JP2003303240A - System and method for supporting second opinion - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a second opinion support system that can reduce the burden on a patient of desiring to obtain a second opinion. <P>SOLUTION: In this system/method, a second opinion support server 11 is provided between a hospital system 12 to which a medical doctor for conducting the first diagnosis belongs and a terminal 13 for executing the second opinion, so as to mediate data therebetween. The second opinion server 11 classifies the data transmitted from the hospital system 12 into opened information and non-opened information opened and non-opened to the medical doctor providing the second opinion, and transmits only the opened information to the doctor providing the second opinion. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a second opinion support system and a second opinion support method.

[0002]

2. Description of the Related Art In recent years, the number of patients visiting hospitals has been increasing due to various social phenomena such as adult diseases and aging.
Among them, there are many patients who need to be examined by medical equipment such as X-ray equipment, CT equipment, MRI equipment, ultrasonic equipment, and endoscopic equipment. Such medical equipment requires a large cost to purchase and maintain, and this cost has a great influence on the management of the hospital. On the other hand, as a social need, it is required to reduce the financial burden on the patient side even for patients who have long-term medical treatment. That is, it is desired for the hospital to inspect and diagnose many patients in a short time. Under these circumstances, of course,
The time a doctor spends on each patient must be reduced. However, contrary to the improvement of the diagnosis efficiency, as described above, since the time for contact with the doctor is short, the patient's position is greatly concerned about the diagnosis. Especially when the patient has a serious life-threatening medical condition, he wants to hear more from the doctor regarding the accuracy of the disease (type of disease, location of lesion, etc.) or the cure for the disease. It makes me feel.

Conventionally, as one method for resolving such anxiety, patients have been seeking the opinion (second opinion) of a doctor different from the doctor who first made the diagnosis.
Specifically, the patient himself / herself finds another doctor who is different from the doctor who has already been diagnosed, and explains to the doctor the subjective symptoms, etc. that the patient has again. She was asked to make a diagnosis again based on the test results.

[0004]

However, in this way, in order to obtain the second opinion, if the same tests were repeated many times, not only the physical burden and financial burden on the patient side, but also The mental burden will be enormous. In particular, a patient who wants to obtain a second opinion often has a particularly serious illness as described above, and a plurality of tests is very burdensome for such a patient. Therefore, an object of the present invention is to provide a second opinion support system that solves the above problems and can reduce the burden on a patient who wants to obtain a second opinion.

[0005]

In order to solve the above-mentioned problems, the invention according to claim 1 provides a predetermined data from a hospital system in which data regarding a patient and data regarding a first doctor who diagnoses the patient are stored. Receiving means for receiving data relating to the first doctor and patient via a communication line, and transmitting means for transmitting data relating to the first doctor and patient to a second doctor different from the first doctor. And are provided.

Further, the invention according to claim 2 relates to the first doctor and the patient via a predetermined communication line from the hospital system in which the data on the patient and the data on the first doctor who diagnosed the patient are stored. Receiving means for receiving data, and sorting means for sorting the received data into first data disclosed to a second doctor different from the first doctor and second data not disclosed to the second doctor. ,
Transmission means for transmitting only the first data to the second doctor. Further, the invention according to claim 3 receives the data about the first doctor and the patient via a predetermined communication line from the hospital system in which the data about the patient and the data about the first doctor who diagnosed the patient are stored. A step of disclosing the received data to a second doctor different from the first doctor and a second data not disclosing to the second doctor.
Related to the diagnosis result for the patient determined by the second doctor based on the first data, the step of selecting the first data from the second doctor, and the step of transmitting only the first data to the second doctor. The method further comprises the steps of receiving data and transmitting the received data regarding the diagnosis result of the second doctor to the hospital system.

[0007]

BEST MODE FOR CARRYING OUT THE INVENTION A first embodiment of the present invention will be described in detail below with reference to the drawings. Figure 1
FIG. 3 is a block diagram of a second opinion support system according to the present embodiment. The second opinion support system of the present embodiment is connected to the second opinion support server 11 and the support server 11 via a communication line (which indicates a communicable path regardless of the Internet, a dedicated line or wired or wireless). The hospital system 12 and the terminal 13 are provided. The hospital system 12 is a system provided for each hospital and owns data such as patient information. Further, the terminal 13 is a terminal used by a doctor who performs a second opinion to refer to patient's medical record information and the like, which may be provided in the hospital system or owned at home or the like. May be. Further, the second opinion support server 11 mediates data transmitted and received between the hospital system 12 and the terminal 13 based on a predetermined condition.

