WO2019215782A1 - Diagnosis information provision device, method, and system - Google Patents

Diagnosis information provision device, method, and system Download PDF

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Publication number
WO2019215782A1
WO2019215782A1 PCT/JP2018/017630 JP2018017630W WO2019215782A1 WO 2019215782 A1 WO2019215782 A1 WO 2019215782A1 JP 2018017630 W JP2018017630 W JP 2018017630W WO 2019215782 A1 WO2019215782 A1 WO 2019215782A1
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WIPO (PCT)
Prior art keywords
diagnostic information
information
doctor terminal
diagnostic
anonymized
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PCT/JP2018/017630
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French (fr)
Japanese (ja)
Inventor
和寛 檜山
涼太郎 長屋
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Hiyama Kazuhiro
Nagaya Ryotaro
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Application filed by Hiyama Kazuhiro, Nagaya Ryotaro filed Critical Hiyama Kazuhiro
Priority to JP2019512705A priority Critical patent/JP6633247B1/en
Priority to PCT/JP2018/017630 priority patent/WO2019215782A1/en
Publication of WO2019215782A1 publication Critical patent/WO2019215782A1/en

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06F—ELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00—Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60—Protecting data
    • G06F21/62—Protecting access to data via a platform, e.g. using keys or access control rules
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data

Definitions

  • the present invention relates to a diagnostic information providing apparatus, method, and system, and more particularly to a diagnostic information providing apparatus that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient. , Methods and systems.
  • Patent Document 1 a remote interpretation system and remote interpretation management device that requires low initial costs and is easy to handle
  • Patent Document 1 The invention of the above-mentioned Patent Document 1 is intended for remote interpretation of diagnostic information at medical facilities and other medical facilities where interpretation is performed, and solves the following problems during diagnosis and treatment by patient therapists Can not do it.
  • an object of the present invention is to provide a diagnostic information providing apparatus, method and system capable of reducing the burden on a doctor, improving medical quality, and ensuring prevention of leakage of patient information.
  • a diagnostic information providing device that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient, Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information database (DB) storing the diagnostic information including personal information of the patient; Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden; Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal;
  • a diagnostic information providing apparatus comprising: [2] The diagnostic information providing apparatus according to [1], further comprising an encryption unit that encrypts and decrypts the anonymized diagnostic information.
  • the diagnostic information providing apparatus according to [1] or [2], further comprising: anonymized diagnostic information erasing means that erases the anonymized diagnostic information after a predetermined time from being generated and disables display on the doctor terminal.
  • the diagnostic information according to any one of [1] to [3], wherein the diagnostic information acquisition unit acquires diagnostic information from the diagnostic information DB based on user information and doctor terminal information from the doctor terminal.
  • Providing device [5] Authentication information is transmitted to the doctor terminal based on the user information, and the anonymized diagnosis information is transmitted to the doctor terminal in accordance with an acquisition request for anonymized diagnosis information from the doctor terminal authenticated by the authentication information.
  • the diagnostic information provision apparatus is provided to the doctor terminal based on the user information, and the anonymized diagnosis information is transmitted to the doctor terminal in accordance with an acquisition request for anonymized diagnosis information from the doctor terminal authenticated by the authentication information.
  • the diagnostic information providing apparatus wherein the authentication information is a one-time password (PW).
  • PW one-time password
  • the diagnostic information transmitting apparatus according to [5] or [6], wherein the acquisition request is a request related to selective anonymization of the diagnostic information.
  • the diagnostic information transmitting apparatus according to any one of [1] to [7], further comprising information processing means for performing information processing on the anonymized diagnostic information for enabling reading at the doctor terminal.
  • the diagnostic information transmitting apparatus according to [8] or [9], wherein the information processing enables one or more screen operations of a group consisting of enlargement, rotation, and scroll.
  • the diagnostic information transmitting apparatus according to [9], wherein the information processing enables gradation processing on a CT image.
  • the diagnostic information transmitting apparatus includes adjustment of a window value, a window width, and a window level.
  • the diagnostic information transmitting apparatus according to any one of [8] to [12], wherein the information processing is merge or comparison with another screen.
  • the diagnostic information transmitting apparatus according to any one of [1] to [13], wherein the anonymization is automatic masking or deletion of patient information from the diagnostic information.
  • the diagnostic information transmitting apparatus according to any one of [1] to [14], wherein the diagnostic information DB is installed in a diagnostic information providing facility that provides the diagnostic information to the doctor terminal.
  • the diagnostic information transmitting apparatus according to any one of [1] to [15], which is installed in the diagnostic information providing facility.
  • Any one of [1] to [15] which is connected to the diagnostic information DB via a network and installed in an information service center that anonymizes diagnostic information provided from the diagnostic information DB and provides the diagnostic information to the doctor terminal.
  • the diagnostic information transmitting device according to the item.
  • a diagnostic information terminal that is connected to a diagnostic information providing apparatus that provides diagnostic information to be referred to at the time of diagnosis and treatment of a patient via a network and is operated by a doctor, the diagnostic information providing apparatus comprising: Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information DB for storing the diagnostic information including personal information of the patient; Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden; Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal; A doctor terminal.
  • a diagnostic information providing system that includes a diagnostic information providing device that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient.
  • Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information DB for storing the diagnostic information including personal information of the patient; Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden; Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal;
  • a diagnostic information providing apparatus system comprising: [25] A diagnostic information providing method using a diagnostic information providing apparatus that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information referred to during diagnosis and treatment of a patient, A diagnostic information acquisition step (S1) for acquiring the diagnostic information from a diagnostic information DB that stores the diagnostic information including personal information of the patient; Anonymizing step (S2) for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden; Transmitting the anonymized diagnostic information to the doctor terminal (S3); A method for providing diagnostic information.
  • diagnostic information providing apparatus, method and system of the present invention it is possible to reduce the burden on the doctor, improve the quality of medical care, and ensure the prevention of leakage of patient information.
  • FIG. 1 shows an example of a diagnostic information providing device according to an embodiment of the present invention.
  • the apparatus is a diagnostic information providing apparatus (100) that is connected to a doctor terminal (200) operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient.
  • Diagnostic information acquisition means (110) for acquiring the diagnostic information from a diagnostic information database (hereinafter also referred to as "DB") (300) that stores the diagnostic information including personal information, and included in the acquired diagnostic information
  • DB diagnostic information database
  • the diagnosis information includes information on the patient's illness such as disease name, severity, diagnosis data, diagnosis image, information on the patient individual such as patient name, gender, and age (the “personal information”), diagnosis date, diagnosis facility name Such information is also included.
  • diagnosis information particularly the personal information.
  • the diagnostic information is a diagnostic information database (hereinafter referred to as “DB”) installed in a medical facility (hereinafter also referred to as “diagnostic information providing facility”) such as a hospital or clinic where a patient is diagnosed. (Also referred to as “)” (300) stored.
  • DB diagnostic information database
  • diagnosis information providing facility such as a hospital or clinic where a patient is diagnosed.
  • a doctor who treats, diagnoses, etc. the patient can receive the diagnosis information from the diagnosis information providing facility and perform diagnosis and treatment of the patient.
  • a diagnostic information providing apparatus generates diagnostic information acquisition means (110) for acquiring the diagnostic information, and anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden.
  • the diagnostic information providing apparatus processes the diagnostic information provided from the diagnostic information database, at least anonymizes, and a doctor terminal connected to the diagnostic information providing apparatus via the network ( 200), anonymized diagnostic information in which the personal information included in the acquired diagnostic information is not displayed can be transmitted to the doctor terminal.
  • the anonymization makes it possible to make inaccessible information such as the personal information that can identify an individual patient out of the diagnostic information provided from the diagnostic information database.
  • the diagnosis information to be anonymized includes information such as a diagnosis date and a diagnosis facility name capable of indirectly specifying a patient in addition to the personal information.
  • the anonymization method is not particularly limited as long as it is a method for making anonymized information inaccessible. In general, masking (blacking) or deletion of patient information from the diagnostic information can be mentioned. These anonymizations can be automatically performed by the anonymization means (120) after obtaining the diagnostic information.
  • the diagnostic information providing apparatus can include a server inside, and can be connected to a server separately installed outside the server.
  • the diagnostic information providing apparatus according to the present embodiment is preferably a so-called cloud computer. With the cloud computer, a user using the doctor terminal (200) can use the processing by the computer via the network.
  • the network may include various networks as long as it is a computer network that connects the diagnostic information providing apparatus according to the embodiment of the present invention and each terminal.
  • the Internet is preferable.
  • the diagnostic information providing apparatus includes diagnostic information encryption means (140), anonymized diagnostic information erasure means (120) in addition to the anonymization means (120). 150) can further be included. This further ensures prevention of leakage of patient information.
  • the diagnostic information providing apparatus according to the present invention can optionally include these means in addition to the anonymization means (120).
  • the encryption means (140) can encrypt the anonymized diagnostic information. Thereby, prevention of leakage of patient information can be further secured. By decrypting the encrypted anonymized diagnostic information, the anonymized diagnostic information can be read.
  • the encryption and decryption methods are not particularly limited as long as they can be used for encryption and decryption of diagnostic information. Specifically, methods such as a common key cryptosystem and a public key cryptosystem can be cited.
  • the anonymized diagnostic information erasure means (150) erases the anonymized diagnostic information after a predetermined time from the generation of the anonymized diagnostic information and displays it on the doctor terminal (200). Can be disabled. Thereby, since the diagnostic information is erased within a certain period of time after the doctor looks through the diagnostic information before diagnosis and treatment by the doctor terminal (200), further prevention of leakage of patient information is ensured. Can do.
  • the diagnostic information acquisition unit (110) performs diagnosis from the diagnostic information DB (300) based on user information and doctor terminal information from the doctor terminal (200). Information can also be obtained.
  • this configuration it is possible to provide bidirectional diagnostic information based on a doctor's request. As a result, the burden on the doctor can be reduced, medical quality can be improved, and prevention of leakage of patient information can be ensured.
  • the user information is information for identifying and specifying a user, and includes a user identification number and the like.
  • the doctor terminal information refers to information other than the user information transmitted from the doctor terminal (200).
  • authentication information is transmitted to the doctor terminal (200) based on the user information, and anonymization from the doctor terminal (200) authenticated by the authentication information is performed.
