JP4512338B2 - MEDICAL INFORMATION PROCESSING SYSTEM CONTROL METHOD, INFORMATION PROCESSING DEVICE, AND INFORMATION PROCESSING DEVICE CONTROL PROGRAM - Google Patents

Description

  The present invention relates to a medical information processing system control method, an information processing apparatus, and an information processing apparatus control program including at least medical equipment used for treatment or examination and medical information management means for managing a medical information database of a patient. is there.

  In recent years, mobile terminals such as mobile phones and PHS have been widely used, and their functions have been advanced. Not only for the purpose of calling, but also for personal identification, electronic payment using personal identification information, GPS, etc. Various technologies have been proposed, such as detecting the location of a terminal.

In the medical or welfare field, there is a movement to use a portable terminal. For example, identification or calling of a patient is performed (Patent Document 1 and Patent Document 2 below) and access to medical information is controlled. In addition, a technique for detecting information on the position and survival of a patient or an elderly person (Patent Document 3 below) is known.
JP 2000-157497 A Japanese Patent No. 3138178 JP-A-9-251069

  Among the above, in the medical field, particularly in medical institutions such as hospitals, the patient is identified and called using a mobile terminal, and information processing of medical information is performed so that the patient can be treated without a heavy human burden. You can be surely guided to the target clinic or examination room, and you can reliably perform the desired medical care without causing patient misunderstandings, and can perform medical examinations. It is thought that it can be ensured.

  However, with regard to the use of mobile terminals in the medical field, the conventional technology simply knows the basic technology for patient identification, registration processing and calling, so that medical or medical work can be efficiently performed in the actual medical field. However, it cannot be said that sufficient consideration has been given to what kind of processing should be carried out in order to make the system more reliable and reliable.

  For example, in a medical institution, a general medical practice of reserving a treatment or examination date for a patient, calling the patient, or guiding a patient to a clinic or examination room to perform a desired medical treatment or examination is At present, it is governed by the human burden of the medical staff or the patient himself / herself, such as telling the treatment date / time and place of the treatment or examination via the text information of documents such as oral or appointment / patient card. And simply by being able to identify a patient or call a patient using a portable terminal, it cannot be said that a series of medical practices as described above can be reliably assisted.

  In view of the above problems, an object of the present invention is to propose a technique capable of reliably identifying and guiding a patient using a mobile terminal in an actual medical field, and providing the intended patient without any error. There is.

In order to solve the above-described problems, in the present invention, a medical information processing system control method including at least medical information management means configured to manage a medical information database of a patient, which includes a medical device used for treatment or examination, a server and a filing device The reservation information including reservation information including at least reservation date and time related to treatment or examination using the medical device for the specific patient in the medical information database of the patient managed by the medical information management means, and The patient approach detection process for detecting that the patient has approached the medical device by comparing the absolute coordinate information of the mobile terminal and the absolute coordinate information of the medical device, and the patient only in the time zone before and after the reservation date and time The patient has arrived in the vicinity of the medical device through the proximity detection process Performs determining approach determination processing whether, if a patient in該接near determination process is determined to have approached to the medical device, the information for the identification of patients stored as a medical information of the patient the medical device or While displaying on the terminal for controlling the medical device, in the time zone other than the time zone before and after the reservation date and time, the patient identity confirmation process in which the processing after the approach determination processing is not performed is medical information processing of the server The configuration included in is adopted.

  By adopting the above configuration, according to the present invention, the approach to the medical device of the patient is detected using the portable terminal, and when the patient approaches the medical device, the medical device control terminal is automatically used. Since the information for confirming the identity of the patient is displayed on the display, there is an excellent effect that the patient can be surely identified and the intended medical care can be applied to the intended patient without error.

  Below, the Example regarding the medical information processing system which can be used suitably in medical institutions, such as a hospital, is shown.

