JP2007301377A - Visiting-type health checkup system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a visiting-type health checkup system allowing a person, who desires to have a health checkup periodically or non-periodically, to have a comprehensive health checkup on a local spot. <P>SOLUTION: This visiting-type health checkup system is provided with an examination car equipped with examination equipment such as an ultrasonic examination means and/or a direct-radiographic examination means suited for examining the stomach, the intestine, the thoracic region, the visceral organ, the hypogastric region and blood, examines a person with the ultrasonic examination means and/or the direct-radiographic examination in the examination car, and examines him/her on items other than those on an appropriate local spot. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

In the present invention, a person who needs regular or irregular medical examinations or who wishes to undergo a medical examination appropriately (hereinafter referred to as “examiner”) is provided with a normal examination apparatus such as a hospital. The present invention relates to a patrol mobile examination system that can receive a comprehensive examination on a regular basis, irregularly, or when necessary, not on the spot but on the spot, for example, in the vicinity of the work place or residence of the examiner.
In the present invention, the inspection means relating to the ultrasonic inspection and / or direct X-ray imaging inspection is in-vehicle state, and the other inspection means are in a state where the equipment transported to the site by the inspection car is installed at an appropriate location outside the vehicle. The present invention relates to a traveling mobile examination system.

In general, if you wish to have a medical checkup for the purpose of early detection of disease or prevention of lifestyle-related diseases, etc., the examiner will go to the hospital and use the equipment and devices installed in the hospital building. I had a medical examination. However, when a worker, etc., visits a hospital, there is a problem that they cannot work due to round-trip time, waiting time at the hospital, etc., so they must take a vacation and cannot easily and easily receive a consultation. It was.
On the other hand, for indirect measurements using X-rays, etc., it is generally possible to visit the site by a round-trip examination. However, it is difficult to determine the detection of early cancer in terms of image resolution, and this is a close examination that is again direct X-ray imaging. In general, in patrol screening, etc., in the period of satiety, there is an ultrasound examination device for screening the lower abdomen that is effective for early detection of lifestyle-related diseases that are medical problems. Because it is not equipped, the examination by the lower abdomen by ultrasound, etc. must go to the hospital only for that purpose and have a medical examination. Was also disadvantageous and inconvenient.

  Even if a patrol car equipped with the above cost-effective and expensive screening equipment is realized, in order to receive high-quality screening in the medical technology field where the specialized field is deeply advanced, it is necessary to read the image accurately It is necessary to have a doctor in that field who can make a decision, and it is necessary to make a reservation at the doctor's hospital and go to the examiner himself, which is disadvantageous and inconvenient for the examiner as described above. Even for companies that are pursuing rationalization with the aim of gaining a competitive advantage, the fact that employees can receive legal screenings and medical checkups at low cost in the local area of the company means efficient management of working hours and health promotion. From the point of cost reduction of the health insurance association by, it was desired to realize it. Furthermore, even if the above-mentioned expensive equipment capable of effective screening is installed in a patrol car and high-quality screening is realized by high-quality interpretation, a series of tasks related to legal screening and general screening, for example, If the measurement of height and weight, blood sampling, blood pressure measurement, electrocardiogram measurement, receipt of specimen and request of laboratory, etc., doctor's findings based on the screening results, preparation of medical reports etc. are not wasted and effective, the examiner However, there is a problem that it is not possible to provide high-quality legal examinations and examination services represented by Ningen Dock by patrol cars that are easy to use. In addition, there are restrictions on the loading space for examination vehicles, while there are medical equipment that requires precision or inspection equipment that is shielded by laws and regulations, such as measuring equipment that uses radiation. The present inventors have developed a patrol type examination system that satisfies the above requirements.

