Medical information intermediary device, medical image display device, medical information intermediary method, medical information intermediary system, and program

Abstract

To improve convenience when referring to a medical image from various types of physiological examination systems and physiological examination unified management systems.SOLUTION: A medical information intermediation device 1 includes: a first generation unit (control unit 11) for generating first starting information for starting a medical image display device 3 from a physiological examination system or a physiological examination unified management system; and a first output unit (control unit 11) for outputting the first starting information to the physiological examination system 4 or the physiological examination unified management system 5.SELECTED DRAWING: Figure 2

Description

[Technical Field]

[0001] The present invention relates to a medical information mediating apparatus, a medical image display apparatus, a medical information mediating method, a medical information mediating system, and a program. [Background Art]

[0002] Conventionally, as described in Patent Document 1, in medical institutions, through cooperation between an image server that stores and manages medical images obtained in radiology departments and the like, interpretation reports and the like as electronic data, and an electronic medical record system capable of creating electronic medical records, it has become possible for doctors in clinical departments to directly refer to medical images, interpretation reports and the like held by radiology departments. Further, in image servers, medical images are stored and managed in accordance with the DICOM (Digital Imaging and Communication in Medicine) standard. Furthermore, medical images to be provided to an electronic medical record system have been converted into data such as JPEG or PDF and provided via web communication so that the images can be easily referred to on an electronic medical record device terminal included in the electronic medical record system. [Prior Art Documents] [Patent Documents]

[0003] [Patent Document 1] International Publication No. 2008 / 090676 [Summary of the Invention] [Problems to be Solved by the Invention]

[0004] Incidentally, with conventional physiological testing systems (which display test data such as electrocardiograms), if users such as medical technologists or doctors wanted to refer to a patient's radiographic image related to the test data, they had to either launch the electronic medical record system and access the image from there, or launch the PACS system, search for the relevant test, and then access the image. This was cumbersome for users, and in addition, there was a possibility of mistakenly selecting and displaying test information for the wrong patient or test, leading to an incorrect diagnosis. However, conventional physiological testing systems rarely required the display of medical images alongside the test data, so the above issues were not so apparent.

[0005] However, recently, a unified physiological test management system that can centrally manage various physiological tests has become known. This system allows users to centrally check and understand various physiological tests. As a result, there is a growing need to check medical images along with the various physiological test data, and the above-mentioned issues are becoming increasingly apparent.

[0006] Therefore, the objective of the present invention is to improve the convenience of referencing medical images from various physiological testing systems and integrated physiological testing management systems. [Means for solving the problem]

[0007] To solve the aforementioned problems, the medical information intermediary device according to the present invention is: A first generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, It includes a first output unit that outputs the first startup information to the physiological testing system or the physiological testing centralized management system.

[0008] Furthermore, the medical information intermediary device according to the present invention is A first generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, and second activation information for activating a medical image display device from an electronic medical record system, It includes a first output unit that outputs the first activation information to the physiological testing system or the integrated physiological testing management system, and outputs the second activation information to the electronic medical record system.

[0009] Furthermore, the medical information intermediary device according to the present invention is A second acquisition unit acquires first activation information from the imaging device for activating a medical image display device from a physiological examination system or a unified physiological examination management system, It includes a second output unit that outputs the first startup information to the physiological testing system or the physiological testing centralized management system.

[0010] Furthermore, the medical image display device according to the present invention is A third generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, It includes a third output unit that outputs the first startup information to the physiological testing system or the physiological testing centralized management system.

[0011] Furthermore, the medical image display device according to the present invention is A third generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, and second activation information for activating a medical image display device from an electronic medical record system, It includes a third output unit that outputs the second activation information to the physiological testing system or the integrated physiological testing management system, and outputs the second activation information to the electronic medical record system.

[0012] Furthermore, the medical image display device according to the present invention is A fourth acquisition unit that acquires first activation information from the imaging device for activating a medical image display device from a physiological examination system or a unified physiological examination management system, a fourth output unit that outputs said first activation information to said physiological examination system or said integrated physiological examination management system.

[0013] Furthermore, the medical information intermediation method according to the present invention comprises: a first generation step of generating first activation information for activating a medical image display device from a physiological examination system or an integrated physiological examination management system, a first output step of outputting said first activation information to said physiological examination system or said integrated physiological examination management system.

[0014] Furthermore, the medical information intermediation system according to the present invention comprises: a first generation unit that generates first activation information for activating a medical image display device from a physiological examination system or an integrated physiological examination management system, a first output unit that outputs said first activation information to said physiological examination system or said integrated physiological examination management system.

[0015] Furthermore, the program according to the present invention causes a computer of a medical information intermediation device to function as a first generation unit that generates first activation information for activating a medical image display device from a physiological examination system or an integrated physiological examination management system, a first output unit that outputs said first activation information to said physiological examination system or said integrated physiological examination management system, .

[0016] Furthermore, the program according to the present invention causes a computer of a medical image display device to function as a third generation unit that generates first activation information for activating a medical image display device from a physiological examination system or an integrated physiological examination management system, a third output unit that outputs said first activation information to said physiological examination system or said integrated physiological examination management system, . Effects of the Invention

[0017] According to the present invention, convenience when referring to medical images from various physiological examination systems and integrated physiological examination management systems can be improved. BRIEF DESCRIPTION OF THE DRAWINGS

[0018] [Figure 1] FIG. 1 is a block diagram showing a medical information mediation system according to an embodiment of the present invention. [Figure 2] FIG. 2 is a block diagram showing the configuration of a medical information mediation apparatus. [Figure 3] FIG. 3 is a block diagram showing the configuration of a medical image capturing apparatus. [Figure 4] FIG. 4 is a block diagram showing the configuration of a medical image display apparatus. [Figure 5] FIG. 5 is a block diagram showing the configuration of a physiological examination system. [Figure 6] FIG. 6 is a block diagram showing the configuration of an integrated physiological examination management system. [Figure 7] FIG. 7 is a block diagram showing the configuration of an electronic medical record system. [Figure 8] FIG. 8 is a flow diagram of medical information mediation processing. [Figure 9] FIG. 9 is an image diagram of a medical information display screen. [Figure 10] FIG. 10 is a ladder diagram of medical information display processing. [Figure 11] FIG. 11 is a block diagram showing a medical information mediation system. [Figure 12] FIG. 12 is a flow diagram of medical information mediation processing. [Figure 13] FIG. 13 is a block diagram showing a medical information mediation system. [Figure 14] FIG. 14 is a flow diagram of medical information mediation processing. [Figure 15] FIG. 15 is a block diagram showing a medical information mediation system. [Figure 16] FIG. 16 is a flow diagram of medical information mediation processing. [Figure 17] FIG. 17 is a block diagram showing a medical information mediation system. [Figure 18] FIG. 18 is a flow diagram of medical information mediation processing. [Modes for carrying out the invention]

[0019] Embodiments of the present invention will be described below with reference to the drawings. However, the scope of the present invention is not limited to those described in the following embodiments and drawings.

