JP6881628B2 - Medical cooperation system and control program - Google Patents

Description

The present invention relates to a medical cooperation system and a control program .

In recent years, with the sophistication of medical technology and the shortage of specialists, regional medical cooperation in which a plurality of medical facilities share medical information and cooperate to examine and treat patients is becoming widespread. In particular, there are increasing cases where specialized work such as image diagnosis and image analysis is outsourced. Specifically, a system has been developed that seamlessly cooperates between facilities by sending medical images to doctors in remote areas via the Internet and requesting interpretation and consultation.

For example, in a medical cooperation system in which a management server and a plurality of terminal devices are connected so as to be able to send and receive data via a communication network, charges set for each type of cooperation (patient referral, examination request, interpretation request, consultation, etc.) A technique for generating billing information for a linking source user and a linking destination user based on the ratio has been proposed (see Patent Document 1).

In addition, by sending medical images saved in the PACS (Picture Archiving and Communication System) in the medical facility to the data center and backing them up, it can be used as a risk response in the event of a disaster or for cooperation between doctors outside the hospital. A remote image system has been proposed (see Patent Document 2).

Japanese Unexamined Patent Publication No. 2011-198311 Japanese Unexamined Patent Publication No. 2013-111092

However, when using an image storage service for the purpose of backing up PACS for cooperation between doctors, there is a risk that unnecessary patient images will be referred to because the image storage server stores images of a large number of patients. In addition, it was necessary for the cooperation source facility to manage information about the users of the cooperation destination facility. Therefore, the image storage service is used only for referencing images within the facility or between hospitals of the same group, and an inter-facility cooperation service different from the image storage service is used for cooperation with other facilities.

In the inter-facility cooperation service, the medical image is sent to the image cooperation server by designating the request destination (destination) for medical cooperation, so when the sender user instructs medical cooperation, the amount of medical image data is large. Then, it takes a long time to transmit the image, and there is a problem that the next work cannot be performed until the transmission is completed.

The present invention has been made in view of the above-mentioned problems in the prior art, and an object of the present invention is to efficiently store medical images for each medical facility and medical cooperation between medical facilities.

In order to solve the above problems, the invention according to claim 1 is a medical cooperation between a first server provided with a first storage means for storing medical images generated in a plurality of medical facilities and the plurality of medical facilities. a second server that manages, a medical cooperative system comprising by the wherein each of the first server and the second server are data communicably connected via a client terminal and a first communication network, wherein the said first server second server, the first being connected via a second communication network capable data communication from the communication network at high speed, before Symbol second server, sent by the client terminal, Among the medical images generated in the medical facility where the client terminal is installed, the image identification information for specifying the medical image to be the target of the medical cooperation and the user of the destination of the medical image to be the target of the medical cooperation. An image reference request is received from a second storage means that stores the destination information indicating the above in association with each other and a client terminal operated by the user of the destination indicated by the destination information stored in the second storage means. If, on the basis of the image identification information being associated with the destination information, and that the transmit unit to transmit to the client terminal operated by the user before Symbol destination medical image corresponding to the image identification information, To be equipped with.

The invention according to claim 2 comprises a first server provided with a first storage means for storing medical images generated in a plurality of medical facilities, a second server for managing medical cooperation between the plurality of medical facilities, and a second server. A medical cooperation system including a plurality of client terminals connected to each of the first server and the second server so as to be capable of data communication via a first communication network, the first server and the second server. Is connected via a second communication network capable of data communication at a higher speed than the first communication network, and each of the plurality of client terminals is a medical facility generated in a medical facility in which the client terminal is installed. Among the images, the selection means for selecting the medical image to be the target of medical cooperation, the designation means for designating the user to whom the selected medical image is sent, and the selected medical image are specified. and a first transmission means for transmitting to the second server image of the specific information and the designated transmission destination destination information indicating the user for the previous SL second server transmits said transmission destination information indicates when the previous user is received image reference request from a client terminal to operate, the based on the image identification information associated with the destination information, the medical image pre Symbol destination corresponding to the image identification information a second transmission means to transmit to the client terminal operated by a user.

The invention according to claim 3 comprises a first server provided with a first storage means for storing medical images generated in a plurality of medical facilities, a second server for managing medical cooperation between the plurality of medical facilities, and a second server. Each of the first server and the second server is connected to the client terminal via the first communication network so as to be capable of data communication, and the first server and the second server are connected to the first server. Generated at the medical facility where the client terminal is installed, which is transmitted by the client terminal to the second server of the medical cooperation system connected via the second communication network capable of data communication at a higher speed than the communication network. Of the medical images, the image identification information for specifying the medical image to be the target of the medical cooperation and the destination information indicating the user of the destination of the medical image to be the target of the medical cooperation are associated with the second. Corresponds to the storage step to be stored in the storage means and the destination information when the image reference request is received from the client terminal operated by the user of the destination indicated by the destination information stored in the second storage means. It is a control program for executing a transmission step of transmitting a medical image corresponding to the image identification information to a client terminal operated by the user of the transmission destination based on the attached image identification information.

According to the present invention, it is possible to efficiently store medical images for each medical facility and medical cooperation between medical facilities.

It is a system block diagram of the medical cooperation system in 1st Embodiment of this invention. It is a block diagram which shows the functional structure of an image storage server. It is a block diagram which shows the functional structure of an image linkage server. It is a block diagram which shows the functional configuration of a client terminal. It is a ladder chart which shows the user registration process. It is a ladder chart which shows the 1st medical cooperation registration process. It is a ladder chart which shows the 1st image reference processing. It is a ladder chart which shows the 2nd medical cooperation registration processing performed in the medical cooperation system of 2nd Embodiment. It is a ladder chart which shows the 2nd image reference processing performed in the medical cooperation system of 4th Embodiment.

[First Embodiment]
First, a first embodiment of the medical cooperation system according to the present invention will be described with reference to the drawings. The present invention is not limited to the illustrated examples.

FIG. 1 shows the system configuration of the medical cooperation system 100 according to the first embodiment.
As shown in FIG. 1, the medical cooperation system 100 includes an image storage server 10 as a first server installed in a data center, an image cooperation server 20 as a second server, and a client terminal 30A installed in a medical facility A. And the client terminal 30B installed in the medical facility B, and ... The client terminals 30A, 30B, ... Are connected to each of the image storage server 10 and the image cooperation server 20 so as to be capable of data communication via the Internet N1 as the first communication network. Further, the image storage server 10 and the image cooperation server 20 are connected via an in-center network N2 as a second communication network capable of data communication at a higher speed than the Internet N1.
The number of client terminals 30A, 30B, ... Installed in each medical facility is not particularly limited.