  Cyclic examinations equipped with appropriate examination devices are well known. For example, a mobile examination car (for example, a radiographic imaging device with a modified radiological image information recording / reading device mounted on a patrol car, moved to various places, and examined) Japanese Patent Laid-Open No. 3-15449), a dentist car having a driver's cab and a treatment room, which visits the city, conducts dental examinations for elderly people in remote areas or bedridden, and to this The patient conveyance device (Japanese Patent Laid-Open No. 9-0381117) used suitably, the X-ray photographing dental mobile medical vehicle (Japanese Patent Laid-Open No. 2000-189408) that can efficiently perform the dental examination, and the free space in the photographing room are expanded. Miniaturized X-ray examination car (Japanese Patent Laid-Open No. 6-27703), CT examination car (registered utility model No. 3027769) that can receive a CT scanner diagnosis on a stretcher in a disaster area, etc. It can be moved appropriately by means of transportation such as tow vehicles and helicopters, and multiple container vehicles equipped with a part of hospital equipment are connected at the installation site to form hospital facilities as a whole, Transfer where a relatively large number of patients can be examined comprehensively and medical measures can be taken when many injuries or illnesses occur urgently in areas where medical facilities are not accessible, such as outbreak areas, conflict outbreak areas, and remote areas A hospital system (Japanese Patent Laid-Open No. 2000-142211), an eyesight measurement optometry system, and a vision measurement vehicle (registered utility model No. 3018869) equipped with all necessary equipment and equipment for the purpose of providing a business trip for eyesight measurement. ), A dental visit treatment vehicle having a driver's cab and a treatment room, and a dental visit treatment vehicle (registered utility model 3069) for performing dental treatment in remote areas and bedridden people. And the like are known 70 issue). Conventionally, however, it has been impossible to carry out a comprehensive examination with an in-vehicle device because of space limitations, and the in-vehicle device can only carry out a partial examination with a specific device.

  For the convenience of the examiner, with regard to the examination using the above-mentioned patrol type examination car, it is possible to receive some of the inspection items such as legal examinations, for example, indirect X-ray photography locally, or direct X-ray photography locally. Being able to receive medical examinations (JP-A-3-015449, JP-A-6-27703), being able to receive visual acuity screening with a vision test vehicle for visual acuity measurement (JP-A-9-0381117), etc. For the public benefit that does not need to consider the profitability of the examination cost, and traveling by a dental visit car for the purpose (patent document JP 9-0381117, JP 2000-189408) It is possible to form a hospital facility in a disaster area and receive a medical examination using a mobile hospital system (Japanese Patent Laid-Open No. 2000-14211, registered utility model No. 302776) No.) it has also been proposed. However, there is not yet known a patrol type examination system that can perform a comprehensive health examination on site or on the spot, which solves the problems of limitation of loading space of examination vehicles, shielding of inspection equipment and maintenance of precision.

  At present, society generally recognizes that medical examinations for adult diseases and legal examinations are aimed at early detection of lifestyle-related diseases due to their personality, and that prevention requires efforts to change the lifestyles of examiners over the long term. It is recognized that the effect is not limited to a part of the examination such as a visceral examination by X-rays or the like, but is confirmed by examining the whole viscera from a wide viewpoint. If such effective screening is not easily implemented, the discovery of wet diseases will be delayed, and in view of the fact that medical costs will increase along with the lengthening of the treatment period and the advancement of medical treatment, cost-effective and multifaceted Early detection of wet diseases, especially lifestyle-related diseases, is recognized as the most important health checkup.

On the other hand, from the viewpoint of early detection, CT examination, MRI examination, etc. can be considered, but for that purpose, he had to go to the hospital at the expense of time depending on necessity or hope. Moreover, the cost required for the inspection was high and the cost effectiveness was not good. Although it is most efficient to conduct examinations in the vicinity of the examiner as much as possible in terms of time and cost, even if the examination practitioner (doctor, examination contractor) plans, it will require enormous capital investment and is economical. It was difficult.
As mentioned above, ultrasonic inspection, direct X-ray imaging, self-collection method including the lower abdomen by means of a cyclic human dock for the early check of cost-effective lifestyle-related diseases and early detection of diseases Medical examinations from a wide range of viewpoints such as cytological examinations are provided on a patrol examination car equipped with this, and medical services such as medical checkups are provided at a price that is easy to use for examiners, especially workers, etc. Realization of a service system in the local area (including factories, sales offices, self-governing halls, etc.) is desired, but in reality it has hardly been realized. The realization of medical services such as a patrol-type medical dock as in the present invention leads to improving the health of the public by providing a high-quality medical checkup service while suppressing an increase in medical expenses. With soaring prices, it is a highly convenient system that can fully meet social demands for reducing medical costs.
In consideration of limitations on the loading space of the examination car, the present inventors efficiently arrange inspection devices that are required to maintain complete shielding and precision, and implement other devices at appropriate locations in the field. Succeeded in developing a comprehensive patrol screening system.