Further, the hospital system 12 will be described in detail with reference to the block diagram of FIG. The hospital system 12 according to the present embodiment mainly includes the main body control unit 126,
A patient information database 123 storing patient information, a doctor information database 122 storing doctor information, and a second opinion database 124 storing information regarding a second opinion desired by the patient are connected. Here, the patient information database 123 stores the patient's name, age, address, examination content, diagnosis result of the doctor in charge, and the like. Also, the doctor information database 122
The name of the hospital to which the doctor belongs, the department to which the doctor belongs (internal medicine, surgery, etc.), the name of the doctor, and the like are stored. Further, the second opinion database 124 stores data regarding a second opinion described later. Further, a plurality of personal computers 121 (PC) for each doctor in the hospital to browse information in various databases and make various requests are connected to the system control unit 126, and communication devices 125 (LAN, etc.) are connected. Device) and is connected to a communication circuit.

Next, the second opinion support server 11
Will be described in detail with reference to the block diagram of FIG. Second opinion support server 1 of the present embodiment
1 is a communication device 11 for connecting to the above communication line
0, a data distribution unit 111 for distributing the data converted by the communication device 110. The data distribution unit 111 determines whether the received data is transmitted from the hospital system 12 or transmitted from the terminal 13, and distributes the data. In the subsequent stage of the data distribution unit 111, there is a 2
A system of processing is provided. The processing system at the top of the figure is
A processing system that processes data received from the hospital system 12, and includes a request source check unit 113 that checks whether the data is properly received from the hospital system 12 and a request source doctor information database 114. The processing system also includes a second opinion doctor selection unit 115 for determining a second opinion doctor and a second opinion doctor information database 117 in which information of the second opinion doctor is stored. The second opinion doctor information database 117 stores the name of the doctor who desires the second opinion, the place of the hospital to which the doctor belongs, the specialty, and the like. The PC 116 is connected to the second opinion doctor selection unit 115. Further, the processing system is provided with a disclosure information discriminating unit 112 that discriminates and outputs information to be disclosed to a doctor who performs a second opinion.

On the other hand, the processing system in the lower part of FIG. 3 for processing the data transmitted from the terminal 13 includes a diagnostic data check unit 118 for checking the diagnostic result made by the second opinion doctor, and a reward amount for the second opinion. A bill database 119 for accumulating the stored bill data is provided. Next, the operation of the second opinion support system according to the present embodiment will be described. Note that the following description will be broadly divided into an operation at the time of requesting a second opinion, an operation at the end of the second opinion, and an operation at the time of checking for smoothly supporting the second opinion. (1) Operation when requesting a second opinion (1-1) Operation on the side of the hospital system The doctor of the hospital having the hospital system 12 shown in FIG. Line test, blood test, urine test, etc.)
Diagnosis is made based on this test result and the patient's interview. The data such as the name of the patient, the test result data, the data regarding the symptom of the patient obtained from the interview, and the data regarding the diagnosis result are stored in the patient information database 123 in the hospital system 12 shown in FIG. Here, the diagnosis result is a result that the doctor subjectively judges the detailed condition of the patient from the symptom and the test result of the patient. The diagnosis result may include a proposal of a treatment method or the like, if necessary. The doctor, along with the test results for the patient,
Present the diagnostic results.

The patient who has been presented with the diagnosis result or the like selects here whether or not to receive the second opinion.
The act of a patient receiving this second opinion is very important not only for improving diagnostic accuracy, but also for removing mental anxiety of the patient. The act of determining whether or not to receive the second opinion may be urged as an obligation of the doctor or may be left to the discretion of the patient. Here, if this patient expresses his / her intention to receive the second opinion, the doctor will explain to the patient the flow of the patient's data (including the test result and the data related to the diagnostic result) necessary for receiving this second opinion. I do. This is an action to prevent the private information of oneself from being transmitted outside the hospital (specifically, to the second opinion support server 11) against the will of the patient.
A second opinion will be given only if this patient agrees.