[0020] [First Embodiment] First, using Figure 1, we will explain the overview of the medical information mediation process in the medical information mediation system 100 and the medical information mediation device 1. As shown in Figure 1, the medical information mediation system 100 consists of various devices such as a medical information mediation device 1, a medical image acquisition device 2, a medical image display device 3, a physiological examination system 4, a physiological examination integrated management system 5, and an electronic medical record system 6. The arrows between the various devices shown in Figure 1 indicate the flow of information related to medical information mediation processing. The medical information mediation process involves the medical information mediation device 1 acquiring medical information from the medical image acquisition device 2, transmitting that medical information to the medical image display device 3, and transmitting (outputting) activation information generated based on the medical information to the physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6. The physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6 allow the user to activate the medical image display device 3 using the activation information and display the medical information (medical image display process).

[0021] <Configuration of the medical information intermediation system> Next, we will explain the various components of the medical information mediation system 100. The medical information intermediary device 1 consists of a PC and dedicated equipment. The medical information intermediary device 1 functions as a hub for the exchange of medical information and startup information between various devices connected to it, and performs medical information intermediary processing.

[0022] Medical imaging device 2 is a device that captures various medical images and generates medical information. For example, medical imaging device 2 includes CR (Computed Radiography) devices, CT (Computed Tomography) devices, MR (Magnetic Resonance) devices, ultrasound medical imaging devices, endoscopes, etc.

[0023] The medical image display device 3 is a device that manages and displays medical information. For example, the medical image display device 3 is a PACS (Picture Archiving and Communication System).

[0024] The physiological testing system 4 is a system that performs various physiological tests, such as electrocardiographs, Holter electrocardiogram devices, fully automated blood cell counters, and clinical chemistry analyzers. The Physiological Test Management System 5 is a system that centrally manages various physiological test information from the Physiological Test System 4. The electronic medical record system 6 is a device that electronically manages and displays medical record information. Furthermore, the medical information mediation system 100 may be configured to include only one of the physiological testing system 4 or the physiological testing integrated management system 5. Furthermore, the medical information intermediation system 100 does not necessarily have to be equipped with an electronic medical record system 6.

[0025] Medical information and startup information > Next, I will explain the medical information and the startup information. Medical information includes medical images and associated medical image information. For example, medical information is data compliant with the DICOM (Digital Imaging and Communication in Medicine) standard (DICOM data). DICOM data can hold not only medical images but also various associated medical image information, such as patient information and examination information.

[0026] The startup information is used to start the medical image display device 3 from a device other than the medical image display device 3 and to identify the medical information within the medical image display device 3. For example, the startup information includes reduced images (thumbnail images) and supplementary information. Reduced images are images that have been reduced in size from the medical image, and are general-purpose image data in file output formats such as JPG, bmp, and png. Supplementary information is information attached to the medical image, and includes medical image information or parts thereof, as well as setting information for starting the medical image display device 3, and is data in file output formats such as TXT data, XML data, and URL data. Users can activate the medical image display device 3 by clicking on a thumbnail image or a button displaying supplementary information on the display screen of various devices, and then acquire (receive) medical information from the medical image display device 3 and display it on the various devices.

[0027] <Medical Information Intermediation Device> Next, the configuration of the medical information intermediary device 1 will be explained using Figure 2. As shown in Figure 2, the medical information intermediary device 1 comprises a control unit 11, a display unit 12, an operation unit 13, a communication unit 14, and a storage unit 15.

[0028] The control unit 11 is composed of a CPU (Central Processing Unit), RAM (Random Access Memory), etc. The CPU of the control unit 11 reads various programs stored in the memory unit 15, loads them into the RAM, and executes various processes (such as the medical information mediation process described later) according to the loaded programs, thereby controlling the operation of each part of the medical information mediation device 1. The control unit 11 functions as a generation unit (first generation unit) that generates startup information for starting the medical image display device 3. Startup information for starting the medical image display device 3 from the physiological examination system 4 or the physiological examination integrated management system 5 is designated as the first startup information, and startup information for starting the medical image display device from the electronic medical record system 6 is designated as the second startup information. The control unit 11 functions as an output unit (first output unit, second output unit) that outputs startup information. The first startup information is output to the physiological testing system 4 or the physiological testing integrated management system 5, and the second startup information is output to the electronic medical record system 6. The control unit 11 functions as an acquisition unit (first acquisition unit, second acquisition unit) that acquires medical images from the medical image acquisition device 2. The control unit 11 functions as a setting unit (first setting unit) that sets the file output format of the first supplementary information included in the first startup information and the file output format of the second supplementary information included in the second startup information as different file output formats.

[0029] The display unit 12 is composed of a monitor such as an LCD (Liquid Crystal Display) and displays various screens and the like according to the instructions of the display signals input from the control unit 11.

[0030] The operation unit 13 includes a keyboard equipped with cursor keys, number input keys, various function keys, a pointing device such as a mouse, and a touch panel laminated on the surface of the display unit 12. The operation unit 13 is configured to be operated by the user. The operation unit 13 also outputs various signals to the control unit 11 based on the operations performed by the user.

[0031] The communication unit 14 is capable of sending and receiving various signals and data with other devices connected via a communication network (LAN (Local Area Network), WAN (Wide Area Network), Internet, etc.). The communication unit 14 functions as a transmission unit (first transmission unit) that transmits medical information (including medical images) to the medical image display device 3.

[0032] The memory unit 15 is composed of non-volatile semiconductor memory or a hard disk, and stores various programs executed by the control unit 11, as well as parameters necessary for program execution.