In the cyclic screening system of the present invention, the gastric, intestinal, thoracic, internal and lower abdominal regions, and the devices necessary for the screening suitable for the blood sampling test are appropriately installed in the mobile screening vehicle itself, and other testing devices are installed outside the vehicle. It is installed at an appropriate location and is characterized by comprehensively examining the health status of those who wish to undergo screening.
Examples of equipment required for the mobile examination car include inspection equipment for ultrasonic inspection and / or direct X-ray imaging inspection.
That is, the present invention provides a traveling mobile examination in which a mobile examination car is equipped with examination means suitable for the stomach, intestine, chest, internal organs, lower abdomen and blood collection examination, and the examination examinee is examined locally on the examination car. Although it is related to the system, a system for centrally managing examination information over a long period of the examination person is also included.

  That is, in the cyclic mobile examination system of the present invention, communication control means for transmitting data read from each inspection means by the communication control means via the communication line, and communication line means for transmitting data by the communication control means Examiner accumulation and recording means for each examiner in which data transmitted via the communication line is recorded, current and past or current data read from the recording means to the reader of the data via the communication line From communication control means transmitted by the communication control means, communication line means for transmitting data to the reader by the communication control means, recording means for the interpreter for recording data transmitted via the communication line, conversion recording means Editing means for editing the data by marking the part judged by the interpreter when the data displayed by the display means for displaying the read data is necessary The recording means for recording the interpretation reader's findings together with the data displayed by the editing means, the communication control means for transmitting the data read from the recording means by the communication control means via a communication line, communication The communication line means for transmitting data by the control means, and an accumulation recording means for each examiner in which data transmitted via the communication line is recorded are also characterized.

  In addition to any of the above-mentioned means, the cyclic mobile screening system of the present invention provides samples such as blood tests and urine tests necessary for predetermined tests necessary for prevention of lifestyle-related diseases and disease screening. When requesting an affiliated laboratory and obtaining the test result, the information relating to the sample is input from the terminal of the mobile examination car and recorded, and the recording means for recording the data read from the input recording means Display means for displaying input data for confirmation; communication control means for transmitting data read from recording means via communication line means; communication line means for transmitting data by communication control means; communication The above-described examiner accumulation and recording means for each examiner in which data transmitted via the line means is recorded, and the data recorded in the recording means is a predetermined examination rule recorded in advance in the recording means. Processing means for processing a predetermined examination schedule, inspection items, etc. determined for each specimen for examination according to the data, the examiner accumulation recording means for recording data processed by the means, the means Communication control means for transmitting the data recorded in the addressed to the inspection body of the corresponding sample via the communication line means, communication line means for transmitting data by the communication control means, and instruction data transmitted via the communication line means The recording means of the inspection organization in which the data is recorded, the recording means in which a separately sent specimen is examined based on the instructions recorded in the recording means, and the result is recorded, and the data read from the recording means is the communication line means The communication control means transmitted through the communication control means, the communication line means through which the data is transmitted by the communication control means, and the data transmitted through the communication line means are recorded. For each predetermined examination item determined for each specimen according to data of a predetermined examination standard in which data transmitted through the above-mentioned medical examiner accumulation recording means and communication line means for each examiner is recorded in advance in the recording means Test item determination means for automatically making a determination, the result of the determination made by the means is recorded, and recorded when the doctor's findings are required based on the determination result recorded in the examiner accumulation recording means and the recording means Adopting a traveling mobile screening system characterized by the fact that the screening result report for blood, urine, liver function, kidney function, etc. for each screener can be automatically and simply created It is also a feature.

  Furthermore, in the traveling mobile examination system according to the present invention, when the examiner desires, in addition to any of the above means, the data read from the examiner recording means is transmitted by the communication control means via the communication line. Communication control means transmitted to the examiner, communication line means for transmitting data by the communication control means, recording means for recording data transmitted via the communication line, display means for displaying data of the recording means It is also included in the present invention to employ a traveling mobile screening system characterized by having the ability to constantly monitor the health of the self rather than being able to easily know the screening results from the past to the present.