The image storage server 10 is a device that provides an image storage service that stores and manages medical images generated in each medical facility for the purpose of backup, and provides medical images in response to a request from an external device.

The image cooperation server 20 is a device that manages medical cooperation between a plurality of medical facilities, and provides a medical cooperation service between medical facilities (inter-facility cooperation service). Medical cooperation refers to sharing information such as medical images among a plurality of medical facilities and collaborating to perform examinations and treatments of patients. For example, the image linkage server 20 registers information related to medical cooperation received from client terminals 30A, 30B, ... Of each medical facility, or refers to an image from client terminals 30A, 30B, ... Of each medical facility. When there is a request, the requested medical image is acquired from the image storage server 10 and provided to the client terminals 30A, 30B, ... The information related to medical cooperation includes image identification information for identifying a medical image selected as a target of medical cooperation, and destination information indicating a user of a destination designated as a request destination for medical cooperation.

In the medical facility A, a client terminal 30A, a modality 40A, a PACS 50A as an image management device, and the like are connected to each other by an in-facility network 60A such as a LAN (Local Area Network) so that data communication is possible.

The client terminal 30A is a computer used by a doctor in medical facility A. The client terminal 30A is used when accessing the image storage server 10 via the Internet N1 and viewing the medical image of the own facility stored in the image storage server 10. Further, the client terminal 30A is used when accessing the image cooperation server 20 via the Internet N1 to transmit information related to medical cooperation to the image cooperation server 20 and to browse medical images of other facilities.

The modality 40A photographs a human body and generates digital data of the captured image (medical image). For example, CR (Computed Radiography), FPD (Flat Panel Detector), CT (Computed Tomography), MRI (Magnetic). Resonance Imaging), a reader dedicated to cassettes, a film digitizer, etc. can be applied.

The PACS50A is a computer equipped with a control unit, a RAM (Random Access Memory), a communication unit, an operation unit, a display unit, a storage unit, etc. An in-facility server that stores and manages medical images. In the PACS 50A, information indicating whether or not each medical image managed by the PACS 50A has been transmitted to the image storage server 10 is associated and stored.

In the medical facility B, the client terminal 30B, the modality 40B, the PACS 50B, and the like are connected to each other by a network 60B in the facility such as a LAN so that data communication is possible.
The devices provided in the medical facilities other than the client terminal 30B, the modality 40B and the PACS 50B, and the medical facilities A and B provided in the medical facility B are the same as those provided in the medical facility A. Therefore, the description will be omitted.
Hereinafter, when each medical facility is not particularly distinguished, the client terminals 30A, 30B, ..., PACS50A, 50B, ..., the in-facility network 60A, 60B, ..., The client terminals 30, PACS50, ... Described as in-facility network 60.

FIG. 2 shows the functional configuration of the image storage server 10.
As shown in FIG. 2, the image storage server 10 includes a control unit 11, a RAM 12, an Internet communication unit 13, an in-center communication unit 14, a storage unit 15, and the like, and each unit is connected by a bus 16. There is.

The control unit 11 is a control circuit composed of a CPU (Central Processing Unit) or the like and comprehensively controls the processing operation of each unit of the image storage server 10. The control unit 11 reads various programs stored in the storage unit 15 and develops them in the RAM 12, and executes various processes in cooperation with the programs.

The RAM 12 forms a work area for temporarily storing various programs, input or output data, parameters, and the like read from the storage unit 15 in various processes executed and controlled by the control unit 11.

The Internet communication unit 13 is a communication circuit configured by a network interface or the like and transmitting / receiving data to / from an external device such as a client terminal 30 connected via the Internet N1.
The in-center communication unit 14 is a communication circuit that transmits / receives data to / from the image linkage server 20 connected via the in-center network N2.

The storage unit 15 is a storage device composed of an HDD (Hard Disk Drive), a non-volatile semiconductor memory, or the like. The storage unit 15 stores various programs executed by the control unit 11 and also stores parameters and data necessary for executing various programs. Specifically, the storage unit 15 stores the device information table T11, the image management DB 151, medical images generated in each medical facility, and the like. That is, the storage unit 15 functions as a first storage means.

The device information table T11 stores information about the PACS 50 installed in each medical facility in the medical cooperation system 100. In the device information table T11, the facility ID of the medical facility in which the PACS 50 is installed, the device ID for identifying the PACS 50, and the like are stored in association with each other.

In the image management DB 151, patient information, examination information, series information, and image information are stored in association with each medical image.
Patient information includes patient ID, name, date of birth, gender, and the like.
The inspection information includes a reception number, an inspection date, an inspection instance UID (Unique Identifier), and the like.
The series information includes shooting modality, series instance UID, site, and the like.
The image information includes an image instance UID, a luminous intensity measurement interpretation (RGB color, monochrome, etc.), a number of bits, a collection date, a shooting direction, gradation information, an image data file name, and the like.

In the storage unit 15, the area in which the medical image is stored is divided for each medical facility (PACS50), and the medical facility in which the medical image is generated can be specified by the storage area of the medical image.

When the Internet communication unit 13 receives the medical image generated in the medical facility from the PACS 50 installed in each medical facility, the control unit 11 corresponds to the medical facility in which the medical image generated in the storage unit 15 is generated. The medical image is stored in the storage area, and the patient information, examination information, series information, and image information related to the medical image are stored in the image management DB 151.

When the control unit 11 receives the medical image acquisition request from the image cooperation server 20 by the in-center communication unit 14, the control unit 11 reads the requested medical image from the storage unit 15 and performs image cooperation via the in-center communication unit 14. Provided to server 20.

FIG. 3 shows the functional configuration of the image linkage server 20.
As shown in FIG. 3, the image linkage server 20 includes a control unit 21, a RAM 22, an Internet communication unit 23, an in-center communication unit 24, a storage unit 25, and the like, and each unit is connected by a bus 26. There is.

The control unit 21 is a control circuit composed of a CPU or the like and comprehensively controls the processing operation of each unit of the image linkage server 20. The control unit 21 reads various programs stored in the storage unit 25, develops them in the RAM 22, and executes various processes in cooperation with the programs.

The RAM 22 forms a work area for temporarily storing various programs, input or output data, parameters, and the like read from the storage unit 25 in various processes executed and controlled by the control unit 21.

The Internet communication unit 23 is a communication circuit that is configured by a network interface or the like and transmits / receives data to / from an external device such as a client terminal 30 connected via the Internet N1.
The in-center communication unit 24 is a communication circuit that transmits / receives data to / from the image storage server 10 connected via the in-center network N2.