After confirming the intention of the second opinion for the patient, the doctor sends the data necessary for the second opinion to the second opinion support server 11. Specifically, when the doctor inputs, via the PC 121, that the patient desires the second opinion,
The main body control unit 126 extracts the data necessary for the second opinion from the patient information database 123 and the doctor information database 122. As shown in FIG. 4, this data has a structure having data 21 regarding a doctor who made a diagnosis of the patient, data 22 regarding a patient who desires a second opinion, and auxiliary data 23. More specifically, the doctor-related data 21 is data read from the doctor information database 122 of FIG. 2, and the hospital to which the doctor belongs, the department to which the doctor belongs, and the name (in some cases, the same surname and the same name, so It may be an ID number or the like that can distinguish)). Further, the data 22 regarding the patient is data read from the patient information database 123, and is the name of the patient,
Test details (test date, test type, test conditions, test results) received by the patient, patient case classification (brain tumor, angina, etc.), symptoms of the patient (fever, vomiting, etc.), and diagnostic results Data. Further, the auxiliary data 23 is data input by a doctor when a patient desires a second opinion, and is a designated date indicating by when the patient wants to receive the second opinion, and a place where there is a doctor who asks the second opinion ( In some cases, after the second opinion is given, it is possible that the doctor who performed this second opinion directly interacts with the patient.) Contains data on confirmation of intent. (Note that this auxiliary data may be input only when there is a request from the patient.) Specifically, the doctor inputs these data as follows. Note that FIGS.
Shows a screen displaying data related to a doctor, a screen displaying data related to a patient, and a screen displaying auxiliary data, respectively.

First, referring to FIG. 6, the doctor
Enter the patient name (in some cases, the same surname may be the same name, so it may be an ID number or the like that can distinguish patients who want a second opinion). Accordingly, the hospital system 12 automatically retrieves data other than the case classification and the diagnosis result of the patient from the data 21 about the doctor and the data 22 about the patient among the data shown in FIG. 4, and inserts them on the screen. To be done. In other words, simply inputting the data regarding the name of the patient on the screen shown in FIG. 6 automatically inserts the data regarding the doctor shown in FIG. 5 and the data regarding the examination contents and the symptoms shown in FIG. To be done. The case classification data shown in FIG. 6 will be described later. Further, the doctor inputs the date (designated date) as to when the second opinion should be performed in the auxiliary data shown in FIG. Among the auxiliary data, the data indicating which place or which doctor the second opinion should be sent to and the above-mentioned patient case classification data (data displayed in a shaded area) are from the list downloaded from the second opinion support server 11. Selected by doctor. When the selection of these data is completed, the presence / absence confirmation data indicating that the patient's final intention shown in the last stage of FIG. 7 is confirmed is input.

The order of inputting these data is not particularly limited, but since it is desirable that the data regarding the presence / absence of intention confirmation be input lastly, the software can be input after other data is input. You may control above. Similarly, the designated date shown in FIG. 7 may be controlled by software so that it can be selected from a predetermined range. Note that the data shown in FIG. 4 is transmitted to the second opinion support server 11 and is stored in the second opinion database 124 in the hospital system 12. (1-2) Operation on Second Opinion Support Server Side Next, the operation of the second opinion support server 11 based on the data transmitted from the hospital system 12 will be described with reference to FIG.
And it demonstrates with reference to the flowchart which is FIG.
Second opinion support server 1 in the present embodiment
1 receives the data from the hospital system 12 via the communication device 110 in step 60, and then confirms the request source in step 62 (request source check unit 113). Specifically, the doctor data 2 shown in FIG.
1 and the doctor data registered in the requesting doctor information database 114 based on a document sent in advance from the doctor, etc. are determined, and the intention confirmation data of the second opinion of the auxiliary data 23 is determined. Is determined to have been confirmed. If the data match and the patient's intention confirmation data has been confirmed, it is determined that this request is a legitimate request, and the process proceeds to step 63. If the data do not match, or the patient's intention confirmation data is received. If is not confirmed, it is judged that this request is not a legitimate request, and the data is rejected in step 65. If the data is rejected, it is determined to be in an abnormal state, the abnormality is displayed on the PC 116, and a service person or the like responds individually. At step 63 (second opinion doctor selection unit 115) (for example, a service person directly calls the hospital side), it is determined whether or not there is a doctor who desires a second opinion among the auxiliary data. If you have a doctor of your choice here,
The second opinion doctor information database 117 and the doctor are inquired, and then the disclosure information discriminating unit 112 selects the disclosure information (step 61).