[0033] <Medical imaging equipment> Next, the configuration of the medical imaging device 2 will be explained using Figure 3. As shown in Figure 3, the medical imaging device 2 comprises a control unit 21, a display unit 22, an operation unit 23, a communication unit 24, a storage unit 25, and an imaging unit 26.

[0034] The control unit 21 is composed of a CPU, RAM, etc. The CPU of the control unit 21 reads various programs stored in the memory unit 25, loads them into the RAM, executes various processes according to the loaded programs, and controls the operation of each part of the medical image acquisition device 2. The control unit 21 has the function of generating medical information by controlling the operation of each part of the medical image acquisition device 2.

[0035] The display unit 22 is comprised of a monitor such as an LCD, and displays various screens and the like according to the instructions of the display signals input from the control unit 21.

[0036] The operation unit 23 includes a keyboard equipped with cursor keys, number input keys, various function keys, a pointing device such as a mouse, and a touch panel laminated on the surface of the display unit 22. The operation unit 23 is configured to be operable by the operator. The operation unit 23 also outputs various signals to the control unit 21 based on the operations performed by the operator.

[0037] The communication unit 24 is capable of sending and receiving various signals and data with other devices connected via a communication network (LAN, WAN, Internet, etc.).

[0038] The memory unit 25 is composed of non-volatile semiconductor memory or a hard disk, and stores various programs executed by the control unit 21, as well as parameters necessary for program execution. The imaging unit 26 is a device for acquiring medical images. Specifically, the imaging unit 26 performs CR imaging, CT imaging, MRI imaging, ultrasound medical imaging, endoscopic imaging, and other similar imaging techniques.

[0039] <Medical Image Display Device> Next, the configuration of the medical image display device 3 will be explained using Figure 4. As shown in Figure 4, the medical image display device 3 includes a control unit 31, a display unit 32, an operation unit 33, a communication unit 34, and a storage unit 35.

[0040] The control unit 31 is composed of a CPU, RAM, etc. The CPU of the control unit 31 reads various programs stored in the memory unit 35, loads them into the RAM, executes various processes according to the loaded programs, and controls the operation of each part of the medical image display device 3. The control unit 31 has the function of acquiring (receiving) medical information transmitted from the medical information intermediary device 1, the medical image acquisition device 2, etc., and storing it in the storage unit 35. The control unit 31 has the function of identifying medical information corresponding to the acquired (received) activation information and outputting (transmitting) the medical information to various devices that are the destinations of the activation information. Furthermore, the medical image acquisition device 2 may be equipped with the various functions described above. In this case, the control unit 31 stores the captured medical images in the storage unit 35.

[0041] The display unit 32 is comprised of a monitor such as an LCD, and displays various screens and the like according to the instructions of the display signals input from the control unit 31.

[0042] The operation unit 33 includes a keyboard equipped with cursor keys, number input keys, various function keys, a pointing device such as a mouse, and a touch panel laminated on the surface of the display unit 32. The operation unit 33 is configured to be operated by the operator. The operation unit 33 also outputs various signals to the control unit 31 based on the operations performed by the operator.

[0043] The communication unit 34 is capable of sending and receiving various signals and data with other devices connected via a communication network (LAN, WAN, Internet, etc.).

[0044] The storage unit 35 is composed of non-volatile semiconductor memory or a hard disk, and stores various programs executed by the control unit 31, as well as parameters necessary for program execution. The storage unit 35 also stores medical information transmitted from the medical information intermediary device 1, the medical image acquisition device 2, etc.

[0045] <Physiological Testing System> Next, the configuration of the physiological testing system 4 will be explained using Figure 5. As shown in Figure 5, the physiological testing system 4 includes a control unit 41, a display unit 42, an operation unit 43, a communication unit 44, and a storage unit 45.

[0046] The control unit 41 is composed of a CPU, RAM, etc. The CPU of the control unit 41 reads various programs stored in the memory unit 45, loads them into the RAM, executes various processes according to the loaded programs, and controls the operation of each part of the physiological examination system 4. The control unit 41 has the function of transmitting startup information to the medical image display device 3, acquiring (receiving) medical information from the medical image display device 3, and displaying the medical information on the display unit 42.

[0047] The display unit 42 is comprised of a monitor such as an LCD, and displays various screens (such as the medical information display screen A1 described later) according to the instructions of the display signals input from the control unit 41.

[0048] The operation unit 43 includes a keyboard equipped with cursor keys, number input keys, various function keys, a pointing device such as a mouse, and a touch panel laminated on the surface of the display unit 42. The operation unit 43 is configured to be operated by the operator. The operation unit 43 also outputs various signals to the control unit 41 based on the operations performed by the operator.

[0049] The communication unit 44 is capable of sending and receiving various signals and data with other devices connected via a communication network (LAN, WAN, Internet, etc.).

[0050] The memory unit 45 is composed of non-volatile semiconductor memory or a hard disk, and stores various programs executed by the control unit 41, as well as parameters necessary for program execution.

[0051] <Centralized Physiological Test Management System> Next, the configuration of the physiological testing integrated management system 5 will be explained using Figure 6. As shown in Figure 6, the physiological testing integrated management system 5 includes a control unit 51, a display unit 52, an operation unit 53, a communication unit 54, and a storage unit 55.

[0052] The control unit 51 is composed of a CPU, RAM, etc. The CPU of the control unit 51 reads various programs stored in the memory unit 55, loads them into the RAM, executes various processes according to the loaded programs, and controls the operation of each part of the physiological examination integrated management system 5. The control unit 51 has the function of transmitting startup information to the medical image display device 3, acquiring (receiving) medical information from the medical image display device 3, and displaying the medical information on the display unit 52.

[0053] The display unit 52 is comprised of a monitor such as an LCD, and displays various screens (such as the medical information display screen A1 described later) according to the instructions of the display signals input from the control unit 51.

[0054] The operation unit 53 includes a keyboard equipped with cursor keys, number input keys, various function keys, a pointing device such as a mouse, and a touch panel laminated on the surface of the display unit 52. The operation unit 53 is configured to be operable by the operator. The operation unit 53 also outputs various signals to the control unit 51 based on the operations performed by the operator.

[0055] The communication unit 54 is capable of sending and receiving various signals and data with other devices connected via a communication network (LAN, WAN, Internet, etc.).

