JP7231972B1 - Referral support system - Google Patents

Abstract

A referral support system that promotes regional medical cooperation is provided. A referral support system in which a plurality of users and a plurality of medical institutions are registered and which introduces a medical institution to the user, and an analysis device for analyzing health checkup information stored in a user database. However, when the medical condition of user A is analyzed based on the medical examination information of user A, the medical institution information stored in the medical institution database is referred to search for a medical institution suitable for examination of the medical condition. It is characterized by notifying the user A's communication terminal of the medical institution. [Selection drawing] Fig. 5

Description

The present invention relates to a referral support system for introducing medical institutions to users.

Regional medical cooperation means that regional medical institutions promote the division and specialization of medical functions according to the actual situation of their own facilities and the medical situation in the region, It is a system that aims to enable people to receive appropriate and continuous medical care in the community.
In order to promote regional medical cooperation, each patient is asked to establish a family medical institution that provides daily medical care, and when specialized treatment is required, the family doctor provides the appropriate medical care. By referring a patient to a medical institution, and then referring the patient back to the original medical institution or another medical institution when the treatment is completed, the functions of each medical institution can be effectively utilized.

Various support systems have already been developed for the purpose of supporting regional medical cooperation.
For example, in Patent Document 1, a terminal for patients and a terminal for medical providers can be connected for communication with a database installed in a regional medical support center. A support system for receiving patient information is disclosed.

JP-A-2002-56089

By the way, it cannot be said that sufficient cooperation has been realized in the actual situation of regional medical care in Japan, and realization of a more effective support system is required.
The present invention has been made in view of the above problems, and provides a referral support system that promotes regional medical cooperation.

According to the present invention, a plurality of users and a plurality of medical institutions are registered, and a referral support system for introducing the medical institutions to the users, wherein medical institution information about the medical institutions is stored. a medical institution database in which the medical institution is located; a user database storing health checkup information, which is the content of the questionnaire written by the user in the health checkup or the result of the user's health checkup; an analysis device that analyzes the medical condition of the user related to health checkup information, wherein the analysis device analyzes the medical condition of the specific user based on the health checkup information of the specific user, the medical institution database referencing the medical institution information stored in the medical institution, searching for the medical institution suitable for diagnosis of the medical condition, and notifying the communication terminal of the specific user of the medical institution found. A support system is provided.

According to the above invention, when the medical condition of a specific user is analyzed based on the medical examination information of the user, a medical institution suitable for diagnosis of the medical condition is mechanically (by computer processing) found, The notification saves the user the trouble of searching for a medical institution.
Therefore, when a reexamination is necessary for a physical examination, the user can be urged to visit an appropriate medical institution, and regional medical cooperation can be promoted.

ADVANTAGE OF THE INVENTION According to this invention, the referral support system which promotes regional medical cooperation is provided.

1 is a configuration diagram illustrating an introduction support system according to the present invention and each device capable of communicating with the system; FIG. It is a figure which shows the specific example of the screen displayed on a user's communication terminal. It is a figure which shows the specific example of the screen displayed on the communication terminal of a medical institution. It is a figure which shows the specific example of the screen displayed on the communication terminal of a medical institution. FIG. 10 is a sequence diagram regarding processing of the referral support system; FIG. 10 is a sequence diagram regarding processing of the referral support system;

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments of the present invention will be described with reference to the drawings. In addition, in all the drawings, the same constituent elements are denoted by the same reference numerals, and the description thereof is omitted as appropriate.

<About the configuration of the referral support system>
First, the configuration of the introduction support system 10 in this embodiment will be described.
FIG. 1 is a configuration diagram illustrating a referral support system 10 according to the present invention and each device capable of communicating with the referral support system 10. As shown in FIG.
Note that the numbers of devices, users, and facilities shown in FIG. 1 are shown for convenience in explaining the present embodiment, and can be changed as appropriate within the scope of achieving the purpose in carrying out the present invention.