In the present invention, in a mobile mobile screening system, legal screening and screening by a medical checkup for the purpose of checking prevention of lifestyle-related diseases and early detection of illnesses are carried out locally such as the place of work or residence of the person receiving the screening. Direct radiography X-ray apparatus suitable for blood sampling examination, which is performed by a mobile examination car, and which is recognized as cost-effective for achieving the above purpose. In addition, a screening examination device such as an ultrasonic imaging apparatus, a blood sampling instrument, and the like are mounted on a mobile examination vehicle, and an examination for the examination is performed. In addition, today, as clinical technology has become more sophisticated and complicated after the examination, judgment of images taken with high-accuracy equipment is carried out by a well-established clinician or university professor in each specialized field that has partnered for each examination item. As a result, it is possible to improve the accuracy and reliability of the screening judgment, so it is the same quality as if you went to a hospital with a well-formed doctor for the diagnosis and did not wait for the order and receive the screening. It is also characterized by the fact that screening can be realized easily.
Furthermore, in the present invention, the examination data regarding the examination of the current and past examiners, the findings of the doctor, and the health condition or medical treatment data declared by the examiner are easy to use for examination judgment according to a certain rule, and are automatically organized.・ Because it is accumulated, it is possible to save labor by automatically reporting the results of screening based on this database. In addition, if there is no problem in seeing this report by the doctor, the doctor will sign the report to clarify the responsibility of the doctor, and the examination report will be used as is. By adding it, it is possible to easily create a high-quality screening report that is extremely objective and without omission as a screening report.

The present invention
A mobile examination car system equipped with ultrasonic examination means and X-ray direct imaging examination means, and a consistent system for the long-term health monitoring of the examiner over the examination for each examination item. In a traveling mobile examination system for diagnosing health status regularly or irregularly for
1. Communication control means for transmitting data read from the examination result by the communication control means via the communication line;
2. A 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 examination vehicle headquarters, and the examination record storage means for each examination person in which the received data is recorded,
4). Communication control means for transmitting the current and past or current data read from the storage and recording means to the data interpreter via the communication line means;
5). Communication line means for transmitting data to the radiogram interpreter by the communication control means;
6). Data transmitted through the communication line is received by the communication control means of the interpreter, and recording means of the interpreter in which the received data is recorded,
7). Data conversion means for making the data read from the recording means easier to interpret;
8). When the data displayed by the display means for displaying the data read from the conversion means is necessary, a mark is given to the place determined by the interpreter and the findings of the interpreter are 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 for transmitting data by the communication control means; The data is transmitted through the communication line means, is received by the communication control means of the examination car headquarters, and has a screening record storage means for each examiner in which the received data is recorded. A mobile screening system is a basic requirement.

  In addition to notifying the examiner of the screening results, the doctor will preliminarily identify the most appropriate medical institution for the testing or treatment according to the clinical technology field / region, depending on the screening results. Can be selected and presented from the registered database. When a medical institution in the district that the examiner desires or a medical examiner wishes from among the presented medical institutions, a secondary examination request form or a treatment request form addressed to the medical institution that the examiner is interested in is automatically created. , Sent to the examiner. If the examiner brings the request form to the medical institution, the medical institution with the latest technology and facilities that could not be selected by the examiner himself in the clinical technology field is advancing every day. 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 desires, overcoming long-term lifestyle-related diseases and maintaining health by providing the database to the examiner, or by providing an opportunity to access the database as needed by the examiner. -It is characterized by a traveling mobile screening system that can even provide materials suitable for screening personnel aiming for improvement.

  In other words, conventionally performed, for example, a radiography device mounted on a patrol car, a mobile examination car, an X-ray radiography dental mobile examination car that can efficiently perform dental examinations, a CT scanner while riding on a stretcher in a disaster area, etc. A large number of urgent cases in areas where conflicts occur, such as CT screening vehicles and helicopters that can receive the diagnosis of multiple hospitals that are part of hospital facilities are installed and connected locally to form hospital facilities. Mobile hospital system capable of comprehensive examination and medical treatment for injured persons, vision measurement vehicle equipped with all necessary equipment and equipment for the purpose of business trip service for visual acuity, dental treatment in remote areas and dentistry for bedridden people The medical checkup service using the mobile checkup car and its system for the dental checkup treatment mobile treatment for the treatment temporarily covers some inspection items of the legal checkup. While it is intended for emergency medical care for the public benefit in disaster areas, etc., the present invention is multifaceted because it aims at early detection of long-term illness of individuals and screening for lifestyle-related diseases. Because there are a wide variety of screening items for screening from various aspects, the cost-effective stomach, intestine, chest, built-in and lower abdomen, and screening devices such as direct imaging X-ray devices and ultrasound imaging devices suitable for blood sampling tests And blood sampling instruments are installed in mobile examination cars, and examinations are performed by highly accurate clinicians and university professors who are well-versed in each specialized field. It is to realize high-quality screening at a low cost by constructing work related to screening and screening as a consistent system.