If there is no desired doctor, the doctor is selected in step 66 based on the case classification data among the auxiliary data. Specifically, based on the documents etc. sent from the above-mentioned doctor who performs the second opinion beforehand, the specialist field (heart disease, brain tumor, etc.) of the doctor registered in the second opinion doctor information database 117, and the auxiliary data The case classification data are compared, and the matching ones or those having a close relationship with the corresponding case are selected, and a doctor suitable for the second opinion is selected. This sorting is the first sorting. Next, in step 67, it is checked whether or not the auxiliary data is attached with the data of the designated location. If the designated location data is not attached, the above step is carried out. One doctor is randomly selected from the doctors selected in 66. If the designated place data is attached, the doctor is further selected based on the place data, and one doctor is selected as in the above. With respect to the selected doctor, the disclosure information is selected in step 61 as in the above, inquiry data is created in step 64, and this is transmitted to the terminal 13.

[0016] This inquiry data is data that does not include data that can specify the patient who requested the second opinion and the doctor who diagnosed this patient. As an example, this inquiry data is shown as data 71 surrounded by a dotted line in FIG. The inquiry data 71 is the patient data 22.
Part of the data and a part of the auxiliary data 23. Specifically, the examination content, the case classification, the symptom data of the patient data 22, the designated date, the designated place, and whether or not there is a doctor's request among the auxiliary data , Or data regarding confirmation of intent to receive a second opinion. The contents of the data shown in FIG. 9 and the contents of the data shown in FIG. 4 are the same. That is, the second opinion support server 11 has data (for example, the name and address of the patient concerned) directly linked to the identification of the patient who requested the second opinion among the data received from the hospital system 12.
Except for the insurance card number, etc.), the inquiry data is transmitted to the terminal 13. Note that the inquiry data may be substantially simply link information data indicating the location of the database in which the inquiry data is stored.

(1-3) Operation on Terminal Side The terminal 13 receives the inquiry data transmitted from the second opinion support server 11. The doctor who receives the inquiry for the second opinion determines whether or not to receive the second opinion request based on the inquiry data. That is, in some cases, a non-specialized inquiry of the doctor may be sent, and the request may not be accepted due to the doctor's convenience. If the request cannot be received despite receiving the inquiry of the second opinion, data indicating the intention of not accepting the request is transmitted to the second opinion support server 11. When the second opinion support server 11 receives this data (so-called refusal data), steps 66 and 67 shown in FIG. 8 are executed again, and a second opinion is inquired again to a doctor other than the doctor whose request is denied. I do.

Further, when the doctor who receives the inquiry about the second opinion based on the inquiry data receives the request, it transmits the data indicating the intention to receive the request to the second opinion support server 11. As a result, the second opinion request is officially made from the request source to the request destination, and the second opinion support server 11 requests the request data 70 (doctor data, doctor data, shown in FIG. 9).
Terminal 1 containing all patient data and auxiliary data)
3 (or data for notifying that the authority to view all data is given), and data indicating that the request is completed is transmitted to the hospital system 12. At this point, the second opinion support server 11 determines that one contract has been established between the request source and the request destination. (2) Operation at the end of the second opinion (2-1) The doctor who officially receives the operation request on the terminal side creates the second opinion based on his / her experience based on the request data 70 shown in FIG. To do. The screen displayed on the display when creating this second opinion is shown in FIG. The doctor fills in the shaded areas in the figure. The doctor who receives the request mainly has two selecting means. The two selection means are the request data 70
If a second opinion can be created from, in this case, enter the diagnostic result on the same screen. In addition, as the other selection, the request data 70 is referred to, but if the second opinion cannot be created from now on,
"Necessity of re-inspection / interview" in the figure is set to "Required" The information that a re-examination or an interview is necessary is included in one of the second opinions.