A referral support system 10 is a computer system in which a plurality of users and a plurality of medical institutions are registered, and which introduces medical institutions to users. ,including.
The medical institution database 12 stores medical institution information on medical institutions registered in the referral support system 10 .
The user database 11 stores the contents of medical questionnaires written by users registered in the referral support system 10 in health examinations or health examination information, which is the results of the user's health examinations.
The analysis device 13 analyzes the health checkup information stored in the user database 11 and analyzes the user's medical condition related to the health checkup information.
Here, the user's medical condition analyzed by the analysis device 13 specifically indicates the degree of possibility that some kind of disease will be attached if the user is hospitalized within one year after undergoing a health checkup. is the score. The score is derived by an artificial intelligence engine developed by deep learning using a neural network, and may be referred to as an AI score in the following description.

The communication terminals 21 to 25 shown in FIG. 1 are configured to be able to communicate with each device (the user database 11, the medical institution database 12, the analysis device 13) constituting the referral support system 10, respectively. can be given and received.
The communication terminal 21 is a device owned by the facility (medical checkup center) where the user received the medical checkup, and provides the user database 11 with the above medical checkup information. It should be noted that the health checkup that the user undergoes is preferably a regular health checkup that is performed regularly (at least once a year), and the health checkup information that the communication terminal 21 provides to the user database 11 is the health checkup information. It is preferably updated every time.
The communication terminal 22 is a device owned by a user A who is one of the users registered in the introduction support system 10 and receives various notifications from the introduction support system 10 . Further, the communication terminal 22 may be able to edit the read information by reading various information (user A's account information and user A's health checkup information) registered in the user database 11 .
The communication terminal 23 is a device owned by a user B who is one of the users registered in the introduction support system 10 and receives various notifications from the introduction support system 10 . Further, the communication terminal 23 may be able to edit the read information by reading various information (user B's account information and user B's health checkup information) registered in the user database 11 .
The communication terminal 24 is a device owned by a medical institution C, which is one of the medical institutions registered in the referral support system 10 , and receives various notifications from the referral support system 10 . The communication terminal 24 also provides the medical institution information of the medical institution C to the medical institution database 12 .
The communication terminal 25 is a device owned by a medical institution D, which is one of the medical institutions registered in the referral support system 10 , and receives various notifications from the referral support system 10 . The communication terminal 25 also provides the medical institution information of the medical institution D to the medical institution database 12 .

When the analysis device 13 analyzes the specific user's medical examination information and analyzes the specific user's medical condition, the analysis device 13 refers to the medical institution information stored in the medical institution database 12, and selects medical care suitable for the examination of the medical condition. It is possible to search for an institution and notify the searched medical institution to a specific user's communication terminal.
As a result, a specific user can obtain an analysis result (AI score) of a medical condition each time he undergoes a health checkup, and can receive a referral to a medical institution accordingly.

<About the display screen displayed on the user's communication terminal>
Next, the display screen displayed on the user's communication terminal will be described.
FIG. 2 is a diagram showing a specific example of a screen displayed on a user's communication terminal. Although FIG. 2 is illustrated on the premise that the user's communication terminal in this embodiment is a smartphone, the user's communication terminal may be a personal computer, a tablet terminal, or other computer equipment.