  FIG. 1 shows a configuration of a medical information processing system that can be used in a medical institution such as a hospital according to the present invention. The medical information processing system in FIG. 1 is distributed in four medical institution rooms with reference numerals 10, 20, 30, and 40. In the medical information processing system of FIG. 1, a patient K receives a medical service using the mobile terminal 1 during a medical treatment period (or during a visit). Below, the structure of the apparatus arrange | positioned in each room of FIG. 1 is demonstrated first.

  In the examination room 10, a server 101 that is the core of the system is arranged. The server 101 is configured using PC (personal computer) or workstation hardware.

  The server 101 includes a filing device 102 for recording medical information of a patient who is receiving treatment at the medical institution as a database, and a backup DVD 104 for backing up the database information of the filing device 102 with a SCSI interface (or USB or IEEE 1394). Other interfaces). The server 101 is connected to a management keyboard (not shown) and a display 103. In the case of the present embodiment, the server 101 and the filing device 102 constitute medical information management means for managing a patient's medical information database.

  The medical information recorded by the filing device 102 includes medical data such as an image photographed by a medical device described later, text information input from a keyboard of a terminal described later, or read by a scanner or the like and subjected to OCR processing. It is. These medical data are associated with bibliographic data such as a patient's date of birth, address, name, and health insurance number, and are recorded in the filing device 102 as a database record for each patient. In this embodiment, for patient identification, bibliographic data recorded for each patient includes image data of the patient's face (or upper body) photo in addition to the patient's address, name, date of birth, gender, health insurance number, etc. Shall be included.

  A surgical microscope 202 is arranged in the examination room 20. A control terminal 201 is connected to the surgical microscope 202. The terminal 201 is configured using PC hardware or the like, and a display 203 is connected to a pointing device such as a keyboard and a mouse (not shown).

  In the endoscope room 30, an endoscope 302 and a control terminal 301 are arranged. The terminal 301 is configured using PC hardware or the like, and a keyboard 304 (or a pointing device such as a mouse) and a display 303 are connected to the terminal 301.

  In the examination room 40, an ultrasonic echo inspection apparatus 402 and a control terminal 401 are arranged. The terminal 401 is configured using PC hardware or the like, and a display 403 is connected to a pointing device such as a keyboard and a mouse (not shown).

  The terminals 201, 301, and 401 are connected to the server 101 in the examination room 10 via a LAN. A relay device 50 such as a router or a hub is arranged in the LAN as necessary.

  Patient K receives medical services using the mobile terminal 1 during the medical treatment period (or during the visit). The mobile terminal 1 lends the medical period or the mobile terminal owned by the patient supports the information processing of this system. As long as it has the specification which can be performed, the structure which downloads and runs the software required for the information processing of this system to a patient-owned portable terminal may be sufficient.

  In the present embodiment, it is assumed that the mobile terminal 1 has a position detection unit. This position detection means is used to detect the approach of a patient, which will be described later, for example, using means such as GPS, or based on the distance measurement with a communication line carrier base station, etc. Absolute coordinate information expressed by longitude and the like can be obtained. The position detection does not have to be a process completed within the mobile terminal 1, and a part of the position detection may be executed within the communication base of the communication line carrier.

  The absolute coordinate information of the portable terminal 1 includes the identification code of the terminal (appropriate for specifying the terminal by information unique to the terminal such as the serial number and telephone number of the device) and at least during the period when medical treatment is performed for the patient. Are transmitted to the server 101 from a communication line carrier that provides a position detection service at regular time intervals (for example, several tens of seconds to several minutes), or the server 101 is led by the server 101 as needed from the communication line carrier. It can be received.

  Further, in this embodiment, medical information processing is performed while monitoring whether or not the patient holding the portable terminal 1 has approached each of the above-described medical devices 202, 302, and 402. For this reason, when it is assumed that the absolute coordinate information of the mobile terminal 1 and the terminal identification code are received from the communication line carrier as described above, a patient who holds the mobile terminal 1 is assigned to each of the medical devices 202, 302, and 402. The determination as to whether or not the mobile terminal 1 has approached is performed by, for example, storing the absolute coordinate information of each of the medical devices 202, 302, and 402 in advance in the server 101 and receiving the mobile terminal 1 received together with the terminal identification code from the communication line carrier. This can be done by comparing the absolute coordinate information with the absolute coordinate information of each of the medical devices 202, 302 and 402.