  • the anonymized diagnostic information may be transmitted to the doctor terminal (200) in accordance with a diagnostic information acquisition request.
  • the authentication information is information transmitted from the diagnostic information providing apparatus to authenticate the user.
  • the authentication information may be a one-time password (hereinafter also referred to as “PW”).
  • PW one-time password
  • Based on the user information by providing a one-time password as authentication information to the doctor terminal (200), access to the diagnostic information providing device, decryption by the encryption means (140), doctor terminal (200) It is also possible to adopt a configuration that makes it possible to transmit the acquisition request from the device. Thereby, prevention of leakage of patient information can be further secured.
  • the acquisition request may include a doctor's request regarding selective anonymization of the diagnostic information.
  • an information processing means (160) that performs information processing on the anonymized diagnostic information is further provided for enabling reading at the doctor terminal.
  • the diagnostic information also includes image information indicating the patient's condition.
  • the diagnostic information including image information may be difficult to read by the doctor terminal (200). In such a case, it is necessary to perform screen operations in accordance with information that the doctor wants to read in the doctor terminal (200).
  • the doctor terminal (200) connected to the diagnostic information providing apparatus according to the present invention via a network the doctor can read necessary diagnostic information by performing the following screen operations.
  • the screen operation can include enlargement, rotation, scrolling, and the like. This screen operation makes it easier for the doctor to read the diagnostic information, thereby reducing the burden on the doctor and improving the quality of medical care.
  • the image information is diagnostic information based on various images. Specific examples include image information obtained by X-ray imaging, CT, MRI, ultrasonic examination, PET, and the like.
  • the doctor terminal (200) can perform gradation processing when the image information is a CT image.
  • Gradation processing also referred to as “window processing” is processing for converting and displaying only a specific density range of an image having a wide range of pixel values, such as a CT image, into a density range of a display system.
  • the doctor can read specific organ information and the like from the doctor terminal. Thereby, a doctor's burden can be reduced and the quality of medical care can be aimed at.
  • the gradation processing can include adjustment of window value, window width, and window level. By these adjustments, more precise gradation processing can be performed, and accurate diagnostic information can be read by a doctor.
  • the doctor terminal (200) can include merging or comparing the image information. Thereby, a plurality of pieces of image information can be integrated and compared, and a doctor can more accurately read diagnostic information.
  • the diagnostic information DB (300) is generally installed in a diagnostic information providing facility (400) that provides the diagnostic information to the doctor terminal.
  • the diagnostic information providing apparatus (100) can be installed in any facility connected to the doctor terminal (200) via a network. However, as shown in FIG. It is preferably installed in the information providing facility (400) or the information service center (500). More preferably, the diagnostic information providing apparatus (100), which is a cloud computer, is installed in the information service center (500).
  • the diagnostic information providing facility (400) refers to a medical facility that provides medical care to patients at the facility and stores diagnostic information obtained by the medical treatment.
  • Medical facilities include any facility that provides medical care to patients, such as hospitals, clinics, clinics, and clinics.
  • the information service center is an organization that stores medical information and provides it to the outside, unlike medical facilities that provide medical care to patients. For example, organizations such as remote interpretation, an external consultation organization, and a medical institution introduction agency facility can be cited.
  • the diagnostic information providing apparatus (100) is connected to the diagnostic information DB (300) via a network, anonymizing diagnostic information provided from the diagnostic information DB (300), and providing the diagnostic information to the doctor terminal (200)
  • the information service center (500) can be installed.
  • doctor terminal connected to the diagnostic information providing apparatus according to the embodiment of the present invention
  • the doctor terminal in the embodiment of the present invention as shown in FIG.
  • Anonymizing means (120) and transmission means (130) for transmitting the anonymized diagnostic information to the doctor terminal (200) are provided.
  • the burden on the doctor is reduced, the quality of medical care is improved, and further prevention of leakage of patient information can be ensured.
  • the doctor terminal (200) has a transmitting means (210) for transmitting doctor terminal information from the doctor terminal (200) to the diagnostic information providing apparatus (100), and a receiving means (220) for receiving the anonymized diagnostic information. And display means (230) for displaying the anonymized diagnostic information.
  • the doctor terminal information may include an acquisition request for the anonymized diagnostic information.
  • the acquisition request for the anonymized diagnostic information may include a request for selective anonymization of the diagnostic information.
  • the doctor terminal information can include a transmission request for the anonymized diagnostic information.
  • the anonymized diagnostic information received by the doctor terminal is sent to another doctor terminal (200) via the diagnostic information providing apparatus (100) by the transmission request to the diagnostic information providing apparatus (100). And / or to the diagnostic information receiving facility (600).
  • a diagnostic information providing system is connected to a doctor terminal (200) operated by a doctor via a network,
  • a diagnostic information providing system including a diagnostic information providing apparatus (100) for providing diagnostic information referred to at the time of treatment, wherein the diagnostic information providing apparatus (100) stores the diagnostic information including personal information of a patient From the information DB (300), diagnostic information acquisition means (110) for acquiring the diagnostic information, and anonymization means (120) for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden.
  • transmission means (130) for transmitting the anonymized diagnostic information to the doctor terminal (200).
  • the diagnostic information providing apparatus (100) in the diagnostic information providing system according to the embodiment of the present invention includes diagnostic information encryption means (140) in addition to the anonymization means (120). Further, the anonymized diagnostic information erasing means (150) can be further included. This further ensures prevention of leakage of patient information.
  • the diagnostic information providing apparatus according to the present invention can optionally include these means in addition to the anonymization means (120).
  • the diagnostic information providing apparatus (100) can further include information processing means (160) that performs information processing on the anonymized diagnostic information in order to enable reading by the doctor terminal. .
  • information processing means (160) that performs information processing on the anonymized diagnostic information in order to enable reading by the doctor terminal. . This facilitates reading by the doctor from the anonymized diagnostic information, thereby reducing the burden on the doctor and improving the quality of medical care.
  • the diagnostic information providing system according to the embodiment of the present invention can have various modes depending on a facility where the diagnostic information providing apparatus (100) connected to the doctor terminal via a network is installed.
  • the diagnostic information providing apparatus (100) connected to the doctor terminal via a network is installed.
  • the embodiments shown in FIGS. the system is not limited to these as long as the system can exhibit the function of the diagnostic information providing system according to the embodiment of the present invention.
  • the diagnostic information providing apparatus (100) is installed in a diagnostic information providing facility (400) where a diagnostic information DB (300) is installed.
  • the doctor terminal (200) can be provided with anonymized diagnosis information.
  • the diagnostic information providing apparatus (100) is installed in the information service center (500), and the diagnostic information providing facility (400) is installed. It is possible to obtain anonymized diagnosis information to the doctor terminal (200) by acquiring diagnosis information from the installed diagnosis information DB (300).
  • the diagnostic information providing apparatus (100) which is a cloud computer, is installed in the information service center (500).
  • the diagnostic information providing apparatus (100) is installed in the information service center (500), and the diagnostic information providing facility (400) is installed.
  • the diagnostic information is acquired from the diagnostic information DB (300) to be installed, and anonymized diagnostic information can be provided to the doctor terminal (200) via the diagnostic information receiving facility (600).
  • each function processing unit reads a computer program stored in a storage device such as a ROM (Read Only Memory) or a hard disk by a CPU (Central Processing Unit) built in the computer device, and is executed by the CPU. It is realized by. That is, each function processing unit reads / writes necessary data such as a table from a database stored in a storage device or a storage area in a memory, and in some cases, related computer hardware (for example, an input). This is realized by controlling an output device, a display device, and a communication interface device.
  • the database in the embodiment of the present invention may be a commercial database, but it simply means a collection of tables and files, and the internal structure of the database itself does not matter.
  • the database may be considered as one server (database server).
  • a diagnostic information providing method is connected to a doctor terminal (200) operated by a doctor via a network, and at the time of diagnosis of a patient.
  • a diagnostic information acquisition step (S1), an anonymization step (S2) for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden, and the anonymized diagnostic information for the doctor A transmission step (S3) for transmitting to the terminal (200).
  • the diagnostic information providing method according to the embodiment of the present invention may further include a diagnostic information encryption step (S4) and an anonymized diagnostic information deletion step (S5) in addition to the anonymization step (S2). This further ensures prevention of leakage of patient information.
  • the diagnostic information providing method according to the present invention may optionally include these steps in addition to the anonymization step (S2).
  • the diagnostic information providing method may further include an information processing step (S6) for performing information processing on the anonymized diagnostic information in order to enable reading by the doctor terminal. This facilitates reading by the doctor from the anonymized diagnostic information, thereby reducing the burden on the doctor and improving the quality of medical care.
  • S6 information processing step
  • Diagnostic information provision apparatus 110 Diagnostic information acquisition means 120 Anonymization means 130 Transmission means 140 Encryption means 150 Erasing means 160 Information processing means 200 Doctor terminal 210 Transmission means 220 Receiving means 230 Display means 300 Diagnostic information DB 400 Diagnostic information providing facility 500 Information service center 600 Diagnostic information receiving facility

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Abstract

[Problem] To provide a diagnosis information provision device capable of improving the quality of medical care by alleviating a doctor's burden, and further ensuring prevention of leakage of patient information. [Solution] The diagnosis information provision device according to the present invention is connected, over a network, to a doctor terminal which is operated by a doctor, and provides diagnosis information to be referred to at times of diagnosing and treating patients. The diagnosis information provision device is configured to include: a diagnosis information acquisition means for acquiring the diagnosis information from a diagnosis information database (DB) that stores the diagnosis information including patient personal information; an anonymization means for generating anonymized diagnosis information obtained by hiding the personal information included in the acquired diagnosis information; and a transmission means for transmitting the anonymized diagnosis information to the doctor terminal.

Description

診断情報提供装置、方法及びシステムDiagnostic information providing apparatus, method and system
　本発明は、診断情報提供装置、方法及びシステムに関し、特に、医師に操作される医師端末に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置、方法及びシステムに関する。 The present invention relates to a diagnostic information providing apparatus, method, and system, and more particularly to a diagnostic information providing apparatus that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient. , Methods and systems.
