JP2018120271A - Medical cooperation system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To efficiently perform the storage of a medical image of each medical facility and medical cooperation between medical facilities.SOLUTION: In a medical cooperation system 100 comprising: an image storage server 10 for storing a medical image generated by each medical facility; an image cooperation server 20 for managing medical cooperation between medical facilities; and a plurality of client terminals 30, each client terminal 30 transmits image specification information for specifying a medical image selected as an object of medical cooperation and transmission destination information indicating a transmission destination user to the image cooperation server 20. The image cooperation server 20 stores the image specification information and the transmission destination information in association, and when receiving an image reference request from the client terminal 30 that the transmission destination user indicated by the transmission destination information operates, acquires the medical image from the image storage server 10 on the basis of the image specification information associated with the transmission destination information, and transmits the medical image to the client terminal 30 that the transmission destination user operates.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a medical cooperation system.

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

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

  In addition, medical images stored in PACS (Picture Archiving and Communication System) in medical facilities are sent to the data center for backup, which can be used for risk management in the event of a disaster or for cooperation between doctors outside the hospital. A remote image system has been proposed (see Patent Document 2).

JP 2011-198311 A JP 2013-1111092 A

  However, when an image storage service for PACS backup is used for cooperation between doctors, the image storage server stores a large number of patient images. In addition, it was necessary for the source facility to manage information about users of the destination facility. For this reason, the image storage service is used only for referring to images within a facility or between hospitals of the same group, and an inter-facility cooperation service different from the image storage service is used for cooperation with other facilities.

  In the inter-facility cooperation service, a medical image is transmitted to the image cooperation server by specifying a medical cooperation request destination (transmission destination). Therefore, when the transmission source user instructs medical cooperation, the amount of medical image data is large. However, it takes time to transmit the image, and there is a problem that the next operation cannot be performed until the transmission is completed.

  The present invention has been made in view of the above-described problems in the related art, and an object thereof is to efficiently perform storage of medical images for each medical facility and medical cooperation between medical facilities.

  In order to solve the above-described problem, the invention according to claim 1 is directed to a first server including first storage means for storing medical images generated in a plurality of medical facilities, and medical cooperation between the plurality of medical facilities. A medical cooperation system comprising: a second server for managing data; and a plurality of client terminals connected to each of the first server and the second server via a first communication network so that data communication is possible, The first server and the second server are connected via a second communication network capable of data communication at higher speed than the first communication network, and each of the plurality of client terminals is provided with the client terminal. Selecting means for selecting a medical image to be medically linked among medical images generated in a medical facility; Designation means for designating a user of a destination of the designated medical image, image specifying information for specifying the selected medical image, and destination information indicating the user of the designated destination First transmission means for transmitting to the server, wherein the second server associates and stores image specifying information and destination information transmitted by the first transmission means, and the second storage means. 2 When an image reference request is received from a client terminal operated by a transmission destination user indicated by the transmission destination information stored in the storage unit, based on the image specifying information associated with the transmission destination information, An acquisition unit that acquires a medical image corresponding to the image specifying information from the first server, and transmits the acquired medical image to a client terminal operated by the transmission destination user. Comprising a second transmission means.

  The invention according to claim 2 is a first server comprising first storage means for storing medical images generated at a plurality of medical facilities, a second server for managing medical cooperation between the plurality of medical facilities, A medical cooperation system comprising: a plurality of client terminals connected to each of the first server and the second server via a first communication network so that data communication is possible, wherein the first server and the second server Is connected via a second communication network capable of data communication at a higher speed than the first communication network, and each of the plurality of client terminals is a medical device generated in a medical facility in which the client terminal is installed. Of the images, a selection means for selecting a medical image to be medically linked, and a user of the transmission destination of the selected medical image. Designation means for designating a user, and first transmission means for sending image specifying information for specifying the selected medical image and transmission destination information indicating the user of the designated transmission destination to the first server The first server comprises transfer means for associating the image specifying information and the destination information transmitted by the first transmission means and transferring them to the second server, wherein the second server comprises: A second storage unit that stores the image specifying information and the transmission destination information transferred by the transfer unit in association with each other; and a client that is operated by a transmission destination user indicated by the transmission destination information stored in the second storage unit When an image reference request is received from the terminal, a medical image corresponding to the image specifying information is sent from the first server based on the image specifying information associated with the destination information. Comprising obtaining means for obtaining a second transmitting means for transmitting the acquired medical image to the client terminal user of the transmission destination is operating, the.