The storage unit 25 is a storage device composed of an HDD, a non-volatile semiconductor memory, or the like. The storage unit 25 stores various programs executed by the control unit 21, as well as parameters and data necessary for executing the various programs. Specifically, the storage unit 25 stores the facility information table T21, the user information table T22, the cooperation relationship information table T23, the cooperation transmission information table T24, the patient information table T25, the image identification information table T26, and the like.

The facility information table T21 stores information about medical facilities in the medical cooperation system 100. The facility information table T21 stores the facility ID, facility name, contact information, and the like in association with each other.

The user information table T22 stores information about users belonging to a plurality of medical facilities in the medical cooperation system 100. In the user information table T22, a user ID, an affiliated facility ID, a name, an e-mail address, a password, an administrator flag, and the like are stored in association with each other.
The user ID is identification information for identifying the user.
The affiliation facility ID is the facility ID of the medical facility to which the user belongs.
The name is the user's name.
The email address is the user's email address.
The password is a password for user authentication when the user logs in.
The administrator flag is information indicating whether or not the user is an administrator of the medical facility to which the user belongs. For example, if the user is an administrator, the value is "1", and if the user is not an administrator, the value is "0". Become.

The storage unit 25 that stores the user information table T22 functions as a fourth storage means. The user information in the user information table T22 is registered from the client terminal 30 operated by the administrator of the medical facility to which the user corresponding to the user information belongs.

The cooperation relationship information table T23 stores information on the cooperation relationship set in advance between medical facilities. In the cooperation relationship information table T23, the cooperation relationship ID, the cooperation source facility ID, the cooperation source user ID, the cooperation destination facility ID, and the cooperation destination user ID are stored in association with each other.
The cooperation relationship ID is identification information given to a cooperation relationship preset between medical facilities.
The cooperation source facility ID is the facility ID of the cooperation source medical facility (medical facility for which medical cooperation can be requested).
The cooperation source user ID is a user ID of the cooperation source user (a user who can request medical cooperation).
The cooperation destination facility ID is a facility ID of the cooperation destination medical facility (medical facility that can be designated as a request destination for medical cooperation).
The cooperation destination user ID is a user ID of the cooperation destination user (a user who can be specified as a request destination for medical cooperation).

The medical cooperation may be in any form of medical facility-to-medical facility, medical facility-to-user, user-to-medical facility, and user-to-user. When actually requesting medical cooperation to another medical facility, the request destination (destination) is specified from the preset cooperation relationships.

Information regarding the request for medical cooperation is stored in the cooperation transmission information table T24. In the linked transmission information table T24, a transmission ID, a source facility ID, a source user ID, a destination facility ID, and a destination user ID are stored in association with each other.
The transmission ID is identification information given to a request for medical cooperation.
The source facility ID is the facility ID of the medical facility that is the source of the medical image (requester for medical cooperation).
The sender user ID is the user ID of the user who is the source of the medical image (requester for medical cooperation).
The destination facility ID is the facility ID of the medical facility to which the medical image is transmitted (the request destination for medical cooperation).
The destination user ID is the user ID of the user of the destination (request destination for medical cooperation) of the medical image.

The patient information table T25 stores patient information of the patient related to the medical image to be transmitted. In the patient information table T25, a transmission ID, a patient ID, a patient name, and the like are stored in association with each other.

The image identification information table T26 stores image identification information for identifying a medical image to be transmitted. In the image identification information table T26, transmission ID, data type, inspection information, image information (image instance UID, etc.), file storage location, and the like are stored in association with each other.
The data type is a type of image data of a medical image such as DICOM (Digital Image and Communications in Medicine), PDF, and JPEG.
The inspection information and image information are inspection information and image information related to the medical image to be transmitted.
The file storage location is the storage location of the medical image to be transmitted.

Each record of the patient information table T25 and the image identification information table T26 is associated with the record in the linked transmission information table T24 by including a common transmission ID. For example, the image identification information (image instance UID, etc.) transmitted from any of the client terminals 30 and the destination information (destination facility ID, destination user ID) are associated with each other by the transmission ID, and the image identification information It is stored in the table T26 and the linked transmission information table T24. That is, the storage unit 25 that stores the linked transmission information table T24 and the image identification information table T26 functions as a second storage means.

When the image identification information and the destination information are stored in the storage unit 25, the control unit 21 notifies the destination user indicated by the destination information. That is, the control unit 21 functions as a notification means.

When the image reference request is received from the client terminal 30 operated by the user of the destination indicated by the destination information stored in the storage unit 25 (cooperative transmission information table T24), the control unit 21 receives the destination information. Based on the image identification information associated with, a medical image corresponding to the image identification information is acquired from the image storage server 10 via the communication unit 24 in the center. That is, the control unit 21 functions as an acquisition means.

The control unit 21 controls the Internet communication unit 23 to transmit the medical image acquired from the image storage server 10 to the client terminal 30 operated by the transmission destination user. That is, the control unit 21 and the Internet communication unit 23 function as the second transmission means.

FIG. 4 shows the functional configuration of the client terminal 30.
As shown in FIG. 4, the client terminal 30 includes a control unit 31, a RAM 32, a communication unit 33, an operation unit 34, a display unit 35, a storage unit 36, and the like, and each unit is connected by a bus 37 or the like. ..

The control unit 31 is a control circuit composed of a CPU or the like and comprehensively controls the processing operation of each unit of the client terminal 30. The control unit 31 reads various programs stored in the storage unit 36, develops them in the RAM 32, and executes various processes in cooperation with the programs.

The RAM 32 forms a work area for temporarily storing various programs, input or output data, parameters, and the like read from the storage unit 36 in various processes executed and controlled by the control unit 31.

The communication unit 33 is a communication circuit configured by a network interface or the like and transmitting / receiving data to / from an external device connected via the Internet N1 or the in-facility network 60.

The operation unit 34 is an operation device including a keyboard having a cursor key, a character input key, various function keys, and a pointing device such as a mouse, and an operation signal input by a key operation on the keyboard or a mouse operation. Is output to the control unit 31. For example, the operation unit 34 specifies a user to whom the selected medical image is to be transmitted when selecting a medical image to be linked with medical care among medical images generated in the medical facility where the client terminal 30 is installed. It is used when doing. That is, the operation unit 34 functions as a selection means and a designation means.

The display unit 35 is a display device including a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of display signals input from the control unit 31.

The storage unit 36 is a storage device composed of an HDD, a non-volatile semiconductor memory, or the like. The storage unit 36 stores various programs executed by the control unit 31, as well as parameters and data necessary for executing the various programs.

The control unit 31 controls the communication unit 33 to perform image linkage with image identification information for identifying a medical image selected as a target of medical cooperation and destination information indicating a user of the designated destination. Send to server 20. That is, the control unit 31 and the communication unit 33 function as the first transmission means.

