JP2011175610A - System for reading and using data such as interview sheet - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a system capable of customizing a type of interview sheet and a self-management notebook for each patient, and acquiring correct interview data by simultaneously comparatively displaying, when fetching an answer of the interview sheet, image data and computerized data on halves on a screen. <P>SOLUTION: Hospital-side staff such as a doctor or nurse confirms the interview data while viewing image data and computerized data on the screen, and correct it if needed. If change or addition of an interview item or the like for the patient is requested after the doctor views the data of the interview sheet in examination of the patient, the interview sheet can be customized as a form specific to the patient by correcting the interview item, and re-registered to a database. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention reads electronic questionnaire data or self-administered notebook data entered by an individual patient, converts the data into a pdf file, digitizes the data of the medical questionnaire or self-administered notebook, and registers it in a database. The present invention relates to a system for reading and using data such as medical records that enable various uses such as recording of medical records, medical questionnaires or self-management notes for diagnosing and analyzing diseases, and analyzing drug efficacy.

  As technologies related to such questionnaire data, there are technologies shown in Patent Documents 1 and 2. The technique shown in Patent Document 1 includes a database server that records past inquiry results and examination results in a database, and a medical examination system server that stores programs including a medical examination system program necessary for conducting a medical examination. And an electronic terminal for accessing the medical examination system server. When a patient makes an appointment with a medical examiner from an electronic terminal, the medical examination system server reads past examination items of the examiner and examination items for the inquiry item from the database, associates the contents of both items, and newly creates a new result. The examination items to be consulted are selected and provided to the health checker as recommended consultation items. Then, the medical examiner selects a medical examination item and inputs an answer to the inquiry information in the electronic terminal to carry out the medical examination.

  The technique described in Patent Document 2 is that when a patient who visits a medical institution inputs personal information such as constitution, medical history, medical history, etc. and medical examination information such as a symptom or purpose of medical examination using an input device, the personal information In addition, the medical examination information is transmitted to a server of a medical institution and can be transmitted to a terminal installed in the examination room, and this is displayed on a display screen or printed and observed. Then, the personal information and the consultation information are inputted by looking at the display screen on which the inquiry items are displayed and selecting the patient that is applicable to him / her.

  As described above, in the technology related to the use of the conventional questionnaire data described in Patent Documents 1 and 2, it is essential for the patient to input necessary items from the electronic terminal. There has been a problem that these systems cannot be used by patients such as elderly people who are unfamiliar with the operation of electronic terminals.

  On the other hand, there is a technique described in Patent Document 3 using an OCR sheet or a mark sheet as a technique for taking in questionnaire data for solving such a problem. In the technique of Patent Document 3, the interview answers of the examinees who answered about various inquiry items are collected by an OCR sheet or a mark sheet and stored in the interview answer database as the interview answers of the plurality of examinees. Then, a display request for the inquiry answer of the required examinee is executed, or the inquiry answer of the required examinee is displayed on the terminal.

  Further, in the technique of Patent Document 3, an inquiry answer selection unit that selects an inquiry answer corresponding to analysis request information from among the interview answers of the plurality of examinees stored in the inquiry answer database, and selects the selected analysis target question. Each item is assigned an answer to each question item of the question answer selected by the question answer selection means, and the question analysis is performed, and the result of the question answer analysis is used.

JP 2009-031973 JP 2003-323488 A JP 2006-277075 A

  By the way, as for the contents of the interview items, the subject you want to have a medical examination, such as internal medicine, surgery, orthopedics, otolaryngology, is the first visit, whether you are coming again, outpatient, inpatient The question to be asked depends on what is the disease status, the patient's constitution, body type, health condition, etc., and it is necessary to create an optimal questionnaire for the patient by combining these, None of Patent Documents 1 to 3 have been realized.

  Further, the technique shown in Patent Document 3 discloses a means for obtaining an answer to an inquiry from a written document of an OCR sheet or a mark sheet, but the digitized data after reading these questionnaires is accurately converted. No means for confirming whether or not For this reason, there is a drawback in that the reliability of the data is lacking, and in some cases, there is a risk of causing a medical error.

  Furthermore, depending on the patient's illness, it is important to check the health status of the patient and the effect of the medication. Continuously manage and output the questionnaire data and analyze the relationship with the patient's constitution, etc. However, in the prior art of Patent Documents 1 to 3, there is no established system that can easily use the data even if the previous interview result is used. Was the current situation.