  The invention according to claim 3 is a first server comprising first storage means for storing medical images generated at a plurality of medical facilities, a second server for managing medical cooperation between the plurality of medical facilities, A medical cooperation system comprising: a plurality of client terminals connected to each of the first server and the second server via a first communication network so that data communication is possible, wherein the first server and the second server Is connected via a second communication network capable of data communication at a higher speed than the first communication network, and each of the plurality of client terminals is a medical device generated in a medical facility in which the client terminal is installed. Of the images, a selection means for selecting a medical image to be medically linked, and a user of the transmission destination of the selected medical image. Designation means for designating a user, and first transmission means for sending image specifying information for specifying the selected medical image and transmission destination information indicating the user of the designated transmission destination to the second server And the second server is stored in the second storage unit, the second storage unit storing the image specifying information transmitted by the first transmission unit and the destination information in association with each other. When an image reference request is received from a client terminal operated by a transmission destination user indicated by the transmission destination information, an image transmission instruction including the transmission destination information and image specifying information associated with the transmission destination information is provided. Image transmission instruction means for transmitting to the first server, the first server based on the image specification information included in the image transmission instruction, the medical image corresponding to the image specification information Is acquired from the first storage unit, and based on the transmission destination information included in the image transmission instruction, the medical image acquired by the acquisition unit is transmitted to the client terminal operated by the transmission destination user. Second transmitting means.

  According to a fourth aspect of the present invention, in the medical cooperation system according to any one of the first to third aspects, each of the plurality of client terminals is a medical device generated in a medical facility in which the client terminal is installed. When the selected medical image is not transmitted to the first server from an image management apparatus that manages images, the selected medical image is transmitted to the first server with priority over other medical images. A third transmission unit configured to transmit an instruction to that effect to the image management apparatus.

  According to a fifth aspect of the present invention, in the medical cooperation system according to the first or second aspect, each of the plurality of client terminals is an image that manages a medical image generated in a medical facility in which the client terminal is installed. A fourth transmission for transmitting an instruction to the image management apparatus to transmit the selected medical image to the second server when the selected medical image is not transmitted from the management apparatus to the first server; And the second server includes third storage means for storing a medical image transmitted from the image management apparatus, and the acquisition means receives a medical image corresponding to the image specifying information from the first server. Instead of acquisition, it is acquired from the third storage means.

  The invention according to claim 6 is the medical cooperation system according to any one of claims 1 to 3, wherein each of the plurality of client terminals is generated by a medical facility in which the client terminal is installed. Display means for displaying a warning when the selected medical image is not transmitted to the first server from an image management apparatus for managing images.

  The invention according to claim 7 is the medical cooperation system according to any one of claims 1 to 6, wherein the second server stores the image specifying information and destination information in the second storage means. A notification means for notifying the transmission destination user indicated by the transmission destination information.

  According to an eighth aspect of the present invention, in the medical cooperation system according to any one of the first to seventh aspects, the second server stores user information relating to users belonging to the plurality of medical facilities. The storage device includes a storage unit, and the user information is registered from a client terminal operated by a manager of a medical facility to which a user corresponding to the user information belongs.

  According to the present invention, storage of medical images for each medical facility and medical cooperation between medical facilities can be performed efficiently.

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

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

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

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

  The image cooperation server 20 is a device that manages medical cooperation between a plurality of medical facilities, and provides a medical cooperation service (inter-facility cooperation service) between medical facilities. Medical cooperation means that information such as medical images is shared among a plurality of medical facilities, and patient examinations and treatments are performed in cooperation. For example, the image cooperation server 20 registers information related to medical cooperation received from the client terminals 30A, 30B,... Of each medical facility, or refers to images from the client terminals 30A, 30B,. When requested, the requested medical image is acquired from the image storage server 10 and provided to the client terminals 30A, 30B,. The information related to medical cooperation includes image specifying information for specifying a medical image selected as a medical cooperation target, and transmission destination information indicating a transmission destination user designated as a medical cooperation request destination.