[0056] The memory unit 55 is composed of non-volatile semiconductor memory or a hard disk, and stores various programs executed by the control unit 51, as well as parameters necessary for program execution.

[0057] <Electronic medical record system> Next, the configuration of the electronic medical record system 6 will be explained using Figure 7. As shown in Figure 7, the electronic medical record system 6 includes a control unit 61, a display unit 62, an operation unit 63, a communication unit 64, and a storage unit 65.

[0058] The control unit 61 is composed of a CPU, RAM, etc. The CPU of the control unit 61 reads various programs stored in the memory unit 65, loads them into the RAM, executes various processes according to the loaded programs, and controls the operation of each part of the electronic medical record system 6. The control unit 61 has the function of transmitting startup information to the medical image display device 3, acquiring (receiving) medical information from the medical image display device 3, and displaying the medical information on the display unit 62.

[0059] The display unit 62 is comprised of a monitor such as an LCD, and displays various screens (such as the medical information display screen A1, which will be described later) according to the instructions of the display signals input from the control unit 61.

[0060] The operation unit 63 includes a keyboard equipped with cursor keys, number input keys, various function keys, a pointing device such as a mouse, and a touch panel laminated on the surface of the display unit 62. The operation unit 63 is configured to be operable by the operator. The operation unit 63 also outputs various signals to the control unit 61 based on the operations performed by the operator.

[0061] The communication unit 64 is capable of sending and receiving various signals and data with other devices connected via a communication network (LAN, WAN, Internet, etc.).

[0062] The memory unit 65 is composed of non-volatile semiconductor memory or a hard disk, and stores various programs executed by the control unit 61, as well as parameters necessary for program execution.

[0063] <Medical Information Intermediation Processing> Next, the medical information mediation process performed by the medical information mediation device 1 will be explained using Figure 8. As a prerequisite, it is assumed that imaging using the medical image acquisition device 2 has been completed, and that the medical information has already been generated by the medical image acquisition device 2.

[0064] First, the control unit 11, acting as the first acquisition unit, acquires medical information from the medical image acquisition device 2 (step S1; acquisition step). Next, the control unit 11, acting as the first transmitting unit, transmits the medical information acquired in step S1 to the medical image display device 3 via the communication unit 14 (step S2; transmission step). The control unit 31 of the medical image display device 3 receives the medical information via the communication unit 34 and stores the medical information in the storage unit 35.

[0065] Next, the control unit 11, as the first setting unit, sets the file output format corresponding to the specifications of the various devices connected to the medical information intermediary device 1 (step S3; setting step). If there are multiple devices connected to the medical information intermediary device 1, the control unit 11 sets the file output format corresponding to the specifications of each device. For example, if the specifications of the physiological testing system 4 correspond to TXT data, the specifications of the physiological testing integrated management system 5 correspond to XML data, and the specifications of the electronic medical record system 6 correspond to URL data, the control unit 11 sets the formats of TXT data, XML data, and URL data, respectively, as the file output formats.

[0066] Next, the control unit 11, as the first generation unit, generates startup information based on the medical information acquired in step S1 and the file output format set in step S3 (step S4; generation step). Specifically, the control unit 11 generates reduced-size images from medical images included in the medical information, and generates supplementary information from the medical image information included in the medical information. In addition, the control unit 11 generates setting information such as commands for starting the medical image display device 3 as supplementary information. Here, in generating the supplementary information included in the startup information, the control unit 11 generates the supplementary information according to the file output format set in step S3. If there are multiple devices connected to the medical information intermediary device 1, the control unit 11 generates the first startup information, the second startup information, ... and generates the supplementary information as the first supplementary information, the second supplementary information, ... according to the file output format corresponding to the specifications of the set devices. The first startup information is for the physiological testing system 4 or the physiological testing integrated management system 5, and the second startup information is for the electronic medical record system 6. In other words, in the medical information mediation system 100 shown in Figure 1, the control unit 11 generates startup information for each physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6, and generates supplementary information in a file output format that corresponds to the specifications of the physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6. Note that the startup information differs for each medical record, as it corresponds to the medical record.

[0067] Next, the control unit 11, as the first output unit, transmits (outputs) the startup information generated in step S4 to various devices such as the physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6, and the medical information mediation process is completed (step S5; output step).

[0068] <Medical Information Display Processing> Next, using Figures 9 and 10, we will explain the medical information display processing performed by various devices such as the physiological testing system 4, the integrated physiological testing management system 5, and the electronic medical record system 6. Here, we will explain using the medical information display processing performed by the integrated physiological testing management system 5 as an example. As a prerequisite, it is assumed that the medical information display screen A1 shown in Figure 9 is displayed on the display unit 52 of the integrated physiological testing management system 5. Also, as a prerequisite, it is assumed that the integrated physiological testing management system 5 has received startup information.

[0069] First, we will explain an example of the medical information display screen A1 using Figure 9. Medical information display screen A1 is a screen that identifies and displays medical information within the medical image display device 3. Area A2 is the area where patient information is displayed. Area A3 is an area that displays supplementary information included in the received activation information as options. The activation information is linked to each option. By selecting an option in area A3, the user displays the medical information in a viewer separate from the medical information display screen A1 shown in Figure 9. Area A4 is the area that displays the reduced-size images (thumbnail images) included in the received startup information. The startup information is linked to each reduced-size image. By selecting a reduced-size image in area A4, the user can display the medical information in a viewer separate from the medical information display screen A1 shown in Figure 9. Area A5 is the area that displays the test information of patients registered in the physiological test centralized management system 5.

[0070] Next, using Figure 10, we will explain the medical information display process performed in the physiological examination unified management system 5. First, the control unit 51 of the physiological examination integrated management system 5 transmits activation information linked to the selection made by the user via the operation unit 53 to the medical image display device 3 (step S11). The medical information display screen A1 in Figure 9 is an example where the "radiological examination" option has been selected.

[0071] Next, the control unit 31 of the medical image display device 3 receives startup information via the communication unit 34 (step S12).

[0072] Next, the control unit 31 starts up the medical image display device 3 based on the received startup information (step S13). Then, based on the received activation information, the control unit 31 identifies the medical information corresponding to the activation information from the medical information stored in the memory unit 35, and transmits that medical information to the physiological examination unified management system 5 (step S14).

