JP2002306430A - Medical examination vehicle - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical examination vehicle by which an examination can be periodically or arbitually received or a person who wishes to have a medical examination can receive a general medical examination on the site. SOLUTION: The medical examination vehicle in which such examination apparatuses as an ultrasonic examination apparatus and/or a direct radiography examination apparatus being suitable for examinations on the stomach, the intestine, the pectoral region, the viscera and the hypogastrium are equipped. The examinations are performed in the examination vehicle and the other examinations are performed at appropriate places at the site.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION The present invention relates to a person who needs regular or irregular medical examination, or who wishes to have an appropriate medical examination (hereinafter referred to as "examiner").
However, instead of a place such as a hospital or the like equipped with normal screening equipment, in the field, for example, near the work place or residence of the examiner,
The present invention relates to a traveling mobile examination system that can receive a comprehensive examination regularly, irregularly, or when necessary.
Further, in the present invention, the inspection means relating to the ultrasonic inspection and / or the X-ray direct radiography inspection is in the state of being mounted on the vehicle, and the other inspection means is in the state where the equipment transported to the site by the inspection vehicle at an appropriate place outside the vehicle is installed. The present invention relates to a traveling mobile examination system to be implemented.

[0002]

2. Description of the Related Art Usually, when a medical checkup such as a medical checkup for the purpose of early detection of a disease or prevention of a lifestyle-related disease is desired, the examiner goes to a hospital and is installed in a hospital building. He had been screened using the equipment and devices he had. However, if a worker etc. consults a hospital, the round-trip time,
There was a problem that it was not possible to work due to waiting time at a hospital, etc., and therefore had to take a vacation, and it was not possible to easily and easily receive a medical examination. On the other hand, for indirect measurement using X-rays, etc., it is generally possible to undergo on-site consultation by a round checkup, but it is difficult to judge the detection of early cancer in terms of the resolution of the image. In general, at the time of satiety, an ultrasound examination device for lower abdominal examination that is effective for early detection of lifestyle-related diseases, Because it is not equipped, the examination of the lower abdomen by ultrasound must go to the hospital only for that purpose and undergo a medical examination, which is time-consuming and economical for examiners, especially workers. Was also disadvantageous and inconvenient.

[0003] Even if a patrol car equipped with the above-mentioned cost-effective and expensive screening equipment is realized, in order to receive high-quality screening in the medical technology field where the specialty field is steadily evolving, the images must be accurately captured. It was necessary to see a doctor in the field who could judge by interpretation, etc., to make an appointment at the doctor's hospital, and the examiner had to go to the hospital, which was disadvantageous and inconvenient for the examiner as above . Even for companies that thoroughly pursue rationalization for competitive advantage,
It would be desirable for employees to be able to take legal and medical checkups easily and at low cost from the viewpoint of efficient management of working hours and reduction of health insurance union costs by promoting health. Furthermore, even if the above-mentioned effective examination is equipped with expensive equipment that can be inspected on the patrol car, even if high-quality examination is realized by high-quality interpretation, a series of operations related to legal examination and general examination, for example, If the measurement of height and weight, blood sampling, blood pressure measurement, electrocardiogram measurement, sample reception and request of a testing institution, etc. However, there is a problem in that it is not possible to provide high-quality legal checkups and screening services typified by a medical checkup at low cost that are easy to use on a patrol car. In addition, medical examination vehicles have a limited loading space.On the other hand, there are medical devices that require precision or inspection devices that are required to be shielded by laws and regulations, such as measurement devices that use radiation. The present inventors have developed a traveling screening system that satisfies the requirements of (1).

[0006] A traveling examination provided with an appropriate examination apparatus is known. For example, a radiographic apparatus in which a radiation image information recording and reading apparatus is devised is mounted on a patrol car, and is moved to various places to perform examination. Checkup car (Japanese Unexamined Patent Publication No. Hei 3-15449)
Publication), a dentist's car having an operator's cab and a treatment room, which is preferably used for a dental consultation car that performs patrols in the city, conducts dental examinations for a remote area examination or bedridden age. Patient transport device (Japanese Patent Application Laid-Open No. 9-38117), an X-ray radiographic dental mobile medical car that can efficiently perform tooth examination (Japanese Patent Application Laid-Open No. 2000-189408), and an X-ray with an increased space in an imaging room and a reduced size Examination vehicles (Japanese Patent Application Laid-Open No. Hei 6-27703), CT examination vehicles (registered utility model No. 3027769) that can receive a CT scanner diagnosis while on a stretcher in an affected area, etc., and transportation means such as a vehicle towing vehicle or a helicopter It can be moved as needed, and multiple container vehicles equipped with some of the hospital facilities are connected at the installation site to form a hospital facility as a whole. A mobile hospital system capable of comprehensively examining a relatively large number of patients and providing medical treatment when a large number of injured or sick people occur in an area where medical facilities are not sufficiently accessible, such as an area or a remote area (Japanese Patent Laid-Open No. 2000-142211), which relates to an optometry system for eyesight measurement, and an eyesight measurement vehicle equipped with all necessary facilities and equipment for the purpose of providing services for business purposes of eyesight measurement (registered utility model No. 30188).
No. 69) is a dental consultation treatment car having a driver's cab and a treatment room, and is a dental consultation treatment treatment car for performing dental treatment in remote areas and dental treatment of bedridden persons (registered utility model 30695).
No. 70) is known. However, conventionally, it is impossible to perform a comprehensive examination using an in-vehicle device in terms of space. Therefore, in an in-vehicle device, only a partial examination using a specific device can be performed.