  In the medical facility A, a client terminal 30A, a modality 40A, a PACS 50A as an image management device, and the like are connected to each other via a facility network 60A such as a LAN (Local Area Network) so as to be able to perform data communication with each other.

  The client terminal 30A is a computer used by a medical facility A doctor. The client terminal 30 </ b> A is used when accessing the image storage server 10 via the Internet N <b> 1 and browsing the medical image of the own facility stored in the image storage server 10. The client terminal 30A is used when accessing the image collaboration server 20 via the Internet N1, transmitting information related to medical collaboration to the image collaboration server 20, and browsing medical images of other facilities.

  The modality 40A captures a human body and generates digital data of the captured image (medical image). For example, CR (Computed Radiography), FPD (Flat Panel Detector), CT (Computed Tomography), MRI (Magnetic) Resonance Imaging), cassette-dedicated readers, film digitizers, etc. are applicable.

  The PACS 50A is a computer including a control unit, a RAM (Random Access Memory), a communication unit, an operation unit, a display unit, a storage unit, and the like, and mainly stores a medical image generated by the modality 40A in the medical facility A in the storage unit. An in-facility server that stores and manages medical images. In the PACS 50A, information indicating whether each medical image managed by the PACS 50A has been transmitted to the image storage server 10 is stored in association with each other.

In the medical facility B, a client terminal 30B, a modality 40B, a PACS 50B, and the like are connected to each other via a facility network 60B such as a LAN so as to be capable of data communication with each other.
The devices provided in the medical facilities other than the client terminal 30B, the modalities 40B and the PACS 50B, and the medical facilities A and B provided in the medical facility B are the same as the devices provided in the medical facility A. Therefore, the description is omitted.
In the following, when the medical facilities are not particularly distinguished, the client terminals 30A, 30B,..., PACS 50A, 50B,. It is described as an in-facility network 60.

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

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

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

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

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

  In the device information table T11, information related to the PACS 50 installed in each medical facility in the medical cooperation system 100 is stored. In the device information table T11, a facility ID of a medical facility where the PACS 50 is installed, a device ID for specifying the PACS 50, and the like are stored in association with each other.

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

  In the storage unit 15, a region where a medical image is stored is divided for each medical facility (PACS 50), and the medical facility where the medical image is generated can be specified by the storage region of the medical image.

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

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

FIG. 3 shows a functional configuration of the image cooperation server 20.
As shown in FIG. 3, the image collaboration server 20 includes a control unit 21, a RAM 22, an Internet communication unit 23, an in-center communication unit 24, a storage unit 25, and the like. Yes.

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

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

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

  The storage unit 25 is a storage device configured by an HDD, a nonvolatile semiconductor memory, or the like. The storage unit 25 stores various programs executed by the control unit 21 and also stores parameters and data necessary for executing the various programs. Specifically, the storage unit 25 stores a facility information table T21, a user information table T22, a cooperative relationship information table T23, a cooperative transmission information table T24, a patient information table T25, an image specifying information table T26, and the like.

  In the facility information table T21, information related to medical facilities in the medical cooperation system 100 is stored. In the facility information table T21, a facility ID, a facility name, a contact address, and the like are stored in association with each other.

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

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

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

  The medical cooperation may take any form of medical facility-to-medical facility, medical facility-to-user, user-to-medical facility, and user-to-user. When actually requesting medical cooperation from another medical facility, a request destination (transmission destination) is designated from the preset cooperative relationships.

Information related to a request for medical cooperation is stored in the cooperation transmission information table T24. In the cooperative transmission information table T24, a transmission ID, a transmission source facility ID, a transmission source user ID, a transmission destination facility ID, and a transmission destination user ID are stored in association with each other.
The transmission ID is identification information given to a request for medical cooperation.
The transmission source facility ID is a facility ID of a medical facility that is a transmission source of medical images (request source of medical cooperation).
The transmission source user ID is a user ID of a user who is a transmission source of medical images (request source of medical cooperation).
The transmission destination facility ID is a facility ID of a medical facility that is a transmission destination of medical images (request for medical cooperation).
The transmission destination user ID is a user ID of a user who is a transmission destination of medical images (request for medical cooperation).