　近年、医療用診断情報、特に医療用画像情報に関する技術、送信技術の発展にともない、これらの情報は、例えば、画像遠隔読影時や患者治療医による診断時に度々用いられてきている。 In recent years, along with the development of medical diagnostic information, in particular, medical image information technology and transmission technology, such information has been frequently used at the time of image remote interpretation or diagnosis by a patient treating doctor.
　画像読影の要求から、読影操作及びシステムの簡略化、患者情報のセキュリティ管理、及び低コスト化の点から、幾つかの装置、方法及びシステムが提案されている。 From the request of image interpretation, several devices, methods, and systems have been proposed from the viewpoints of interpretation operation and system simplification, patient information security management, and cost reduction.
　例えば、「初期費用が少なくて済み、取り扱いがしやすい遠隔読影システム及び遠隔読影管理装置」が提案されている（特許文献１）。 For example, “a remote interpretation system and remote interpretation management device that requires low initial costs and is easy to handle” has been proposed (Patent Document 1).
特開２０１０－１４００９４号公報JP 2010-140094 A
　上記特許文献１の発明では、医療施設と読影が実施される他の医療施設における診断情報の遠隔読影を対象とするものであり、患者治療医による診断及び治療時の以下のような問題を解決することができない。 The invention of the above-mentioned Patent Document 1 is intended for remote interpretation of diagnostic information at medical facilities and other medical facilities where interpretation is performed, and solves the following problems during diagnosis and treatment by patient therapists Can not do it.
　すなわち、夜中に（例えば、午前3時とか4時に）、又は遠隔地に、緊急な治療が必要な患者があったとき、医師が治療病院へ到着するのに一定の時間がかかり、患者の診断画像などの患者情報は、病院到着後でないと見られないため、患者の治療を開始するまでに長時間がかかる。また、予め治療病院にステイすると、医師の待機時間が長くなる。さらに、診断画像を、例えばスマートホンのような携帯端末で送信すると、正確な診断情報が読み取れず、誤診率が上昇する。以上のような医師負担を軽減及び医療の質の向上に関する課題が依然存在している。 That is, when there is a patient in need of urgent treatment at night (eg 3 or 4 am) or at a remote location, it takes a certain amount of time for the doctor to arrive at the treatment hospital, and the patient's diagnosis Since patient information such as images can only be viewed after arrival at the hospital, it takes a long time to start treatment of the patient. Also, if you stay in the treatment hospital in advance, the waiting time of the doctor will be longer. Furthermore, if the diagnostic image is transmitted by a portable terminal such as a smart phone, accurate diagnostic information cannot be read, and the misdiagnosis rate increases. There are still challenges related to reducing the burden on physicians and improving medical quality.
　また、診断画像などの診断情報の他の病院への送信は、法規上及びセキュリティ上の問題がある。このため、匿名化、アクセス制限、及び匿名化情報の保存時間などにより対処することが必要である。以上のような患者情報の漏出防止の確保の課題も存在している。 Also, sending diagnostic information such as diagnostic images to other hospitals has legal and security issues. For this reason, it is necessary to deal with anonymization, access restrictions, storage time of anonymized information, and the like. There is also a problem of ensuring prevention of leakage of patient information as described above.
　したがって、本発明は、医師負担を軽減し、医療の質の向上を図るとともに、患者情報の漏出防止を確保することができる診断情報提供装置、方法及びシステムを提供することを課題とする。 Therefore, an object of the present invention is to provide a diagnostic information providing apparatus, method and system capable of reducing the burden on a doctor, improving medical quality, and ensuring prevention of leakage of patient information.
　すなわち、本発明は以下のとおりである。
［１］
　医師に操作される医師端末に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置であって、
　患者の個人情報を含む前記診断情報を記憶する診断情報データベース（ＤＢ）から、前記診断情報を取得する診断情報取得手段と、
　取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段と、
　前記匿名化診断情報を、前記医師端末に送信する送信手段と、
を備える、診断情報提供装置。
［２］
　前記匿名化診断情報を暗号化及び復号化する暗号化手段を、さらに備える［１］に記載の診断情報提供装置。
［３］
　前記匿名化診断情報を、生成されてから所定時間後に消去し、前記医師端末において表示不能にする匿名化診断情報消去手段を、さらに備える［１］又は［２］に記載の診断情報提供装置。
［４］
　前記診断情報取得手段が、ユーザー情報及び前記医師端末からの医師端末情報に基づいて、前記診断情報ＤＢから診断情報を取得する、［１］～［３］のいずれか１項に記載の診断情報提供装置。
［５］
　前記ユーザー情報に基づいて認証情報を前記医師端末に送信し、当該認証情報により認証される前記医師端末からの匿名化診断情報の取得リクエストにしたがって、前記匿名化診断情報を前記医師端末に送信する、［４］に記載の診断情報提供装置。
［６］
　前記認証情報がワンタイム・パスワード（ＰＷ）である［５］に記載の診断情報提供装置。
［７］
　前記取得リクエストが、前記診断情報の選択的匿名化に関するリクエストである、［５］又は［６］に記載の診断情報送信装置。
［８］
　前記医師端末における読み取り可能化のため、前記匿名化診断情報に情報処理を行なう情報処理手段を、さらに備える［１］～［７］のいずれか１項に記載の診断情報送信装置。
［９］
　前記診断情報が患者の状態を示す画像である、［１］～［８］のいずれか１項に記載の診断情報送信装置。
［１０］
　前記情報処理が、拡大、回転、スクロールからなる群のいずれか１つ以上の画面操作を可能とする、［８］又は［９］に記載の診断情報送信装置。
［１１］
　前記情報処理が、ＣＴ画像における階調処理を可能とする、［９］に記載の診断情報送信装置。
［１２］
　前記情報処理が、ウィンドウ値、ウィンドウ幅、ウィンドウレベルの調整を含む、［９］に記載の診断情報送信装置。
［１３］
　前記情報処理が、マージ又は他画面との比較である、［８］～［１２］のいずれか１項に記載の診断情報送信装置。
［１４］
　前記匿名化が、前記診断情報からの患者情報の自動的なマスク又は削除である、［１］～［１３］のいずれか１項に記載の診断情報送信装置。
［１５］
　前記診断情報ＤＢが、前記診断情報を前記医師端末に提供する診断情報提供施設に設置される［１］～［１４］のいずれか１項に記載の診断情報送信装置。
［１６］
　前記診断情報提供施設に設置される［１］～［１５］のいずれか１項に記載の診断情報送信装置。
［１７］
　前記診断情報ＤＢにネットワークを介して接続され、前記診断情報ＤＢから提供される診断情報を匿名化して前記医師端末に提供する情報サービスセンターに設置される［１］～［１５］のいずれか１項に記載の診断情報送信装置。
［１８］
　患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置に、ネットワークを介して接続され、医師に操作される医師端末であって、前記診断情報提供装置が、
　患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢから、前記診断情報を取得する診断情報取得手段と、
　取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段と、
　前記匿名化診断情報を、前記医師端末に送信する送信手段と、
を備える、医師端末。
［１９］
　前記医師端末から医師端末情報を前記診断情報提供装置に送信する送信手段と、
　前記匿名化診断情報を受信する受信手段と、
　前記匿名化診断情報を表示する表示手段と、
を備える、［１８］に記載の医師端末。
［２０］
　前記医師端末情報が、前記匿名化診断情報の取得リクエストである、［１８］又は［１９］に記載の医師端末。
［２１］
　前記匿名化診断情報の取得リクエストが、前記診断情報の選択的匿名化に関するリクエストである、［２０］に記載の医師端末。
［２２］
　前記医師端末情報が、前記匿名化診断情報の送信リクエストである、［１８］又は［１９］に記載の医師端末。
［２３］
　［１８］～［２２］のいずれか１項に記載の医師端末に搭載される医師端末用プログラムであって、
　前記医師端末から医師端末情報を前記診断情報提供装置に送信し、
　前記匿名化診断情報を受信し、及び
　前記匿名化診断情報を表示する、
ことを制御する、医師端末プログラム。
［２４］
　医師に操作される医師端末に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置を含む診断情報提供システムであって、
　患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢから、前記診断情報を取得する診断情報取得手段と、
　取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段と、
　前記匿名化診断情報を、前記医師端末に送信する送信手段と、
を備える、診断情報提供装置システム。
［２５］
　医師に操作される医師端末に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置を用いる診断情報提供方法であって、
　患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢから、前記診断情報を取得する診断情報取得ステップ（Ｓ１）と、
　取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化ステップ（Ｓ２）と、
　前記匿名化診断情報を、前記医師端末に送信する送信ステップ（Ｓ３）と、
を備える、診断情報提供方法。 That is, the present invention is as follows.
[1]
A diagnostic information providing device that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient,
Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information database (DB) storing the diagnostic information including personal information of the patient;
Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden;
Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal;
A diagnostic information providing apparatus comprising:
[2]
The diagnostic information providing apparatus according to [1], further comprising an encryption unit that encrypts and decrypts the anonymized diagnostic information.
[3]
The diagnostic information providing apparatus according to [1] or [2], further comprising: anonymized diagnostic information erasing means that erases the anonymized diagnostic information after a predetermined time from being generated and disables display on the doctor terminal.
[4]
The diagnostic information according to any one of [1] to [3], wherein the diagnostic information acquisition unit acquires diagnostic information from the diagnostic information DB based on user information and doctor terminal information from the doctor terminal. Providing device.
[5]
Authentication information is transmitted to the doctor terminal based on the user information, and the anonymized diagnosis information is transmitted to the doctor terminal in accordance with an acquisition request for anonymized diagnosis information from the doctor terminal authenticated by the authentication information. , [4] The diagnostic information provision apparatus.
[6]
The diagnostic information providing apparatus according to [5], wherein the authentication information is a one-time password (PW).
[7]
The diagnostic information transmitting apparatus according to [5] or [6], wherein the acquisition request is a request related to selective anonymization of the diagnostic information.
[8]
The diagnostic information transmitting apparatus according to any one of [1] to [7], further comprising information processing means for performing information processing on the anonymized diagnostic information for enabling reading at the doctor terminal.
[9]
The diagnostic information transmitting apparatus according to any one of [1] to [8], wherein the diagnostic information is an image indicating a state of a patient.