  Information processing of this system is performed in a distributed manner on the OS of the server 101 and the terminals 201, 301, and 401. For ease of explanation, in the embodiment shown in FIGS. 2 to 4, most tasks are performed on the server 101, but possible processing among the processes described later is performed on the terminals 201, 301, and 401. You may do it.

  FIG. 5 schematically shows an example of the data structure of a medical database used in the medical information processing system of FIG. The illustrated medical database is constructed using the filing device 102 as a storage medium.

  In FIG. 5, reference numeral 500 indicates a database record (master record) corresponding to a certain patient. In the example of FIG. 5, the master record 500 includes fields as indicated by reference numerals 501 to 506.

  Reference numeral 501 is a field of a patient identification code (patient number), 502 is a field of a telephone number of the portable terminal (1) of the patient (K). In this embodiment, the position detection service of the communication line carrier includes the location information together with this telephone number. Will be sent. Thus, by having these fields 501 and 502 in the master record 500, the patient identification code and the telephone number of the portable terminal (1), that is, the identification code of the portable terminal (1) are associated with each other.

  In the case of FIG. 5, the identification code (patient number) of the patient and the identification code (telephone number) of the portable terminal 1 are used independently. For example, the identification code (phone number) of the portable terminal 1 is used as it is. A configuration for use as a patient identification code (patient number) is also conceivable.

  Reference numeral 503 denotes each field of bibliographic data such as the patient's address, name, date of birth, sex, and health insurance number. In this embodiment, as shown by reference numeral 504, the patient's face and upper body photo data. A field for a pointer to 5041 is provided. The photograph data 5041 is assumed to be stored in the filing device 102 in the form of an image file, for example, and the file name is stored in the file 504 as a data pointer.

  Reference numeral 505 denotes a field for storing a pointer of medical or examination reservation data 5050. Reservation data 5050 in FIG. 5 includes fields such as reference numerals 5051 to 5055. In other words, in the case of FIG. 5, the reservation data 5050 includes a reservation date / time field 5051, a clinic number field 5052, a treatment / examination content field 5053, a treatment / examination device number field 5054, and an extended area 5055.

  The example of FIG. 5 shows a reservation state when this patient is examined by the ultrasonic echo examination apparatus 402 in the examination room 40, and the number of the examination room 40 in FIG. The number of the ultrasonic echo examination apparatus 402 is stored in the treatment / examination equipment number field 5054. The extended area 5055 is used to add arbitrary data according to the user's wishes or the convenience of system management. A LAN address or the like may be used for the treatment / examination device number stored in the treatment / examination device number field 5054.

  Reservation data 5050 is generated for each reservation registration of one medical treatment or examination, and the pointer is stored in the reservation data field 505 of the master record 500. In addition, the reservation data table of the system is used to smoothly perform the monitoring process described later. The same reservation data pointer is also copied during 5070. In the example of FIG. 5, the pointer of the reservation data 5050 is stored in the reservation data table 5070 as the third reservation data 3.

  The reservation data table 5070 is used to collectively store and manage all reservation data of all patients performed in this system, and is added / updated by processing as described later.

  Reference numeral 506 is a field for a pointer to medical data. The medical data 5060 in FIG. 5 includes fields 5061 to 5064. That is, in the case of FIG. 5, the medical data 5060 includes a treatment / examination date / time field 5061, a treatment / examination content field 5062, a data field 5063, and an extended area 5064 similar to the case of the reservation data 5050. A data field 5063 stores a pointer (for example, a file name) to data such as captured information and character information such as measurement results.

  The medical data 5060 is generated one record for each examination, and the pointer (for example, file name) is stored in the medical data field 506 of the master record 500 (a plurality of medical data fields 506 can be added. ).