[0005] For the convenience of the examiner, the screening by the above-mentioned patrol-type inspection car requires that some of the inspection items such as legal inspections, for example, indirect X-ray imaging or the like be received on site, or that direct X-ray imaging can be performed. To be able to receive an on-site consultation (Japanese Unexamined Patent Publication
015449, JP-A-6-27703),
For example, being able to undergo a visual acuity check using a visual acuity test vehicle for measuring visual acuity (Japanese Patent Application Laid-Open No. 9-38117), a round-trip treatment using a dental visit car for the dental treatment is available (Japanese Patent Application Laid-Open No. 9-38117, JP-A-2000-
Japanese Patent Application Laid-Open No. 2000-142211) that a hospital facility can be formed in a disaster area by transporting a helicopter and that a mobile hospital system can be used for the public benefit without having to consider the profitability of medical examination costs. , Registered utility model No. 3027769) has also been proposed.
However, there is no known traveling inspection system that can perform a comprehensive physical examination on-site or on site, which solves the problems of limiting the loading space of inspection vehicles, shielding inspection equipment, and maintaining precision.

[0006]

In the present society, in general, in general, medical examinations for adult diseases and statutory medical examinations aim at early detection of lifestyle-related diseases due to their characteristics. It is recognized that efforts to change lifestyles are necessary,
It is recognized that the effect is not limited to a part of examination such as internal organ examination by X-rays or the like, but it is most effective to check the internal organs by examining the whole internal organs from a wide viewpoint. If such an effective screening is not easily implemented, the discovery of wet illness will be delayed, and in view of the fact that the treatment period will be prolonged and medical costs will increase with the sophistication of medical treatment, cost-effective multifaceted Early detection of wet illness, especially lifestyle-related disease, is recognized as the most important in medical examinations.

[0007] On the other hand, from the viewpoint of early detection, CT examination, MRI examination and the like are conceivable, but for that purpose, it is necessary to go to a hospital and receive a medical examination at the expense of time if necessary or desired. In addition, the cost required for the inspection was high and the cost effectiveness was not good. It is most efficient to take the examination as close to the examiner as possible, in terms of time and cost,
Even if the practitioners (physicians, screening providers) planned, it required a huge amount of capital investment, making it difficult to achieve economic viability. As mentioned above, by means of a cyclical human dock for the purpose of cost-effective early check of lifestyle-related diseases and early detection of the disease, examination of ultrasound including the lower abdomen, direct radiography, self-collection method Screening from a wide perspective, such as cell testing,
A medical check-up car equipped with this system provides medical services such as a medical checkup at a price that is easy for examiners, especially workers, to use at the site (factory, sales office, etc.) , Including self-government halls), there is a demand for the realization of a service system, but this has hardly been realized in practice. The realization of a medical service such as a traveling medical checkup as in the present invention leads to improving the health of the nation by providing a high-quality medical checkup service while suppressing an increase in medical expenses. As the price soars, it is a highly convenient system that can sufficiently meet the social demands of reducing medical costs. The present inventors, in consideration of the limitation of the loading space of the inspection car, efficiently arrange inspection equipment that requires complete shielding and maintenance of precision, and implement other equipment at appropriate local locations. To develop a comprehensive mobile screening system.

[0008]

In the traveling examination system according to the present invention, the stomach, intestine, chest, built-in and lower abdomen, and the equipment necessary for examination suitable for a blood sampling test are appropriately provided in the mobile examination vehicle itself. In addition, other inspection equipment is installed at an appropriate place outside the vehicle, and the health examination is comprehensively examined for the applicant for the examination. Devices required for the mobile examination vehicle include inspection devices for ultrasonic examination and / or direct X-ray examination. That is, according to the present invention, a mobile examination car is equipped with examination examination means suitable for stomach, intestine, chest, built-in and lower abdomen and blood sampling examination, and a traveling examination for examining a person undergoing examination on site with the examination car. Although it is related to the system, it also includes a system for centrally managing the examination information of the examiner over a long period of time.