The control unit 31 communicates when the medical image selected as the target of medical cooperation is not transmitted to the image storage server 10 from the PACS 50 that manages the medical image generated in the medical facility where the client terminal 30 is installed. The unit 33 is controlled to cause the PACS 50 to transmit an instruction to transmit the selected medical image to the image storage server 10 with priority over other medical images. That is, the control unit 31 and the communication unit 33 function as a third transmission means.

When an instruction to preferentially transmit the selected medical image to the image storage server 10 is received from the client terminal 30 via the communication unit, the control unit of the PACS 50 controls the communication unit and is selected. The medical image is transmitted to the image storage server 10.

Next, the operation in the first embodiment will be described.
The processing in the image storage server 10 is realized by the cooperation between the control unit 11 and the program stored in the storage unit 15, and the processing in the image cooperation server 20 is the program stored in the control unit 21 and the storage unit 25. The processing in the client terminal 30 is realized by the cooperation between the control unit 31 and the program stored in the storage unit 36.

FIG. 5 is a ladder chart showing the user registration process performed in the medical cooperation system 100. The user registration process is a process in which the administrator of the medical facility registers the user information of the user belonging to the medical facility in the image linkage server 20.

First, in the client terminal 30, the administrator logs in to the image linkage server 20 (step S1). When a predetermined URL (Uniform Resource Locator) is specified from the Web browser on the client terminal 30 and the image cooperation server 20 is accessed, the image cooperation server 20 provides the client terminal 30 with a login screen. In the client terminal 30, the user ID and password are input by the operation from the operation unit 34.

In the image linkage server 20, user authentication is performed by the control unit 21 based on the user ID and password input in the client terminal 30. Specifically, when the entered combination of the user ID and password matches the combination of the user ID and password registered in advance in the user information table T22, it is determined that the user authentication is OK. Further, in the image linkage server 20, the control unit 21 refers to the user information table T22, and based on the administrator flag of the record corresponding to this user ID, whether or not the logged-in user is the administrator of the medical facility. Judged.
When it is determined that the login is performed by the administrator, the control unit 21 of the image linkage server 20 provides the client terminal 30 with a user registration screen (step S2).

In the client terminal 30, the user information of the user (registered user) to be newly registered is input by the operation from the operation unit 34 by the administrator (step S3). Specifically, the registered user's affiliation facility ID, name, e-mail address, temporary password, and the like are input.
Next, when the registration button is pressed by the operation from the operation unit 34 by the administrator (step S4), the input user information is transmitted by the control unit 31 to the image cooperation server 20 via the communication unit 33. Will be done.

In the image linkage server 20, the Internet communication unit 23 receives the user information transmitted from the client terminal 30, and the control unit 21 temporarily registers the user information in the user information table T22 of the storage unit 25 (step S5). .. Specifically, the control unit 21 newly generates a user ID of the registered user, and in the user information table T22, the newly generated user ID as a new record, the affiliation facility ID received from the client terminal 30, and the like. Name, email address, temporary password, etc. are stored. The administrator flag is set to "0".

Next, in the image linkage server 20, the control unit 21 notifies the registered user's e-mail address of the e-mail including the user ID and the approval URL via the Internet communication unit 23 (step S6).

In addition, the administrator informs the registered user of the temporary password (step S7). The contact method is not particularly limited, such as e-mail and oral communication.

In the client terminal 30 operated by the registered user, when the approval URL is specified by the operation from the operation unit 34 by the registered user (step S8), the image linkage server 20 provides the client terminal 30 with an input screen. (Step S9).

When the temporary password is input by the registered user from the operation unit 34 in the client terminal 30 (step S10), the image linkage server 20 provides the client terminal 30 with the password input screen (step S11). ).

When this password is input by the operation from the operation unit 34 by the registered user in the client terminal 30 (step S12), in the image cooperation server 20, the control unit 21 registers the password in the user information table T22 of the storage unit 25. The password of the record corresponding to the user is updated to this password, and the user information is officially registered (step S13).

Next, in the image linkage server 20, the control unit 21 notifies the administrator of the approval completion notification email via the Internet communication unit 23 (step S14). Specifically, the control unit 21 acquires and acquires the e-mail address corresponding to the user ID of the administrator of the medical facility (the administrator who entered the user information of the registered user) from the user information table T22. An approval completion notification email will be sent to the email address.
This completes the user registration process.

In the above user registration process, the user ID of the newly registered user is notified only to the registered user, but the administrator should acquire the user ID at the time of user registration and contact the registered user with the user ID and temporary password. You may do it.

FIG. 6 is a ladder chart showing the first medical cooperation registration process performed in the medical cooperation system 100. The first medical cooperation registration process is a process of requesting medical cooperation from the client terminal 30 to the image cooperation server 20.

First, in the client terminal 30, the medical image to be the target of medical cooperation is selected from the medical images generated in the medical facility where the client terminal 30 is installed by the operation from the operation unit 34 (step S21). For example, the control unit 31 acquires an image instance UID or the like of a medical image stored in the PACS 50 from the PACS 50 in the same medical facility as the client terminal 30, and presents it as a target candidate for medical cooperation. Then, from the target candidates, a medical image to be targeted for medical cooperation is selected by the user's operation.

Next, in the client terminal 30, the control unit 31 requests the image linkage server 20 for a linkage relationship list (step S22). Specifically, the control unit 31 requests the image cooperation server 20 via the communication unit 33 to acquire the facility ID of the medical facility to which the user who operates the client terminal 30 belongs and the user ID of the user. Will be sent to.

In the image cooperation server 20, when the Internet communication unit 23 receives the cooperation relationship list acquisition request from the client terminal 30, the control unit 21 creates the cooperation relationship list. Specifically, from the cooperation relationship information table T23, the control unit 21 indicates that the "cooperation source facility ID" is the facility ID included in the cooperation relationship list acquisition request, and the "cooperation source user ID" is the cooperation relationship list acquisition request. A record that is a user ID included in is extracted, and a cooperation relationship list (linkage relationship ID, cooperation source facility ID, cooperation source user ID, cooperation destination facility ID, cooperation destination user ID) is created from the extracted records. Then, the control unit 21 transmits the cooperation relationship list to the client terminal 30 via the Internet communication unit 23 (step S23).

In the client terminal 30, the control unit 31 displays the cooperation relationship list on the display unit 35. The cooperation relationship list includes a medical facility (cooperation destination facility ID) and a user (cooperation destination user ID) that can be designated as a request destination for medical cooperation for the user who operates the client terminal 30. By the operation from the operation unit 34, the user to whom the medical image is transmitted is designated from the cooperation destination users included in the cooperation relationship list (step S24).