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

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

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

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

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

  The control unit 21 controls the Internet communication unit 23 to transmit the medical image acquired from the image storage server 10 to the client terminal 30 operated by the transmission destination user. That is, the control part 21 and the internet communication part 23 function as a 2nd transmission means.

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

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

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

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

  The operation unit 34 is an operation device configured to include a keyboard having cursor keys, character input keys, various function keys, and the like, and a pointing device such as a mouse, and an operation signal input by key operation or mouse operation on the keyboard. Is output to the control unit 31. For example, when the operation unit 34 selects a medical image that is a target of medical cooperation among medical images generated in a medical facility in which the client terminal 30 is installed, the operation unit 34 designates a transmission destination user of the selected medical image. Used when That is, the operation unit 34 functions as a selection unit and a designation unit.

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

  The storage unit 36 is a storage device configured by an HDD, a nonvolatile semiconductor memory, or the like. The storage unit 36 stores various programs executed by the control unit 31 and stores parameters and data necessary for executing the various programs.

  The control unit 31 controls the communication unit 33 to display image specifying information for specifying a medical image selected as a target for medical cooperation, and transmission destination information indicating a user of the specified transmission destination. It is transmitted to the server 20. That is, the control part 31 and the communication part 33 function as a 1st transmission means.

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

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

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

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

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

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

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

  In the image cooperation server 20, the user information transmitted from the client terminal 30 is received by the Internet communication unit 23, and the user information is provisionally registered in the user information table T22 of the storage unit 25 by the control unit 21 (step S5). . Specifically, the user ID of the registered user is newly generated by the control unit 21, and the newly generated user ID, the affiliated facility ID received from the client terminal 30, as a new record in the user information table T 22, The name, e-mail address, temporary password, etc. are stored. The administrator flag is “0”.

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

  In addition, the administrator notifies the registered user of a temporary password (step S7). The contact method is not particularly limited, such as e-mail or verbal transmission.

  In the client terminal 30 operated by the registered user, when an approval URL is designated by an operation from the operation unit 34 by the registered user (step S8), an input screen is provided from the image cooperation server 20 to the client terminal 30. (Step S9).

  When the temporary password is input by the operation of the operation unit 34 by the registered user at the client terminal 30 (step S10), the password link screen is provided from the image cooperation server 20 to the client terminal 30 (step S11). ).

  In the client terminal 30, when this password is input by an operation from the operation unit 34 by a registered user (step S 12), in the image linkage server 20, registration is performed in the user information table T 22 of the storage unit 25 by the control unit 21. The password of the record corresponding to the user is updated to the real password, and the user information is fully registered (step S13).

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

  In the above user registration process, only the registered user himself / herself is notified of the user ID of the newly registered user. However, the administrator acquires the user ID at the time of user registration, and notifies the registered user of the user ID and temporary password. It may be.

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

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

  Next, in the client terminal 30, the control unit 31 requests the cooperation list from the image cooperation server 20 (step S22). Specifically, the control unit 31 sends a link list acquisition request including the facility ID of the medical facility to which the user operating the client terminal 30 belongs and the user ID of the user via the communication unit 33. Sent to.

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

  In the client terminal 30, the cooperation relationship list is displayed on the display unit 35 by the control unit 31. The cooperation relationship list includes medical facilities (cooperation destination facility IDs) and users (cooperation destination user IDs) that can be designated as medical cooperation request destinations for the user who operates the client terminal 30. By the operation from the operation unit 34, the user of the medical image transmission destination is designated from among the cooperation destination users included in the cooperation relationship list (step S24).