That is, in the traveling mobile examination system of the present invention, data read from each examination means is transmitted by the communication control means via the communication line, and data is transmitted by the communication control means. Communication line means, examiner accumulation recording means for each examiner in which data transmitted through the communication line is recorded, and current and past or current data read from the recording means are stored in the data through the communication line. Communication control means transmitted by the communication control means to the radiologist, communication line means for transmitting data to the radiologist by the communication control means, recording means of the radiologist for recording data transmitted through the communication line, conversion When the data displayed by the display unit that displays the data read from the recording unit is necessary, edit the data by marking the place where the interpreter has judged. Editing means, the recording means for recording the findings of the interpreter together with the data displayed by the editing means, and the communication wherein the data read from the recording means is transmitted by the communication control means via a communication line. It is also characterized by comprising a control means, the communication line means for transmitting data by the communication control means, and an accumulation recording means for each examiner in which the data transmitted via the communication line is recorded.

[0010] In addition to the above-mentioned means, the traveling mobile examination system according to the present invention may include a blood test, a urine test, and the like necessary for a predetermined test necessary for prevention of living environment-related diseases and disease examination. When requesting a specimen from an affiliated laboratory, and obtaining the test result, information on the specimen is inputted from the terminal of the mobile examination vehicle, and input recording means for recording, and data read from the input recording means are recorded. Recording means,
Display means for displaying input data for confirmation, communication control means for transmitting data read from the recording means via communication line means, communication line means for transmitting data by communication control means, communication line The examiner accumulation recording means for each examiner in which the data transmitted through the means is recorded, and the data recorded in the recording means are stored in the recording means in accordance with data of a predetermined examination rule previously recorded in the recording means. Processing means for processing predetermined test schedules, test items, etc. determined for each of the above, the examiner accumulation recording means for recording data processed by the means, and the data recorded on the means. Communication control means for transmitting via the communication line means to the test organization of the sample,
The communication line means to which the data is transmitted by the communication control means, the recording means of the laboratory where the instruction data transmitted through the communication line means are recorded, and the sample sent separately based on the instructions recorded in the recording means are tested. The recording means on which the result is recorded, the communication control means for transmitting data read from the recording means via the communication line means, the communication line means for transmitting data by the communication control means, the communication line The data transmitted through the means are recorded in the examiner storage recording means for each examiner in which the data transmitted through the means is recorded, and the data transmitted through the communication line means is stored in the recording means in accordance with predetermined test reference data recorded in advance in the recording means. Test item determination means for automatically making a determination for each predetermined test item determined for each sample; Blood for each examinee by having the examinee storage recording means to be recorded when finding doctor based on the recorded decision result in the recording device is required, urine,
It is also characterized by adopting a traveling mobile screening system characterized in that a screening result report of liver function, renal function and the like can be automatically and simply created.

Further, in the traveling mobile examination system according to the present invention, if the examiner desires, in addition to any one of the above-mentioned means, the data read from the examiner recording means can be transmitted via a communication line. The communication control means transmitted to the examiner by the control means, the communication line means for transmitting data by the communication control means, the recording means for recording the data transmitted via the communication line, and the data of the recording means are displayed. The present invention also includes the adoption of a traveling mobile medical examination system characterized in that it is possible to constantly monitor one's own health by having a display means that can easily know the examination results from the past to the present by having the display means. It is.

[0012]

DESCRIPTION OF THE PREFERRED EMBODIMENTS According to the present invention, in a traveling mobile screening system, a statutory checkup and a checkup using a health check conducted for the purpose of checking for prevention of lifestyle-related diseases and early detection of a disease are performed at the work location of the person to be screened. It is performed by a mobile medical check-up vehicle at the site such as a stomach, a stomach, which is recognized as being cost-effective to achieve the above purpose,
It is necessary to equip a mobile inspection car with a screening device such as an intestine, a chest, a built-in and lower abdomen, and a screening device such as a direct imaging X-ray device and an ultrasound imaging device suitable for a blood sampling test, and perform a test for a screening. It is a feature. In addition, after the examination, as clinical technology becomes more sophisticated and complicated, judgment of images taken with high-precision equipment is performed by clinicians and university professors who are familiar with specialized fields and collaborate for each examination item. As a result, the accuracy and reliability of the examination are improved, so that the same high quality as visiting the hospital with a deeply shaped doctor for the diagnosis and waiting for the order without having to undergo a medical examination is the same as that at the hospital. It is also characterized in that screening can be easily realized.

Further, according to the present invention, examination data relating to current and past medical examinations of a medical examiner, findings of a physician, and health conditions or medical treatment data declared by the medical examiner can be easily used for medical examination determination in accordance with certain rules, and can be used automatically. Since the reports are automatically arranged and stored, a report of the results of the examination is automatically made based on the database, thereby saving labor. If there is no problem with the doctor's view of this report, the physician signs the report and clarifies the responsibilities of the doctor. By the addition, a high-quality screening report that is extremely objective and free from omission can be easily created as a screening report.