  Furthermore, in any of Patent Documents 1 to 3, the interview items on the interview form are fixed and general in a certain format, and the interviews correspond to the disease, constitution, body shape, etc. peculiar to the patient. It was not in the form of an interview form that contained the matter. Therefore, even if an answer is obtained through an inquiry, the inquiry information is not suitable for the patient, and there is room for improvement.

  The present invention is obtained by improving and removing the above problems in view of the above-described problems, and by printing out and outputting the types of questionnaires and self-management notes for each patient for each patient, In addition, when importing the answers to the questionnaire, the image data and the digitized data are displayed and compared at the same time on half of the screen, etc., and after confirmation, modified and registered as electronic data By doing so, we would like to provide a system that can use the correct medical examination data.

  Thus, the means of claim 1 adopted by the present invention to solve the above-mentioned problems includes a reading system terminal such as an interrogation questionnaire that is installed in each clinical department of a medical institution, an interrogation card, or a self-management note. In addition to registering and saving the form of the patient, the form of the questionnaire or self-administration note necessary for the patient is customized and saved, and the questionnaire that the patient answers or the questionnaire that manages the response data of the self-management notebook, etc. It consists of a database, a printer that issues a questionnaire or self-administered notebook, a scanner that reads the questionnaire or self-administered notebook, and a web server that manages access to the database such as the questionnaire via the Internet. The vote reading system terminal displays the answer data of the questionnaire or self-administered notebook read by the scanner and digitizes the answer data. The data is displayed on the screen at the same time as the answer data. If there is an error in both data, the digitized data is corrected as necessary through an input means such as a keyboard or a mouse. This is a system for reading and using data such as questionnaires, which is characterized by registering digitized data as it is in a database.

  The means of claim 2 adopted by the present invention is that the format of the patient questionnaire or self-management note refers to the data of the questionnaire or self-management notebook registered by the doctor in the database such as the questionnaire. 2. The data of the medical examination form or the like according to claim 1, wherein the medical examination items are added, deleted and modified accordingly, and then customized as a format for the patient and registered in the medical examination form database. And use system.

In the invention of claim 1, when a patient accepts at each department, the patient's ID is read from the patient's examination ticket or the like, and patient inquiry is performed. Then, the patient's questionnaire form (template) is read from a database such as the questionnaire, printed out from the printer, and discharged.
The patient answers the questions on the questionnaires that were launched using the mark sheet method. Subsequently, the questionnaire is read by a scanner and displayed as image data such as pdf or jpeg on the left half of the display screen by the software of the reading system terminal such as the questionnaire, and the image data is displayed on the right half of the screen, for example. The marked part is automatically converted into digitized data and displayed.

The hospital staff such as doctors and nurses confirms the image data on the screen and digitized data, and if there is a correction, it is corrected through input means such as a keyboard or mouse. Registered. Therefore, according to the present invention, when the answer of the questionnaire is converted from image data to electronic data and registered, incorrect data is converted into correct data and registered, and accurate interview data is created. Is possible.
The same applies to the case where the answer of the self-management note is registered in the database.

  In the invention of claim 2, when the doctor examines the patient, the doctor's terminal accesses the database such as the questionnaire through the Internet or the in-hospital LAN, and the patient's registered questionnaire The data is referenced.

Then, after seeing the data of the questionnaire when the doctor examines the patient, if there is a request to change or add to the patient, the doctor calls the patient's questionnaire form from the database. The interview items are modified, customized as a style specific to the patient, and re-registered in the database. Therefore, from the next time, the patient will answer a customized dedicated questionnaire, and can collect medical examination data corresponding to the doctor's judgment and symptoms, constitution, body shape, and the like.
As described above, in the invention of claim 2, it is possible to customize and register an inquiry sheet peculiar to each patient. This is performed in the same manner as in the case of the data collection of the questionnaires described above in the case of the self-management notebook, and the same operational effects are achieved.

It is a block diagram which shows the whole reading and utilization system of the questionnaire etc. which concern on one embodiment of this invention. It is a flowchart figure of the reading and utilization system of the questionnaire etc. which concern on one embodiment of this invention. It is drawing which shows the example of a format of the questionnaire based on one embodiment of this invention. It is drawing which shows the example of a style of the self-management note which concerns on one embodiment of this invention. It is drawing which shows the example of an edit screen display concerning one embodiment of this invention.