  As the contents of each field shown in FIG. 5, readable characters are used for easy understanding, but of course data of an arbitrary format (for example, its meaning is determined in advance depending on the convenience of system design). Binary code etc.) can be used.

  2 to 4 show the flow of medical information processing executed on the server 101. FIG. 2 shows a reservation registration process of medical treatment (treatment / examination, etc.) using a medical device (202, 302, 402) for a certain patient, FIG. 3 shows control of medical treatment registered for reservation, and FIG. 4 shows medical information. The transmission / reception and update processing to and from the terminals 201, 301 and 401 are shown.

  When performing medical reservation registration using the medical devices (202, 302, 402), first, in step S200 of FIG. If it is the first visit, the processing of steps S201 and S202 is executed, and if it is not the first visit, the process proceeds directly to the setting of the examination / treatment reservation date and time of step S203.

  In the case of the first visit, information necessary for generating a database record of the patient is input in steps S201 and S202. First, in step S201, image data of a patient's face (or upper body) photograph is taken. The patient image is captured by a predetermined imaging device and recorded as a database record of the filing device 102. In the case of FIG. 5, this database recording is performed by storing the pointer of the patient's photograph data 5041 in the photograph data field 504 in the master record 500 of the patient. In addition, in order to image | photograph this patient's image, the thing attached to the portable terminal 1 can be used, and it can also be made to transmit to the server 101 from the portable terminal 1 side.

  Subsequently, in step S202, bibliographic data such as the patient's date of birth, address, name, and health insurance number are input and stored as a database record of the patient. In the data structure of FIG. 5, these bibliographic information is stored in the field 503.

  In step S203, medical service reservation registration using the medical device (202, 302, 402) is performed. In this reservation registration, reservation date and time data is input from a keyboard or the like together with information for specifying a medical device used for the target medical care, and is stored as medical reservation information in the database record of the patient in the filing device 102. In the case of the data structure of FIG. 5, the reservation date and time, the clinic number, the treatment / examination contents, and the treatment / examination device number are stored in the fields 5051 to 5054 of the appointment data 5050, respectively. The pointer of the reservation data 5050 is stored in the reservation data field 505 and the reservation data table 5070 in the master record 500 of the patient.

  The reservation registration process of FIG. 2 may be directly executed by a medical worker using the console of the server 101, or information input is performed at the terminals 201, 301, and 401 of each treatment room (20 to 40). Alternatively, the server 101 can perform the database processing through communication with the server 101, and so on.

  The reservation registration task in FIG. 2 and the patient monitoring task in FIG. 3 (and medical information transmission / reception / update processing in FIG. 4: described later) are executed on the server 101 in parallel. The server 101 can grasp all current medical reservation states via management data such as a reservation data table.

  The patient monitoring task in FIG. 3 shows processing performed for one piece of reservation data entered in the reservation data table 5070. The processing related to all reservation data in the reservation data table 5070 can be executed by repeating the processing of FIG. Hereinafter, the description will be given using the data structure of FIG.

  In the patient monitoring task of FIG. 3, first in step S300, one piece of pointer data is extracted from the reservation data table 5070, the reservation date / time data (field 5051) in the reservation data 5050 pointed to by the pointer data is read, and the next step S301. Then, it is determined whether or not the reservation date is approaching by comparing with the time measured by the system timer. If the reservation date and time is close, for example, if the current time exceeds the time before a predetermined time (for example, 30 minutes) before the reservation date and time, the process related to the reservation data is performed in step S302 and thereafter. If not, the process proceeds to step S310. Then, the process related to other reservation data (same as the monitoring process of FIG. 3) is executed.

  If the reservation date and time is approaching in step S301, first, in step S302, the patient (the mobile terminal 1) registered in the reservation data table is the corresponding medical device registered in the field 5054 of the reservation data 5050. (202, 302, 402, in the case of the reservation data 5050, in the case of the ultrasound echo inspection apparatus 402), it is determined whether or not the user has approached.