[0014] In addition, the doctor not only informs the examiner of the results of the examination, but also requires a secondary work-up or treatment depending on the examination results, to a medical institution most suitable for the examination or treatment. It can be selected and presented from a database registered in advance for each area or region. If the medical institution or the examiner in the district where the examiner desires from the presented medical institutions wishes, a secondary examination request form or treatment request form is automatically created for the medical institution to which the examiner relates. , Sent to the examiner. If the examiner brings the request form to the medical institution, he or she will be able to receive the most appropriate detailed examination and treatment at a medical institution with the latest technology and equipment that cannot be selected by the examiner in the rapidly evolving clinical technology field. ,
The data of the results of the secondary examination and the treatment are reflected in the database, and the health status of the examiner is grasped by constantly updating the database to the latest file from the past to the present for each examiner. In addition, if the examiner wishes, by providing the database to the examiner or by giving the examiner the opportunity to access the database as needed, it is possible to overcome lifestyle-related diseases and maintain health for a long time. -It features a traveling mobile examination system that can even provide materials suitable for examiners who aim for improvement.

[0015] That is, for example, a radiological examination apparatus, which has been conventionally practiced, is mounted on a patrol car, and is carried on a stretcher in a mobile examination car, an X-ray dental mobile medical examination car capable of efficiently performing tooth examination, a disaster-stricken area, or the like. By using a CT examination car, helicopter, or other means of transport that can receive a CT scanner diagnosis, a plurality of container vehicles equipped with some of the hospital facilities are installed and connected on-site to form hospital facilities, and emergency services are conducted in areas where conflicts occur. A mobile hospital system capable of comprehensively examining and medically treating many injured persons, an eyesight measurement vehicle equipped with all necessary equipment and equipment for the purpose of on-site vision measurement service, dental treatment and bedridden in remote areas A traveling mobile inspection vehicle using a dental inspection treatment mobile inspection vehicle to perform dental treatment for humans and an inspection service using that system are temporarily some of the inspection items of legal screening While the present invention is intended for emergency medical treatment for public interest in disaster areas, etc., the present invention aims at early detection of illness over a long term in individuals and screening for lifestyle-related diseases. A wide variety of screening items for screening from various aspects, cost-effective stomach, intestine, chest, internal and lower abdomen, direct imaging X-ray device, ultrasonic imaging device, etc. Equipped with a mobile medical checkup car, etc.
As an integrated system, medical examinations are performed by clinicians and university professors who are well-versed in specialized fields in cooperation with each test item, and judgments on images taken with high-precision equipment are performed. The purpose is to realize high-quality screening at low cost by constructing.

The traveling mobile examination system of the present invention will be described with reference to the drawings. FIG. 1 shows the entire structure of the traveling mobile examination system of the present invention. FIG. 2 is a perspective view of the mobile examination vehicle according to the embodiment of the present invention as viewed from above. As shown in FIG. 2, the mobile examination vehicle 1 includes an operator's cab 101, a control room 102 provided at the rear of the operator's cab, and an examination room 103 provided at the rear of the control room.
Having. The control room has a computer control unit 1 in the center.
00, X controlled by the control unit on the left and right sides thereof
An X-ray control unit (104, which includes an X-ray control unit and an ultrasonic control unit and a hearing test control unit 105, which controls the X-ray imaging apparatus).

The examination room 103 includes an X-ray generation unit 108 controlled by an X-ray control unit, an X-ray imaging room 107 having an X-ray imaging table 109, an ultrasonic signal generation unit controlled by an ultrasonic control unit, and a tissue. Detector 1 for detecting echo reflected at the boundary
06, an ultrasonic examination room, a voice converter for converting a signal transmitted under the control of a hearing test control section into a voice, a receiver, and a transmission section for transmitting a signal to which the examiner responds to the voice. Temporary until the arrival at the site, including a hearing test soundproof room with a built-in tent, a folding cot and a desk chair that are used to take out from the mobile examination vehicle at the time of screening and make a screening place outside Inspection equipment such as an electrocardiograph and a blood pressure monitor, urine test strips, blood shadow collection equipment, etc., which are required to perform legal examinations at a place to be stored in the tent outside the moving car at the examination A storage / transport space 110 to 112 for storing a PC for managing the sample processing or sample processing or transporting other devices is provided as appropriate.