A traveling mobile examination system of the present invention will be described with reference to the drawings.
FIG. 1 shows an overview of the traveling mobile examination system of the present invention. FIG. 2 is a sketch 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 a cab 101, a control room 102 provided at the rear of the cab, and an examination room 103 provided at the rear of the control room. The control room has a computer control unit 100 in the center, and an X-ray control unit 104, an ultrasonic control unit, and a hearing test control unit 105 for controlling the X-ray direct imaging apparatus controlled by the control unit respectively on the left and right sides.

  The examination room 103 is reflected by an X-ray generation unit 108 controlled by an X-ray control unit and an X-ray imaging room 107 having an X-ray imaging table 109, an ultrasonic signal generation unit controlled by the ultrasonic control unit, and a tissue boundary. An ultrasonic examination room in which a detection unit 106 for detecting echoes is installed, a voice converter for converting a signal transmitted according to the control of the hearing test control unit, a receiver, and the examiner responds to the voice Hearing soundproof room with a transmission unit that transmits signals to be transmitted, assembled tents that are used to create a medical examination place outside the mobile examination car at the time of medical examination, folding folding beds and desk chairs, etc. ECG and sphygmomanometers, urine test papers and blood shadow collections necessary for conducting legal examinations in places where they are temporarily stored until they arrive at the site, outside tents of mobile vehicles during examinations, etc. Equipment and inspection Preferably provided in or store and PC for managing the reception and sample processing, or storage, transport space 110-112 for transporting other equipment appropriately.

FIG. 1 shows an outline of a cyclic mobile examination system using the mobile examination car shown in FIG.
As shown in FIG. 1, the traveling mobile examination system of the present invention includes an examination car headquarters 2, a mobile examination car 1, an X-ray interpretation system, an examination institution system, and a examiner (an employee of a company, a member of a local government). ) Any two or more of the system (including portable terminals such as PHS, mobile phone, electronic notebook, etc.) and all or part of the system is one or more communication lines (wired, wireless, satellite communication) 6) (the same shall apply hereinafter) and the data to be processed by each system are mutually exchanged to construct a cyclic mobile examination system as a whole.

  A person who wants to undergo a medical examination inputs his / her password, identification number (hereinafter referred to as “registration number”), and data relating to a medical examination application to the input device 33 of the medical examiner 3, and the inputted data is recorded. The device 32 is recorded, and the recorded data is transmitted by the communication control device 31 to the system of the examiner's headquarters via the communication line. When the registration number is recognized as the examiner's person, the data transmitted to the storage file device 23 is transmitted. To be recorded. Based on the recorded data, it is compared with the data recorded in the examination car operation file device 23, and the date and time when the examiner is available is recorded in the examiner accumulation registration file device 23. The data of the scheduled screening date and time, the past screening results of the screener read from the screener storage file device 23, the health status report data of the screener, and the screening application read from the screening format file device 23 Form data (including health report) is transmitted to the system of the examiner 3 via the communication line 6 by the communication control device 21 of the examination car headquarters 2 and the transmitted data is examined. The information is recorded on the recording means 32 by the communication control device 31 and displayed on the display device 34.

  By inputting selection data of the 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 and the examination date and time is determined, and the displayed examination application form By adding the data of the description items necessary for the examination application to the data from the input device, the displayed data is edited and the examination application form is created. When making an application, the past examination data, findings, and health status data sent to the examiner are also clearly displayed so that the health status can be easily understood. Meals) can be easily reviewed.

The data of the determined examination date and time and the examination application form are recorded in the storage device 32 and, at the same time, transmitted to the examination vehicle headquarters 2 via the communication line 6 by the communication control device 31 as described above. Is recorded in the examiner accumulation record file by the communication control device 21, and the recorded data such as the determined examination date and time is recorded in the examiner operation file, and the examiner of the day is identified based on the recorded data. The specified checker is read from the checker storage file device 23, and data such as the checkup date and time, the name of the checkup, the checkup location, the checkup item, the checkup number, etc., equipment necessary for the checkup date, etc. Sent to.
That is, data received through the communication line 6 by the communication control device 11 is recorded in the examiner file 13 of the mobile examination car 1, and the data file device 13 of the examiner's dispatch schedule is updated. A schedule table for the examiner is created.

