Development of Tele-Consultation System with Sharing Clinical Images

开发了医疗信息系统，通过使用信息和通信技术在医疗机构之间建立了密切的关系。首先，我们在1997年开发了ID识别系统，使八名医生只需将患者的ID输入医院的工作站即可浏览患者的临床数据。这是建立临床关系的基本制度。然而，它存在许多问题。例如，临床数据的标准化，患者唯一ID的编号，患者临床数据的归属问题以及社会共识。所以这还只是一个建议。同年，我们开发了一个远程会诊系统，可以交换病人的临床信息。这包括通过使用加密和互联网技术在诊所和医院之间交换图像。通过模型实验对该系统进行了测试，取得了一定的效果。但是，由于使用Java作为开发语言，用户界面不好，缺乏管理功能，为解决这些问题，我们于1998年对系统进行了改造。首先，我们使用Microsoft Visual Basic V5.0作为开发语言。这改善了用户界面。接下来，我们安排了一名职员作为从诊所发送的患者数据的接收代理，然后将其传输给医院的专家。这是一种看门人系统，确保了诊所和医院之间的可靠关系。我们与5个研究所合作，开始对这一新开发的系统进行实验，取得了成功。我们计划将我们的合作关系扩大到10个研究所，并继续进行实验，旨在实际使用该系统。

Medical information systems were developed, which establish a close relationship among medical institutes by using information and communication technologies. First, we developed the ID Lookup System in 1997 which enables octors to browse patient's clinical data by only typing patient's ID into the workstation at their hospital. This is the basic system for establishing a clinical relationship. However, it holds many problems. For example, the standardization of clinical data, numbering of a unique patient's ID, the problem of where a patient's clinical data belongs, and social consensus. So this is still only a proposal. Next ; we developed a Tele-consultation system in the same year which exchanges the patient's clinical information. This includes the exchange of images between clinics and hospitals by using encryption and internet technologies. We tested this system through model experiments and obtained a certain result. However, we found some problems, one of which was a poor user interface caused by usin Java as a developing language and the other is a lack of administrative function.In order to resolve those problems we reconstructed the system in 1998. First, we made use of Microsoft Visual Basic V5.O as the developing language. This improves the user interface. Next, we positioned a clerk to act as a receiving agent for the patient's data sent from clinics and then had transfered it to a specialist in the hospital. This worked as a kind of gatekeeper system and ensures a reliable relationship between clinics and hospitals. We began experiments with this newly developed system with the cooperation of 5 institutes, which resulted in success.We plan to increase our relationship to 10 institutes and still continue this experiment aiming for a practical use of this system.