FIG. 1 shows an outline of a traveling mobile examination system using the above-mentioned mobile examination vehicle shown in FIG. As shown in FIG. 1, the traveling mobile examination system according to the present invention includes an examination car headquarters system 2, a mobile examination car system 1, an X-ray interpretation system, an examination organization system, and an examiner (employee of a company, member of a local government) (Including mobile terminals such as PHS, mobile phones, electronic organizers, etc.)
Any two or more of them are interconnected by one or more communication lines (including wired, wireless, and satellite communications) 6 (the same applies hereinafter) to all or a part of the system. By exchanging data to be exchanged,
As a whole, a traveling mobile examination system is constructed.

The person who is going to undergo a medical examination inputs his / her password, identification number (hereinafter referred to as "registration number") and data relating to the application for medical examination to the input device 33 of the system 3 of the medical examiner. The recorded data is recorded in the recording device 32, and the recorded data is transmitted to the system of the examiner's headquarters via the communication line by the communication control device 31, and is transmitted to the storage file 23 when the registration number is recognized as the examiner. The received data is recorded. Based on the recorded data, it is compared with the data recorded in the examination vehicle operation file 23, and the date and time when the examiner is available is recorded in the examiner accumulation registration 23 file.
Data of the scheduled examination date and time, the past examination results of the examiner read from the examiner accumulation file 23, the health condition report data of the examiner, and the examination-related format file 23
Is transmitted to the system of the examiner 3 via the communication line 6 by the communication control device 21 of the examination vehicle headquarters 2 and the like. The transmitted data is recorded on the recording means 31 by the communication control device 31 of the examiner and displayed on the display device 32.

By inputting selection data of a date and time convenient for the examiner to the displayed scheduled examination date and time data by the input device 33, the displayed data is specified, the date and time of the examination are determined, and the displayed examination is performed. The data displayed is edited by adding the data of the items required for the examination application from the input device to the data of the application form, and the examination application form is created. At the time of application creation, the past checkup data, findings and health status data sent by the checkup are clearly displayed at a glance so that the health status can be easily grasped. Food) can be easily reviewed.

The data of the determined examination date and time and the examination application form are recorded in the recording device 32 and, at the same time, transmitted to the examination vehicle headquarters 3 via the communication line 6 by the communication control device 31 in the same manner as described above. The transmitted data is transmitted to the communication control device 21.
Is recorded in the examiner accumulation record file, the data such as the determined examination date and time are recorded in the examiner operation file, the examiner of the day is identified based on the recorded data, and the identified examiner is identified. At the same time, data such as the date and time of the examination, the name of the examiner, the examination location, the examination items, the examination number, etc., and the necessary equipment and the like on the examination day are transmitted from the examination examiner accumulation file 23 to the examiner 3. That is, the data received by the communication control device 11 via the communication line 6 is recorded in the examiner file 13 of the mobile examination vehicle 1, and the data file 13 of the dispatch schedule of the examiner is updated. A schedule table of the examiners is created.

On the day of the medical examination, map data of the medical examination place where the medical examination is performed, which is recorded in advance in the medical examination-related file, is read out from the file and displayed on the display device 17, and the mobile medical examination car 1 is operated in accordance with the displayed map. Driving and arriving at the site. In the meantime, in order to prepare for the examination, the examination number is attached to the documents necessary for the examination by the examiner, output from the output device 15, and a plurality of Ps for examination reception / management used for the examination are used.
Data necessary for the examination is loaded from the examination file 13 into the recording device of the C personal computer (hereinafter, referred to as a PC), and the preliminary preparation is completed. In the field, from a mobile examination car,
Carry out the equipment equipped in the mobile examination car, for example, the examination equipment other than X-ray direct radiography examination equipment and ultrasonic examination equipment,
By arranging a cot, a medical examination device (such as an electrocardiograph) and a PC with a cable or line connected to a mobile medical examination car system in a predetermined temporary examination site or simple examination tent Complete screening preparation.

At the time of screening, the procedure for receiving samples such as stool specimens sent in advance or handed on the day and labeled with a bar code (related to the name of the examiner or the examination number) confirms the specimen and the examiner. The data is input to the PC and recorded on the recording device of the PC (not shown). In this case, the barcode may be read by a barcode reader, and the read data may be converted by a CSV converter (not shown) and recorded in a recording device. Furthermore, it is also possible to manage by the name or examination number of the examiner without attaching a barcode. The sample of the collected blood may be processed in the same manner as described above, and the data may be recorded in the recording device.