[10]
The diagnostic information transmitting apparatus according to [8] or [9], wherein the information processing enables one or more screen operations of a group consisting of enlargement, rotation, and scroll.
[11]
The diagnostic information transmitting apparatus according to [9], wherein the information processing enables gradation processing on a CT image.
[12]
The diagnostic information transmitting apparatus according to [9], wherein the information processing includes adjustment of a window value, a window width, and a window level.
[13]
The diagnostic information transmitting apparatus according to any one of [8] to [12], wherein the information processing is merge or comparison with another screen.
[14]
The diagnostic information transmitting apparatus according to any one of [1] to [13], wherein the anonymization is automatic masking or deletion of patient information from the diagnostic information.
[15]
The diagnostic information transmitting apparatus according to any one of [1] to [14], wherein the diagnostic information DB is installed in a diagnostic information providing facility that provides the diagnostic information to the doctor terminal.
[16]
The diagnostic information transmitting apparatus according to any one of [1] to [15], which is installed in the diagnostic information providing facility.
[17]
Any one of [1] to [15], which is connected to the diagnostic information DB via a network and installed in an information service center that anonymizes diagnostic information provided from the diagnostic information DB and provides the diagnostic information to the doctor terminal. The diagnostic information transmitting device according to the item.
[18]
A diagnostic information terminal that is connected to a diagnostic information providing apparatus that provides diagnostic information to be referred to at the time of diagnosis and treatment of a patient via a network and is operated by a doctor, the diagnostic information providing apparatus comprising:
Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information DB for storing the diagnostic information including personal information of the patient;
Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden;
Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal;
A doctor terminal.
[19]
Transmitting means for transmitting doctor terminal information from the doctor terminal to the diagnostic information providing device;
Receiving means for receiving the anonymized diagnostic information;
Display means for displaying the anonymized diagnostic information;
The doctor terminal according to [18], comprising:
[20]
The doctor terminal according to [18] or [19], wherein the doctor terminal information is an acquisition request for the anonymized diagnosis information.
[21]
The doctor terminal according to [20], wherein the acquisition request for the anonymized diagnostic information is a request for selective anonymization of the diagnostic information.
[22]
The doctor terminal according to [18] or [19], wherein the doctor terminal information is a transmission request for the anonymized diagnosis information.
[23]
[18] A program for a doctor terminal mounted on the doctor terminal according to any one of [22],
Sending doctor terminal information from the doctor terminal to the diagnostic information providing device,
Receiving the anonymized diagnostic information, and displaying the anonymized diagnostic information,
A doctor terminal program that controls things.
[24]
A diagnostic information providing system that includes a diagnostic information providing device that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient.
Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information DB for storing the diagnostic information including personal information of the patient;
Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden;
Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal;
A diagnostic information providing apparatus system comprising:
[25]
A diagnostic information providing method using a diagnostic information providing apparatus that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information referred to during diagnosis and treatment of a patient,
A diagnostic information acquisition step (S1) for acquiring the diagnostic information from a diagnostic information DB that stores the diagnostic information including personal information of the patient;
Anonymizing step (S2) for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden;
Transmitting the anonymized diagnostic information to the doctor terminal (S3);
A method for providing diagnostic information.
　本発明の診断情報提供装置、方法及びシステムによれば、医師負担を軽減し、医療の質の向上を図るとともに、患者情報の漏出防止を確保することができる。 According to the diagnostic information providing apparatus, method and system of the present invention, it is possible to reduce the burden on the doctor, improve the quality of medical care, and ensure the prevention of leakage of patient information.
本発明の実施形態に係る、診断情報提供装置における診断情報の提供の一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of provision of the diagnostic information in the diagnostic information provision apparatus based on embodiment of this invention. 本発明の実施形態に係る、診断情報提供装置における診断情報の提供の一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of provision of the diagnostic information in the diagnostic information provision apparatus based on embodiment of this invention. 本発明の実施形態に係る、診断情報提供装置における診断情報の提供の一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of provision of the diagnostic information in the diagnostic information provision apparatus based on embodiment of this invention. 本発明の実施形態に係る、診断情報提供装置における診断情報の提供の一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of provision of the diagnostic information in the diagnostic information provision apparatus based on embodiment of this invention. 本発明の実施形態に係る、診断情報提供装置における診断情報の提供の一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of provision of the diagnostic information in the diagnostic information provision apparatus based on embodiment of this invention. 本発明の実施形態に係る診断情報提供装置にネットワークを介して接続される医師端末の一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of the doctor terminal connected to the diagnostic information provision apparatus which concerns on embodiment of this invention via a network. 本発明の実施形態に係る、診断情報提供システムの一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of the diagnostic information provision system based on embodiment of this invention. 本発明の実施形態に係る、診断情報提供システムの一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of the diagnostic information provision system based on embodiment of this invention. 本発明の実施形態に係る、診断情報提供システムの一形態の概要を示す図である。It is a figure which shows the outline | summary of one form of the diagnostic information provision system based on embodiment of this invention. 本発明の実施形態に係る診断情報提供方法のフローを示す図である。It is a figure which shows the flow of the diagnostic information provision method which concerns on embodiment of this invention. 本発明の実施形態に係る診断情報提供方法のフローを示す図である。It is a figure which shows the flow of the diagnostic information provision method which concerns on embodiment of this invention.
　以下に、本発明の実施形態を図面に基づいて詳細に説明する。 Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
（１）本発明の実施形態に係る診断情報提供装置
　図１は、本発明の実施形態に係る診断情報提供装置の一例を表わす。当該装置は、医師に操作される医師端末（２００）に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置（１００）であって、患者の個人情報を含む前記診断情報を記憶する診断情報データベース（以下、「ＤＢ」ともいう）（３００）から、前記診断情報を取得する診断情報取得手段（１１０）と、取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段（１２０）と、前記匿名化診断情報を、前記医師端末（２００）に送信する送信手段（１３０）と、を備えることを特徴とする。上記の構成によれば、医師負担を軽減し、医療の質の向上を図るとともに、患者情報の漏出防止を確保することができる。 (1) Diagnostic Information Providing Device According to Embodiment of the Present Invention FIG. 1 shows an example of a diagnostic information providing device according to an embodiment of the present invention. The apparatus is a diagnostic information providing apparatus (100) that is connected to a doctor terminal (200) operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient. Diagnostic information acquisition means (110) for acquiring the diagnostic information from a diagnostic information database (hereinafter also referred to as "DB") (300) that stores the diagnostic information including personal information, and included in the acquired diagnostic information Anonymizing means (120) for generating anonymized diagnostic information in which the personal information is hidden, and a transmitting means (130) for transmitting the anonymized diagnostic information to the doctor terminal (200). Features. According to the above configuration, it is possible to reduce the burden on the doctor, improve the quality of medical care, and ensure the prevention of leakage of patient information.
　前記診断情報には、病名、重篤度、診断データ、診断画像など患者の病気に関する情報とともに、患者氏名、性別、年齢など患者個人に関する情報（前記「個人情報」）、診断日、診断施設名などの情報も含まれる。患者情報の漏出防止を確保するため、診断情報、特に、前記個人情報の取扱いには厳格な注意が求められる。また、患者の診断及び治療に臨む医師にとって、前記診断情報、特に患者の病気に属する情報を前もって取得することは、医師負担を軽減し、医療の質の向上を図る上で不可欠である。 The diagnosis information includes information on the patient's illness such as disease name, severity, diagnosis data, diagnosis image, information on the patient individual such as patient name, gender, and age (the “personal information”), diagnosis date, diagnosis facility name Such information is also included. In order to ensure prevention of leakage of patient information, strict attention is required in handling diagnostic information, particularly the personal information. In addition, it is indispensable for a doctor who is performing diagnosis and treatment of a patient to obtain the diagnostic information, particularly information belonging to the patient's disease in advance, in order to reduce the burden on the doctor and improve the quality of medical treatment.
　前記診断情報は、一般に、患者の診断を実施した病院、診療所などの医療施設（以下、「診断情報提供施設」ともいう。）において、当該施設に設置される診断情報データベース（以下、「ＤＢ」ともいう）（３００）保管される。当該患者を治療、診断等を施す医師は前記診断情報を、前記診断情報提供施設より提供を受け、当該患者の診断及び治療を実施することができる。 In general, the diagnostic information is a diagnostic information database (hereinafter referred to as “DB”) installed in a medical facility (hereinafter also referred to as “diagnostic information providing facility”) such as a hospital or clinic where a patient is diagnosed. (Also referred to as “)” (300) stored. A doctor who treats, diagnoses, etc. the patient can receive the diagnosis information from the diagnosis information providing facility and perform diagnosis and treatment of the patient.
　本発明の実施形態に係る診断情報提供装置は、前記診断情報を取得する診断情報取得手段（１１０）と、取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段（１２０）と、前記匿名化診断情報を、前記医師端末（２００）に送信する送信手段（１３０）と、を少なくとも備える。 A diagnostic information providing apparatus according to an embodiment of the present invention generates diagnostic information acquisition means (110) for acquiring the diagnostic information, and anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden. Anonymizing means (120) for performing the transmission and (130) transmitting means for transmitting the anonymized diagnostic information to the doctor terminal (200).
　この構成により、本発明に係る診断情報提供装置は、前記診断情報データベースから提供される診断情報を処理して、少なくとも匿名化して、当該診断情報提供装置にネットワークを介して接続される医師端末（２００）に、取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を当該医師端末に送信することができる。 With this configuration, the diagnostic information providing apparatus according to the present invention processes the diagnostic information provided from the diagnostic information database, at least anonymizes, and a doctor terminal connected to the diagnostic information providing apparatus via the network ( 200), anonymized diagnostic information in which the personal information included in the acquired diagnostic information is not displayed can be transmitted to the doctor terminal.
　前記匿名化により、前記診断情報データベースから提供される診断情報のうち、前記個人情報など、患者個人を特定できる情報にアクセス不能にすることができる。匿名化される診断情報としては、前記個人情報のほか、間接的に患者を特定可能な診断日、診断施設名などの情報も含まれる。 The anonymization makes it possible to make inaccessible information such as the personal information that can identify an individual patient out of the diagnostic information provided from the diagnostic information database. The diagnosis information to be anonymized includes information such as a diagnosis date and a diagnosis facility name capable of indirectly specifying a patient in addition to the personal information.