FIG. 2(a) is a display screen related to "medical checkup result", and includes test items of the medical checkup taken by the user, numerical values of the test results, and judgment results (five levels from A to E in this embodiment). is shown. When the user taps the character display of "AI score" displayed on the display screen of FIG. 2(a), the display screen is changed to that of FIG. 2(b).
FIG. 2(b) is a display screen related to "AI score", and based on the health checkup information of the health checkup that the user underwent, it was estimated that the user is likely to be afflicted with the disease in the near future. The name of the disease and the AI score (three levels of high, medium, and low in this embodiment) for each disease are shown. In addition, when the user taps the character display of "health checkup result" displayed on the display screen of FIG. When the character display of the displayed "AI score list" is tapped, the screen changes to the display screen shown in FIG. 2(c).
FIG. 2(c) is a display screen relating to the "AI score list", and shows the AI score for each disease for all the diseases that can be analyzed by the analysis device 13. FIG. In addition, when the user taps the character display of "AI score" displayed on the display screen of FIG. 2(c), the screen transitions to the display screen of FIG. When the character display of "medical institution information" displayed is tapped, the display screen changes to that shown in FIG. 2(d).
FIG. 2D is a display screen related to "medical institution information", which includes the name of the disease with the highest AI score for the user, the name of the medical institution searched from the medical institution database 12, the medical expenses for the disease (hospitalization and outpatient medical expenses) are shown. When the user taps the character display of "AI score list" displayed on the display screen of FIG. 2(d), the display screen is changed to that of FIG. 2(c).

<About the display screen displayed on the communication terminal of the medical institution>
Next, the display screen displayed on the communication terminal of the medical institution will be described.
3 and 4 are diagrams showing specific examples of screens displayed on the communication terminal of the medical institution. It should be noted that the communication terminal of the medical institution in this embodiment is a personal computer, and FIGS. , the communication terminal of the medical institution may be a smart phone, a tablet terminal, or other computer equipment.

FIG. 3(a) is a display screen related to "health checkup result", and includes test items of the health checkup taken by the user, numeric values of this year's test results (test results used for analysis), and last year's test results. is shown. When the user taps the character display of "AI Score Overview" displayed on the display screen of FIG. 3(a), the screen transitions to the display screen of FIG. 3(b).
FIG. 3(b) is a display screen relating to "AI score summary", and the names of diseases are displayed in descending order of the AI score analyzed based on the health checkup information of the health checkup that the user underwent. In addition, FIG. 3(b) shows the name of the disease with the highest AI score among the names of the diseases shown above, the name of the medical institution suitable for the examination of the disease, and the medical expenses for the disease (in the case of hospitalization and medical expenses for outpatients) are shown. In addition, when the user taps the character display of "health checkup result" displayed on the display screen of FIG. When the character display of "AI score details" displayed is tapped, the display screen changes to that shown in FIG. 4(a).
FIG. 4(a) is a display screen regarding "AI score details", and shows a more detailed analysis result than the AI score shown in the display screen of FIG. 3(b). Specifically, the AI score (100 points from 1 point to 100 points in this embodiment) derived for each classification of the International Classification of Diseases (ICD-10 code) is ranked in descending order of the score (affected by the disease (in descending order of risk). In addition, when the user taps the character display of "AI score overview" displayed on the display screen of FIG. When the character display of the displayed "disease details" is tapped, the display screen changes to that shown in FIG. 4(b).
Fig. 4(b) is a display screen related to "disease details". (or the contents of the medical questionnaire edited by the user's communication terminal after being stored in the user database 11) are shown. In addition, the display screen of FIG. 4B shows medical record information acquired from the electronic medical record system of the medical institution after the user has been examined at the medical institution. When the user visits the medical institution for the first time, this column is blank because the medical chart information cannot be read from the electronic medical chart system. When the user taps the character display of "AI score details" displayed on the display screen of FIG. 4(b), the display screen changes to that of FIG. 4(a).

As described above, in this embodiment, the content displayed on the communication terminal of the user differs from the content displayed on the communication terminal of the medical institution. The former is plain information so that even ordinary people can understand it. On the other hand, the latter is detailed information that the doctor who examines the patient needs for diagnosis.
As a result, the referral support system 10 can appropriately provide necessary information to each of the user and the doctor.

<Regarding the processing procedure of the referral support system>
Next, a processing procedure of the introduction support system 10 of this embodiment will be described.
5 and 6 are sequence diagrams relating to the processing of the referral support system 10. FIG.
5 and 6 illustrate the processing procedure when user A uses the introduction support system 10, but the processing procedure when user B uses the introduction support system 10 is the same.

