquisition request transmitted from the medical information processing apparatus 2B is transmitted to the communication mediating apparatus 1B of the second communication network NB, and is received by the communication mediating apparatus 1B. The communication mediating apparatus 1B further transmits the acquisition request to the communication mediating apparatus 1A connected to the first communication network NA (ST50).

  The communication intermediation apparatus 1A receives the acquisition request transmitted via the Internet I (not shown), and the grasping unit 12 receives the IP address and AE title (one-device identification information) of the medical information processing apparatus 2B as the transmission source. Confirm (ST51). Next, the determination unit 13 overlaps the AE title (the other apparatus identification information) of the medical information processing apparatus 2A connected to the first communication network NA, which is the transmission destination, of the AE title of the medical information processing apparatus 2B as the transmission source. It is determined whether or not (ST52). In the sequence diagram shown in FIG. 15, as a result of the judgment of the judgment unit 13, it is assumed that the two AE titles overlap, as in the flow shown in FIG.

  The determination unit 13 in the communication mediating apparatus 1A checks whether there is a fact that transmission could not be performed in the past due to the presence of the overlapping AE title (ST53). For example, the medical information processing apparatus AE1 connected to the second communication network NB issues a request for acquiring medical information to the medical information processing apparatus AE2 connected to the first communication network NA, and the medical information can not be exchanged. When the medical information processing apparatus AE2 connected to the first communication network NA issues a medical information acquisition request to the medical information processing apparatus AE1 connected to the second communication network NB before it is determined that Whether there is a fact that communication could not be made.

  Here, if there is no such fact as described above (NO in ST53), the medical information processing apparatus AE1 already connected to the second communication network NB and the medical information processing connected to the first communication network NA It means that medical information can be exchanged with the device AE2. In that case, the medical information acquisition request is transmitted to the medical information processing apparatus AE2 connected to the first communication network NA as the transmission destination without processing the overlapping AE titles as it is.

  If such a fact is confirmed in the judgment unit 13 (YES in ST53), the medical information is to be exchanged with the new AE title generation unit 31 based on the fact. The IP address relating to the medical information processing apparatus and the AE title which is the apparatus identification information are transmitted (ST 54 in FIG. 16).

  The new AE title generation unit 31 generates a new AE title (new apparatus identification information) for conversion to enable exchange of medical information with respect to the AE titles of the medical information processing apparatus 2B serving as the duplicate transmission source. (ST55). Then, the generated new AE title for conversion is stored in the storage unit 15 in association with the original AE title in the medical information processing apparatus 2B as the transmission source (ST56).

  In the determination unit 13, the other apparatus identification information of the medical information processing apparatus 2A connected to the first communication network NA and the one apparatus identification information of the medical information processing apparatus 2B connected to the second communication network NB overlap. If the fact that the two parties could not communicate with each other is confirmed, as described above, not only the new AE title generation unit 31 is requested to generate new apparatus identification information, but also the conversion unit 32 is Also notify (ST57).

  The conversion unit 32 accesses the storage unit 15 based on the notification to obtain a new AE title for conversion generated by the new AE title generation unit 31, and the transmission source transmitted from the determination unit 13 The original AE title included in the acquisition request (communication data) from the medical information processing apparatus 2B, which is the above, is converted into a new AE title for conversion (ST58).

  Then, using the converted new AE title, the conversion unit 32 requests acquisition of medical information based on the IP address of the transmission destination medical information processing apparatus 2A that has been transmitted and determined from the determination unit 13 Are transmitted to the transmission destination medical information processing apparatus 2A via the second communication unit 16 (ST59).

  The medical information processing apparatus serving as the transmission source is free from the situation where one apparatus identification information is converted to a new generated AE title and one apparatus identification information and another apparatus identification information overlap by these processes. It can be avoided that the medical information can not be exchanged between 2B and the medical information processing apparatus 2A as the transmission destination.

  The medical information processing apparatus 2A, which is the transmission destination, receives an acquisition request for medical information using a new AE title for conversion (ST60 in FIG. 17). The medical information processing apparatus 2A searches for and acquires the requested medical information in the own apparatus based on the acquisition request (ST61). Then, the acquired desired medical information is sent back to the medical information processing apparatus 2B which is the transmission destination (ST62).

  The medical information transmitted from the medical information processing apparatus 2A serving as the transmission source and retrieved according to the acquisition request is received by the communication intermediation apparatus 1A via the first communication network NA (ST63).

  The communication intermediation apparatus 1A that has received the medical information transmitted from the medical information processing apparatus 2A converts the medical information in response to the medical information processing apparatus 2B connected to the second communication network NB that was the transmission source. The unit 32 performs processing to return the new AE title for conversion to the AE title originally possessed by the medical information processing apparatus 2B (ST64).

  For example, the determination unit 13 of the communication intermediation apparatus 1A accesses the storage unit 15 based on the new AE title for conversion of the medical information processing apparatus 2B serving as the current transmission destination grasped by the grasping unit 12, and The original AE title stored in association with the AE title is acquired. The determination unit 13 acquires the original AE title stored in association with the new AE title for conversion, and collectively transmits the AE title to the conversion unit 32. Based on the new AE title for conversion transmitted from the determination unit 13, the conversion unit 32 performs processing for re-conversion to the original AE title of the medical information processing apparatus 2 B. That is, this is processing for returning a new AE title for conversion attached to avoid duplication of the AE title to the original AE title when transmitting the acquired medical information.

  Then, the conversion unit 32 transmits the acquired medical information to the medical information processing apparatus 2B as the transmission source (the transmission destination of this time) with the original AE title via the second communication unit 16 ( ST 65).

  Here, although it has been described that reconversion to the original AE title is performed in the conversion unit 32 based on a new AE title for conversion, for example, the processing may be performed in the determination unit 13 .