　前記匿名化の方法としては、匿名化される情報にアクセス不能にする方法であれば特に限定されない。一般には、前記診断情報からの患者情報のマスク（黒塗り）又は削除を挙げることができる。これらの匿名化は、前記診断情報の取得後に前記匿名化手段（１２０）により自動的に行うことができる。 The anonymization method is not particularly limited as long as it is a method for making anonymized information inaccessible. In general, masking (blacking) or deletion of patient information from the diagnostic information can be mentioned. These anonymizations can be automatically performed by the anonymization means (120) after obtaining the diagnostic information.
　本発明の実施形態に係る診断情報提供装置は、その内部にサーバーを含むことができ、また、その外部に別個に設置されるサーバーと連結することもできる。また、本実施形態に係る診断情報提供装置は、いわゆるクラウドコンピュータであることが好ましい。クラウドコンピュータにより、医師端末（２００）を使用するユーザーは、コンピュータによる処理をネットワーク経由で利用することができる。 The diagnostic information providing apparatus according to the embodiment of the present invention can include a server inside, and can be connected to a server separately installed outside the server. The diagnostic information providing apparatus according to the present embodiment is preferably a so-called cloud computer. With the cloud computer, a user using the doctor terminal (200) can use the processing by the computer via the network.
　前記ネットワークは、本発明の実施形態に係る診断情報提供装置と、各端末を接続するコンピュータネットワークであれば種々のネットワークを挙げることができる。好ましくは、インターネットである。 The network may include various networks as long as it is a computer network that connects the diagnostic information providing apparatus according to the embodiment of the present invention and each terminal. The Internet is preferable.
　本発明の実施形態に係る診断情報提供装置は、図２及び３に示すように、前記匿名化手段（１２０）のほか、診断情報の暗号化手段（１４０）、匿名化診断情報の消去手段（１５０）をさらに含むことができる。これにより、さらに、患者情報の漏出防止を確保することができる。本発明に係る診断情報提供装置は、前記前記匿名化手段（１２０）に追加して、これらの手段を任意に含むことができる。 As shown in FIGS. 2 and 3, the diagnostic information providing apparatus according to the embodiment of the present invention includes diagnostic information encryption means (140), anonymized diagnostic information erasure means (120) in addition to the anonymization means (120). 150) can further be included. This further ensures prevention of leakage of patient information. The diagnostic information providing apparatus according to the present invention can optionally include these means in addition to the anonymization means (120).
　図２に示すように、前記暗号化手段（１４０）は、前記匿名化診断情報に暗号化を施すことができる。これにより、さらに患者情報の漏出防止を確保することができる。暗号化された匿名化診断情報を復号化することにより、匿名化診断情報を読み取ることを可能にすることができる。 As shown in FIG. 2, the encryption means (140) can encrypt the anonymized diagnostic information. Thereby, prevention of leakage of patient information can be further secured. By decrypting the encrypted anonymized diagnostic information, the anonymized diagnostic information can be read.
　前記暗号化及び復号化の方法としては、診断情報の暗号化及び復号化に用いることができる方法であれば、特に限定せずに用いることができる。具体的には、共通鍵暗号方式、公開鍵暗号方式などの方法を挙げることができる。 The encryption and decryption methods are not particularly limited as long as they can be used for encryption and decryption of diagnostic information. Specifically, methods such as a common key cryptosystem and a public key cryptosystem can be cited.
　図３に示すように、前記匿名化診断情報の消去手段（１５０）は、前記匿名化診断情報が生成されてから所定時間後に前記匿名化診断情報を消去し、前記医師端末（２００）において表示不能にすることができる。これにより、医師が前記医師端末（２００）により診断及び治療の前に診断情報に目を通した後一定時間の間に当該診断情報は消去されるため、さらに患者情報の漏出防止を確保することができる。 As shown in FIG. 3, the anonymized diagnostic information erasure means (150) erases the anonymized diagnostic information after a predetermined time from the generation of the anonymized diagnostic information and displays it on the doctor terminal (200). Can be disabled. Thereby, since the diagnostic information is erased within a certain period of time after the doctor looks through the diagnostic information before diagnosis and treatment by the doctor terminal (200), further prevention of leakage of patient information is ensured. Can do.
　本発明の実施形態に係る診断情報提供装置において、前記診断情報取得手段（１１０）は、ユーザー情報及び前記医師端末（２００）からの医師端末情報に基づいて、前記診断情報ＤＢ（３００）から診断情報を取得することもできる。この構成により、医師の要請に基づいた双方向の診断情報の提供が可能となる。これにより、医師負担を軽減し、医療の質の向上を図るとともに、さらに患者情報の漏出防止を確保することができる。 In the diagnostic information providing apparatus according to the embodiment of the present invention, the diagnostic information acquisition unit (110) performs diagnosis from the diagnostic information DB (300) based on user information and doctor terminal information from the doctor terminal (200). Information can also be obtained. With this configuration, it is possible to provide bidirectional diagnostic information based on a doctor's request. As a result, the burden on the doctor can be reduced, medical quality can be improved, and prevention of leakage of patient information can be ensured.
　前記ユーザー情報は、ユーザーを識別し、特定するための情報であり、ユーザーの識別番号などを含む。また、前記医師端末情報は、前記医師端末（２００）から送信される、前記ユーザー情報以外の情報をいう。 The user information is information for identifying and specifying a user, and includes a user identification number and the like. The doctor terminal information refers to information other than the user information transmitted from the doctor terminal (200).
　本発明の実施形態に係る診断情報提供装置においては、前記ユーザー情報に基づいて認証情報を前記医師端末（２００）に送信し、当該認証情報により認証される前記医師端末（２００）からの匿名化診断情報の取得リクエストにしたがって、前記匿名化診断情報を前記医師端末（２００）に送信することもできる。この構成により、医師の必要とする診断情報のみを特定して前記診断情報取得手段（１１０）が取得し、匿名化診断情報を当該医師に提供することができる。これにより、医師負担を軽減し、医療の質の向上を図るとともに、さらに患者情報の漏出防止を確保することができる。 In the diagnostic information providing apparatus according to the embodiment of the present invention, authentication information is transmitted to the doctor terminal (200) based on the user information, and anonymization from the doctor terminal (200) authenticated by the authentication information is performed. The anonymized diagnostic information may be transmitted to the doctor terminal (200) in accordance with a diagnostic information acquisition request. With this configuration, only the diagnostic information required by the doctor can be specified and acquired by the diagnostic information acquisition means (110), and anonymized diagnostic information can be provided to the doctor. As a result, the burden on the doctor can be reduced, medical quality can be improved, and prevention of leakage of patient information can be ensured.
　前記認証情報は、診断情報提供装置が発信する、ユーザーであることを認証する情報である。当該認証情報は、ワンタイム・パスワード（以下、「ＰＷ」ともいう）とすることもできる。前記ユーザー情報に基づき、医師端末（２００）にワンタイム・パスワードを認証情報として提供することにより、前記診断情報提供装置へのアクセス、前記暗号化手段（１４０）による復号化、医師端末（２００）からの前記取得リクエストの送信などを可能とする構成とすることもできる。これにより、さらに患者情報の漏出防止を確保することができる。 The authentication information is information transmitted from the diagnostic information providing apparatus to authenticate the user. The authentication information may be a one-time password (hereinafter also referred to as “PW”). Based on the user information, by providing a one-time password as authentication information to the doctor terminal (200), access to the diagnostic information providing device, decryption by the encryption means (140), doctor terminal (200) It is also possible to adopt a configuration that makes it possible to transmit the acquisition request from the device. Thereby, prevention of leakage of patient information can be further secured.
　前記取得リクエストとしては、前記診断情報の選択的匿名化に関する医師のリクエストを挙げることができる。これにより、医師が診断及び治療に必要とする情報のみを提供することができ、医師負担を軽減し、医療の質の向上を図るとともに、さらに患者情報の漏出防止を確保することができる。 The acquisition request may include a doctor's request regarding selective anonymization of the diagnostic information. As a result, only information necessary for diagnosis and treatment by the doctor can be provided, the burden on the doctor can be reduced, medical quality can be improved, and further prevention of leakage of patient information can be ensured.
　本発明の実施形態に係る診断情報提供装置においては、図４に示すように、前記医師端末における読み取り可能化のため、前記匿名化診断情報に情報処理を行なう情報処理手段（１６０）を、さらに備えることができる。これにより、前記匿名化診断情報からの医師による読み取りが容易となるため、医師負担を軽減し、医療の質の向上を図ることができる。 In the diagnostic information providing apparatus according to the embodiment of the present invention, as shown in FIG. 4, an information processing means (160) that performs information processing on the anonymized diagnostic information is further provided for enabling reading at the doctor terminal. Can be provided. This facilitates reading by the doctor from the anonymized diagnostic information, thereby reducing the burden on the doctor and improving the quality of medical care.
　前記診断情報は、患者の状態を示す画像情報も含む。画像情報も含む前記診断情報は、場合により、医師端末（２００）による読み取りが困難な場合がある。このような場合、医師端末（２００）において医師が読み取りたい情報に合わせて画面操作をすることが必要になる。本発明に係る診断情報提供装置にネットワークを介して接続される医師端末（２００）においては、医師が以下のような画面操作をして必要な診断情報を読み取ることができる。 The diagnostic information also includes image information indicating the patient's condition. In some cases, the diagnostic information including image information may be difficult to read by the doctor terminal (200). In such a case, it is necessary to perform screen operations in accordance with information that the doctor wants to read in the doctor terminal (200). In the doctor terminal (200) connected to the diagnostic information providing apparatus according to the present invention via a network, the doctor can read necessary diagnostic information by performing the following screen operations.
　前記画面操作としては、拡大、回転、スクロールなどを挙げることができる。この画面操作により、診断情報の医師による読み取りがより容易になるため、医師負担を軽減し、医療の質の向上を図ることができる。 The screen operation can include enlargement, rotation, scrolling, and the like. This screen operation makes it easier for the doctor to read the diagnostic information, thereby reducing the burden on the doctor and improving the quality of medical care.