Next, when the request content is input by the operation from the operation unit 34 and the request button is pressed (step S25), the medical image selected in step S21 has been transmitted to the image storage server 10 by the control unit 31. It is determined whether or not (step S26). Specifically, the control unit 31 makes an inquiry to the PACS 50 in the same medical facility as the client terminal 30 whether or not the selected medical image has been transmitted to the image storage server 10.

If the selected medical image has not been transmitted to the image storage server 10 (step S26; NO), the control unit 31 gives priority to the selected medical image over the other medical images via the communication unit 33. An instruction to transmit to the image storage server 10 is transmitted to the PACS 50. In the PACS 50, when an instruction is received from the client terminal 30, the selected medical image is read from the storage unit and transmitted to the image storage server 10 via the communication unit (step S27). At this time, even if the PACS 50 has a schedule for transmitting other medical images, the selected medical images are transmitted to the image storage server 10 with priority over the other medical images.

In step S26, when the selected medical image has already been transmitted to the image storage server 10 (step S26; YES), or after step S27, the control unit 31 identifies the selected medical image. Specific information (data type, examination information, image information, file storage location, etc.), linked transmission information (transmission ID, source facility ID, source user ID, destination facility ID, destination user ID), patient information ( The patient ID, patient name, etc.) are transmitted to the image linkage server 20 via the communication unit 33 (step S28). The source facility ID is the facility ID of the medical facility to which the user who operates the client terminal 30 belongs, and the source user ID is the user ID of the user who operates the client terminal 30. The destination facility ID is the facility ID of the medical facility to which the user designated as the destination belongs, and the destination user ID is the user ID of the user designated as the destination. The destination facility ID and the destination user ID correspond to the destination information.

In the image linkage server 20, when information is received from the client terminal 30 by the Internet communication unit 23, the control unit 21 determines the image storage state in the image storage server 10 based on the image instance UID and the like included in the image identification information. Is confirmed (step S29). Specifically, the control unit 21 inquires via the communication unit 24 in the center whether or not the medical image corresponding to the image specific information is stored in the image storage server 10.
In the image storage server 10, the control unit 11 refers to the image management DB 151, determines whether or not the medical image corresponding to the image specific information is stored in the storage unit 15, and via the communication unit 14 in the center, it is determined. The image storage status is returned to the image linkage server 20 (step S30).

In the image linkage server 20, if the selected medical image does not exist in the image storage server 10 (step S31; NO), the control unit 21 notifies the client terminal 30 of a transmission error via the Internet communication unit 23. (Step S32).
On the client terminal 30, the display unit 35 displays that a transmission error has occurred.

When the selected medical image exists in the image storage server 10 in step S31 (step S31; YES), or after step S32, the image cooperation server 20 cooperates with the cooperation transmission information table T24 by the control unit 21. The transmission information is registered (step S33).
Further, the control unit 21 registers the patient information in the patient information table T25 (step S34).
Further, the control unit 21 registers the image identification information in the image identification information table T26 (step S35). Here, by including the transmission ID of the record newly registered in the linked transmission information table T24 in the records newly registered in the patient information table T25 and the image specific information table T26, the linked transmission information table T24 and the patient information table The information in T25 and the image specific information table T26 are associated with each other.

Next, the control unit 21 transmits an e-mail to the user designated as the transmission destination via the Internet communication unit 23 (step S36). Specifically, the control unit 21 acquires an e-mail address corresponding to the destination user ID from the user information table T22 based on the destination user ID included in the linked transmission information, and medical treatment is performed on the acquired e-mail address. A notification that the link has been registered is sent.
This completes the first medical cooperation registration process.

When a plurality of medical images are selected in step S21 of the first medical cooperation registration process, only the medical images determined not to be transmitted in step S26 are selected from the selected plurality of medical images. It may be transmitted to the image storage server 10.

FIG. 7 is a ladder chart showing a first image reference process performed in the medical cooperation system 100. The first image reference process is a process of requesting a medical image reference from the client terminal 30 to the image linkage server 20.

First, in the client terminal 30, the user logs in to the image linkage server 20 (step S41). When a predetermined URL is specified from the Web browser on the client terminal 30 and the image cooperation server 20 is accessed, the image cooperation server 20 provides the client terminal 30 with a login screen. In the client terminal 30, the user ID and password are input by the operation from the operation unit 34.

In the image linkage server 20, user authentication is performed by the control unit 21 based on the user ID and password input in the client terminal 30. Specifically, when the entered combination of the user ID and password matches the combination of the user ID and password registered in advance in the user information table T22, it is determined that the user authentication is OK.

Next, in the client terminal 30, the control unit 31 requests the image linkage server 20 for the linkage transmission list (step S42). Specifically, the control unit 31 makes a request for acquiring a linked transmission list including the facility ID of the medical facility to which the user who operates the client terminal 30 belongs and the user ID of the user, via the communication unit 33, to the image linkage server 20. Will be sent to.

In the image cooperation server 20, when the Internet communication unit 23 receives the cooperation transmission list acquisition request from the client terminal 30, the control unit 21 creates the cooperation transmission list. Specifically, from the linked transmission information table T24, the control unit 21 indicates that the “destination facility ID” is the facility ID included in the linked transmission list acquisition request, and the “destination user ID” is the linked transmission list acquisition request. A record that is a user ID included in is extracted, and a linked transmission list (transmission ID, source facility ID, source user ID, destination facility ID, destination user ID) is created from the extracted records. Then, the control unit 21 transmits the linked transmission list to the client terminal 30 via the Internet communication unit 23 (step S43).

In the client terminal 30, the control unit 31 displays the cooperation transmission list on the display unit 35, and the operation from the operation unit 34 selects the medical cooperation to be referred from the cooperation transmission list (step S44). The control unit 31 transmits the transmission ID corresponding to the selected medical cooperation to the image cooperation server 20 via the communication unit 33.

In the image cooperation server 20, the control unit 21 acquires the image identification information of the medical cooperation selected in the client terminal 30 (step S45). Specifically, the control unit 21 refers to the image identification information table T26, and acquires an image instance UID or the like corresponding to the transmission ID transmitted from the client terminal 30. Then, the control unit 21 transmits the acquired image identification information such as the image instance UID to the client terminal 30 via the Internet communication unit 23. Since this image specific information is associated with the transmission ID corresponding to the medical cooperation selected from the cooperation transmission list, it is associated with the destination information (the user who operates the client terminal 30). .. There may be a plurality of image specific information corresponding to the transmission ID.

In the client terminal 30, the control unit 31 transmits an image reference request including the image instance UID to the image cooperation server 20 via the communication unit 33 based on the image identification information transmitted from the image cooperation server 20. (Step S46).