  The acquired medical information transmitted from the communication relay apparatus 1A is transmitted to the communication relay apparatus 1B connected to the second communication network NB via the Internet I (not shown). The communication mediating apparatus 1B receives the medical information, and confirms the medical information processing apparatus 2 as the transmission destination (ST66). In the communication intermediation apparatus 1B, based on the IP address of the medical information processing apparatus 2 serving as the transmission destination grasped by the grasping unit 12 and the AE title, the medical information processing apparatus 2B that has issued the medical information acquisition request is The information is transmitted (ST67 in FIG. 18).

  The medical information processing apparatus 2B acquires the medical information requested by itself transmitted from the communication relay apparatus 1B via the second communication network NB (ST68). With the above flow and processing, it is possible to acquire desired medical information from the medical information processing apparatus 2A which is the transmission destination of the medical information acquisition request of the medical information processing apparatus 2B as the transmission source.

  The communication intermediation apparatus 1A, which converts the original AE title of the medical information processing apparatus 2B that has issued the medical information acquisition request into a new AE title for conversion, associates the both and stores the information in the storage unit 15 of itself. (Step ST56 described above). Therefore, the communication mediating apparatus 1A also transmits the information to the communication mediating apparatus 1B (ST69).

  The information in which the original AE title and the new AE title for conversion are associated with each other is received by the communication relay device 1B and similarly stored in the storage unit 15. By performing this process, it is possible to avoid the adverse effect that medical information can not be exchanged because AE titles overlap, at least when medical information is exchanged between medical information processing apparatuses 2A and 2B in the future. be able to.

  Through the above processing, it becomes possible to exchange medical information between medical information processing apparatuses connected to each communication network N via communication intermediation apparatuses connected to different communication networks N.

  Although the embodiments of the present invention have been described, this embodiment is presented as an example and is not intended to limit the scope of the invention. This embodiment can be implemented in other various forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. This embodiment and its modifications are included in the scope and the gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

Reference Signs List 1 communication mediation device 2 medical information processing apparatus 11 first communication unit 12 grasping unit 13 determination unit 14 replacement unit 15 storage unit 16 second communication unit 21 virtual AE title generation unit 31 new AE title generation unit 32 conversion unit

Claims (8)

A communication intermediary device for transmitting communication data from a medical information processing apparatus connected to a first communication network to a medical information processing apparatus connected to a second communication network, comprising:
A first communication unit that receives communication data of the first communication network;
Based on the communication data of the first medical information processing apparatus destined to be connected to the second communication network that is analyzed after being received by the communication unit, to the first communication network included in the communication data A replacing unit for replacing device identification information representing an AE title in the DICOM standard of the medical information processing device to be connected with temporary device identification information different from the device identification information defined in advance;
A second communication unit that transmits the communication data converted by the replacement unit to the second communication network;
A communication mediating apparatus comprising:   The substitution unit is configured to connect the medical information processing apparatus connected to the first communication network to the second communication network based on an IP address of the medical information processing apparatus included in the communication data. The communication mediating apparatus according to claim 1, wherein the communication data to be transmitted to the information processing apparatus is determined.   When the communication data transmitted with the temporary device identification information from the medical information processing apparatus connected to the second communication network transmitted to the medical information processing apparatus connected to the first communication network is received The communication mediating apparatus according to claim 1 or 2, wherein the replacing unit replaces the temporary apparatus identification information with the original apparatus identification information.   The communication intermediary device according to any one of claims 1 to 3, wherein the temporary device identification information is stored in advance in a storage unit.   5. The apparatus according to claim 4, wherein the storage unit also stores, in addition to the temporary apparatus identification information, all apparatus identification information included in a medical information processing apparatus connected to the first communication network. Communication mediation device. A communication intermediary device for transmitting communication data from a medical information processing apparatus connected to a first communication network to a medical information processing apparatus connected to a second communication network, comprising:
A first communication unit that receives communication data of the first communication network;
Device identification information representing an AE title in the DICOM standard that uniquely identifies each of the medical information processing devices connected to the first communication network, and a grasping unit that grasps one device identification information related to the medical information processing device ,
Regarding the one-device identification information included in the communication data based on the communication data addressed to the medical information processing apparatus connected to the second communication network, which is analyzed after being received by the first communication unit, In order to handle a medical information processing apparatus connected to the first communication network as if it were connected to the second communication network, a virtual for each medical information processing apparatus connected to the first communication network A virtual device identification information generation unit that generates basic device identification information and replaces the grasped one device identification information with the generated virtual device identification information;
A second communication unit that transmits the communication data converted by the virtual device identification information generation unit to the second communication network;
A communication mediating apparatus comprising:   The communication mediating apparatus according to claim 6, wherein the virtual device identification information generation unit stores the generated virtual device identification information in association with the grasped one-device identification information. A communication intermediary device that mediates transmission and reception of communication data between a medical information processing device connected to a first communication network and a medical information processing device connected to a second communication network,
A first communication unit that receives communication data of the first communication network;
The communication data received by the first communication unit is analyzed, and device identification information representing an AE title in the DICOM standard of the medical information processing device connected to the first communication network is identified as one device identification information and the second A determination unit that determines whether the other apparatus identification information, which is apparatus identification information representing the AE title of the medical information processing apparatus connected to the communication network, overlaps with the other apparatus identification information;
A new device identification information generation unit that generates new device identification information for replacing the one device identification information when it is determined by the determination unit that the one device identification information and the other device identification information overlap;
A conversion for converting the one-device identification information included in the communication data transmitted from the first communication network to the second communication network into the new device identification information generated by the new device identification information generation unit A second communication unit configured to transmit the communication data converted by the conversion unit to the second communication network;
A communication mediating apparatus comprising:

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