　前記画像情報としては、様々な画像による診断情報が対象とされる。具体的には、Ｘ線撮影、ＣＴ、ＭＲＩ、超音波検査、ＰＥＴなどにより得られる画像情報を挙げることができる。 The image information is diagnostic information based on various images. Specific examples include image information obtained by X-ray imaging, CT, MRI, ultrasonic examination, PET, and the like.
　前記医師端末（２００）においては、前記画像情報がＣＴ画像の場合、階調処理をすることができる。諧調処理（「ウィンドウ処理」ともいう）は、ＣＴ画像のように幅広いレンジの画素値を持った画像のある特定の濃度域のみを、表示系の濃度域に変換して表示する処理である。諧調処理により、医師は医師端末から特定の臓器情報などを読み取ることが可能となる。これにより、医師負担を軽減し、医療の質の向上を図ることができる。 The doctor terminal (200) can perform gradation processing when the image information is a CT image. Gradation processing (also referred to as “window processing”) is processing for converting and displaying only a specific density range of an image having a wide range of pixel values, such as a CT image, into a density range of a display system. By the gradation processing, the doctor can read specific organ information and the like from the doctor terminal. Thereby, a doctor's burden can be reduced and the quality of medical care can be aimed at.
　前記諧調処理において、ウィンドウ値、ウィンドウ幅、ウィンドウレベルの調整を含むことができる。これらの調整により、より精密な諧調処理が可能となり、医師による正確な診断情報の読み取りが可能になる。 The gradation processing can include adjustment of window value, window width, and window level. By these adjustments, more precise gradation processing can be performed, and accurate diagnostic information can be read by a doctor.
　前記医師端末（２００）においては、前記画像情報のマージ又は比較を含むことができる。これにより、複数の画像情報の統合及び比較が可能となり、医師によるさらに正確な診断情報の読み取りが可能になる。 The doctor terminal (200) can include merging or comparing the image information. Thereby, a plurality of pieces of image information can be integrated and compared, and a doctor can more accurately read diagnostic information.
　前記診断情報ＤＢ（３００）は、図５に示すように、一般に、前記診断情報を前記医師端末に提供する診断情報提供施設（４００）に設置される。 As shown in FIG. 5, the diagnostic information DB (300) is generally installed in a diagnostic information providing facility (400) that provides the diagnostic information to the doctor terminal.
　本発明の実施形態に係る診断情報提供装置（１００）は、医師端末（２００）にネットワークを介して接続されるいずれの施設にも設置することができるが、図５に示すように、前記診断情報提供施設（４００）又は情報サービスセンター（５００）に設置することが好ましい。クラウドコンピュータである診断情報提供装置（１００）を情報サービスセンター（５００）に設置することがさらに好ましい。 The diagnostic information providing apparatus (100) according to the embodiment of the present invention can be installed in any facility connected to the doctor terminal (200) via a network. However, as shown in FIG. It is preferably installed in the information providing facility (400) or the information service center (500). More preferably, the diagnostic information providing apparatus (100), which is a cloud computer, is installed in the information service center (500).
　前記診断情報提供施設（４００）は、当該施設において患者に医療を実施し、当該医療により得られる診断情報を保管する医療施設のことをいう。医療施設には、病院、医院、クリニック、診療所など、患者に医療を実施するあらゆる施設が含まれる。 The diagnostic information providing facility (400) refers to a medical facility that provides medical care to patients at the facility and stores diagnostic information obtained by the medical treatment. Medical facilities include any facility that provides medical care to patients, such as hospitals, clinics, clinics, and clinics.
　前記情報サービスセンターは、患者に医療を実施する医療施設と異なり、医療情報を蓄積して、外部に提供する機関のことをいう。例えば、遠隔読影、外部コンサルテーション組織、医療機関紹介仲介施設などの機関を挙げることができる。前記診断情報提供装置（100）は、前記診断情報ＤＢ（３００）にネットワークを介して接続され、前記診断情報ＤＢ（３００）から提供される診断情報を匿名化して前記医師端末（２００）に提供する情報サービスセンター（５００）に設置することができる。 The information service center is an organization that stores medical information and provides it to the outside, unlike medical facilities that provide medical care to patients. For example, organizations such as remote interpretation, an external consultation organization, and a medical institution introduction agency facility can be cited. The diagnostic information providing apparatus (100) is connected to the diagnostic information DB (300) via a network, anonymizing diagnostic information provided from the diagnostic information DB (300), and providing the diagnostic information to the doctor terminal (200) The information service center (500) can be installed.
（２）本発明の実施形態に係る診断情報提供装置に接続される医師端末
　本発明の実施形態における前記医師端末は、図６に示すように、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置（１００）に、ネットワークを介して接続され、医師に操作される医師端末（２００）であって、前記診断情報提供装置（１００）が、患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢ（３００）から、前記診断情報を取得する診断情報取得手段（１１０）と、取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段（１２０）と、前記匿名化診断情報を、前記医師端末（２００）に送信する送信手段（１３０）と、を備えることを特徴とする。前記医師端末を医師が使用することにより、医師負担が軽減され、医療の質の向上が図られるとともに、さらに患者情報の漏出防止を確保することができる。 (2) Doctor terminal connected to the diagnostic information providing apparatus according to the embodiment of the present invention The doctor terminal in the embodiment of the present invention, as shown in FIG. A doctor terminal (200) connected to a diagnostic information providing apparatus (100) to be provided via a network and operated by a doctor, wherein the diagnostic information providing apparatus (100) includes personal information of a patient From diagnostic information DB (300) which memorizes information, diagnostic information acquisition means (110) which acquires the diagnostic information, and anonymized diagnostic information which hides the personal information included in the acquired diagnostic information are generated Anonymizing means (120) and transmission means (130) for transmitting the anonymized diagnostic information to the doctor terminal (200) are provided. When a doctor uses the doctor terminal, the burden on the doctor is reduced, the quality of medical care is improved, and further prevention of leakage of patient information can be ensured.
　前記医師端末（２００）は、当該医師端末（２００）から医師端末情報を前記診断情報提供装置（１００）に送信する送信手段（２１０）と、前記匿名化診断情報を受信する受信手段（２２０）と、前記匿名化診断情報を表示する表示手段（２３０）と、を備えることを特徴とする。 The doctor terminal (200) has a transmitting means (210) for transmitting doctor terminal information from the doctor terminal (200) to the diagnostic information providing apparatus (100), and a receiving means (220) for receiving the anonymized diagnostic information. And display means (230) for displaying the anonymized diagnostic information.
　前記医師端末情報は、前記匿名化診断情報の取得リクエストを含むことができる。前記匿名化診断情報の取得リクエストは、前記診断情報の選択的匿名化に関するリクエストを含むことができる。 The doctor terminal information may include an acquisition request for the anonymized diagnostic information. The acquisition request for the anonymized diagnostic information may include a request for selective anonymization of the diagnostic information.
　前記医師端末情報は、前記匿名化診断情報の送信リクエストを含むことができる。前記医師端末により受信された前記匿名化診断情報は、前記前記診断情報提供装置（１００）への前記送信リクエストにより、前記前記診断情報提供装置（１００）を介して、他の医師端末（２００）及び／又は診断情報受信施設（６００）に送信することもできる。 The doctor terminal information can include a transmission request for the anonymized diagnostic information. The anonymized diagnostic information received by the doctor terminal is sent to another doctor terminal (200) via the diagnostic information providing apparatus (100) by the transmission request to the diagnostic information providing apparatus (100). And / or to the diagnostic information receiving facility (600).
　（３）前記医師端末に搭載されるプログラム
　前記医師端末（２００）に搭載されるプログラムは、前記医師端末（２００）から医師端末情報を前記診断情報提供装置に送信し、前記匿名化診断情報を受信し、及び前記匿名化診断情報を表示する、ことを制御する、ことを特徴とする。 (3) Program installed in the doctor terminal The program installed in the doctor terminal (200) transmits doctor terminal information from the doctor terminal (200) to the diagnosis information providing device, and the anonymized diagnosis information is transmitted. Receiving and controlling the display of the anonymized diagnostic information.
　（４）本発明の実施形態に係る診断情報提供システム
　本発明の実施形態に係る診断情報提供システムは、医師に操作される医師端末（２００）に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置（１００）を含む診断情報提供システムであって、前記診断情報提供装置（１００）が、患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢ（３００）から、前記診断情報を取得する診断情報取得手段（１１０）と、取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段（１２０）と、前記匿名化診断情報を、前記医師端末（２００）に送信する送信手段（１３０）と、を備えることを特徴とする。以上の構成を有することにより、本発明の実施形態に係る診断情報提供システムは、医師負担を軽減し、医療の質の向上を図るとともに、さらに患者情報の漏出防止を確保することができる。 (4) Diagnostic Information Providing System According to Embodiment of the Present Invention A diagnostic information providing system according to an embodiment of the present invention is connected to a doctor terminal (200) operated by a doctor via a network, A diagnostic information providing system including a diagnostic information providing apparatus (100) for providing diagnostic information referred to at the time of treatment, wherein the diagnostic information providing apparatus (100) stores the diagnostic information including personal information of a patient From the information DB (300), diagnostic information acquisition means (110) for acquiring the diagnostic information, and anonymization means (120) for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden. ) And transmission means (130) for transmitting the anonymized diagnostic information to the doctor terminal (200). By having the above configuration, the diagnostic information providing system according to the embodiment of the present invention can reduce the burden on the doctor, improve the quality of medical care, and further prevent the leakage of patient information.
　本発明の実施形態に係る診断情報提供システムにおける前記診断情報提供装置（１００）は、図２及び３に示すように、前記匿名化手段（１２０）のほか、診断情報の暗号化手段（１４０）、匿名化診断情報の消去手段（１５０）をさらに含むことができる。これにより、さらに、患者情報の漏出防止を確保することができる。本発明に係る診断情報提供装置は、前記前記匿名化手段（１２０）に追加して、これらの手段を任意に含むことができる。 As shown in FIGS. 2 and 3, the diagnostic information providing apparatus (100) in the diagnostic information providing system according to the embodiment of the present invention includes diagnostic information encryption means (140) in addition to the anonymization means (120). Further, the anonymized diagnostic information erasing means (150) can be further included. This further ensures prevention of leakage of patient information. The diagnostic information providing apparatus according to the present invention can optionally include these means in addition to the anonymization means (120).