  In the case of using the communication line carrier position detection service as described above, this approach detection is performed by using the absolute coordinate information of the mobile terminal 1 and the terminal identification code received from the communication line carrier and each medical device (202, 302 and 402) can be performed by comparing the respective absolute coordinate information.

  Further, approach detection for the medical devices (202, 302, and 402) is also performed by determining whether or not a medical room (20, 30, 40) registered in the field 5053 of the reservation data 5050 has been entered. Can do. In this case, a two-dimensional coordinate range (for example, a polygonal range such as a quadrangle) defined by the clinics (20, 30, 40) is stored in advance, and the absolute coordinate information of the mobile terminal 1 received from the communication line carrier is stored. It is determined whether or not the medical room (20, 30, 40) is within the two-dimensional coordinate range.

  If the patient has not approached the corresponding medical device (202, 302, 402), it is determined in step S304 whether the patient is behind the appointment date and time (field 5051 of the appointment data 5050). This determination is performed by determining whether or not the current time has exceeded the reservation date and time. If the patient is delayed, a call is made to the portable terminal 1 of the patient in step S311. This call is made by calling the telephone number of the patient's mobile terminal 1 (field 502 of the master record 500) and sending a voice message such as “medical appointment time. Please come to the room.” This is done by sending a message of interest by e-mail. When using e-mail, an image such as an in-hospital map of the corresponding clinic can be attached and transmitted. The calling of step S311 can be performed from an appropriate time before and after the reservation date.

  When the approach of the patient to the corresponding medical device (202, 302, 402) registered for reservation in step S302 is detected, the process proceeds to step S303. In step S303, the identification code of the approaching patient is specified. At this time, if the identification code of the patient (field 501 of the master record 500) and the identification code of the portable terminal 1 (field 502 of the master record 500) are different in database processing as shown in FIG. The patient identification code can be identified from the transmitted identification code of the portable terminal 1. In addition, in order to speed up this search process, only the patient identification code and the identification code of the portable terminal 1 that are subjected to predetermined hash processing using the identification code of the patient and the identification code of the portable terminal 1 are obtained. It goes without saying that a database technique such as preparing the extracted table can be used.

  When the identification code of the patient is specified, in step S305, the terminal (201, 301, 401) that controls the medical device (202, 302, 402) corresponding to the reservation of the medical information of the corresponding patient in the filing device 102 is determined. Send to. In the case of FIG. 5, the contents of the master record 500 and the reservation data 5050 are transmitted to the terminal 401 that controls the ultrasonic echo inspection apparatus 402. At this time, the medical information to be transmitted to the terminals (201, 301, 401) may be any information that includes at least information related to the reserved medical care. In this embodiment, the patient's face recorded in the patient database. Alternatively, the upper body image is transmitted to the corresponding terminal (201, 301, 401).

  In FIG. 3, the processing within the broken line mainly indicates processing on the terminal (201, 301, 401) side. When the medical information (master record 500, photo data 5041, and reservation data 5050) transmitted from the server 101 as described above is received, the terminals (201, 301, 401) are surely connected to the medical staff in the vicinity of the terminal. The patient's face or upper body image included in the received medical information is displayed on the display (203, 303, 403) so that the patient can be identified at step S306. In the example of reservation registration in FIG. 5, patient photo data 5041 is displayed on the display 403 in the examination room 40 as indicated by reference numeral 403 a in FIG. 1.

  The medical staff in charge was surely reserved without mistaking the patient by comparing the image (403a) displayed on the display (203, 303, 403) with the patient's (K) human phase. The medical care of the contents can be performed.

  At the same time, the medical information (master record 500 and reservation data 5050) received from the server 101 that is necessary for paperwork or medical practice, for example, the reservation date and time (field 5051 of the reservation data 5050), the content of the treatment test (Field 5053 of reservation data 5050) Information such as address, name, date of birth, sex, and health insurance number is displayed on the display (203, 303, 403). Using these pieces of information, the medical staff can perform the medical treatment for which the medical care is reliably reserved using the medical devices (202, 302, 402).