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

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

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

In the image cooperation server 20, when information is received from the client terminal 30 by the Internet communication unit 23, the image storage state in the image storage server 10 is determined by the control unit 21 based on the image instance UID included in the image specifying information. Is confirmed (step S29). Specifically, the control unit 21 makes an inquiry about whether or not a medical image corresponding to the image specifying information is stored in the image storage server 10 via the in-center communication unit 24.
In the image storage server 10, the control unit 11 refers to the image management DB 151 to determine whether or not a medical image corresponding to the image specifying information is stored in the storage unit 15. The image storage status is returned to the image cooperation server 20 (step S30).

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

In step S31, when the selected medical image exists in the image storage server 10 (step S31; YES), or after step S32, in the image cooperation server 20, the control unit 21 cooperates with the cooperation transmission information table T24. Transmission information is registered (step S33).
Moreover, patient information is registered into the patient information table T25 by the control part 21 (step S34).
Further, the image specifying information is registered in the image specifying information table T26 by the control unit 21 (step S35). Here, by including the transmission ID of the record newly registered in the cooperative transmission information table T24 in the record newly registered in the patient information table T25 and the image specifying information table T26, the cooperative transmission information table T24, the patient information table The information in T25 and the image specifying information table T26 is associated.

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

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

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

  First, at the client terminal 30, the user logs in to the image cooperation server 20 (step S41). In the client terminal 30, when a predetermined URL is designated from the Web browser and the image cooperation server 20 is accessed, a login screen is provided from the image cooperation server 20 to the client terminal 30. In the client terminal 30, a user ID and a password are input by an operation from the operation unit 34.

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

  Next, in the client terminal 30, the control unit 31 requests the cooperative transmission list from the image cooperative server 20 (step S42). Specifically, the control unit 31 sends a linked transmission list acquisition request including the facility ID of the medical facility to which the user who operates the client terminal 30 belongs and the user ID of the user via the communication unit 33. Sent to.

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

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

  In the image collaboration server 20, the medical unit image specific information selected by the client terminal 30 is acquired by the control unit 21 (step S45). Specifically, the image specifying information table T <b> 26 is referred to by the control unit 21, and the image instance UID corresponding to the transmission ID transmitted from the client terminal 30 is acquired. Then, the control unit 21 transmits the acquired image specifying information such as the image instance UID to the client terminal 30 via the Internet communication unit 23. Since this image specifying information is associated with the transmission ID corresponding to the medical cooperation selected from the cooperation transmission list, it is associated with the transmission destination information (the user who operates the client terminal 30). . There may be a plurality of pieces of image specifying information corresponding to the transmission ID.

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

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

  In the image storage server 10, when an image acquisition request is received from the image cooperation server 20 by the in-center communication unit 14, a medical image is generated by the control unit 11 based on the image instance UID included in the image acquisition request. The identified medical image is transmitted to the image cooperation server 20 via the in-center communication unit 14 (step S48). Specifically, the control unit 11 refers to the image management DB 151 to identify a medical image corresponding to the image instance UID, and the identified medical image is read from the storage unit 15 and transmitted to the image cooperation server 20. The

  Here, in the image storage server 10, the DICOM data generated in each medical facility is managed by being separated into an image part and a header part. When the change is managed only by the image management DB 151 and is not reflected in the image file, the control unit 11 causes the image cooperation server 20 and the client terminal before the specified medical image is transmitted to the image cooperation server 20. The image is reconstructed as necessary, such as being converted into a format usable with the system 30.

In the image linkage server 20, when the medical image is received from the image storage server 10 by the communication unit 24 in the center, the control unit 21 performs compression processing on the medical image (step S49). Although compression of medical images is not indispensable, when an Internet line is used, it is possible to suppress variations in line quality by compression.
Next, the compressed medical image is transmitted by the control unit 21 to the client terminal 30 via the Internet communication unit 23 (step S50).

In the client terminal 30, when the compressed medical image is received by the communication unit 33, the medical image is developed by the control unit 31 (step S51).
The processing from step S46 to step S51 is repeated for the number of images to be acquired. In addition, it is good also as a structure which acquires a some image collectively.

Next, in the client terminal 30, the medical image is displayed on the display unit 35 by the control unit 31 (step S52).
Thus, the first image reference process is completed.