When the communication terminal 22 of the user A requests analysis of its own health checkup information (step S101), the analysis device 13 refers to the user database 11 (step S102), and extracts the health checkup information of the user A from the user database 11. is obtained (step S103).
When the analysis device 13 analyzes the medical condition (AI score) of the user A based on the acquired health checkup information of the user A (step S104), the analysis device 13 refers to the medical institution information stored in the medical institution database 12 A medical institution suitable for examination of a medical condition is searched (step S105), search information of the searched medical institution is acquired (step S106), and based on the acquired search information, the searched medical institution is displayed on the user A's communication terminal 22. (step S107).

Here, it is assumed that the medical institutions notified in step S107 are medical institution C and medical institution D, and user A's communication terminal 22 accepts medical examination by medical institution C (step S108). Then, the analysis device 13 transmits the referral information regarding the user A to the medical institution C based on the acceptance response (step S109). Here, the introductory information about the user A is information necessary for medical examination of the user A, and corresponds to the information displayed on the display screens of FIGS. 3 and 4 in this embodiment.

When user A visits medical institution C and the information is reflected in the electronic medical record system of medical institution C (step S110), the examination is notified to analysis device 13 (step S111). Upon receiving this notification, the analysis device 13 updates the information of the user A stored in the user database 11, and registers that the medical institution C is the family of the user A (step S112).

Subsequently, it is assumed that user A newly undergoes a health checkup, the health checkup information is updated, and the analysis result of user A's medical condition (AI score) changes (step S201).
At this time, the analysis device 13 acquires the updated health checkup information from the user database 11 (step S202), and analyzes the updated health checkup information (step S203). Then, the analysis device 13 refers to and newly searches the medical institution information stored in the medical institution database 12 (step S204), and acquires the medical institution information of a medical institution suitable for examination of the medical condition (step S205), based on the acquired medical institution information, the communication terminal 22 of user A is notified of the newly searched medical institution (step S206).
Here, it is assumed that the user A has accepted the medical examination of the medical institution D (step S207). Then, the analysis device 13 changes the referral information about the user A based on the updated health checkup information and the changed medical condition analyzed from the health checkup information, and sends the changed referral information about the user A to the medical institution D. Send (step S208).
Here, in addition to the above-described updated health checkup information and the changed medical condition analyzed from the health checkup information, the changed introduction information about user A transmitted in step S208 includes medical institution C Referral information reflecting the medical record information acquired from the electronic medical record system (specifically, the contents extracted from the electronic medical record system of medical institution C are displayed in the medical record information column of the display screen shown in FIG. 4(b). added) is generated and sent to medical institution D.

When user A visits medical institution D and the information is reflected in the electronic medical record system of medical institution D (step S209), the examination is notified to analysis device 13 (step S210). Upon receiving this notification, the analysis device 13 updates the information of the user A stored in the user database 11, and registers that the personal care of the user A has been updated from the medical institution C to the medical institution D (step S211). ).

In the flow described above, the medical checkup information is analyzed and notification is given based on the analysis results. A is notified.
If the medical institution that user A wishes to visit is changed, the referral information is automatically sent to the new medical institution D. Even if the information described in the referral letter is insufficient, the doctor at the medical institution D can reliably obtain the information necessary for the examination of the user A.
Therefore, the referral support system 10 according to the present embodiment can strengthen cooperation between a plurality of medical institutions C and D, and can provide the user A with a more comprehensive medical system.

<Modification>
The above-described embodiment merely exemplifies one mode in which the present invention can be implemented, and any modifications are possible within the scope of achieving the object of the present invention.

In the above-described embodiment, the user database 11, the medical institution database 12, and the analysis device 13 are included as elements constituting the referral support system of the present invention, but other elements (for example, the communication terminal 21 to 25) may be included in the referral support system of the present invention.