  In step S307, the reserved medical treatment is performed using the medical devices (202, 302, 402). In this medical treatment, for example, image data captured by the surgical microscope 202, the endoscope 302, and the ultrasonic echo inspection apparatus 402, or numerical data and character data indicating the inspection result are generated as medical data in other devices. When medical data to be stored in this type of database is generated (step S308), the terminals (201, 301, 401) transmit the medical data to the server 101 in step S309.

  In step S312, it is determined whether the reserved treatment / examination has been completed normally. This determination is described as processing on the server 101 side, but it is performed by exchanging result codes that are appropriately determined in advance for events that may occur at the terminal (201, 301, 401) and the server 101 via the LAN. can do. If the reserved treatment / examination is not completed normally, a corresponding error process is performed in step S313. If the reserved treatment / examination ends normally, in step S314, the reservation data pointer is deleted from the reservation data table 5070 of the system, and the reservation data pointer (field 505) of the master record 500 is invalidated. The monitoring process ends.

  FIG. 4 shows a process of transmitting / receiving medical information to / from the terminals (201, 301, 401) and an update process.

  Steps S401 and S403 show processing for transmitting medical information of a patient to the terminal (201, 301, 401) side based on a request from the terminal (201, 301, 401) side. This processing is provided in consideration of the demand for referring to the medical information of the patient on the terminal (201, 301, 401) side even in cases other than the reserved medical care. When a medical information reference request is received (S401) together with a patient identification code (or information that can identify another patient) from the terminal (201, 301, 401), the patient identification code (or information that can identify another patient) The medical information (master record 500, medical data 5060, reservation data 5050, etc.) corresponding to is transmitted to the terminals (201, 301, 401) (S403).

  Note that the medical information transmitted and received in step S403 (or step S305 described above) naturally belongs to personal information, so appropriate encryption processing (for example, using a public key method such as PGP or SSL) is used. It is desirable to send / receive after adding In addition, it is conceivable that an appropriate authentication process is interposed in the transmission / reception of medical information performed in response to a request from the terminal side.

  Steps S402 and S404 respectively indicate a medical information reception process and a medical data update process transmitted from the terminals (201, 301, 401) in step S309 of FIG. In the configuration of FIG. 5, based on the medical data transmitted from the terminals (201, 301, 401), the server 101 stores the medical data received using the fields 5051 to 5064 of the above-described medical data 5060. Data stored in the field 5063 is an image photographed by the medical device (202, 302, 402) as described above, character data indicating an examination (measurement) result, or the like. Strictly speaking, the treatment / examination date / time data generated by the medical device (202, 302, 402) or the terminal (201, 301, 401) is desirably used as the treatment / examination date / time data to be stored in the field 5061.

  According to the above embodiment, in an actual medical site, the approach of a patient to a medical device is detected using a mobile terminal, and when the patient approaches the medical device, the medical device control terminal is automatically used. The patient's photo data (or necessary medical information / medical appointment information) is displayed on the display of the patient as information for patient identification, so that the patient can be reliably identified and the target medical care is incorrect. Can be applied to the intended patient.

  In addition, if the patient's arrival in the vicinity of the medical device (corresponding clinic) is delayed, a message for guiding the patient can be transmitted, and the patient is surely in the vicinity of the medical device (corresponding clinic). Can be guided.

  In addition, when medical data (numerical values of captured images, examination / measurement results, and text data) to be recorded in the medical database is generated by the medical device, the medical data can be immediately added to the patient's database record. In addition, since the treatment / examination is started from the identity verification based on the position detection described above, the medical database of the corresponding patient can be reliably updated without error.

  In the following, various configurations that can be changed from the basic configuration shown as the first embodiment are listed.

  In the first embodiment, it is assumed that the position detection service of the mobile terminal provided by the communication line carrier is used. However, the proximity detection of the patient to the medical device using the mobile terminal is performed between the mobile terminal and the medical device. It is also possible to provide a predetermined communication system. For example, a patient's medical device with a portable terminal can be used by modulating a patient identification code using infrared rays, electromagnetic waves of other wavelengths, optical information, or magnetic information, and transmitting / receiving between the portable terminal and a medical device. Access to the device and identification of the patient via the identification code of the portable terminal can be performed.