On the day of the examination, the map data of the examination place where the examination recorded in the examination related file is performed is read from the file and displayed on the display device 17, and the mobile examination car 1 is driven according to the displayed map, Arrive at the site. During this period, a screening number is attached to the documents necessary for the screening of the examiner to prepare for the screening, which is output from the output device 15 and used for the screening. The data required for the examination is loaded from the file device 13 to the recording device, and the preparation for preparation is completed.
In the field, from the mobile examination car, carry out the equipment equipped in the mobile examination car, for example, the examination equipment other than the X-ray direct radiography inspection device and the ultrasonic inspection device, and set up a pre-determined temporary inspection hall or simple inspection. The preparation for the screening is completed by arranging a simple bed assembled in the tent, a screening device (such as an electrocardiograph) and a PC connected with a cable or a line in the mobile screening car system.

  At the time of medical examination, the procedure for accepting specimens for stool examinations with barcodes (related to the name of the examiner or examination number) sent in advance or handed on the day will be confirmed and the data will be confirmed. Is input to the PC and recorded in 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 may be managed by the name of the examiner or the examination number without attaching a bar code. For the collected blood sample, the sample 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 wants to receive the imaging is input to the input device 16, and the input name data is recorded in the mobile examination car file device 13, and is recorded in the recorded name data. When the corresponding item matches the examination number written on the examination number label handed to the examiner at the time of the examination reception, an imaging start signal is directly given to the X-ray examination apparatus 19, and the photographed image data is stored in the film. (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 wants to receive the image is input, and the input name data is recorded in the file device 13 of the mobile examination car, corresponding to the recorded name data. When the object to be matched matches the examination number written on the examination number label handed to the examiner at the time of the examination reception, the examination start signal is given to the ultrasonic examination apparatus 18, and the inspected image data is the film ( (Not shown) and / or recorded in the file device 13 of the examination car as a signal to be transmitted later.
Also in the hearing test and the ultrasonic examination, the name of the examiner who is going to undergo the mobile examination is inputted to the input device 16, and the inputted name data is recorded in the file device 13 of the mobile examination car, and the recorded name is recorded. If the data corresponding to the data matches the examination number printed on the examination number label handed to the examiner at the time of the examination reception, an examination start signal is given to the audiometry device and the ultrasonic examination, and the examined data Is recorded in the file device 13 of the mobile examination car as a signal to be transmitted later.

In the electrocardiogram examination, the name of the examiner who is going to undergo the examination is input to the PC input device, the entered name data is recorded in the file device 13 of the PC examination car, and the recorded name data is included in the recorded name data. If the corresponding item matches the examination number printed on the examination number label handed to the examiner when the examination is accepted, an examination start signal is given to the electrocardiograph, and the examined examination data is sent later. A signal to be recorded is recorded in a PC examination car file.
As for the other examination items, the name of the examiner who is going to undergo the examination is input to the PC input device, the entered name data is recorded in the file device 13 of the PC examination car, and the recorded name of the name is recorded. When the data corresponding to the check number matches the check number written on the check number label handed to the checker at the time of the check-up reception, it is read out from the file device 13 in the check-related format of the check-up person 1 at the check-up preparation. The format data is recorded in advance in the recording device of the PC, and the data inspected in the format data file created for each examiner recorded is recorded in the file device 13 of the PC for each inspection item.

  After completion of the examination, the data related to the examination recorded in the recording device of the PC is UPLOADed and recorded in the examination car file device 13 of the examination person, and examination data is created in the examination person file apparatus 13 for each examination person. Examination data read from the file is transmitted to the examination car headquarters via the communication line 6 by the communication control device 11, and the transmitted data is examined by the communication control means 21, and the examined data is received for each examiner. Is recorded as an examination data file in the examiner storage record file device 23. In addition, if a laboratory requires specimen testing, data related to each laboratory, etc., where the type of specimen requested for testing, test items, test report format, delivery date, request procedure, etc., is recorded Based on the procedure standard data of the inspection request file device 23, an inspection request form in which the specimen, inspection item, delivery date, etc. to be inspected for each inspection institution is automatically created, and the inspection data thus prepared is inspected. It is recorded in the request file device 23 and transmitted to each inspection organization, and the specimen is also mailed at the same time.