  As described above, according to the first embodiment, the medical cooperation is registered in the image cooperation server 20 for the medical image already stored in the image storage server 10, so that the medical cooperation server can register the medical cooperation. No medical image needs to be transmitted to 20, and no image transmission time is required. Therefore, storage of medical images for each medical facility and medical cooperation between medical facilities can be performed efficiently.

  In addition, when the medical image selected as the target of medical cooperation is not transmitted from the PACS 50 to the image storage server 10, the selected medical image is transmitted to the image storage server 10 with priority over other medical images. Thus, the selected medical image can be shifted to a state where it is stored in the image storage server 10.

  Further, when the image specifying information and the transmission destination information are stored in the storage unit 25 of the image cooperation server 20, it is possible to notify the transmission destination user indicated by the transmission destination information.

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

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

[Second Embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the medical cooperation system in 2nd Embodiment is the structure similar to the medical cooperation system 100 shown in 1st Embodiment, FIG. 1-4 is used, and illustration and description are about the structure. Omitted. Hereinafter, a configuration and processing characteristic of the second embodiment will be described.

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

  When an instruction to transmit the selected medical image to the image cooperation server 20 is received from the client terminal 30 via the communication unit, the control unit of the PACS 50 controls the communication unit to select the selected medical image. Are transmitted to the image linkage server 20.

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

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

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

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

  Since the process of step S61-step S65 is the same as the process of step S21-step S25 of a 1st medical cooperation registration process (refer FIG. 6), description is abbreviate | omitted.

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

In step S66, when the selected medical image has been transmitted to the image storage server 10 (step S66; YES), or after step S67, the control unit 31 specifies an image for specifying the selected medical image. Specific information (data type, examination information, image information, file storage location, etc.), cooperative transmission information (transmission ID, transmission source facility ID, transmission source user ID, transmission destination facility ID, transmission destination user ID), patient information ( Patient ID, patient name, etc.) are transmitted to the image cooperation server 20 via the communication part 33 (step S68).
However, if a medical image is directly transmitted from the PACS 50 to the image collaboration server 20 in step S67, transmission of the image specifying information from the client terminal 30 to the image collaboration server 20 is not necessary.

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

  When a plurality of medical images are selected in step S61 of the second medical cooperation registration process, only the medical images determined not to be transmitted in step S66 among the selected plurality of medical images. What is necessary is just to transmit to the image cooperation server 20.

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

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

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

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

[Third Embodiment]
Next, a third embodiment to which the present invention is applied will be described.
Since the medical cooperation system in 3rd Embodiment is the structure similar to the medical cooperation system 100 shown in 1st Embodiment, FIG. 1-4 is used, and illustration and description are about the structure. Omitted. Hereinafter, a configuration and processing characteristic of the third embodiment will be described.

  In the first and second embodiments, the case where the image specifying information and the destination information are transmitted from the client terminal 30 to the image cooperation server 20 has been described. In the third embodiment, the image storage is performed from the client terminal 30. The image specifying information and the destination information are transmitted to the image cooperation server 20 via the server 10.

  The control unit 31 of the client terminal 30 controls the communication unit 33 to specify image specifying information for specifying a medical image selected as a medical cooperation target, and transmission destination information indicating a user of a specified transmission destination Are transmitted to the image storage server 10. That is, the control part 31 and the communication part 33 function as a 1st transmission means.

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

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

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

  In the image storage server 10, when image specifying information, cooperative transmission information, and patient information are received from the client terminal 30 by the Internet communication unit 13, these information are associated with each other by the control unit 11, and the communication unit in the center 14 to the image cooperation server 20.

  In the image cooperation server 20, when the image specifying information, the cooperation transmission information, and the patient information are received from the image storage server 10 by the in-center communication unit 24, the process proceeds to step S29.

  As described above, according to the third embodiment, for medical images already stored in the image storage server 10, medical cooperation is registered in the image cooperation server 20 via the image storage server 10. Therefore, it is not necessary to transmit a medical image from the medical facility to the image cooperation server 20, and the image transmission time is unnecessary. Therefore, storage of medical images for each medical facility and medical cooperation between medical facilities can be performed efficiently.