In direct X-ray imaging, the name of the examiner who is to receive the imaging is input to the input device 16, and the data of the input name is recorded in the mobile inspection vehicle file 13, and the name of the recorded name is recorded. When the data corresponding to the data coincides with the examination number described on the examination number label handed to the examiner at the time of examination reception, an imaging start signal is given to the X-ray apparatus 19, and the image data taken is filmed. (Not shown) and / or recorded in the examiner file as a signal to be transmitted later. Similarly, in the ultrasonic examination, the name of the examiner who is going to receive the imaging is displayed on the input device 1.
9 and the data of the input name is recorded in the mobile examination vehicle file 13, and the data corresponding to the recorded name data is described in the examination number label handed to the examiner at the time of examination reception. When the number matches the examination number, an examination start signal is given to the ultrasonic examination apparatus 18, and the examined image data is recorded in the examination car file 13 as a film (not shown) and / or a signal to be transmitted later. You. Also in the hearing test and the ultrasonic test, the name of the examiner who is going to undergo the mobile examination is input to the input device 16, the input name data is recorded in the mobile inspection car file 13, and the recorded name data is recorded. If the corresponding to the examination number described on the examination number label handed to the examiner at the time of examination reception, a test start signal is given to an audiometry apparatus or an ultrasonic examination, and the examined data is later It is recorded in the mobile examination vehicle file 13 as a signal to be transmitted.

In the examination of the electrocardiogram, the name of the examiner who is going to undergo the examination is inputted into the input device of the PC, and the data of the inputted name is recorded in the examination car file 16 of the PC.
If the data corresponding to the recorded name data matches the medical examination number written on the medical examination number label handed to the examiner at the time of medical examination reception, a test start signal is given to the electrocardiograph and the medical examination is performed. The examination data obtained is recorded in the examination car file of the PC as a signal to be transmitted later. For other examination items, the name of the examiner who is going to undergo the examination is P
C is input to the input device, and the input name data is P
If the data corresponding to the name data recorded in the examination car file 13 of C matches the examination number described on the examination number label handed to the examiner at the time of examination reception, when examination is prepared, Screening related format file 1 of screening person 1
The format data read from the PC 3 is pre-recorded in the recording device of the PC, and the data inspected in the recorded format data file created for each examiner is recorded in the PC file 13 for each test item.

After the completion of the examination, the examination data recorded in the recording device of the PC is stored in the examination vehicle file 13 of the examiner in the U format.
P LOAD is recorded, and examination data is created in the examiner file 13 for each examiner. The inspection data read from the file is transmitted to the communication line 6 by the communication control device 11.
The transmitted data is received by the communication control unit 21 through the communication control unit 21. The received data is recorded as a test data file in the examiner accumulation record file 23 for each examiner. In addition, those that require testing of the sample by the testing institution include:
Based on the procedure standard data of the inspection request file 23 in which data on each inspection organization, etc., for which the inspection items, inspection report format, delivery date, request procedure, etc. have been negotiated, the specimens and tests to be requested for each inspection organization A test request form in which items, delivery date, etc. are specified is automatically created, and the created test data is recorded in the test request file 23 and transmitted to each testing organization, and the sample is also mailed at the same time.

The data of the inspection request form read from the inspection request file 23 and the data of the format related to the format read from the inspection-related format file are transmitted by the communication control device 21 to the inspection organization via the communication line 6. ,
The transmitted data is received by the communication control unit 51 of the inspection organization, and the received data is recorded in the file 53. Inspection is performed on the separately sent sample based on the instructions of the recorded test request data, and the inspected data is created in accordance with the above format created for each sample, and the created data is stored in a file. 53 is input via the input device, the input test data is transmitted by the communication control device 51 to the medical examination vehicle headquarters via the communication line, and the transmitted file is received by the communication control device 21 for examination. The file is recorded as an examination data file in the examiner accumulation file 23 for each examiner.

On the other hand, for those which require image interpretation such as X-ray imaging, the types of examinations requested for image interpretation, clinical image interpretation items, image interpretation report format, findings, delivery date, request procedure, etc. are determined in advance. Based on the procedural standard data of the examination request file 23 in which the data on the interpretation institution and the like are recorded, an examination request form (data) in which the examination item to be requested for interpretation and the delivery date are automatically specified for each interpretation institution. The created (requested) interpretation request form is recorded in the examination request file 23, and at the same time, the data to be interpreted read from the examination vehicle file 13 is transmitted to each examination organization.
The transmitted data is received by the communication control device 41 of the radiology institution, and the received data is recorded in the file 43. Findings data of the data read based on the instructions in the data of the recorded request for reading, if necessary, are marked at the read position, and data conforming to the above format created for each examiner A file is created in a report format, the created data is recorded in the file device 43, and the recorded interpretation data is transmitted by the communication control device 41 to the medical examination vehicle headquarters via a communication line, and the transmitted file is The examination data received by the communication control device 21 is recorded as an examination data file in the examiner accumulation file 23 for each examiner.