[0073] Next, the control unit 51 receives medical information via the communication unit 54 (step S15). Then, the control unit 51 causes the display unit 52 to display a viewer different from the medical information display screen A1 shown in Figure 9, and displays the medical images and medical image information included in the medical information on that viewer (step S16), and the medical information display process ends. The display of the viewer is controlled by the cooperation (coordination) of the control unit 31 and the control unit 51.

[0074] Therefore, the user can view medical images and medical information including medical image information in detail on the viewer, rather than just reduced images. When the user performs an operation via the operation unit 53 on the viewer, the control unit 31 and the control unit 51 work together to manipulate the medical information stored in the storage unit 35 of the medical image display device 3.

[0075] In the above explanation, the medical information display processing performed in the physiological testing integrated management system 5 was used as an example. However, by replacing the configuration of the physiological testing integrated management system 5 in the above step description with the configuration of the physiological testing system 4 or the electronic medical record system 6, the above example can be used to describe the medical information display processing performed in the physiological testing system 4 or the electronic medical record system 6. Furthermore, in step S14, the control unit 31 transmits medical information to the destination for activation information, but it may also transmit it to a different device. In this case, the medical image display device 3 (control unit 31) will cooperate (coordinate) with that other device.

[0076] <Variation> In the example above, the medical image display device 3 is a device that manages and displays medical information. However, as shown in the medical information mediation system 101 in Figure 11, the medical image display device 3 may also be equipped with the functions of the medical image acquisition device 2. More specifically, the medical image display device 3 has, for example, a function for capturing medical images such as radiographic images, and a function for managing the captured medical images within the device itself. Using Figure 12, the medical information mediation process performed by the medical information mediation device 1 of the medical information mediation system 101 will be explained. As a prerequisite, it is assumed that imaging using the medical image display device 3 has been completed, and that the medical information has already been generated by the medical image display device 3 and stored in the storage unit 35. First, the control unit 11, acting as the first acquisition unit, acquires medical information from the medical image display device 3 (step S21; acquisition step). Next, the control unit 11, as the first setting unit, sets the file output format corresponding to the specifications of the various devices connected to the medical information intermediary device 1 (step S22; setting step). The specific processing is the same as in step S3 in Figure 8. Next, the control unit 11, as the first generation unit, generates activation information based on the medical information acquired in step S21 (step S23; generation step). The specific processing details are the same as in step S4 in Figure 8. Next, the control unit 11, acting as the first output unit, transmits (outputs) the startup information generated in step S23 to various devices such as the physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6, and the medical information mediation process is completed (step S24; output step). The specific processing details are the same as in step S5 in Figure 8. Furthermore, since the medical information is stored in the storage unit 35 of the medical image display device 3 before the above processing, the process corresponding to step S2 in Figure 8 does not exist and is unnecessary, as described above.

[0077] [Second Embodiment] Next, the medical information mediation process in the medical information mediation system 200, the medical information mediation device 1, and the medical image acquisition device 2 will be explained using Figures 13 and 14. In the second embodiment, medical information and activation information are generated in the medical image acquisition device 2, and the medical information mediation process is executed by mediating the medical information and activation information in the medical information mediation device 1. In other words, the control unit 11 of the medical information intermediary device 1 in the second embodiment functions as an output unit (second output unit) that outputs activation information. The first activation information is output to the physiological examination system 4 or the physiological examination unified management system 5, and the second activation information is output to the electronic medical record system 6. Furthermore, the control unit 11 functions as an acquisition unit (second acquisition unit) that acquires medical images from the medical image acquisition device 2. Furthermore, the control unit 21 of the medical image acquisition device 2 in the second embodiment functions as a generation unit (second generation unit) that generates startup information for activating the medical image display device 3. The startup information for activating the medical image display device 3 from the physiological examination system 4 or the physiological examination integrated management system 5 is designated as the first startup information, and the startup information for activating the medical image display device from the electronic medical record system 6 is designated as the second startup information. Furthermore, the control unit 21 functions as a setting unit (second setting unit) that sets the file output format of the first supplementary information included in the first startup information and the file output format of the second supplementary information included in the second startup information as different file output formats. Furthermore, the configuration of the medical information mediation system 200, other than that described above, is the same as in the first embodiment.

[0078] <Medical Information Intermediation Processing> Using Figure 14, the medical information mediation process performed by the medical information mediation device 1 and the medical image acquisition device 2 of the medical information mediation system 200 will be explained. First, the control unit 21 of the medical image acquisition device 2 generates medical information using the various configurations of the medical image acquisition device 2 (step S31).

[0079] Next, the control unit 21, as the second setting unit, sets the file output format corresponding to the specifications of the various devices connected to the medical information intermediary device 1 (step S32; setting step). The specific processing is the same as in step S3 in Figure 8.

[0080] Next, the control unit 21, acting as a second generation unit, generates startup information based on the medical information acquired in step S31 and the file output format set in step S32 (step S33; generation step). The specific processing details are the same as in step S4 in Figure 8.

[0081] Next, the control unit 21 transmits (outputs) the medical information generated in step S31 and the startup information generated in step S33 to the medical information intermediary device 1 (step S34; output step).

[0082] Next, the control unit 11 of the medical information intermediary device 1, acting as a second acquisition unit, acquires medical information and startup information via the communication unit 14 (step S35; acquisition step).

[0083] Next, the control unit 11 transmits the medical information acquired in step S35 to the medical image display device 3 via the communication unit 14 (step S36; transmission step). The specific processing is the same as in step S2 in Figure 8.

[0084] Next, the control unit 11, acting as a second output unit, transmits (outputs) the startup information acquired in step S35 to various devices such as the physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6 via the communication unit 14, and the medical information mediation process is completed (step S37; output step). The specific processing details are the same as in step S5 of Figure 8.

