WO2021079605A1 - Electrocardiogram monitoring system, method for operating electrocardiogram monitoring system, and transmission processing program - Google Patents

Electrocardiogram monitoring system, method for operating electrocardiogram monitoring system, and transmission processing program Download PDF

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Publication number
WO2021079605A1
WO2021079605A1 PCT/JP2020/031630 JP2020031630W WO2021079605A1 WO 2021079605 A1 WO2021079605 A1 WO 2021079605A1 JP 2020031630 W JP2020031630 W JP 2020031630W WO 2021079605 A1 WO2021079605 A1 WO 2021079605A1
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WIPO (PCT)
Prior art keywords
transmission
data
server
electrocardiogram
processing terminal
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PCT/JP2020/031630
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French (fr)
Japanese (ja)
Inventor
貴志 岡庭
豊 水田
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株式会社Ｚａｉｋｅｎ
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Publication of WO2021079605A1 publication Critical patent/WO2021079605A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/332—Portable devices specially adapted therefor

Definitions

  • the present invention relates to a system for monitoring an electrocardiogram of a subject, an operation method of the system, and a transmission processing program.
  • home medical care is medical care that enables elderly people living in the community to receive high-quality medical care or long-term care support while living in a familiar place with peace of mind, and is closely related to the comprehensive community care system.
  • it is developing.
  • pediatric home medical care there is an increasing need for home medical care for children and the like who need medical equipment on a daily basis.
  • Patent Document 1 discloses an electrocardiogram monitoring system for the purpose of monitoring the electrocardiograms of a plurality of patients in real time and intensively.
  • Patent Document 2 discloses a biometric data transmission / reception system for the purpose of efficiently and quickly transmitting / receiving biometric data on the premise that it is applied to emergency medical care that requires urgency.
  • Patent Document 1 it is possible to monitor the patient's electrocardiogram in real time, but in home medical care, it is naturally assumed that the diagnosis is performed not only in real time but also on a date and time different from the electrocardiogram measurement date. Will be done. It is also envisioned that a healthcare professional may wish to refer to ECG data at a particular time zone when making such a later diagnosis.
  • Patent Document 2 it is possible to store the electrocardiogram data in units of 1 second and to acquire the electrocardiogram data at a specified time.
  • this is intended for the rapid and efficient transfer of the electrocardiogram data necessary for emergency medical care, and is not intended for the case of acquiring the electrocardiogram data for a long period of time.
  • a system for efficiently processing electrocardiogram data for the case of monitoring the electrocardiogram in real time or the case of transferring the electrocardiogram data in a relatively short time such as when transporting a patient.
  • the present invention has been made for the purpose of solving the problem of the conventional portable electrocardiograph, and in order to support the efficiency of remote diagnosis in home medical care, the subject The purpose is to provide a system that enables efficient transmission and management of electrocardiogram data.
  • the present invention that solves the above problems
  • a portable electrocardiograph that acquires the electrocardiogram data of the subject
  • a transmission processing terminal that receives the electrocardiogram data from a portable electrocardiograph
  • a server for storing electrocardiogram data transmitted from the transmission processing terminal is provided.
  • the transmission processing terminal is an electrocardiogram monitoring system characterized by having a data transmission means for transmitting electrocardiogram data configured as data for each predetermined unit time to the server.
  • the transmission processing terminal has a transmission success data deleting means for deleting the transmission success data stored in the transmission processing terminal when the electrocardiogram data is successfully transmitted to the server. It is characterized by.
  • the electrocardiogram data that has been successfully transmitted to the server is sequentially deleted, so that unnecessary data is not accumulated and the processing speed can be improved.
  • the transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
  • the re-execution means is characterized in that the transmission process is repeated until the transmission of the transmission failure data to the server is successful.
  • the electrocardiogram data that failed to be transmitted to the server due to a problem such as a communication error is automatically retransmitted until the transmission is successful, so that the measured data can be managed without omission. it can.
  • the re-execution means transmits the transmission failure data and the electrocardiogram data accumulated until the transmission of the transmission failure data to the server is successful to the server. And.
  • measurement data other than the data that failed to be transmitted to the server can be managed without omission while maintaining continuity.
  • the transmission processing terminal is characterized by comprising a round slice data conversion means for converting the electrocardiogram data into electrocardiogram data at predetermined unit times.
  • the continuously acquired electrocardiogram information is converted into round slice data for each predetermined unit time, and the electrocardiogram data of the subject can be transmitted and managed more efficiently.
  • the predetermined unit time is 1 minute to 6 hours.
  • the electrocardiogram data is divided into the above-mentioned data for each predetermined unit time. Therefore, the viewability and manageability of the data are further improved.
  • the transmission processing terminal is characterized in that the electrocardiogram data is converted into DICOM format data and transmitted to a server.
  • the server is a cloud server, and the cloud server analyzes the electrocardiogram data to detect irregular pulsations.
  • the transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
  • the re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, and accumulates the transmission failure data together with the transmission failure data until the transmission of the transmission failure data to the server is successful. It is characterized in that ECG data is transmitted to the server.
  • the re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time, and the re-execution means.
  • the re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, and the predetermined unit time is in units of 5 to 45 minutes. It is characterized in that it is a time during which the transmission process can be performed again three times or more within the predetermined unit time.