As described above, there are two types of the second opinion, the first is to create a diagnostic result, and the second is that no diagnostic result is created, but it is judged that re-examination or an interview is necessary. This is the case.
As another option, it is conceivable that diagnostic results will not be created and re-examination / interview will not be necessary, but those that do not contain information that is beneficial to the patient are applicable to the second opinion. do not do. (2-2) Operation on Second Opinion Support Server Side The operation of the second opinion support server 11 will be described with reference to FIG. 11 which is a flowchart. Upon receiving the second opinion data via the communication device 110 and the data distribution unit 111 in step 80, the second opinion support server 11 determines in step 81 whether the received data includes a diagnostic result (diagnosis). Data check unit 118). If the diagnosis result is described here, it is assumed that the second opinion has been completed, and the data of the invoice in which the billing amount is described is attached to the second opinion data (step 82).
Then, it is transmitted to the hospital system 12. (Step 83)
Further, in step 81, when the diagnosis result is not described, it is determined whether the reexamination is "necessary" (diagnosis data check unit 118). Here, if the re-inspection is "necessary", the same as the above step 82
At step 83, the bill data is attached, and the data is transmitted to the hospital system 12 at step 83. In addition, a difference may be provided in the billing amount of the bill data between the case where the diagnosis result is described and the case where the diagnosis result is not described and the reexamination is “necessary”. In this case, it is more expensive to describe the diagnosis result.

If the diagnosis result is not described in step 81 and the re-examination is also "unnecessary" or blank in step 84, the data is rejected in step 85. The rejected data will be dealt with individually as in the above. (2-3) Operation on the side of the hospital system The terminal that has received the second opinion data from the second opinion support server 11 discloses the contents of the second opinion to the patient who requested the second opinion by the doctor of the hospital. To be done. After receiving this second opinion, the patient can choose to test again, review treatment options, or go to a different hospital. Also,
The bill data attached to the second opinion data is added to the fee (including maintenance cost of the system) received by the hospital in the hospital system 12, and the patient is billed for this amount. In this way, for the hospital side as well, as the second opinion request rate of patients increases, the financial benefit of the second opinion request fee can be obtained, and the diagnosis is made again by different doctors, so the accuracy of diagnosis is improved. It can be expected.

Furthermore, the doctor who performed the second opinion can receive a reward for the second opinion, which contributes to the society such as improvement of diagnostic accuracy. (3) Operation during Second Opinion Check As described above, a check function that supports a request for a second opinion to be smoothly made and a response to the second opinion will be described. Regarding the check function, the second opinion support server 11
Only the operation of will be described. The second opinion support server checks the request from the hospital system 12 and the reply from the terminal 13 every predetermined time. Specifically, after a request received from the hospital system 12 is transmitted to the terminal 13, when a predetermined time has passed (for example, a doctor who performs a second opinion is absent for a long period of time), the doctor is automatically restarted. If you do not receive a response from the doctor even after a prescribed period of time has passed, you can send the request cancellation data to the doctor and request another doctor again. .

As described above, by providing the second opinion support server 11 with a regular check function,
It will be possible to smoothly provide support for the second opinion. With the second opinion support system according to the present embodiment, it is possible to improve the convenience when the patient receives the second opinion, improve the diagnostic accuracy, and further reduce the mental burden on the patient. In the present embodiment, the case where the doctor who conducts the second opinion can view all the data of the requesting doctor, the patient data, and the auxiliary data after the formal request as shown in FIG. Although described, other variations are possible. For example, even after a formal request was made to increase independence as a second opinion,
Similar to the inquiry data, the second opinion support server may perform control so that the doctor who performs the second opinion cannot view the diagnosis result performed first. In this case, the doctor who performs the second opinion is forced to give an opinion completely independent of the diagnosis result of the doctor who first made the diagnosis, and creates the diagnosis result that depends only on his own experience. be able to. This improves the reliability of the diagnosis result. Further, in order to further increase the independence of the second opinion, information directly linked to the identification of the doctor who made the first diagnosis, for example, doctor data such as the name of the doctor may not be browsed. In the above embodiment, the second opinion support server 1
Although the case where the processing is automatically performed by the software is described in the above item 1, it is also possible to handle a part manually. Further, the data regarding the second opinion may be encrypted for security.

The second embodiment according to the present invention will be described in detail below with reference to the drawings. It should be noted that, when describing the present embodiment briefly, the first embodiment has a format in which a second opinion is individually requested, whereas in the present embodiment, the request is registered as a second opinion doctor. It is disclosed to a large number of doctors and is appropriately selected by the doctor. The operation of the second opinion support server 11 according to the present embodiment will be described below with reference to the flowchart of FIG. The same operations as those in the first embodiment are designated by the same reference numerals and the description thereof will be omitted.