　前記診断情報提供装置（１００）は、図４に示すように、前記医師端末における読み取り可能化のため、前記匿名化診断情報に情報処理を行なう情報処理手段（１６０）を、さらに備えることができる。これにより、前記匿名化診断情報からの医師による読み取りが容易となるため、医師負担を軽減し、医療の質の向上を図ることができる。 As shown in FIG. 4, the diagnostic information providing apparatus (100) can further include information processing means (160) that performs information processing on the anonymized diagnostic information in order to enable reading by the doctor terminal. . This facilitates reading by the doctor from the anonymized diagnostic information, thereby reducing the burden on the doctor and improving the quality of medical care.
　本発明の実施形態に係る診断情報提供システムは、前記医師端末とネットワークを介して接続される前記診断情報提供装置（１００）が設置される施設等により、様々な態様をもつことができる。例えば、図７～図９の態様を挙げることができる。ただし、本発明の実施形態に係る診断情報提供システムの機能を発揮することができるシステムであれば、これらに限定されない。 The diagnostic information providing system according to the embodiment of the present invention can have various modes depending on a facility where the diagnostic information providing apparatus (100) connected to the doctor terminal via a network is installed. For example, the embodiments shown in FIGS. However, the system is not limited to these as long as the system can exhibit the function of the diagnostic information providing system according to the embodiment of the present invention.
　図７に示すように、本発明の実施形態に係る診断情報提供システムは、前記診断情報提供装置（１００）が、診断情報ＤＢ（３００）が設置される診断情報提供施設（４００）に設置されて、医師端末（２００）に匿名化診断情報を提供する態様をもつことができる。 As shown in FIG. 7, in the diagnostic information providing system according to the embodiment of the present invention, the diagnostic information providing apparatus (100) is installed in a diagnostic information providing facility (400) where a diagnostic information DB (300) is installed. Thus, the doctor terminal (200) can be provided with anonymized diagnosis information.
　また、図８に示すように、本発明の実施形態に係る診断情報提供システムは、前記診断情報提供装置（１００）が情報サービスセンター（５００）に設置されて、診断情報提供施設（４００）に設置される診断情報ＤＢ（３００）から診断情報を取得して、医師端末（２００）に匿名化診断情報を提供する態様をもつことができる。本態様においては、前記情報サービスセンター（５００）にクラウドコンピュータである前記診断情報提供装置（１００）が設置されることが好ましい。 Further, as shown in FIG. 8, in the diagnostic information providing system according to the embodiment of the present invention, the diagnostic information providing apparatus (100) is installed in the information service center (500), and the diagnostic information providing facility (400) is installed. It is possible to obtain anonymized diagnosis information to the doctor terminal (200) by acquiring diagnosis information from the installed diagnosis information DB (300). In this aspect, it is preferable that the diagnostic information providing apparatus (100), which is a cloud computer, is installed in the information service center (500).
　また、図９に示すように、本発明の実施形態に係る診断情報提供システムは、前記診断情報提供装置（１００）が情報サービスセンター（５００）に設置されて、診断情報提供施設（４００）に設置される診断情報ＤＢ（３００）から診断情報を取得して、診断情報受信施設（６００）を介して医師端末（２００）に匿名化診断情報を提供する態様をもつことができる。 Further, as shown in FIG. 9, in the diagnostic information providing system according to the embodiment of the present invention, the diagnostic information providing apparatus (100) is installed in the information service center (500), and the diagnostic information providing facility (400) is installed. The diagnostic information is acquired from the diagnostic information DB (300) to be installed, and anonymized diagnostic information can be provided to the doctor terminal (200) via the diagnostic information receiving facility (600).
　上記の本システムの機能構成は、あくまで実例であり、一つの機能ブロック（データベース及び機能処理部）を分割したり、複数の機能ブロックをまとめて一つの機能ブロックとして構成したりしてもよい。各機能処理部は、コンピュータ装置に内蔵されたＣＰＵ（Central　Processing　Unit）が、ＲＯＭ（Read　Only　Memory）又はハードディスク等の記憶装置に格納されたコンピュータ・プログラムを読み出し、ＣＰＵにより実行されたコンピュータ・プログラムによって実現される。すなわち、各機能処理部は、このコンピュータ・プログラムが、記憶装置に格納されたデータベースやメモリ上の記憶領域からテーブル等の必要なデータを読み書きし、場合によっては、関連するハードウェア（例えば、入出力装置、表示装置、通信インターフェース装置）を制御することによって実現される。また、本発明の実施形態におけるデータベースは、商用データベースであってよいが、単なるテーブルやファイルの集合体をも意味し、データベースの内部構造自体は問わないものとする。なお、データベースも１つのサーバ（データベースサーバ）と考えてもよい。 The above-described functional configuration of the system is merely an example, and one functional block (database and functional processing unit) may be divided, or a plurality of functional blocks may be configured as one functional block. Each function processing unit reads a computer program stored in a storage device such as a ROM (Read Only Memory) or a hard disk by a CPU (Central Processing Unit) built in the computer device, and is executed by the CPU. It is realized by. That is, each function processing unit reads / writes necessary data such as a table from a database stored in a storage device or a storage area in a memory, and in some cases, related computer hardware (for example, an input). This is realized by controlling an output device, a display device, and a communication interface device. In addition, the database in the embodiment of the present invention may be a commercial database, but it simply means a collection of tables and files, and the internal structure of the database itself does not matter. The database may be considered as one server (database server).
　（５）本発明の実施形態に係る診断情報提供方法
　本発明の実施形態に係る診断情報提供方法は、医師に操作される医師端末（２００）に、ネットワークを介して接続され、患者の診断時に参照される診断情報を提供する診断情報提供装置（１００）を用いる診断情報提供方法であって、患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢ（３００）から、前記診断情報を取得する診断情報取得ステップ（Ｓ１）と、取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化ステップ（Ｓ２）と、前記匿名化診断情報を、前記医師端末（２００）に送信する送信ステップ（Ｓ３）と、を備えることを特徴とする。 (5) Diagnostic information providing method according to an embodiment of the present invention A diagnostic information providing method according to an embodiment of the present invention is connected to a doctor terminal (200) operated by a doctor via a network, and at the time of diagnosis of a patient. A diagnostic information providing method using a diagnostic information providing apparatus (100) that provides diagnostic information to be referred to, wherein the diagnostic information is acquired from a diagnostic information DB (300) that stores the diagnostic information including personal information of a patient. A diagnostic information acquisition step (S1), an anonymization step (S2) for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden, and the anonymized diagnostic information for the doctor A transmission step (S3) for transmitting to the terminal (200).
　本発明の実施形態に係る診断情報提供方法は、前記匿名化ステップ（Ｓ２）のほか、診断情報の暗号化ステップ（Ｓ４）、匿名化診断情報の消去ステップ（Ｓ５）をさらに含むことができる。これにより、さらに、患者情報の漏出防止を確保することができる。本発明に係る診断情報提供方法は、前記前記匿名化ステップ（Ｓ２）に追加して、これらのステップを任意に含むことができる。 The diagnostic information providing method according to the embodiment of the present invention may further include a diagnostic information encryption step (S4) and an anonymized diagnostic information deletion step (S5) in addition to the anonymization step (S2). This further ensures prevention of leakage of patient information. The diagnostic information providing method according to the present invention may optionally include these steps in addition to the anonymization step (S2).
　本発明の実施形態に係る診断情報提供方法は、前記医師端末における読み取り可能化のため、前記匿名化診断情報に情報処理を行なう情報処理ステップ（Ｓ６）を、さらに含むことができる。これにより、前記匿名化診断情報からの医師による読み取りが容易となるため、医師負担を軽減し、医療の質の向上を図ることができる。 The diagnostic information providing method according to the embodiment of the present invention may further include an information processing step (S6) for performing information processing on the anonymized diagnostic information in order to enable reading by the doctor terminal. This facilitates reading by the doctor from the anonymized diagnostic information, thereby reducing the burden on the doctor and improving the quality of medical care.
　以上、実施形態を用いて本発明を説明したが、本発明の技術的範囲は上記実施形態に記載の範囲には限定されないことは言うまでもない。上記実施形態に、多様な変更または改良を加えることが可能であることが当業者に明らかである。またその様な変更または改良を加えた形態も本発明の技術的範囲に含まれ得ることが、特許請求の範囲の記載から明らかである。 As mentioned above, although this invention was demonstrated using embodiment, it cannot be overemphasized that the technical scope of this invention is not limited to the range as described in the said embodiment. It will be apparent to those skilled in the art that various modifications or improvements can be added to the above-described embodiments. Further, it is apparent from the scope of the claims that the embodiments added with such changes or improvements can be included in the technical scope of the present invention.
　１００　　診断情報提供装置
　１１０　　診断情報取得手段
　１２０　　匿名化手段
　１３０　　送信手段
　１４０　　暗号化手段
　１５０　　消去手段
　１６０　　情報処理手段
　２００　　医師端末
　２１０　　送信手段
　２２０　　受信手段
　２３０　　表示手段
　３００　　診断情報ＤＢ
　４００　　診断情報提供施設
　５００　　情報サービスセンター
　６００　　診断情報受信施設 DESCRIPTION OF SYMBOLS 100 Diagnostic information provision apparatus 110 Diagnostic information acquisition means 120 Anonymization means 130 Transmission means 140 Encryption means 150 Erasing means 160 Information processing means 200 Doctor terminal 210 Transmission means 220 Receiving means 230 Display means 300 Diagnostic information DB
400 Diagnostic information providing facility 500 Information service center 600 Diagnostic information receiving facility

Claims (25)

  1. 　医師に操作される医師端末に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置であって、
    　患者の個人情報を含む前記診断情報を記憶する診断情報データベース（ＤＢ）から、前記診断情報を取得する診断情報取得手段と、
    　取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段と、
    　前記匿名化診断情報を、前記医師端末に送信する送信手段と、
    を備える、診断情報提供装置。     A diagnostic information providing device that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient,
    Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information database (DB) storing the diagnostic information including personal information of the patient;
    Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden;
    Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal;
    A diagnostic information providing apparatus comprising:
  2. 　前記匿名化診断情報を暗号化及び復号化する暗号化手段を、さらに備える請求項１に記載の診断情報提供装置。 The diagnostic information providing apparatus according to claim 1, further comprising an encryption unit that encrypts and decrypts the anonymized diagnostic information.