  The data of the inspection request document read from the inspection request file device 23 and the data of the format related to the format read from the inspection related format file are transmitted to the inspection organization by the communication control device 21 via the communication line 6 and transmitted. The received data is received by the communication control device 51 of the inspection organization, and the received data is recorded in the file device 53. Based on the data instructions in the recorded test request form, the specimens sent separately are tested, and the tested data is created in accordance with the above format created for each specimen, and the created data is a file. The examination data inputted to the device 53 via the input device is transmitted to the examination car headquarters via the communication line by the communication control device 51, and the transmitted file is examined and received by the communication control device 21. The examination file is recorded as an examination data file in the examination person accumulation file device 23 for each examination person.

  On the other hand, those that require interpretation, such as X-ray imaging, each kind of interpretation organization that has agreed on the type of examination requested for interpretation, clinical interpretation items, interpretation report format, findings, delivery date, request procedure, etc. Based on the procedural standard data of the examination request file device 23 in which the data related to the examination is recorded, an interpretation request form (data) in which the examination items to be requested for interpretation, delivery date, etc. are designated for each interpretation organization is automatically created. The created interpretation request document (data) is recorded in the examination request file device 23, and at the same time, the interpretation target data read from the examination vehicle file device 13 is transmitted to each examination organization. The transmitted data is received by the communication control device 41 of the image interpretation organization, and the received data is recorded in the file device 43. Data that conforms to the above format created for each examiner after the findings of the data interpreted based on the instructions in the data of the recorded interpretation request document are marked, if necessary. Created as a report in a report format, the created data is recorded in the file device 43, and the recorded interpretation data is transmitted to the examination vehicle headquarters via the communication line by the communication control device 41, and the transmitted file is The interpretation data received and received by the communication control device 21 is recorded as an examination data file in the examiner storage file device 23 for each examiner.

  The examination data related to the examination items recorded in the examination person accumulation file device 23 for each examination person has a structure as an examination data file unified according to a certain standard. Accordingly, the examination data and the like are judged by the examination item for performing the pass / fail judgment by comparing with the reference data recorded in advance in the examination reference file device 23, and the judged result is automatically created and created as the examination report draft. The report draft data is recorded in the examiner accumulation file device 23 for each examiner. The draft report is displayed to the doctor by the display device 27 that displays the data of the examination report draft read from the file, and the doctor's findings data is input from the input device when the doctor's findings are required. Except for the case where it is added to, the electronic signature of the doctor is made to the draft report by the input device, and the signed data is recorded as the data of the official examination report in the examination person accumulation file device 23 for each examination person. . When the examiner desires, the recorded report data is transmitted without worrying the examiner by a public key method, and can be used as valuable data for the health care of the examiner.

  When it is determined that a secondary work-up or treatment is necessary based on the screening results, the medical institution most suitable for the testing or treatment is selected from the database of the medical institution file device 23 recorded in advance by clinical technology field / region, and the examiner When a medical institution or examiner in the district desired by the examiner wishes from the displayed medical institutions, the secondary examination request form or treatment request form addressed to the medical institution the examiner is interested in is examined. Automatically created from the output device 25 based on the data stored in the person storage file device 23 and sent to the examiner. If the examiner brings the request form to the medical institution, the examiner himself will end up in the clinical technology field, which is constantly changing. Medical institutions with the latest technology and equipment that could not be selected will receive the most detailed work and treatment.

  The data of the second screening and the treatment are reflected in the database of the examiner's accumulated file, and the health status of the examiner is constantly updated by updating the database to the latest file from the past to the present for each examiner. If the examiner wishes, the database can be provided to the examiner, or if the examiner needs access to the database as needed, the long-term lifestyle-related diseases can be overcome. A patrol mobile screening system that can even provide materials suitable for health checkers aiming to maintain and improve health will be constructed.

According to the present invention, a person who needs regular or irregular medical examinations or who wishes to undergo a medical examination appropriately is not a place equipped with normal examination equipment such as a hospital, but a local, for example, examination person Since this is a traveling mobile screening system that can receive comprehensive screenings at regular or irregular intervals in the vicinity of the work place or residence, the convenience of screening applicants is extremely high. In addition, since it is easy to receive medical examinations on the spot, there is a high necessity and a great social contribution even from the aspect other than prevention. In addition, in the present invention, by adopting such a traveling mobile examination system, it is easy and simple to receive high-quality medical examinations at low cost, such as legal examinations, medical checkups, and aftercare afterwards. Therefore, it is easy to continue early detection of diseases and prevention of lifestyle-related diseases effectively in the long term, and as a result, it can greatly contribute to the reduction of medical costs for individuals, health insurance associations, and governments. . 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 this system of the examination car headquarters. . In addition, data exchange between subsystems constituting this system may use a data recording medium (FDD, MO, etc.) as appropriate in relation to the partner system. Furthermore, the inspection apparatus that constitutes a part of the present system may use Digital Radiography, Image Intensifier Digital Radiography, or Computed Radiography as appropriate.