When it is determined in step 63 that there is no desired doctor, in step 66, doctors are selected based on the case classification data, as in the first embodiment. Next, in step 97, it is checked whether or not the auxiliary location data is attached to the designated location. If the designated location data is not attached, some or all of the doctors selected in step 66 are checked. The inquiry data is transmitted to the user. If the designated place data is attached, doctors are further selected based on the place data, and inquiry data is transmitted to all the selected doctors as described above. (Step 9
8) When the doctor who receives the inquiry data officially accepts this request from the contents of the inquiry data, the second opinion support server 11 receives the data indicating the intention to accept the request, as in the first embodiment. Send to. In the second opinion support server 11, when the answers are received from a plurality of doctors, the earliest answer (the time sent from the terminal 13 may be the earliest, or the time received by the support server 11 is the earliest). May be sent) to the official request data. For other doctors,
This data is not transmitted, but only the data notifying that the request has already been made is transmitted. By this, it is considered that a formal request has been made, and the subsequent processing is performed. Since the subsequent processing is the same as that of the first embodiment, it will be omitted here.

In the present embodiment, when a second opinion is requested, inquiry data for asking whether to accept the request is transmitted to a plurality of doctors selected under predetermined conditions. , You can find a doctor who does the second opinion more efficiently. as a result,
Patients can receive a second opinion sooner. As a result, the mental burden on the patient can be further reduced. Further, as a modified example of this embodiment, without transmitting the inquiry data, only the authority to view the inquiry data is given to the plurality of doctors, and the plurality of doctors themselves add the inquiry data to the inquiry data. You can receive the request by accessing. In other words, the doctor who performs the second opinion can confirm whether or not the second opinion is requested by himself / herself at a time convenient to him / her by accessing the support server 11, and can receive the request as necessary. The inquiry data cannot be viewed by a doctor who does not have the authority to receive the request (for example, a non-specialist doctor or a doctor outside the designated place).

The third embodiment of the present invention will be described below in detail with reference to the drawings. In addition, if this embodiment is simply described, in the first and second embodiments, the second opinion was requested from the hospital system 12 having the doctor who first made the diagnosis. In this form, the patient himself / herself requests the second opinion. FIG. 13 is a block diagram of the second opinion support system in the present embodiment. The second opinion support system of the present embodiment includes a terminal 14 in addition to the second opinion support server 11, the hospital system 12 and the terminal 13 connected to the support server via a communication line. The terminal 14 is a terminal operated by a patient, and is generally a personal computer (PC). In addition, the hospital system 12 has a first
14, the SO card issuing unit 12 issues a storage medium (hereinafter referred to as an SO card) necessary for requesting a second opinion to a patient, as shown in FIG.
7 and an SO card database that stores data about this SO card. What is this SO card?
This is a card with a home page address for performing a second opinion and information (for example, an ID number) for identifying the individual patient. (Details will be described later) Further, in the second opinion support server 11 in the present embodiment shown in FIG. 16, instead of the request source check unit 113 and the request source doctor information database 114, the SO card check unit 130 and SO A card information database 131 is provided. With respect to other configurations, the same configurations as those in the first embodiment are designated by the same reference numerals and the description thereof will be omitted.

Next, the operation of the second opinion support system according to the present embodiment will be described with reference to FIG.
The data structure will be described with reference to FIG. Patients who want a second opinion want to issue an SO card to the doctor who made the first diagnosis. When the doctor receives an SO card issuance request from this patient, the hospital system 12 issues the SO card and the doctor data 2
1 and patient data 22 to second opinion support server 1
Send to 1. The patient who received the issued SO card, from a PC (personal computer) at home,
Directly access the second opinion support server 11. Note that this access method is specifically realized by inputting the homepage address written on the SO card into the homepage browsing software. The patient enters the ID number written on the SO card on this home page.

Next, as shown in the flowchart of FIG. 17, the second opinion support server 11 retrieves information about the patient in association with the input of the ID number. The patient inputs information (for example, the date of birth of the patient) that is not described in the SO card from the patient data or the doctor data corresponding to this ID number, and the SO card check unit 130 and the SO card information database 131 ,
When the ID number and the information match, it is determined that the accessor is a legitimate one (step 161). When it is determined that the accessor is legitimate, the presence or absence of the SO doctor's request is determined, and the inquiry data is transmitted as in the first embodiment. Note that other operations are the same as those in the first embodiment, and therefore omitted here. In the present embodiment, similar to the first embodiment, it is possible to reduce the anxiety of the patient, and the patient himself / herself is requested and the result notification to the doctor who performs the second opinion. Patient discretion can be paramount.