In the above-described embodiment, the sequence diagrams of FIGS. 5 and 6 were used to illustrate specific examples of the processing procedures of the present invention. Other processes that are not shown may be added, and the order of the processes shown in these drawings may be changed.

In the above-described embodiment, a case has been described in which the family medical institution is changed from the medical institution C to the medical institution D in accordance with a change in the analysis result (AI score) of the health checkup information. This case can be rephrased as a case in which the present invention supports the flow of going to a medical institution D after bringing a letter of introduction from a doctor of the medical institution C under normal circumstances.
The implementation of the present invention is not limited to the above. For example, if the analysis result (AI score) of the health checkup information improves after being transferred to the medical institution D, a flow (so-called reverse referral) to return to the medical institution C is performed. The present invention may be implemented to support.

This embodiment includes the following technical ideas.
(1) A referral support system in which a plurality of users and a plurality of medical institutions are registered, and which introduces the users to the medical institutions, wherein medical institution information about the medical institutions is stored. A database, a user database that stores health checkup information that is the contents of a medical questionnaire written by the user in the health checkup or the result of the user's health checkup, and the health checkup information that analyzes the health checkup information and an analysis device that analyzes the medical condition of the user according to the above, wherein the analysis device analyzes the medical condition of the specific user based on the medical examination information of the specific user, and stores in the medical institution database referencing the medical institution information stored therein, searching for the medical institution suitable for examination of the medical condition, and notifying the communication terminal of the specified user of the medical institution found.
(2) When the analysis device receives, from the communication terminal of the specific user, a response to the effect that the first medical institution among the medical institutions notified to the communication terminal of the specific user accepts the examination, The referral support system according to (1), wherein the referral information regarding the specific user is transmitted to the communication terminal of the first medical institution.
(3) the analysis device transmits the referral information including the result of analyzing the risk of the specific user being afflicted with each of a plurality of diseases to the communication terminal of the first medical institution; (2), wherein the communication terminal of the first medical institution is capable of displaying, when displaying the received referral information, the diseases that the specific user may be suffering from, in descending order of risk; Referral support system as described.
(4) The analysis device searches for the medical institution suitable for examination based on some of the high-risk diseases among the diseases that the specific user may be suffering from, and The referral support system according to (3), wherein the communication terminal can display the name of the disease used to search for the medical institution, the risk of suffering from the disease, and the searched medical institution. .
(5) When the analysis device receives a notification from the communication terminal of the first medical institution that the specific user has received a medical examination at the first medical institution, the analysis device detects that the first medical institution When the fact that the user is a family member is registered in the user database, and the medical examination information of the specific user registered in the user database is updated and the analysis result of the specific user's medical condition changes, the change Notification of the subsequent medical condition and the newly searched medical institution based on the relevant medical condition to the communication terminal of the specific user, and acceptance of a medical examination at a second medical institution different from the first medical institution. When a response to that effect is received from the communication terminal of the specific user, the introduction information about the specific user is changed based on the updated health checkup information and the changed medical condition analyzed from the health checkup information. is sent to the communication terminal of the second medical institution, and when the notification that the specific user has received a medical examination at the second medical institution is received from the communication terminal of the second medical institution, the specific user The referral support system according to any one of (2) to (4), further comprising registering in the user database that the user's family has been updated from the first medical institution to the second medical institution.
(6) The analysis device can acquire medical record information from an electronic medical record system owned by the medical institution via a communication terminal of the medical institution, and the updated medical examination information and the medical examination information In addition to the post-change medical condition analyzed from, further, based on the medical record information obtained from the electronic medical record system owned by the first medical institution, transmit to the communication terminal of the second medical institution The referral support system according to (5), which generates the referral information regarding the specific user.