In the image linkage server 20, when the Internet communication unit 23 receives an image reference request from the client terminal 30, the control unit 21 makes an image acquisition request including the image instance UID via the in-center communication unit 24. It is transmitted to the image storage server 10 (step S47).

In the image storage server 10, when the image acquisition request is received from the image cooperation server 20 by the communication unit 14 in the center, the control unit 11 displays the medical image based on the image instance UID included in the image acquisition request. The identified medical image is transmitted to the image linkage server 20 via the communication unit 14 in the center (step S48). Specifically, the control unit 11 refers to the image management DB 151, identifies the medical image corresponding to the image instance UID, reads the specified medical image from the storage unit 15, and transmits it to the image linkage server 20. To.

Here, in the image storage server 10, when the medical image is managed in an internal format such that the DICOM data generated in each medical facility is separated and managed in the image part and the header part, or the patient information or the like is used. If the change is managed only by the image management DB 151 and is not reflected in the image file, the control unit 11 controls the image linkage server 20 and the client terminal before the specified medical image is transmitted to the image linkage server 20. The image is reconstructed as necessary, such as being converted into a format that can be used with 30.

In the image linkage server 20, when the medical image is received from the image storage server 10 by the communication unit 24 in the center, the control unit 21 performs a compression process on the medical image (step S49). It should be noted that compression of medical images is not essential, but when using an internet line, compression can suppress variations in line quality.
Next, the control unit 21 transmits the compressed medical image to the client terminal 30 via the Internet communication unit 23 (step S50).

In the client terminal 30, when the compressed medical image is received by the communication unit 33, the medical image is developed by the control unit 31 (step S51).
The processes of steps S46 to S51 are repeated for the number of images to be acquired. It should be noted that the configuration may be such that a plurality of images are collectively acquired.

Next, in the client terminal 30, the control unit 31 displays the medical image on the display unit 35 (step S52).
This completes the first image reference process.

As described above, according to the first embodiment, the medical cooperation is registered in the image cooperation server 20 for the medical image already stored in the image storage server 10, so that the image cooperation server from the medical facility There is no need to transmit a medical image to 20, and no image transmission time is required. Therefore, it is possible to efficiently store medical images for each medical facility and medical cooperation between medical facilities.

Further, when the medical image selected as the target of medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the selected medical image is transmitted to the image storage server 10 with priority over other medical images. , The selected medical image can be quickly moved to the state stored in the image storage server 10.

Further, when the image identification information and the destination information are stored in the storage unit 25 of the image cooperation server 20, the user of the destination indicated by the destination information can be notified.

Further, since the user information in the user information table T22 of the image linkage server 20 is registered from the client terminal 30 operated by the administrator of the medical facility to which the user corresponding to the user information belongs, the user is registered for each medical facility. Information can be registered and managed.

In step S26 of the first medical cooperation registration process (see FIG. 6), when the selected medical image is not transmitted from the PACS 50 to the image storage server 10, the control unit 31 of the client terminal 30 is displayed. A warning may be displayed on the 35. In this case, the user can be alerted.

[Second Embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the medical cooperation system in the second embodiment has the same configuration as the medical cooperation system 100 shown in the first embodiment, FIGS. 1 to 4 are incorporated, and the configurations are illustrated and described. Omit. Hereinafter, the configuration and processing characteristic of the second embodiment will be described.

The control unit 31 of the client terminal 30 has not transmitted the medical image selected as the target of medical cooperation from the PACS 50 that manages the medical image generated in the medical facility where the client terminal 30 is installed to the image storage server 10. In this case, the communication unit 33 is controlled to cause the PACS 50 to transmit an instruction to transmit the selected medical image to the image linkage server 20. That is, the control unit 31 and the communication unit 33 function as the fourth transmission means.

When the control unit of the PACS 50 receives an instruction to transmit the selected medical image to the image linkage server 20 from the client terminal 30 via the communication unit, the control unit controls the communication unit to control the selected medical image. Is transmitted to the image linkage server 20.

The control unit 21 of the image linkage server 20 stores the medical image transmitted from the PACS 50 in the storage unit 25. That is, the storage unit 25 functions as a third storage means.
When the image reference request is received from the client terminal 30 operated by the user of the destination indicated by the destination information stored in the storage unit 25 (cooperative transmission information table T24), the control unit 21 receives the destination information. Instead of acquiring the medical image corresponding to the image specific information associated with the image storage server 10 from the image storage server 10, it is acquired from the storage unit 25.

Next, the operation in the second embodiment will be described.
The processing in the image storage server 10 is realized by the cooperation between the control unit 11 and the program stored in the storage unit 15, and the processing in the image cooperation server 20 is the program stored in the control unit 21 and the storage unit 25. The processing in the client terminal 30 is realized by the cooperation between the control unit 31 and the program stored in the storage unit 36.

The user registration process is the same as the user registration process (see FIG. 5) shown in the first embodiment.

FIG. 8 is a ladder chart showing the second medical cooperation registration process performed in the medical cooperation system of the second embodiment. The second medical cooperation registration process is a process of requesting medical cooperation from the client terminal 30 to the image cooperation server 20.

Since the processes of steps S61 to S65 are the same as the processes of steps S21 to S25 of the first medical cooperation registration process (see FIG. 6), the description thereof will be omitted.

After step S65, in the client terminal 30, the control unit 31 determines whether or not the medical image selected in step S61 has been transmitted to the image storage server 10 (step S66).
If the selected medical image has not been transmitted to the image storage server 10 (step S66; NO), the control unit 31 transmits the selected medical image to the image linkage server 20 via the communication unit 33. An instruction to that effect is transmitted to the PACS 50. In the PACS 50, when an instruction is received from the client terminal 30, the selected medical image is read from the storage unit and transmitted to the image linkage server 20 via the communication unit (step S67).

In step S66, when the selected medical image has already been transmitted to the image storage server 10 (step S66; YES), or after step S67, the control unit 31 identifies the selected medical image. Specific information (data type, examination information, image information, file storage location, etc.), linked transmission information (transmission ID, source facility ID, source user ID, destination facility ID, destination user ID), patient information ( The patient ID, patient name, etc.) are transmitted to the image linkage server 20 via the communication unit 33 (step S68).
However, in step S67, when the medical image is directly transmitted from the PACS 50 to the image linkage server 20, it is not necessary to transmit the image identification information from the client terminal 30 to the image linkage server 20.