In this embodiment, since it is the patient who makes the request for the second opinion, it is possible that the SO card may not be issued although the SO card is eventually issued. The validity period of the card may be set, and after the validity period, the data regarding the patient stored in the second opinion support server may be deleted. Although the respective embodiments of the present invention have been described above, the present invention may be used by combining the above-described embodiments in various ways, and modifications may be made without departing from the spirit of the present invention.

[0030]

As described above in detail, according to the present invention, a highly convenient system is provided for a patient who wants to obtain a second opinion, thereby reducing the mental burden on the patient. It is possible to improve the diagnostic accuracy.

[Brief description of drawings]

FIG. 1 is a block diagram of a second opinion support system according to a first embodiment of the present invention.

FIG. 2 is a block diagram of a hospital system according to the first embodiment of the present invention.

FIG. 3 is a block diagram of a second opinion support server according to the first embodiment of the present invention.

FIG. 4 is a diagram showing a data structure according to the first embodiment of the present invention.

FIG. 5 is a diagram showing a screen on which data related to a doctor is displayed in the first embodiment according to the present invention.

FIG. 6 is a diagram showing a screen on which data regarding a patient is displayed in the first embodiment according to the present invention.

FIG. 7 is a diagram showing a screen on which auxiliary data is displayed according to the first embodiment of the present invention.

FIG. 8 is a flowchart showing an operation of the second opinion support server according to the first exemplary embodiment of the present invention.

FIG. 9 is a diagram showing a screen on which auxiliary data is displayed according to the first embodiment of the present invention.

FIG. 10 is a diagram showing a screen displayed when creating a second opinion according to the first embodiment of the present invention.

FIG. 11 is a flowchart showing an operation of the second opinion support server according to the first exemplary embodiment of the present invention.

FIG. 12 is a flowchart showing an operation of the second opinion support server according to the second exemplary embodiment of the present invention.

FIG. 13 is a block diagram of a second opinion support system according to a second embodiment of the present invention.

FIG. 14 is a block diagram of a hospital system according to a second embodiment of the present invention.

FIG. 15 is a diagram showing a data structure according to a second embodiment of the present invention.

FIG. 16 is a block diagram of a second opinion support system according to a third embodiment of the present invention.

FIG. 17 is a flowchart showing an operation of the second opinion support server according to the third exemplary embodiment of the present invention.

[Explanation of symbols]

11 second opinion server 12 hospital system 13 terminals 121 pcs 122 Doctor Information Database 123 Patient Information Database 124 Second Opinion Database 125 communication equipment 126 Main body control unit

Claims (8)

[Claims] 1. Receiving means for receiving data regarding the first doctor and the patient via a predetermined communication line from a hospital system in which data regarding the patient and data regarding the first doctor who diagnosed the patient are stored. A second opinion support system, comprising: a transmitting unit that transmits data regarding the first doctor and the patient to a second doctor different from the first doctor. 2. Receiving means for receiving the data regarding the first doctor and the patient via a predetermined communication line from a hospital system in which the data regarding the patient and the data regarding the first doctor who diagnosed the patient are stored. Only the first data, which is different from the first doctor, is separated into first data disclosed to a second doctor and second data not disclosed to the second doctor, and only the first data. A second opinion support system, comprising: a transmitting unit that transmits to the second doctor. 3. A step of receiving data regarding the first doctor and the patient via a predetermined communication line from a hospital system in which data regarding the patient and data regarding the first doctor who diagnosed the patient are stored, Sorting the received data into first data disclosed to a second doctor different from the first doctor and second data not disclosed to the second doctor; and Sending to a second doctor, receiving data on a diagnosis result for the patient determined by the second doctor based on the first data, and receiving the received diagnosis by the second doctor. A step of transmitting data regarding the result to the hospital system, the second opinion supporting method. 4. The second opinion support method according to claim 3, wherein the second data includes data directly linked to the identification of the patient. 5. The second opinion support method according to claim 4, wherein the data directly linked to the identification of the patient is data indicating the name of the patient. 6. The second opinion support method according to claim 3, wherein the second data includes data relating to the diagnosis of the patient made by the first doctor. 7. The second opinion support method according to claim 3, wherein the second data includes data directly linked to the identification of the first doctor. 8. The second opinion support method according to claim 7, wherein the data directly linked to the identification of the first doctor is data indicating the name of the first doctor.