The examination data and the like relating to examination items recorded in the examiner accumulation file 23 for each examiner have a structure as a uniform examination data file according to a certain standard. Therefore, the test data and the like are compared by reference data pre-recorded in the screening reference file 23 and determined by the test item determining means 22 for performing a pass / fail determination, and the determined result is automatically created as a medical check report draft, Data of the prepared report draft is recorded in the examiner storage file 23 for each examiner. The report draft is displayed to the doctor by the display device 27 for displaying the data of the examination report draft read out from the file, and when the doctor's findings are required, the data of the doctor's findings are input from the input device, and the data of the report draft are input. Except in the case where the report is added to the report, an electronic signature of the doctor is given to the draft report from the input device, and the signed data is recorded as the data of the formal medical examination report in the medical examiner accumulation file 23 for each medical examiner. When the examiner wishes, the recorded report data is transmitted in a public key manner without worrying the examiner, and can be used as valuable data for the examiner's own health management.

If it is determined from the examination results that a secondary workup or treatment is necessary, the medical institution most suitable for the examination or treatment is selected from the database of the medical institution file 23 recorded in advance by clinical technical field and region. When a medical institution or a medical examiner in the district where the examiner wants is presented from the presented medical institution, and the medical institution of the district wishes, the secondary examination request form or treatment request form addressed to the medical institution of the examiner Is the output device 2 based on the data of the examiner accumulation file 23.
5 is automatically created and sent to the examiner. If the examiner brings the request form to the medical institution, the examiner has the latest technology and equipment that the examiner cannot select at all in the rapidly evolving clinical technology field. Optimal workups and treatments are available at medical institutions.

The data at the time of the secondary examination and the treatment are as follows:
It is reflected in the database of the examiner accumulation file, and the database is constantly updated to the latest file from the past to the present for each examiner so that the health status of the examiner is grasped, and if the examiner wishes, the database By providing the examiner with the information or providing an opportunity to access the database as needed by the examiner, to provide materials suitable for examiners aiming to overcome long-term lifestyle-related diseases and maintain / improve their health over a long period of time. It is to construct a traveling mobile examination system that can even provide it.

[0032]

According to the present invention, a person who needs a regular or irregular medical checkup, or who wishes to perform a medical checkup as appropriate, is not located in a place such as a hospital equipped with ordinary medical checkup equipment. Since it is a traveling mobile examination system that can receive a comprehensive examination regularly or irregularly in the vicinity of the work place or residence of the examiner, for example, it is extremely convenient for examination applicants. In addition, since a medical examination can be easily performed on the spot, the necessity is high and the social contribution is large even in aspects other than prevention. Also, in the present invention, by adopting such a traveling mobile examination system,
Easily and easily receive low-cost, high-quality medical examinations such as statutory medical examinations, medical check-ups, and after-sales care at your place of residence or workplace, so you can detect diseases early and prevent lifestyle-related diseases for a long time. It is easy to continue effectively, and as a result, it can greatly contribute to the reduction of medical costs for individuals, health insurance unions, and governments. In addition, a part of this system may be appropriately configured as a part of another system, or a part of the other system may be appropriately configured as a part of the main system of the medical examination car headquarters. . The data exchange between the subsystems constituting the present system may be performed by using a data recording medium (FDD, MO, etc.) as appropriate in relation to the partner system. In addition, the inspection equipment that constitutes a part of this system is
ography, Image Intensifier Digital Radiography, Comp
Uted Radiography or the like may be used.

[Brief description of the drawings]

FIG. 1 is a schematic diagram of a traveling mobile examination system of the present invention.

Fig. 2 Schematic drawing of a mobile examination car

[Explanation of symbols]

 Reference Signs List 1 mobile examination car 11 communication control device 12 recording device 13 file device 14 CPU 15 output device 16 input device 17 display device 18 ultrasonic examination device 19 direct X-ray examination device 2 examination car headquarters 21 communication control device 22 storage device 23 file device Reference Signs List 25 output device 26 input device 27 display device 3 examinee 31 communication control device 32 storage device 33 input device 34 display device 4 image reading institution 41 communication control device 42 recording means 43 file device 5 inspection institution 51 communication control device 53 file device 6 Communication line 7 PC 73 File device 76 Input device tail 100 Computer control unit 101 Operating room 102 Control room 103 Examination room 104 X-ray control unit 105 Ultrasonic control unit and hearing test control unit 106 Ultrasonic signal generation unit and detection unit 1077 X X-ray room 108 Part 109 X-ray table 110 storage and transportation space 111 storage and transportation space 112 storage and transportation space 113 door

Continuation of the front page (51) Int.Cl. ⁷ Identification symbol FI Theme coat II (reference) // A61B 6/00 310 A61B 6/00 310 310 390 390M F term (reference) 4C093 AA01 CA50 EE12 4C301 FF30 KK33 LL11 LL20 5K101 KK19 LL01 LL12 MM07 NN03 NN18 NN21 SS07 TT06 UU16

Claims (7)