  When performing position detection between the mobile terminal and the medical device as described above, of course, the information on the approach of the patient detected by the medical device is transmitted to the server, and the server sends the above-described medical information to the medical device accordingly. (Medical data and reservation data) may be transmitted.

  In addition, the above-described position detection of the unique method is performed between the mobile terminal and the medical device, and a base station dedicated to position detection is arranged in a medical institution such as a hospital, and infrared rays or electromagnetic waves or light of other wavelengths are arranged. Information or magnetic information can also be used as a medium. Since the position detection method using GPS or the like can acquire only two-dimensional information, it is possible that position detection with sufficient accuracy cannot be performed in a configuration in which medical devices are arranged on different floors of a building. This unique method of position detection has the advantage that the position detection accuracy can be greatly improved by adopting a configuration in which base stations are arranged for each floor of the building.

   In the first embodiment, a system that needs to be registered for a specific treatment or examination is illustrated. However, even when such reservation registration is not performed, information for monitoring the patient's absolute coordinates at all times via the portable terminal and confirming the patient's identity in response to detection of the approach of the patient to a specific medical device ( Needless to say, patient photo data) or medical data about the patient can be displayed. In this case, in the process of FIG. 3, it is only necessary to execute the process after step S303 according to the approach of the patient (step S302). Also, with respect to the registration process of FIG. It is only necessary to register other patients for the first time.

  In the first embodiment, explanation about the medical billing for the patient is omitted, but the database structure shown in FIG. 5 can be linked to the medical accounting database through the health insurance number as well as the database structure shown in FIG. It goes without saying that processing for inputting (transmitting) the accounting information generated by the medical accounting database to the medical accounting database side and referring to past billing information and the like from the medical device control terminal as necessary.

  In addition, various technologies for transmitting patient vital information (electrocardiogram, electroencephalogram, etc.) from the patient's portable terminal have been proposed (using dedicated portable terminals, or combining existing hardware with hardware for detecting and transmitting vital information) However, it goes without saying that the configuration shown in the first embodiment can be integrated with such a vital information processing system. For example, more precise crisis management can be performed by detecting the approach of a patient to a medical device while constantly monitoring vital information.

  In the first embodiment, the distributed processing using the server, the medical device, and the terminal for controlling the medical device is illustrated. However, it is needless to say that the sharing of the processing of these devices is not necessarily the same as the first embodiment. . In an extreme case, it is a matter of course that the same processing can be performed even if the server, the medical device, and the medical device control terminal are all integrated in one piece of hardware. In addition, medical database information necessary for the implementation of the present invention does not necessarily have to be managed by a server, but is distributed and managed by terminals for medical device control, and medical device control is performed only when necessary in server management operations and reservation registration processing. The terminal may be configured to transmit to the server. Also, information such as photographic data for verifying the identity of the patient is displayed using the display means if the medical equipment itself has appropriate display means as well as the medical equipment control terminal. It may be.

  The medical information processing system of the present invention is configured using the PC or workstation as described above for the hardware of the server and the terminal, and the information processing software described with reference to FIGS. 2 to 5 is executed on the server and the terminal. (Of course, the hardware of the server and the terminal may be configured as a dedicated machine). In particular, the software for carrying out the present invention can be introduced into the hardware of a PC or workstation constituting the server and terminal via an appropriate storage medium or via a network.