  The configuration of the present invention will be described below based on the embodiment of the invention shown in the drawings. FIG. 1 is a diagram showing an overall configuration of a system for reading and using an inquiry form and the like. As shown in the figure, it has a host information system 1 of a HIS (Hospital Information System), a database (server) 2 such as a questionnaire, and a web server 3, which are connected so that they can communicate with each other through a hospital LAN. Has been. The web server 3 is also connected to a doctor's computer terminal 5 through the Internet 4.

  In addition, the hospital LAN includes a computer terminal 6 used by doctors in each department and hospital staff who have access authority to the database 2 and a system for reading a questionnaire and the like having the function of receiving each department. A terminal 7, a printer 8 for issuing an inquiry form and a self-management note, a scanner 9 for reading the written answer of the inquiry form and the self-management note as image data, and a general reception terminal 10 of the hospital are connected. Further, a barcode reader 11 for reading the ID and the like of a patient to be accepted in each clinical department is connected to the inquiry card reading system terminal 7.

  The HIS host computer 1 centrally manages patient basic information, medical practice history information, medical fee information, and the like. In the database 2 such as medical questionnaires, the basic medical questionnaire and self-management notes (templates) for each department and disease name are registered and stored, and customized questionnaires and self-management notes for each patient. Are registered and saved. In addition, the database 2 also stores and stores medical questionnaires answered by the patient, image data of self-management notes, and electronic data obtained by digitizing the image data. The web server 3 controls access to each system and terminal of the HIS from the outside through the hospital LAN via the Internet.

As shown in FIG. 3, the patient's name and date are inputted as characters, and the questionnaire is encoded with the bar code 12 and displayed. In addition, the questionnaire items are answered using the mark sheet method. The contents of the interview are about the physical condition on the day of the examination and the side effects on the drug.
On the other hand, as shown in FIG. 4, the self-management note is such that the patient himself / herself takes home for several days and records it in a mark sheet format, and whether or not he / she is taking oral medicine, body temperature, health status, etc. for several days. It is recorded and answered over the period.

  Next, the usage mode of the system of the present invention will be described based on the overall system diagram of FIG. 1, the flowchart of FIG. 2, and the editing screen display example of FIG. First, when the patient is the first visit, the patient himself performs the first visit procedure at the general reception terminal 10. As a result, an examination ticket is issued to the patient, and patient information such as a patient ID is registered in the host computer 1 of the HIS. In the case of a revisited patient, patient information has already been registered in the host computer 1, and for a patient who has made an inquiry in the past, data relating to an inquiry form and a self-management note are registered and stored in the database 2 such as an inquiry form. .

Next, patient referral is performed. For patient inquiry in the case of the first visit, the patient goes to the medical department where the patient is examined and presents an examination ticket at the reception. The hospital staff reads the barcode on the patient's examination ticket with the barcode reader 11. The data is sent to a reading system terminal 7 such as an inquiry form. The system terminal 7 reads the patient information registered when the general reception terminal 10 accepts the first examination from the host computer 1, and sets up an inquiry form (template) suitable for the patient in the examination form database 2. The hospital staff selects and picks up the data, prints it out with the issuance printer 8 and issues it, and issues it. At the same time, the format of the questionnaire for the first visit patient is registered in the database 2 such as the questionnaire.
On the other hand, in the case of a reexamination patient, the patient ID is read by the barcode reader 11 when an examination ticket is presented and accepted at the department receiving the examination. The system terminal 7 accesses the database 2 such as the medical questionnaire from this patient ID, and reads out the format (template) of the patient's medical questionnaire designated and registered at the previous medical examination. Then, it is issued from the issuing printer 8. If there is no need to update the form of the questionnaire, the same form of the questionnaire is registered and stored in the database 2.

  The issued questionnaire is handed to the patient. The patient records this response in a mark sheet format. Then, the questionnaire after answering is taken in as image data such as pdf and jpeg by the scanner 9 and sent to the system terminal 7. In the system terminal 7, the contents of the marked inquiry items are automatically digitized at the same time when the image data such as the pdf is taken in by preinstalled conversion software, and both data are displayed simultaneously. For example, as shown in FIG. 5, the image data is displayed on the left half of the monitor screen, and the converted electronic data is displayed on the right half, as shown in FIG.