Since the processes of steps S69 to S76 are the same as the processes of steps S29 to S36 of the first medical cooperation registration process (see FIG. 6), the description thereof will be omitted.
However, in step S67, when the medical image is directly transmitted from the PACS 50 to the image linkage server 20, the processes of steps S69 to S72 are omitted. When the medical image is directly transmitted from the PACS 50 to the image cooperation server 20, the control unit 21 of the image cooperation server 20 registers the medical image in the storage unit 25 instead of the process of step S75. In this case, the control unit 21 stores the image instance UID and the transmission ID in the storage unit 25 in association with the medical image.
This completes the second medical cooperation registration process.

When a plurality of medical images are selected in step S61 of the second medical cooperation registration process, only the medical images determined not to be transmitted in step S66 are selected from the selected plurality of medical images. It may be transmitted to the image linkage server 20.

The first image reference process is substantially the same as the first image reference process (see FIG. 7) shown in the first embodiment. However, in step S67 of the second medical cooperation registration process, the medical image directly transmitted from the PACS 50 to the image cooperation server 20 is selected in the client terminal 30 by the control unit 21 of the image cooperation server 20 in step S45. The image instance UID corresponding to the transmission ID of the medical cooperation is acquired from the storage unit 25. Further, instead of step S47 and step S48, in the image cooperation server 20, the control unit 21 acquires the medical image stored in the storage unit 25. Specifically, when the Internet communication unit 23 receives an image reference request from the client terminal 30, the control unit 21 receives a medical image from the storage unit 25 based on the image instance UID included in the image reference request. Is read out.

As described above, according to the second embodiment, the medical cooperation is registered in the image cooperation server 20 for the medical image already stored in the image storage server 10, so that the medical image for each medical facility is registered. Storage and medical cooperation between medical facilities can be performed efficiently.

Further, when the medical image selected as the target of medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the selected medical image can be directly transmitted from the PACS 50 to the image cooperation server 20.

In step S66 of the second medical cooperation registration process (see FIG. 8), when the selected medical image is not transmitted from the PACS 50 to the image storage server 10, the control unit 31 of the client terminal 30 is displayed. A warning may be displayed on the 35. In this case, the user can be alerted.

[Third Embodiment]
Next, a third embodiment to which the present invention is applied will be described.
Since the medical cooperation system in the third embodiment has the same configuration as the medical cooperation system 100 shown in the first embodiment, FIGS. 1 to 4 are incorporated, and the configurations are illustrated and described. Omit. Hereinafter, the configuration and processing characteristic of the third embodiment will be described.

In the first and second embodiments, the case where the image identification information and the destination information are transmitted from the client terminal 30 to the image linkage server 20 has been described, but in the third embodiment, the image storage from the client terminal 30. The image identification information and the destination information are transmitted to the image linkage server 20 via the server 10.

The control unit 31 of the client terminal 30 controls the communication unit 33 to identify the medical image selected as the target of medical cooperation, and the image identification information and the destination information indicating the user of the designated destination. Is transmitted to the image storage server 10. That is, the control unit 31 and the communication unit 33 function as the first transmission means.

The control unit 11 of the image storage server 10 associates the image identification information transmitted from the client terminal 30 with the transmission destination information and transfers the image identification information to the image cooperation server 20 via the communication unit 14 in the center. That is, the control unit 11 and the in-center communication unit 14 function as transfer means.

The control unit 21 of the image linkage server 20 stores the image identification information transferred from the image storage server 10 and the destination information in association with each other in the storage unit 25.

The operation in the third embodiment is the same as that in the first embodiment except that the flow of data when requesting medical cooperation is different, and other processes are the same as in the first embodiment.
In the third embodiment, instead of step S28 of the first medical cooperation registration process (see FIG. 6) shown in the first embodiment, the control unit 31 of the client terminal 30 performs image identification information and cooperation. The transmission information and the patient information are transmitted to the image storage server 10 via the communication unit 33.

In the image storage server 10, when the image identification information, the linked transmission information, and the patient information are received from the client terminal 30 by the Internet communication unit 13, the control unit 11 associates these information with each other and communicates in the center. It is transferred to the image linkage server 20 via 14.

When the image cooperation server 20 receives the image identification information, the cooperation transmission information, and the patient information from the image storage server 10 by the communication unit 24 in the center, the process proceeds to step S29.

As described above, according to the third embodiment, the medical cooperation is registered in the image cooperation server 20 via the image storage server 10 for the medical image already stored in the image storage server 10. Therefore, it is not necessary to transmit the medical image from the medical facility to the image linkage server 20, and the image transmission time is not required. Therefore, it is possible to efficiently store medical images for each medical facility and medical cooperation between medical facilities.

[Fourth Embodiment]
Next, a fourth embodiment to which the present invention is applied will be described.
Since the medical cooperation system in the fourth embodiment has the same configuration as the medical cooperation system 100 shown in the first embodiment, FIGS. 1 to 4 are incorporated, and the configurations are illustrated and described. Omit. Hereinafter, the configuration and processing characteristic of the fourth embodiment will be described.

In the first to third embodiments, as a general rule, the case where the image cooperation server 20 acquires the medical image related to the medical cooperation from the image storage server 10 and transmits it to the client terminal 30 has been described. In the embodiment, the image storage server 10 transmits a medical image related to medical cooperation to the client terminal 30.

The control unit 21 of the image linkage server 20 receives an image reference request from the client terminal 30 operated by the destination user indicated by the destination information stored in the storage unit 25 (linkage transmission information table T24). , The image transmission instruction including the destination information and the image identification information associated with the destination information is controlled by the communication unit 24 in the center to be transmitted to the image storage server 10. That is, the control unit 21 and the communication unit 24 in the center function as image transmission instruction means.

When the control unit 11 of the image storage server 10 receives the image transmission instruction via the communication unit 14 in the center, the control unit 11 obtains a medical image corresponding to the image identification information based on the image identification information included in the image transmission instruction. Obtained from the storage unit 15. That is, the control unit 11 functions as an acquisition means.

The control unit 11 causes the client terminal 30 operated by the user of the transmission destination to transmit the acquired medical image via the Internet communication unit 13 based on the destination information included in the image transmission instruction. That is, the control unit 11 and the Internet communication unit 13 function as the second transmission means.

Next, the operation in the fourth embodiment will be described.
The processing in the image storage server 10 is realized by the cooperation between the control unit 11 and the program stored in the storage unit 15, and the processing in the image cooperation server 20 is the program stored in the control unit 21 and the storage unit 25. The processing in the client terminal 30 is realized by the cooperation between the control unit 31 and the program stored in the storage unit 36.

The user registration process and the first medical cooperation registration process are the same as the user registration process (see FIG. 5) and the first medical cooperation registration process (see FIG. 6) shown in the first embodiment.

FIG. 9 is a ladder chart showing a second image reference process performed in the medical cooperation system of the fourth embodiment.

