Provided are an examination information management apparatus and the like that can execute downloading even if the downloading and initialization of a receiving device are performed at different institutions, and can appropriately manage the downloaded image data and the examination information in association with each other. An examination information management apparatus 30 includes a data transmitting and receiving unit 32 that performs transmission and reception of data to and from the receiving device, a storage unit 33 that stores the examination information and the image data, a server ID maintaining unit 33c that maintains an identification ID of the storage unit, a registering unit 35b that registers the examination information and the identification ID with the receiving device, an ID determination unit 35c that determines, when the image data, the examination information and the identification ID are received from the receiving device, whether or not the identification ID registered with the receiving device matches the identification ID maintained by the ID maintaining unit, and an examination information generating unit 35a that newly generates the examination information and causes the storage unit to store the image data acquired by the receiving device in association with the newly generated examination information, if the identification IDs are not determined to match each other.