[Fourth Embodiment]
Next, a fourth embodiment to which the present invention is applied will be described.
Since the medical cooperation system in 4th Embodiment is the structure similar to the medical cooperation system 100 shown in 1st Embodiment, FIG. 1-4 is used, and illustration and description are about the structure. Omitted. Hereinafter, a configuration and processing characteristic of the fourth embodiment will be described.

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

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

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

  The control unit 11 causes the client terminal 30 operated by the transmission destination user to transmit the acquired medical image via the Internet communication unit 13 based on the transmission destination information included in the image transmission instruction. That is, the control part 11 and the internet communication part 13 function as a 2nd transmission means.

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

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

  FIG. 9 is a ladder chart illustrating a second image reference process performed in the medical cooperation system according to the fourth embodiment.

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

  After the step S86, when the image communication server 20 receives an image reference request from the client terminal 30 by the Internet communication unit 23, the control unit 21 causes the image instance UID (image specifying information included in the image reference request) to be received. ) And an image transmission instruction including transmission destination information associated with the image instance UID is transmitted to the image storage server 10 via the in-center communication unit 24 (step S87). Since the image instance UID included in the image reference request corresponds to the transmission ID whose destination is the user who operates the client terminal 30, the transmission destination information included in the image transmission instruction includes the image reference request. The user who operates the transmitted client terminal 30 is shown.

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

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

In the client terminal 30, when the compressed medical image is received by the communication unit 33, the medical image is developed by the control unit 31 (step S91).
Steps S86 to S91 are repeated for the number of images to be acquired. In addition, it is good also as a structure which acquires a some image collectively.

Next, in the client terminal 30, the medical image is displayed on the display unit 35 by the control unit 31 (step S92).
Thus, the second image reference process is completed.

  As described above, according to the fourth embodiment, since medical cooperation is registered in the image cooperation server 20 for medical images already stored in the image storage server 10, the medical cooperation facility can use the image cooperation server. No medical image needs to be transmitted to 20, and no image transmission time is required. Therefore, storage of medical images for each medical facility and medical cooperation between medical facilities can be performed efficiently.

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

In addition, the description in each said embodiment is an example of the medical cooperation system which concerns on this invention, and is not limited to this. The detailed configuration and detailed operation of each device constituting the system can be changed as appropriate without departing from the spirit of the present invention.
For example, the characteristic processing in each embodiment may be combined.

  In each of the above embodiments, in the first image reference process (see FIG. 7) or the second image reference process (see FIG. 9), the cooperation transmission list in which the login user is set as the transmission destination is displayed as the image cooperation server 20. Is displayed on the client terminal 30 and the medical cooperation of the reference target is selected from the client terminal 30, but when there are few medical images corresponding to the login user, the user does not select the reference target, A medical image may be transmitted to the client terminal 30.

  Further, in each of the above embodiments, the case where the image storage server 10 is used for the purpose of backing up medical images generated in each medical facility has been described. There may be situations where all data is managed and only the most recent data is stored at the medical facility. In this case, the user of the transmission source facility may directly access the image storage server 10 and select a medical image to be medically linked.

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

Claims (8)