  3. 　前記匿名化診断情報を、生成されてから所定時間後に消去し、前記医師端末において表示不能にする匿名化診断情報消去手段を、さらに備える請求項１又は２に記載の診断情報提供装置。 3. The diagnostic information providing apparatus according to claim 1 or 2, further comprising anonymized diagnostic information erasing means for erasing the anonymized diagnostic information after a predetermined time from being generated and disabling display on the doctor terminal.
  4. 　前記診断情報取得手段が、ユーザー情報及び前記医師端末からの医師端末情報に基づいて、前記診断情報ＤＢから診断情報を取得する、請求項１～３のいずれか１項に記載の診断情報提供装置。 The diagnostic information providing apparatus according to any one of claims 1 to 3, wherein the diagnostic information acquisition unit acquires diagnostic information from the diagnostic information DB based on user information and doctor terminal information from the doctor terminal. .
  5. 　前記ユーザー情報に基づいて認証情報を前記医師端末に送信し、当該認証情報により認証される前記医師端末からの匿名化診断情報の取得リクエストにしたがって、前記匿名化診断情報を前記医師端末に送信する、請求項４に記載の診断情報提供装置。 Authentication information is transmitted to the doctor terminal based on the user information, and the anonymized diagnosis information is transmitted to the doctor terminal in accordance with an acquisition request for anonymized diagnosis information from the doctor terminal authenticated by the authentication information. The diagnostic information providing apparatus according to claim 4.
  6. 　前記認証情報がワンタイム・パスワード（ＰＷ）である請求項５に記載の診断情報提供装置。 6. The diagnostic information providing apparatus according to claim 5, wherein the authentication information is a one-time password (PW).
  7. 　前記取得リクエストが、前記診断情報の選択的匿名化に関するリクエストである、請求項５又は６に記載の診断情報送信装置。 The diagnostic information transmitting apparatus according to claim 5 or 6, wherein the acquisition request is a request related to selective anonymization of the diagnostic information.
  8. 　前記医師端末における読み取り可能化のため、前記匿名化診断情報に情報処理を行なう情報処理手段を、さらに備える請求項１～７のいずれか１項に記載の診断情報送信装置。 The diagnostic information transmitting apparatus according to any one of claims 1 to 7, further comprising information processing means for performing information processing on the anonymized diagnostic information so that the doctor terminal can read the information.
  9. 　前記診断情報が患者の状態を示す画像である、請求項１～８のいずれか１項に記載の診断情報送信装置。 The diagnostic information transmitting apparatus according to any one of claims 1 to 8, wherein the diagnostic information is an image indicating a patient's condition.
  10. 　前記情報処理が、拡大、回転、スクロールからなる群のいずれか１つ以上の画面操作を可能とする、請求項８又は９に記載の診断情報送信装置。 10. The diagnostic information transmitting apparatus according to claim 8, wherein the information processing enables one or more screen operations of a group consisting of enlargement, rotation, and scrolling.
  11. 　前記情報処理が、ＣＴ画像における階調処理を可能とする、請求項９に記載の診断情報送信装置。 The diagnostic information transmitting apparatus according to claim 9, wherein the information processing enables gradation processing on a CT image.
  12. 　前記情報処理が、ウィンドウ値、ウィンドウ幅、ウィンドウレベルの調整を含む、請求項９に記載の診断情報送信装置。 The diagnostic information transmitting apparatus according to claim 9, wherein the information processing includes adjustment of a window value, a window width, and a window level.
  13. 　前記情報処理が、マージ又は他画面との比較である、請求項８～１２のいずれか１項に記載の診断情報送信装置。 The diagnostic information transmitting apparatus according to any one of claims 8 to 12, wherein the information processing is merge or comparison with another screen.
  14. 　前記匿名化が、前記診断情報からの患者情報の自動的なマスク又は削除である、請求項１～１３のいずれか１項に記載の診断情報送信装置。 The diagnostic information transmitting apparatus according to any one of claims 1 to 13, wherein the anonymization is automatic masking or deletion of patient information from the diagnostic information.
  15. 　前記診断情報ＤＢが、前記診断情報を前記医師端末に提供する診断情報提供病院に設置される請求項１～１４のいずれか１項に記載の診断情報送信装置。 The diagnostic information transmitting device according to any one of claims 1 to 14, wherein the diagnostic information DB is installed in a diagnostic information providing hospital that provides the diagnostic information to the doctor terminal.
  16. 　前記診断情報提供病院に設置される請求項１～１５のいずれか１項に記載の診断情報送信装置。 The diagnostic information transmitting apparatus according to any one of claims 1 to 15, which is installed in the diagnostic information providing hospital.
  17. 　前記診断情報ＤＢにネットワークを介して接続され、前記診断情報ＤＢから提供される診断情報を匿名化して前記医師端末に提供する情報サービスセンターに設置される請求項１～１５のいずれか１項に記載の診断情報送信装置。 16. The information processing center according to claim 1, wherein the diagnostic information DB is installed in an information service center connected to the diagnostic information DB via a network and anonymizing diagnostic information provided from the diagnostic information DB and providing the diagnostic information to the doctor terminal. The diagnostic information transmitting device described.
  18. 　患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置に、ネットワークを介して接続され、医師に操作される医師端末であって、前記診断情報提供装置が、
    　患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢから、前記診断情報を取得する診断情報取得手段と、
    　取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段と、
    　前記匿名化診断情報を、前記医師端末に送信する送信手段と、
    を備える、医師端末。     A diagnostic information terminal that is connected to a diagnostic information providing apparatus that provides diagnostic information to be referred to at the time of diagnosis and treatment of a patient via a network and is operated by a doctor, the diagnostic information providing apparatus comprising:
    Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information DB for storing the diagnostic information including personal information of the patient;
    Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden;
    Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal;
    A doctor terminal.
  19. 　前記医師端末から医師端末情報を前記診断情報提供装置に送信する送信手段と、
    　前記匿名化診断情報を受信する受信手段と、
    　前記匿名化診断情報を表示する表示手段と、
    を備える、請求項１８に記載の医師端末。     Transmitting means for transmitting doctor terminal information from the doctor terminal to the diagnostic information providing device;
    Receiving means for receiving the anonymized diagnostic information;
    Display means for displaying the anonymized diagnostic information;
    The doctor terminal according to claim 18, comprising:
  20. 　前記医師端末情報が、前記匿名化診断情報の取得リクエストである、請求項１８又は１９に記載の医師端末。 The doctor terminal according to claim 18 or 19, wherein the doctor terminal information is an acquisition request for the anonymized diagnosis information.
  21. 　前記匿名化診断情報の取得リクエストが、前記診断情報の選択的匿名化に関するリクエストである、請求項２０に記載の医師端末。 The doctor terminal according to claim 20, wherein the acquisition request for the anonymized diagnostic information is a request regarding selective anonymization of the diagnostic information.
  22. 　前記医師端末情報が、前記匿名化診断情報の送信リクエストである、請求項１８又は１９に記載の医師端末。 The doctor terminal according to claim 18 or 19, wherein the doctor terminal information is a transmission request for the anonymized diagnosis information.
  23. 　請求項１８～２２のいずれか１項に記載の医師端末に搭載される医師端末用プログラムであって、
    　前記医師端末から医師端末情報を前記診断情報提供装置に送信し、
    　前記匿名化診断情報を受信シ、及び
    　前記匿名化診断情報を表示する、
    ことを制御する、医師端末プログラム。     A program for a doctor terminal mounted on the doctor terminal according to any one of claims 18 to 22,
    Sending doctor terminal information from the doctor terminal to the diagnostic information providing device,
    Receiving the anonymized diagnostic information, and displaying the anonymized diagnostic information,
    A doctor terminal program that controls things.
  24. 　医師に操作される医師端末に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置を含む診断情報提供システムであって、
    　患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢから、前記診断情報を取得する診断情報取得手段と、
    　取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化手段と、
    　前記匿名化診断情報を、前記医師端末に送信する送信手段と、
    を備える、診断情報提供装置システム。     A diagnostic information providing system that includes a diagnostic information providing device that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information that is referred to during diagnosis and treatment of a patient.
    Diagnostic information acquisition means for acquiring the diagnostic information from a diagnostic information DB for storing the diagnostic information including personal information of the patient;
    Anonymization means for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden;
    Transmitting means for transmitting the anonymized diagnostic information to the doctor terminal;
    A diagnostic information providing apparatus system comprising:
  25. 　医師に操作される医師端末に、ネットワークを介して接続され、患者の診断及び治療時に参照される診断情報を提供する診断情報提供装置を用いる診断情報提供方法であって、
    　患者の個人情報を含む前記診断情報を記憶する診断情報ＤＢから、前記診断情報を取得する診断情報取得ステップ（Ｓ１）と、
    　取得した前記診断情報に含まれる前記個人情報を非表示にした匿名化診断情報を生成する匿名化ステップ（Ｓ２）と、
    　前記匿名化診断情報を、前記医師端末に送信する送信ステップ（Ｓ３）と、
    を備える、診断情報提供方法。
          A diagnostic information providing method using a diagnostic information providing apparatus that is connected to a doctor terminal operated by a doctor via a network and provides diagnostic information referred to during diagnosis and treatment of a patient,
    A diagnostic information acquisition step (S1) for acquiring the diagnostic information from a diagnostic information DB that stores the diagnostic information including personal information of the patient;
    Anonymizing step (S2) for generating anonymized diagnostic information in which the personal information included in the acquired diagnostic information is hidden;
    Transmitting the anonymized diagnostic information to the doctor terminal (S3);
    A method for providing diagnostic information.
PCT/JP2018/017630 2018-05-07 2018-05-07 Diagnosis information provision device, method, and system WO2019215782A1 (en)

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JP2006279407A (en) * 2005-03-29 2006-10-12 Konica Minolta Medical & Graphic Inc Medical image managing system
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JP2014102835A (en) * 2012-11-21 2014-06-05 General Electric Co <Ge> Zero footprint dicom image viewer
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WO2022051591A2 (en) 2020-09-04 2022-03-10 Novarock Biotherapeutics, Ltd. Nectin-4 antibodies and uses thereof

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