It is the block diagram which showed the structure of the medical information processing system which employ | adopted this invention. It is the flowchart figure which showed the flow of the reservation registration process in the medical information processing system of FIG. It is the flowchart figure which showed the flow of the patient monitoring process in the medical information processing system of FIG. It is the flowchart figure which showed the flow of the medical information transmission / reception and update process in the medical information processing system of FIG. It is explanatory drawing which showed the data structure of the medical database used with the medical information processing system of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Mobile terminal 10 Examination room 20 Examination room 30 Endoscopic room 40 Examination room 50 Relay apparatus 101 Server 102 Filing apparatus 103 Display 104 Backup DVD
201, 301, 401 Terminal 202 Surgical microscope 302 Endoscope 402 Ultrasound echo examination apparatus 500 Master record 5041 Photo data 5050 Reservation data 5051 Reservation date / time field 5052 Medical room number field 5053 Treatment / examination content field 5054 Treatment / examination equipment number Field 5055 Extended field 5060 Medical data 5061 Treatment / examination date field 5062 Treatment / examination content field

Claims (6)

In a control method of a medical information processing system including at least medical information management means configured to manage a medical information database of a patient, which includes a medical device used for treatment or examination, a server, and a filing device.
Reserving and registering reservation information including information on at least reservation date and time related to treatment or examination using the medical device for a specific patient in the medical information database of the patient managed by the medical information management means;
A patient approach detection process for detecting that the patient has approached the medical device by comparing the absolute coordinate information of the mobile terminal carried by the patient and the absolute coordinate information of the medical device;
Only during the time period before and after the reservation date and time, an approach determination process is performed to determine whether or not the patient has arrived in the vicinity of the medical device through the patient approach detection process. When it is determined that the medical device has been approached, information for confirming the identity of the patient stored as the medical information of the patient is displayed on the medical device or the terminal for controlling the medical device. A control method for a medical information processing system, wherein a patient identity confirmation process in which processing subsequent to the approach determination processing is not performed is included in the medical information processing of the server in a time zone other than the time zone.   The method for controlling a medical information processing system according to claim 1, wherein the information for confirming the identity of the patient is image data of a patient's face or upper body.   2. The medical information processing system according to claim 1, wherein in the patient approach detection process, absolute coordinate information of the mobile terminal is detected using a position detection service of the mobile terminal provided by a communication line carrier. Control method.   2. The control method of the medical information processing system according to claim 1, wherein, in the approach determination process, when arrival of the patient is not recognized, call information is transmitted to the portable terminal carried by the patient. In an information processing apparatus that operates as the server in a medical information processing system that includes at least a medical information management unit configured to manage a medical information database of a patient, which includes a medical device used for treatment or examination, a server, and a filing device.
Reserving and registering reservation information including information on at least reservation date and time related to treatment or examination using the medical device for a specific patient in the medical information database of the patient managed by the medical information management means; and
A patient approach detection process for detecting that the patient has approached the medical device by comparing the absolute coordinate information of the mobile device carried by the patient and the absolute coordinate information of the medical device;
Only during the time period before and after the reservation date and time, an approach determination process is performed to determine whether or not the patient has arrived in the vicinity of the medical device through the patient approach detection process. When it is determined that the medical device has been approached, information for confirming the identity of the patient stored as the medical information of the patient is displayed on the medical device or the terminal for controlling the medical device. In a time zone other than a time zone, an information processing apparatus that performs a patient identification process that does not perform the processing subsequent to the approach determination processing as a part of the medical information processing. In a control program for an information processing apparatus that operates as the server in a medical information processing system that includes at least a medical information management unit configured to manage a medical information database of a patient, which includes a medical device used for treatment or examination, a server, and a filing device.
Reserving and registering reservation information including information on at least reservation date and time related to treatment or examination using the medical device for a specific patient in the medical information database of the patient managed by the medical information management means; and
A patient approach detection process for detecting that the patient has approached the medical device by comparing the absolute coordinate information of the mobile device carried by the patient and the absolute coordinate information of the medical device;
Only during the time period before and after the reservation date and time, an approach determination process is performed to determine whether or not the patient has arrived in the vicinity of the medical device through the patient approach detection process. When it is determined that the medical device has been approached, information for confirming the identity of the patient stored as the medical information of the patient is displayed on the medical device or the terminal for controlling the medical device. A control program for an information processing apparatus that causes a patient identification process, which is not performed after the approach determination process, to be executed as a part of the medical information processing in a time slot other than a band .

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