A first server comprising first storage means for storing medical images generated at a plurality of medical facilities; a second server for managing medical cooperation between the plurality of medical facilities; the first server and the second server; A plurality of client terminals connected to each other via a first communication network so that data communication is possible,
The first server and the second server are connected via a second communication network capable of data communication at a higher speed than the first communication network,
Each of the plurality of client terminals is
A selection means for selecting a medical image to be medically linked among medical images generated in a medical facility where the client terminal is installed;
A designation means for designating a user to whom the selected medical image is to be transmitted;
First transmission means for transmitting image specifying information for specifying the selected medical image and transmission destination information indicating a user of the designated transmission destination to the second server;
With
The second server is
Second storage means for storing image specifying information and destination information transmitted by the first transmission means in association with each other;
When an image reference request is received from a client terminal operated by a destination user indicated by the destination information stored in the second storage unit, based on the image specifying information associated with the destination information. Acquiring means for acquiring a medical image corresponding to the image specifying information from the first server;
A second transmission means for transmitting the acquired medical image to a client terminal operated by the transmission destination user;
Medical cooperation system with A first server comprising first storage means for storing medical images generated at a plurality of medical facilities; a second server for managing medical cooperation between the plurality of medical facilities; the first server and the second server; A plurality of client terminals connected to each other via a first communication network so that data communication is possible,
The first server and the second server are connected via a second communication network capable of data communication at a higher speed than the first communication network,
Each of the plurality of client terminals is
A selection means for selecting a medical image to be medically linked among medical images generated in a medical facility where the client terminal is installed;
A designation means for designating a user to whom the selected medical image is to be transmitted;
First transmission means for transmitting image specifying information for specifying the selected medical image and transmission destination information indicating a user of the designated transmission destination to the first server;
With
The first server includes transfer means for associating the image specifying information and the destination information transmitted by the first transmission means with each other and transferring them to the second server,
The second server is
Second storage means for storing image specifying information and destination information transferred by the transfer means in association with each other;
When an image reference request is received from a client terminal operated by a destination user indicated by the destination information stored in the second storage unit, based on the image specifying information associated with the destination information. Acquiring means for acquiring a medical image corresponding to the image specifying information from the first server;
A second transmission means for transmitting the acquired medical image to a client terminal operated by the transmission destination user;
Medical cooperation system with A first server comprising first storage means for storing medical images generated at a plurality of medical facilities; a second server for managing medical cooperation between the plurality of medical facilities; the first server and the second server; A plurality of client terminals connected to each other via a first communication network so that data communication is possible,
The first server and the second server are connected via a second communication network capable of data communication at a higher speed than the first communication network,
Each of the plurality of client terminals is
A selection means for selecting a medical image to be medically linked among medical images generated in a medical facility where the client terminal is installed;
A designation means for designating a user to whom the selected medical image is to be transmitted;
First transmission means for transmitting image specifying information for specifying the selected medical image and transmission destination information indicating a user of the designated transmission destination to the second server;
With
The second server is
Second storage means for storing image specifying information and destination information transmitted by the first transmission means in association with each other;
When an image reference request is received from a client terminal operated by the destination user indicated by the destination information stored in the second storage unit, the destination information and the destination information are associated with each other. Image transmission instruction means for transmitting an image transmission instruction including image specifying information to the first server;
With
The first server is
An acquisition unit configured to acquire a medical image corresponding to the image specifying information from the first storage unit based on the image specifying information included in the image transmission instruction;
Second transmission means for transmitting the medical image acquired by the acquisition means to a client terminal operated by the user of the transmission destination based on transmission destination information included in the image transmission instruction;
Medical cooperation system with   Each of the plurality of client terminals, when the selected medical image is not transmitted to the first server from an image management apparatus that manages a medical image generated in a medical facility where the client terminal is installed, 4. The apparatus according to claim 1, further comprising a third transmission unit configured to transmit an instruction to the image management apparatus to transmit the selected medical image to the first server with priority over other medical images. Medical collaboration system described in 1. Each of the plurality of client terminals, when the selected medical image is not transmitted to the first server from an image management apparatus that manages a medical image generated in a medical facility where the client terminal is installed, A fourth transmission unit configured to transmit an instruction to transmit the selected medical image to the second server;
The second server includes third storage means for storing a medical image transmitted from the image management apparatus,
The medical cooperation system according to claim 1, wherein the acquisition unit acquires a medical image corresponding to the image specifying information from the third storage unit instead of acquiring the medical image from the first server.   Each of the plurality of client terminals, when the selected medical image is not transmitted to the first server from an image management apparatus that manages a medical image generated in a medical facility where the client terminal is installed, The medical cooperation system as described in any one of Claim 1 to 3 provided with the display means to display a warning.   The said 2nd server is provided with the notification means to notify the user of the transmission destination which the said transmission destination information shows, when the said image specific information and transmission destination information are memorize | stored in the said 2nd storage means. The medical cooperation system as described in any one. The second server comprises fourth storage means for storing user information relating to users belonging to the plurality of medical facilities,
The medical cooperation system according to any one of claims 1 to 7, wherein the user information is registered from a client terminal operated by an administrator of a medical facility to which a user corresponding to the user information belongs.

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