Overview of patrol mobile screening system Mobile examination car sketch

Explanation of symbols

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 inspection device 19 direct X-ray inspection device 2 medical examination car headquarters 21 communication control device 22 storage device 23 file device 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 Interpretation organization 41 Communication control device 42 Recording means 43 File device 5 Inspection organization 51 Communication control device 53 File device 6 Communication line 7 PC
73 File device 76 Input device 100 Computer control unit 101 Driver's cab 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 107 X-ray imaging room 108 X-ray Generator 109 X-ray imaging table 110 Storage / conveyance space 111 Storage / conveyance space 112 Storage / conveyance space 113 Door

Claims (3)

A mobile examination car system equipped with ultrasonic examination means and X-ray direct imaging examination means, and a consistent system for the long-term health monitoring of the examiner over the examination for each examination item. In a traveling mobile examination system for diagnosing health status regularly or irregularly for
1. Communication control means for transmitting data read from the examination result by the communication control means via the communication line;
2. A 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 examination vehicle headquarters, and the examination record storage means for each examination person in which the received data is recorded,
4). Communication control means for transmitting the current and past or current data read from the storage and recording means to the data interpreter via the communication line means;
5). Communication line means for transmitting data to the radiogram interpreter by the communication control means;
6). Data transmitted through the communication line is received by the communication control means of the interpreter, and recording means of the interpreter in which the received data is recorded,
7). Data conversion means for making the data read from the recording means easier to interpret;
8). When the data displayed by the display means for displaying the data read from the conversion means is necessary, a mark is given to the place determined by the interpreter and the findings of the interpreter are 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 for transmitting data by the communication control means; The data is transmitted through the communication line means, is received by the communication control means of the examination car headquarters, and has a screening record storage means for each examiner in which the received data is recorded. Mobile screening system. 1. When you request a sample such as a blood test or urine test necessary for a predetermined test necessary for prevention of lifestyle-related diseases or disease screening, and obtain the results of the test, we will move information about the sample. Input recording means for inputting and recording from a car terminal,
2. Recording means for recording data read from the input recording means;
3. Display means for displaying the entered data for confirmation;
4). Communication control means for transmitting data read from the recording means via the communication line means;
5). A communication line means for transmitting data by the communication control means;
6). The data transmitted through the communication line means is received by the communication control means of the examination car headquarters, and the accumulated recording means of the examiner for each examiner in which the received data is recorded,
7). Predetermined examination schedules, examination items, etc. determined for each specimen are specified for examination according to data of a predetermined examination rule recorded in advance in the recording means. Medical examination accumulation recording means to be recorded,
8). Communication control means for transmitting the data recorded in the means to the inspection body of the corresponding sample via the communication line means, communication line means for transmitting data by the communication control means,
9. The instruction data transmitted through the communication line means is received by the communication control means of the inspection organization, and the recording means of the inspection organization in which the received data is recorded,
10. A recording means for inspecting separately sent specimens based on the instructions recorded in the recording means and recording the results;
11. 11. 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;
13. The data transmitted via the communication line means is received by the communication control means of the examination vehicle headquarters, and the medical examiner accumulation recording means for each medical examiner in which the received data is recorded,
14 Test item determination means for automatically determining for each predetermined test item determined for each sample according to data of a predetermined test standard in which data transmitted and received via the communication line means is recorded in advance in the recording means,
15. The above-described examiner accumulation recording means in which the result of determination by the examination item determination means is recorded, and the examiner accumulation record to be recorded when a doctor's finding is required based on the determination result recorded in the examiner accumulation recording means The patrol mobile examination system according to claim 1, further comprising: means. 1. If the examiner desires, the communication control means for transmitting the data read from the examiner accumulation recording means to the examiner by the communication control means via the communication line means,
2. The communication line means for transmitting data by the communication control means, the recording means for receiving the data transmitted via the communication line by the examiner's communication control means and recording the received data;
3. The traveling mobile examination system according to claim 1 or 2, further comprising display means for displaying data of the recording means.