The processing of steps S81 to S86 is the same as the processing of steps S41 to S46 of the first image reference processing (see FIG. 7), and thus the description thereof will be omitted.

After step S86, in the image linkage server 20, when the image reference request is received from the client terminal 30 by the Internet communication unit 23, the control unit 21 causes the image instance UID (image identification information included in the image reference request). ) And the image transmission instruction including the destination information associated with the image instance UID is transmitted to the image storage server 10 via the communication unit 24 in the center (step S87). Since the image instance UID included in the image reference request corresponds to the transmission ID to which the user who operates the client terminal 30 is the transmission destination, the destination information included in the image transmission instruction makes the image reference request. It indicates a user who operates the transmitted client terminal 30.

In the image storage server 10, when the image transmission instruction is received from the image cooperation server 20 by the communication unit 14 in the center, the image management DB 151 is referred to by the control unit 11 and corresponds to the image instance UID included in the image transmission instruction. The medical image to be used is specified, and the specified medical image is acquired from the storage unit 15 (step S88).
Next, the control unit 11 applies compression processing to the acquired medical image (step S89).

Next, the control unit 11 transmits the compressed medical image to the client terminal 30 operated by the destination user based on the destination information included in the image transmission instruction via the Internet communication unit 13. (Step S90).

In the client terminal 30, when the compressed medical image is received by the communication unit 33, the medical image is developed by the control unit 31 (step S91).
The processes of steps S86 to S91 are repeated for the number of images to be acquired. It should be noted that the configuration may be such that a plurality of images are collectively acquired.

Next, in the client terminal 30, the control unit 31 displays the medical image on the display unit 35 (step S92).
This completes the second image reference process.

As described above, according to the fourth embodiment, the medical cooperation is registered in the image cooperation server 20 for the medical image already stored in the image storage server 10, so that the image cooperation server from the medical facility There is no need to transmit a medical image to 20, and no image transmission time is required. Therefore, it is possible to efficiently store medical images for each medical facility and medical cooperation between medical facilities.

Further, as in the first embodiment, when the medical image selected as the target of medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the selected medical image has priority over other medical images. By transmitting the image to the image storage server 10, the selected medical image can be quickly shifted to the state stored in the image storage server 10.
Alternatively, when the medical image selected as the target of medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the control unit 31 of the client terminal 30 may display a warning on the display unit 35.

The description in each of the above embodiments is an example of the medical cooperation system according to the present invention, and is not limited thereto. The detailed configuration and detailed operation of each device constituting the system can be appropriately changed without departing from the spirit of the present invention.
For example, the characteristic processes in each embodiment may be combined.

In each of the above embodiments, in the first image reference process (see FIG. 7) or the second image reference process (see FIG. 9), the image linkage server 20 sets the linkage transmission list set as the destination by the logged-in user. Presented to the client terminal 30 and selected the medical cooperation to be referred from the client terminal 30, but when there are few medical images corresponding to the logged-in user, the user does not select the reference target. The medical image may be transmitted to the client terminal 30.

Further, in each of the above embodiments, the case where the image storage server 10 is used for the purpose of backing up the medical images generated in each medical facility has been described, but in recent years, with the spread of cloud servers, data centers have been described. There may be a situation where all the data is managed and only the latest data is stored on the medical facility side. In this case, the user of the source facility may directly access the image storage server 10 and select the medical image to be the target of medical cooperation.

10 Image storage server 11 Control unit 13 Internet communication unit 14 In-center communication unit 15 Storage unit 20 Image linkage server 21 Control unit 23 Internet communication unit 24 In-center communication unit 25 Storage unit 30A, 30B Client terminal 31 Control unit 33 Communication unit 34 Operation unit 35 Display unit 36 Storage unit 100 Medical cooperation system N1 Internet N2 Center network T22 User information table T24 Cooperation transmission information table T26 Image specific information table

Claims (3)

A medical cooperative system comprising a first server, a second server that manages medical cooperation between the plurality of medical facilities, the comprising a first storage means for storing medical images generated in a plurality of medical facilities,
Each of the first server and the second server is connected to the client terminal via the first communication network so as to be capable of data communication.
The first server and the second server are connected via a second communication network capable of data communication at a higher speed than the first communication network.
Before Symbol the second server,
Transmitted by the client terminal, among the medical images generated in a medical facility in which the client terminal is installed, and image identification information for specifying the medical image to be subjected to medical cooperation, the subject of the medical cooperative A second storage means for associating and storing destination information indicating a user to whom the medical image is to be sent, and
When an image reference request is received from a client terminal operated by a destination user indicated by the destination information stored in the second storage means, it is based on the image identification information associated with the destination information. Te, a signal unit transmission that sends to the client terminal operated by the user before Symbol destination medical image corresponding to the image identification information,
Medical cooperation system equipped with. A first server provided with a first storage means for storing medical images generated in a plurality of medical facilities, a second server for managing medical cooperation between the plurality of medical facilities, the first server and the second server. It is a medical cooperation system including each of the above and a plurality of client terminals connected to each other via the first communication network so that data communication is possible.
The first server and the second server are connected via a second communication network capable of data communication at a higher speed than the first communication network.
Each of the plurality of client terminals
Among the medical images generated in the medical facility where the client terminal is installed, a selection means for selecting a medical image to be targeted for medical cooperation, and a selection means.
Designating means for designating the user to whom the selected medical image is sent, and
A first transmission means for transmitting image identification information for identifying the selected medical image and destination information indicating the user of the designated destination to the second server, and
With
Before Symbol the second server,
When an image reference request is received from a client terminal operated by a destination user indicated by the destination information, the image identification information is supported based on the image identification information associated with the destination information. medical cooperation system comprising a second transmission means to transmit to the client terminal operated by the user before Symbol destination medical images. A first server provided with a first storage means for storing medical images generated in a plurality of medical facilities and a second server for managing medical cooperation between the plurality of medical facilities are provided.
Each of the first server and the second server is connected to the client terminal via the first communication network so as to be capable of data communication.
The first server and the second server are connected to the second server of the medical cooperation system connected via a second communication network capable of data communication at a higher speed than the first communication network.
Among the medical images transmitted by the client terminal and generated in the medical facility where the client terminal is installed, the image identification information for identifying the medical image to be the target of the medical cooperation and the target of the medical cooperation A storage step of associating a destination information indicating a user of a destination of a medical image to be stored in a second storage means,
When an image reference request is received from a client terminal operated by a destination user indicated by the destination information stored in the second storage means, it is based on the image identification information associated with the destination information. Then, a transmission step of transmitting a medical image corresponding to the image specific information to a client terminal operated by the user of the transmission destination, and a transmission step.
A control program for executing.

Images