[Claims] Claims: 1. In a screening means for a health checker for diagnosing a health condition regularly or irregularly, the testing means is installed in a mobile check-up car and / or transported on site, and a check-up is performed at the screen of the checker. A traveling mobile screening system characterized by detecting diseases and lifestyle-related diseases at an early stage by judging images taken by a highly accurate device. 2. A traveling mobile examination system comprising a consistent system for long-term health monitoring work of individual examiners throughout the examination for each examination item of the examination. 3. A stomach, intestine, chest, internal and lower abdomen, and examination means necessary for a blood sampling test are carried on-board and moved, and examination is conducted at appropriate locations inside and outside the car of the examiner on site. 3. The traveling mobile examination system according to claim 1, wherein 4. A mobile examination vehicle body is provided with ultrasonic examination means and / or X-ray direct radiography examination means, and other examination means are installed at appropriate locations outside the local car, so that examination applicants can be examined. A medical examination is performed.
The traveling mobile examination system according to any one of the above. 5. 1. communication control means for transmitting data read from the examination result by the communication control means via a communication line; 2. communication line means for transmitting data by the communication control means; 3. The data transmitted through the communication line is received by the communication control means of the medical checkup car headquarters, and the storage means of the examiner for each examiner who records the received data. 4. Communication control means for transmitting the present and past or present data read from the storage and recording means to a data reader via a communication line means; 5. communication line means for transmitting data to the reader by the communication control means; 6. a radiogram interpreter's recording means in which data transmitted via the communication line is received by the radiogram interpreter's communication control means, and the received data is recorded; 7. data conversion means for facilitating interpretation of data read from the recording means; In the case where the data displayed by the display means for displaying the data read from the conversion means is necessary, a mark is made at the place where the interpreter makes a judgment, and the opinion of the interpreter is recorded together with the displayed data. Recording means, 9; 9. the communication control means for transmitting data read from the recording means via a communication line;
10. communication line means to which data is transmitted by the communication control means; The data transmitted through the communication line means is received by the above-mentioned communication control means of the medical examination vehicle, and the storage and recording means of the examiner for each examiner in which the received data is recorded is managed by a computer. The traveling mobile examination system according to any one of claims 1 to 4. 6. When a request is made to a partner laboratory for blood test, urine test, etc. necessary for prescribed tests required for prevention of lifestyle-related diseases and disease screening, information on the sample is transferred when obtaining the test results. Enter from the car terminal,
1. input recording means for recording; 2. recording means for recording data read from the input recording means; 3. Display means for displaying the input data for confirmation. 4. communication control means for transmitting data read from the recording means via the communication line means; 5. communication line means for transmitting data by the communication control means; The data transmitted via the communication line means is received by the communication control means of the medical checkup car headquarters,
6. storage means of the examiner for each examiner in which the data received are recorded; The data recorded in the accumulation recording means is specified in accordance with the data of the predetermined examination rules pre-recorded in the recording means.Specific test schedules, test items, etc. determined for each sample for the test are specified, and the specified data is 7. Examination accumulation storage means to be recorded; 8. communication control means for transmitting the data recorded in the means to the test organization of the specimen via the communication line means, communication line means for transmitting data by the communication control means, Instruction data transmitted via the communication line means is received by the communication control means of the inspection organization,
Recording means of a laboratory where the consulted data is recorded, 1
0. Recording means for testing a sample separately sent based on the instructions recorded in the recording means and recording the result, 1
1. 11. communication control means for transmitting data read from the recording means via the communication line means; 12. the communication line means for transmitting data by the communication control means; 13. the medical examination person accumulation recording means for each medical examination person, in which the data transmitted via the communication line means is received by the communication control means of the medical examination car headquarters, and the received data is recorded. Test item determination means for automatically determining for each predetermined test item determined for each sample in accordance with data of a predetermined test criterion in which data transmitted and received via the communication line means is pre-recorded in the recording means; 15. The above-mentioned examiner accumulation recording means in which the result of the judgment by the examination item judgment means is recorded, and the examiner accumulation record which is recorded when a doctor's finding is necessary based on the judgment result recorded in the examiner accumulation recording means By having means, blood, urine, liver function,
The mobile examination system according to any one of claims 1 to 5, wherein an examination result report of renal function and the like can be automatically and simply created. 7. 1. If the examiner wishes, communication control means in which data read from the examiner accumulation recording means is transmitted to the examiner by the communication control means via the communication line means; 2. the communication line means to which data is transmitted by the communication control means, and recording means for receiving the data transmitted via the communication line by the examiner's communication control means and recording the received data; Having the display means for displaying the data of the recording means makes it possible to easily know the results of examinations from the past to the present.It is possible to detect the disease early and prevent lifestyle-related diseases by constantly monitoring one's own health. The traveling mobile examination system according to claim 1.