[0085] [Third Embodiment] Next, the medical information mediation process in the medical information mediation system 300 and the medical image display device 3 will be explained using Figures 15 and 16. In the third embodiment, the medical information mediation device 1 does not exist, and the medical information mediation process is performed in the medical image display device 3. In other words, the medical image display device 3 of the third embodiment is equipped with various functions of the control unit 11 of the medical information intermediary device 1. In the third embodiment, the control unit 31 functions as a generation unit (third generation unit) that generates startup information for starting the medical image display device 3. Startup information for starting the medical image display device 3 from the physiological examination system 4 or the physiological examination integrated management system 5 is designated as the first startup information, and startup information for starting the medical image display device from the electronic medical record system 6 is designated as the second startup information. Furthermore, the control unit 31 functions as an output unit (third output unit) that outputs startup information. The first startup information is output to the physiological testing system 4 or the physiological testing integrated management system 5, and the second startup information is output to the electronic medical record system 6. Furthermore, the control unit 31 functions as an acquisition unit (third acquisition unit) that acquires medical images from the medical image acquisition device 2. Furthermore, the control unit 31 functions as a setting unit (third setting unit) that sets the file output format of the first supplementary information included in the first startup information and the file output format of the second supplementary information included in the second startup information as different file output formats. Furthermore, the configuration of the medical information mediation system 300, other than that described above, is the same as in the first embodiment.

[0086] <Medical Information Intermediation Processing> Using Figure 16, the medical information mediation process performed by the medical image display device 3 of the medical information mediation system 300 will be explained. As a prerequisite, it is assumed that imaging using the medical image acquisition device 2 has been completed and that the medical information has already been generated by the medical image acquisition device 2. First, the control unit 31, acting as a third acquisition unit, acquires medical information from the medical image acquisition device 2 (step S41; acquisition step). The control unit 31 then stores the medical information in the storage unit 35. Next, the control unit 31, as a third setting unit, sets the file output format corresponding to the specifications of various devices connected to the medical image display device 3 (step S42; setting step). The specific processing is the same as in step S3 in Figure 8. Next, the control unit 31, acting as a third generation unit, generates activation information based on the medical information acquired in step S41 (step S43; generation step). The specific processing details are the same as in step S4 in Figure 8. Next, the control unit 31, acting as a third output unit, transmits (outputs) the startup information generated in step S43 to various devices such as the physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6, and the medical information mediation process is completed (step S44; output step). The specific processing details are the same as in step S5 of Figure 8. Furthermore, since the medical information is already stored in the device (medical image display device 3), the process corresponding to step S2 in Figure 8, as described above, does not exist and is unnecessary.

[0087] [Fourth Embodiment] Next, the medical information mediation process in the medical information mediation system 400, the medical image acquisition device 2, and the medical image display device 3 will be explained using Figures 17 and 18. In the fourth embodiment, the medical information mediation device 1 does not exist, and the medical information mediation process is performed in the medical image acquisition device 2 and the medical image display device 3. In other words, the medical image acquisition device 2 of the fourth embodiment is equipped with a function to generate activation information for the control unit 11 of the medical information intermediary device 1. In the fourth embodiment, the control unit 21 functions as a generation unit (fourth generation unit) that generates startup information for starting the medical image display device 3. Startup information for starting the medical image display device 3 from the physiological examination system 4 or the physiological examination integrated management system 5 is designated as the first startup information, and startup information for starting the medical image display device from the electronic medical record system 6 is designated as the second startup information. Furthermore, the control unit 21 functions as a setting unit (fourth setting unit) that sets the file output format of the first supplementary information included in the first startup information and the file output format of the second supplementary information included in the second startup information as different file output formats. Furthermore, the medical image display device 3 of the fourth embodiment is equipped with various functions of the control unit 11 of the medical information intermediary device 1. In the fourth embodiment, the control unit 31 functions as an output unit (fourth output unit) that outputs startup information. The first startup information is output to the physiological testing system 4 or the physiological testing integrated management system 5, and the second startup information is output to the electronic medical record system 6. Furthermore, the control unit 31 functions as an acquisition unit (fourth acquisition unit) that acquires medical images from the medical image acquisition device 2. Furthermore, the configuration of the medical information mediation system 400, other than that described above, is the same as in the first embodiment.

[0088] <Medical Information Intermediation Processing> Using Figure 18, the medical information mediation process performed by the medical image acquisition device 2 and the medical image display device 3 of the medical information mediation system 400 will be explained. The process from steps S51 to S53 in Figure 18 is the same as the process from steps S31 to S33 in Figure 14, so the explanation will be omitted. In step S52 of Figure 18, the control unit 21 functions as the fourth setting unit, and in step S53, it functions as the fourth generation unit.

[0089] Next, the control unit 21 transmits (outputs) the medical information generated in step S51 and the startup information generated in step S53 to the medical image display device 3 (step S54; output step).

[0090] Next, the control unit 31 of the medical image display device 3, acting as a fourth acquisition unit, acquires medical information and startup information via the communication unit 34 (step S55; acquisition step). The control unit 31 stores the medical information in the storage unit 35.

[0091] Next, the control unit 31, acting as a fourth output unit, transmits (outputs) the startup information acquired in step S55 to various devices such as the physiological examination system 4, the physiological examination integrated management system 5, and the electronic medical record system 6 via the communication unit 34, and the medical information mediation process is completed (step S56; output step). The specific processing details are the same as in step S5 of Figure 8.

[0092] [others] For example, medical information may be transmitted from each medical image acquisition device 2 to the medical image display device 3. In this case, the medical information transmission step, such as step S2 of the medical information mediation process shown in Figure 8, becomes unnecessary. Furthermore, the medical images included in the medical information may consist of multiple medical images. For example, this applies to imaging devices such as CT and MRI scanners, which capture a large number of medical images in a single examination, as well as to video recording. In such cases, the activation information (especially the reduced images) may be generated based on some of the medical images from the multiple images. For example, in CT, MRI, and video recording, reduced images may be generated for one image per series or one image per frame. In CR imaging, where the number of medical images is relatively small, reduced images may be generated for all the data. This prevents the transmission of a large number of reduced images as activation information.

[0093] [effect] As described above, the medical information intermediary device 1 has a first generation unit (control unit 11) that generates first activation information for activating the medical image display device 3 from the physiological examination system or the integrated physiological examination management system, and a first output unit (control unit 11) that outputs the first activation information to the physiological examination system 4 or the integrated physiological examination management system 5. This allows the medical image display device to be activated from the physiological examination system or the integrated physiological examination management system and medical information to be displayed, thereby improving convenience.

[0094] Furthermore, the medical information intermediary device 1 includes a first acquisition unit (control unit 11) that acquires medical images from the medical image acquisition device 2, and a first transmission unit (communication unit 14) that transmits the medical images to the medical image display device 3. The first generation unit (control unit 11) generates a reduced image of the medical image as first startup information, so that the user can start the medical image display device and exchange information by selecting the reduced image, thereby improving convenience.