  Hospital staff such as doctors or nurses compare the image data with the digitized data while looking at the monitor screen, and the electronic data displayed in the right half is the content of the image data displayed in the left half. Check if it is reflected correctly. If there is a mistake, the electronic data is corrected through input means such as a keyboard or a mouse of the system terminal 7. The corrected electronic data and original image data are registered and stored in the database 2.

  As for the data of the electronic questionnaire, the doctor accesses the database 2 from the computer terminal 5 through the Internet 4 and the web server 3, takes out the electronic data of the patient's medical questionnaire, and sends it to the monitor of the terminal 5. You can display the scene and refer to it. In addition, the doctor can access the database 2 directly from the terminal 6 installed in each department through the in-hospital LAN and refer to the patient's inquiry data in the same manner. It is also possible to refer back to past history for patient inquiry data.

  Furthermore, the response data such as the questionnaires registered in the database 2 is used when the doctor performs an examination while referring to the answer data and performs appropriate treatment or medication. In addition, if the doctor decides to change the contents of the questionnaire according to the progress of symptoms, recovery status, changes in the patient's physical condition, etc., the contents of the template registered as the patient's questionnaire form may be changed. It is possible to register as a new form in combination with the template of the patient, or to modify the questionnaire item contents (deletion / addition etc.) and customize it as a patient-specific questionnaire form (template). Thereby, the interview data from the next time becomes the most suitable for the patient, and there is an advantage that it leads to receiving an appropriate treatment.

  Furthermore, the electronic data of the questionnaires registered in the database 2 can be output as CSV data. By using commercially available statistical software, statistics can be obtained for each patient, statistics for each disease name, It is also possible to use statistics such as taking statistics for each administered drug.

  By the way, although the case of the inquiry form was demonstrated above, in the case of a self-management note, the use mode is almost the same as the case of the inquiry form. The only difference is that the self-administered notebook itself takes the patient back home, records several days of interview responses, submits them to the clinic at the next visit, and converts them to electronic data. Therefore, the detailed description about the usage mode of the self-management note here is omitted.

  By the way, this invention is not limited to embodiment mentioned above, A suitable change is possible. For example, the inquiry items shown in FIG. 3 and the self-management note shown in FIG. 4 can be appropriately changed as necessary. Moreover, the screen display pattern of the image data displayed on the monitor of the system terminal 7 and the data obtained by digitizing the image data may be displayed in the left and right halves or the upper and lower halves, or may be displayed by a pull-down menu method.

DESCRIPTION OF SYMBOLS 1 ... Host computer 2 ... Database 3 of medical questionnaires ... Web server 4 ... Internet 5 ... Doctor's computer terminal 6 ... Doctor's and hospital staff's computer terminal 7 ... Reading system terminal 8 such as medical questionnaires ... Issuance of medical questionnaires, etc. Printer 9 ... scanner 10 ... general reception terminal 11 ... bar code reader

Claims (2)

  Registers and stores the system for reading questionnaires, etc. that can be used for both reception desks installed in each department of medical institutions, and forms of questionnaires or self-management notes, as well as customizing the forms of questionnaires or self-management notes required for the patient In addition, a database such as a medical questionnaire that manages the response data of the medical questionnaire or self-administered notes answered by the patient, a printer that issues the medical questionnaire or self-administered notes, and reading of the medical questionnaire or self-administered notes And a web server that manages access to the database such as the medical questionnaire via the Internet, and the medical questionnaire reading system terminal displays the response data of the medical questionnaire or the self-managed notebook read by the scanner. At the same time, the data obtained by digitizing the answer data is displayed on the screen at the same time as the answer data, and both data are incorrect. In this case, the digitized data is corrected as necessary through an input means such as a keyboard or a mouse, and when there is no mistake in both data, the digitized data is registered as it is in a database such as a questionnaire. A system for reading and using data such as questionnaires.   The format of the questionnaire for the patient or the self-management note is modified by referring to the data of the questionnaire or the self-management notebook registered in the database such as the questionnaire, and adding or deleting the questionnaire items as necessary. The system for reading and using data such as an interview form according to claim 1, wherein the system is customized as a format for the patient and registered in the database such as an interview form.

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