10 referral support system 11 user database 12 medical institution database 13 analysis devices 21, 22, 23, 24, 25 communication terminal

Claims (6)

A referral support system in which a plurality of users and a plurality of medical institutions are registered and which introduces the medical institution to the user,
a medical institution database storing medical institution information about the medical institution;
Contents of a medical questionnaire written in a regular health checkup that the user regularly undergoes or health checkup information that is the result of the regular health checkup is stored , and the health checkup information is stored every time the user undergoes the regular health checkup. a user database in which the
By analyzing the health checkup information, the name of a disease that can be diagnosed during the period from the regular health checkup that is the basis of the health checkup information to the next regular health checkup, and the possibility of contracting the disease an analysis device that analyzes a score representing the degree of
with
The analysis device is
By referring to the medical institution information stored in the medical institution database based on the name of the disease and the score obtained by analyzing the medical examination information of a specific user, the medical institution suitable for examination of the disease and notifying the communication terminal of the specific user of the searched medical institution ,
When the specific user newly undergoes the regular health checkup and the health checkup information is updated, the medical institution receives the name of the disease and the score obtained by analyzing the updated health checkup information. Referencing the medical institution information stored in the database, searching for the new medical institution suitable for diagnosis of the disease, and notifying the communication terminal of the specific user of the searched new medical institution;
A referral support system characterized by: A referral support system in which a plurality of users and a plurality of medical institutions are registered and which introduces the medical institution to the user,
a medical institution database storing medical institution information about the medical institution;
a user database in which the results of health checkups taken by the user are stored;
an analysis device that analyzes the result of the health checkup and analyzes the medical condition of the user according to the result of the health checkup ;
with
When the analysis device analyzes the medical condition of the specific user based on the result of the medical examination of the specific user, the analysis device refers to the medical institution information stored in the medical institution database, and performs medical examination for the medical condition. Searching for the suitable medical institution and notifying the communication terminal of the specific user of the searched medical institution;
A referral support system characterized by: The analysis device is
When the specific user receives, from the communication terminal of the first medical institution, a notification that the specific user received a medical examination at a first medical institution among the medical institutions notified to the communication terminal of the specific user , the first Register in the user database that the medical institution is the family of the specific user,
When the result of the physical examination of the specific user registered in the user database is updated and the analysis result of the specific user's medical condition changes, a new search is performed based on the changed medical condition and the relevant medical condition. Notifying the communication terminal of the specific user of the medical institution that was received,
When a response to the effect of accepting a medical examination at a second medical institution different from the first medical institution is received from the communication terminal of the specific user, the updated result of the health checkup and the result of the health checkup changing the referral information about the specific user based on the changed medical condition analyzed from and transmitting it to the communication terminal of the second medical institution;
When the specific user receives a notification from the communication terminal of the second medical institution that the specific user has undergone treatment at the second medical institution, the personal information of the specific user is sent from the first medical institution to the second medical institution. register in the user database that the medical institution has been updated;
The referral support system according to claim 2 . The analysis device is
Medical record information can be obtained from an electronic medical record system owned by the medical institution via a communication terminal of the medical institution,
In addition to the results of the health checkup after updating and the changed medical condition analyzed from the results of the health checkup , further, based on the medical record information obtained from the electronic medical record system held by the first medical institution to generate the introductory information about the specific user to be transmitted to the communication terminal of the second medical institution;
The referral support system according to claim 3 . When the analysis device receives from the communication terminal of the specific user a response indicating acceptance of a medical examination at a first medical institution among the medical institutions notified to the communication terminal of the specific user, the analysis device receives from the communication terminal of the specific user Sending introductory information about the user to the communication terminal of the first medical institution;
The referral support system according to any one of claims 1 to 4 . The analysis device transmits the referral information including the result of analyzing the risk of the specific user suffering from each disease with respect to a plurality of diseases to the communication terminal of the first medical institution,
When displaying the received introduction information, the communication terminal of the first medical institution is capable of displaying diseases that the specific user may be suffering from in descending order of risk.
The referral support system according to claim 5 .

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