[0095] Furthermore, since the reduced-size images differ for each medical image, users can launch the application for each medical image individually, improving convenience.

[0096] Furthermore, the medical information intermediary device 1 includes a first acquisition unit (control unit 11) that acquires medical images from the medical image acquisition device 2, and a first transmission unit (communication unit 14) that transmits the medical images to the medical image display device 3. The first generation unit (control unit 11) generates supplementary information for the medical images as first activation information, so that the user can activate each medical image individually, improving convenience.

[0097] Furthermore, since the supplementary information differs for each medical image, users can launch the application for each image individually, improving convenience.

[0098] Furthermore, the medical information intermediary device 1 includes a first generation unit (control unit 11) that generates first activation information for activating the medical image display device 3 from the physiological examination system 4 or the integrated physiological examination management system 5, and second activation information for activating the medical image display device 3 from the electronic medical record system 6, and a first output unit (control unit 11) that outputs the first activation information to the physiological examination system 4 or the integrated physiological examination management system 5 and outputs the second activation information to the electronic medical record system 6. As a result, the user can activate the device not only from the physiological examination system or the integrated physiological examination management system, but also from the electronic medical record system, thus improving convenience.

[0099] Furthermore, the first startup information includes the first supplementary information, and the second startup information includes the second supplementary information. The medical information intermediary device 1 has a first setting unit (control unit 11) that can set the file output format of the first supplementary information and the file output format of the second supplementary information to be different file output formats, so that the startup information can be output according to the specifications of the device to which the startup information is sent. In addition, even if the number of devices connected to the medical information intermediary device 1 increases, convenience is improved because it only requires changing the settings of the medical information intermediary device 1 to output in a file output format that corresponds to the specifications of the increased devices, without changing the overall configuration of the medical information intermediary system.

[0100] Furthermore, the file output format for the first supplementary information differs from that of the second supplementary information, allowing the startup information to be output according to the specifications of the device to which the startup information is sent.

[0101] Furthermore, the first setting unit can set the file output format of the first ancillary information to a file output format corresponding to the specifications of the physiological testing system 4 or the physiological testing integrated management system 5, and can set the file output format of the second ancillary information to a file output format corresponding to the specifications of the electronic medical record system 6, thereby enabling the output of startup information according to the specifications of the device to which the startup information is sent.

[0102] Furthermore, the medical information intermediary device 1 includes a first acquisition unit (control unit 11) that acquires medical images from the medical image acquisition device 2, and a first transmission unit (communication unit 14) that transmits the medical images to the medical image display device 3. The first generation unit (control unit 11) generates reduced images of medical images as first and second activation information, so that the user can activate the medical image display device from the physiological examination system or the integrated physiological examination management system and link information by selecting a reduced image, thereby improving convenience.

[0103] Furthermore, the medical information intermediary device 1 includes a first acquisition unit (control unit 11) that acquires medical images from the medical image acquisition device 2, and a first transmission unit (communication unit 14) that transmits the medical images to the medical image display device 3. The first generation unit (control unit 11) generates supplementary information for the medical images as first and second activation information, so that the user can select the supplementary information to activate the medical image display device from the physiological examination system or the integrated physiological examination management system and link the information, thereby improving convenience.

[0104] Furthermore, the medical information intermediary device 1 includes a second acquisition unit (control unit 11) that acquires first activation information from the medical image acquisition device 2 for activating the medical image display device 3 from the physiological examination system 4 or the physiological examination unified management system 5, and a second output unit (control unit 11) that outputs the first activation information to the physiological examination system 4 or the physiological examination unified management system 5. This allows the source of the activation information to be changed according to the system design.

[0105] Furthermore, by giving the medical image display device 3 the functionality of the medical information intermediary device 1, the medical image display device 3 can achieve the same effects as described above and can also accommodate various system designs.

[0106] Furthermore, the medical information mediation method includes a generation step of generating first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, and an output step of outputting the first activation information to the physiological testing system or the unified physiological testing management system. This allows the medical image display device to be activated and information to be shared from the physiological testing system or the unified physiological testing management system, thereby improving convenience.

[0107] Furthermore, the medical information intermediation system includes a generation unit (control unit 11) that generates first activation information for activating a medical image display device from a physiological examination system or a unified physiological examination management system, and an output unit (control unit 11) that outputs the first activation information to the physiological examination system or the unified physiological examination management system. This allows the medical image display device to be activated and information to be shared from the physiological examination system or the unified physiological examination management system, thereby improving convenience.

[0108] Furthermore, the program makes the computer of the medical information intermediary device 1 function as a generation unit (control unit 11) that generates first activation information for activating the medical image display device from the physiological examination system or the integrated physiological examination management system, and an output unit (control unit 11) that outputs the first activation information to the physiological examination system or the integrated physiological examination management system. This allows the medical image display device to be activated and information to be shared from the physiological examination system or the integrated physiological examination management system, thereby improving convenience.

[0109] Furthermore, the program makes the computer of the medical image display device 3 function as a generation unit (control unit 31) that generates first startup information for starting the medical image display device from the physiological examination system or the integrated physiological examination management system, and an output unit (control unit 31) that outputs the first startup information to the physiological examination system or the integrated physiological examination management system. This allows the medical image display device to be started and information to be shared from the physiological examination system or the integrated physiological examination management system, improving convenience.

[0110] Although the present invention has been described in detail based on embodiments above, it goes without saying that the present invention is not limited to the above embodiments and can be modified as appropriate without departing from the spirit of the invention. For example, the above description disclosed an example in which a hard disk or semiconductor non-volatile memory was used as a computer-readable medium for the program according to the present invention, but the invention is not limited to this example. Portable recording media such as CD-ROMs can be used as other computer-readable media.

[0111] Furthermore, the detailed configuration and operation of each device can be modified as appropriate, without departing from the spirit of the invention. [Explanation of Symbols]

[0112] 100 Medical Information Intermediation Systems 1. Medical Information Intermediation Device 11 Control Unit (First Generation Unit, First Output Unit, Second Output Unit, First Acquisition Unit, Second Acquisition Unit, First Setting Unit) 12 Display section 13 Control section 14. Communications Department (First Transmitting Department) 15 Storage section 2. Medical imaging equipment 21 Control Unit (Second Generation Unit, Second Setting Unit, Fourth Generation Unit, Fourth Setting Unit) 22 Display section 23 Control section 24 Communications Department 25 Memory section 3. Medical image display device 31 Control Unit (Third Generation Unit, Third Output Unit, Fourth Output Unit, Third Acquisition Unit, Fourth Acquisition Unit, Third Setting Unit) 32 Display section 33 Operation section 34 Communications Department 35 Storage section 4. Physiological Examination System 41 Control Unit 42 Display section 43 Operation section 44 Communications Department 45 Storage section 5. Unified Physiological Test Management System 51 Control Unit 52 Display section 53 Operation section 54 Communications Department 55 Storage section 6. Electronic Medical Record System 61 Control Unit 62 Display section 63 Operation section 64 Communications Department 65 Storage section

Claims

1. A first generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, A medical information intermediary device having a first output unit that outputs the first startup information to the physiological examination system or the physiological examination unified management system.

2. A first acquisition unit that acquires medical images from a medical imaging device, It comprises a first transmission unit that transmits the medical image to the medical image display device, The medical information intermediary device according to claim 1, wherein the first generation unit generates a reduced image of the medical image as the first activation information.

3. The reduced image is different for each medical image in the medical information mediation device according to claim 2.

4. A first acquisition unit that acquires medical images from a medical imaging device, It comprises a first transmission unit that transmits the medical image to the medical image display device, The medical information intermediary device according to any one of claims 1 to 3, wherein the first generation unit generates supplementary information of the medical image as the first activation information.

5. The medical information intermediary device according to claim 4, wherein the aforementioned supplementary information differs for each medical image.

6. A first generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, and second activation information for activating a medical image display device from an electronic medical record system, A medical information intermediary device having a first output unit that outputs the first activation information to the physiological testing system or the physiological testing integrated management system, and outputs the second activation information to the electronic medical record system.

7. The first startup information includes the first ancillary information, and the second startup information includes the second ancillary information. The medical information intermediary device according to claim 6, further comprising a first setting unit capable of setting the file output format for the first supplementary information and the file output format for the second supplementary information as different file output formats.

8. The medical information intermediary device according to claim 7, wherein the file output format of the first supplementary information is different from the file output format of the second supplementary information.

9. The medical information intermediary device according to claim 7 or 8, wherein the first setting unit can set the file output format of the first ancillary information to a file output format corresponding to the specifications of the physiological examination system or the integrated physiological examination management system, and can set the file output format of the second ancillary information to a file output format corresponding to the specifications of the electronic medical record system.

10. A first acquisition unit that acquires medical images from a medical imaging device, It comprises a first transmission unit that transmits the medical image to the medical image display device, The medical information intermediary device according to any one of claims 6 to 8, wherein the first generation unit generates a reduced image of the medical image as the first activation information and the second activation information.

11. A first acquisition unit that acquires medical images from a medical imaging device, It comprises a first transmission unit that transmits the medical image to the medical image display device, The medical information intermediary device according to any one of claims 6 to 8, wherein the first generation unit generates supplementary information of the medical image as the first activation information and the second activation information.

12. A second acquisition unit acquires first activation information from the imaging device for activating a medical image display device from a physiological examination system or a unified physiological examination management system, A medical information intermediary device having a second output unit that outputs the first startup information to the physiological examination system or the physiological examination centralized management system.

13. A third generation unit generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, A medical image display device having a third output unit that outputs the first startup information to the physiological examination system or the physiological examination unified management system.

14. It comprises a third acquisition unit that acquires medical images from a medical imaging device, The medical image display device according to claim 13, wherein the third generation unit generates a reduced image of the medical image as the first startup information.

15. It comprises a third acquisition unit that acquires medical images from a medical imaging device, The medical image display device according to claim 13 or 14, wherein the third generation unit generates supplementary information of the medical image as the first startup information.

16. A third generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, and second activation information for activating a medical image display device from an electronic medical record system, A medical image display device having a third output unit that outputs the first activation information to the physiological examination system or the physiological examination unified management system, and outputs the second activation information to the electronic medical record system.

17. The first startup information includes the first ancillary information, and the second startup information includes the second ancillary information. The medical image display device according to claim 16, further comprising a third setting unit capable of setting the file output format for the first supplementary information and the file output format for the second supplementary information as different file output formats.

18. The medical image display device according to claim 17, wherein the file output format for the first supplementary information is different from the file output format for the second supplementary information.

19. The medical image display device according to claim 17 or 18, wherein the third setting unit can set the file output format of the first ancillary information to a file output format corresponding to the specifications of the physiological examination system or the integrated physiological examination management system, and can set the file output format of the second ancillary information to a file output format corresponding to the specifications of the electronic medical record system.

20. It comprises a third acquisition unit that acquires medical images from a medical imaging device, The medical image display device according to any one of claims 16 to 18, wherein the third generation unit generates a reduced image of the medical image as the first startup information and the second startup information.

21. It comprises a third acquisition unit that acquires medical images from a medical imaging device, The medical image display device according to any one of claims 16 to 18, wherein the third generation unit generates supplementary information of the medical image as the first startup information and the second startup information.

22. A fourth acquisition unit acquires first activation information from the imaging device for activating a medical image display device from a physiological examination system or a unified physiological examination management system, A medical image display device having a fourth output unit that outputs the first startup information to the physiological examination system or the physiological examination unified management system.

23. A first generation step of generating first activation information for activating a medical image display device from a physiological testing system or a physiological testing integrated management system, A medical information mediation method comprising a first output step of outputting the first activation information to the physiological testing system or the physiological testing centralized management system.

24. A first generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system, A medical information intermediary system having a first output unit that outputs the first startup information to the physiological examination system or the physiological examination centralized management system.

25. The computer of the medical information intermediary device, A first generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system. A first output unit that outputs the first startup information to the physiological examination system or the physiological examination centralized management system. A program that makes it function as such.

26. The computer for the medical image display device, A third generation unit that generates first activation information for activating a medical image display device from a physiological testing system or a unified physiological testing management system. A third output unit that outputs the first startup information to the physiological examination system or the physiological examination centralized management system. A program that makes it function as such.

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