  • the transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
  • the re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, and the electrocardiogram following the transmission failure data until the transmission of the transmission failure data to the server is successful.
  • the feature is that the data is stored in the transmission processing terminal without being transmitted to the server.
  • the present invention includes an information acquisition process for acquiring electrocardiogram data of a subject by a portable electrocardiograph, and An information transmission process for transmitting the electrocardiogram data acquired by the portable electrocardiograph to a transmission processing terminal, and A data transmission step of transmitting the electrocardiogram data received by the transmission processing terminal to a server is included.
  • the data transmission step also relates to a method of operating an electrocardiogram monitoring system, which comprises transmitting electrocardiogram data configured as data for each predetermined unit time to the server.
  • the re-execution step when the transmission of the electrocardiogram data to the server fails, includes re-execution of the transmission of the transmission failure data to the server after a lapse of a predetermined time, and the re-execution step includes the re-execution step.
  • the transmission process is repeated until the transmission failure data is successfully transmitted to the server, and the transmission failure data and the electrocardiogram data accumulated until the transmission failure data is successfully transmitted to the server are transmitted to the server. It is characterized by.
  • the re-execution step when the transmission of the electrocardiogram data to the server fails, includes re-execution of the transmission of the transmission failure data to the server after a lapse of a predetermined time, and the re-execution step includes the re-execution step. Repeat the transmission process until the transmission failure data is successfully transmitted to the server.
  • the predetermined unit time is in units of 5 to 45 minutes, and the predetermined time is a time during which the transmission process can be performed again three times or more within the predetermined unit time.
  • a preferred embodiment of the present invention includes a re-execution step of re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
  • the re-execution step repeats the transmission process until the transmission failure data is successfully transmitted to the server, and the electrocardiogram data following the transmission failure data is sent to the server until the transmission failure data is successfully transmitted to the server. It is characterized in that it accumulates in a transmission processing terminal without transmitting.
  • the present invention is a transmission processing program for transmitting the electrocardiogram data of a subject acquired via a portable electrocardiograph to a server.
  • the present invention also relates to a transmission processing program characterized in that a computer functions as a data transmission means for transmitting the electrocardiogram data to the server as electrocardiogram data configured as data for each predetermined unit time.
  • the computer is provided with the transmission means and a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
  • the re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, and accumulates the transmission failure data together with the transmission failure data until the transmission of the transmission failure data to the server is successful.
  • the electrocardiogram data is transmitted to the server.
  • the computer is provided with the transmission means and a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
  • the re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, the predetermined unit time is in units of 5 to 45 minutes, and the predetermined time is the predetermined time. It is characterized in that it is a time during which the transmission process can be performed again three times or more within the unit time of.
  • the computer is made to function as the transmission means and a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
  • the means repeats the transmission process until the transmission failure data to the server is successful, and does not transmit the electrocardiogram data following the transmission failure data to the server until the transmission failure data is successfully transmitted to the server. It is characterized by accumulating in the transmission processing terminal.
  • a system that enables efficient transmission and management of electrocardiogram data of a subject is provided, and remote diagnosis in home medical care can be made more efficient.
  • FIG. 1 It is a figure which shows the outline of the electrocardiogram monitoring system which concerns on embodiment of this invention. It is a functional block diagram which shows the functional structure example of the electrocardiogram monitoring system which concerns on embodiment of this invention. This is a display example of a browsing screen of the electrocardiogram monitoring system according to the embodiment of the present invention. It is a flowchart which shows the flow of processing of the electrocardiogram data in the electrocardiogram monitoring system which concerns on embodiment of this invention. It is a flowchart which shows the flow of processing of the electrocardiogram data in the electrocardiogram monitoring system which concerns on embodiment of this invention.
  • the configuration, operation, etc. of the electrocardiogram monitoring system will be described, but devices, computer programs, methods, etc. having the same configuration also have the same effects.
  • the program may be stored in a recording medium. Using this recording medium, for example, a program can be installed on a computer.
  • the recording medium in which the program is stored may be a non-transient recording medium such as a CD-ROM.
  • the "electrocardiogram information” is an electrocardiogram signal detected as an action potential or an action current of the myocardium acquired from the body surface via a portable electrocardiograph.
  • the "electrocardiogram data” is digital data in which the temporal change of the electrocardiogram information is recorded as a waveform, and is generally also referred to as an electrocardiogram or ECG (Electrocardiogram).
  • FIG. 1 is a diagram showing an outline of an electrocardiogram monitoring system 1 according to the present invention.
  • the electrocardiogram monitoring system 1 transmits an electrocardiogram data acquired via a portable electrocardiograph 2 mounted on the chest of a subject and a portable electrocardiograph 2 to a server 4. It includes a terminal 3, a server 4, and a browsing terminal 5.
  • the portable electrocardiograph 2 performs wireless communication with the transmission processing terminal 3. Further, the transmission processing terminal 3 and the server 4, and the server 4 and the browsing terminal 5 are connected to each other so as to be able to communicate with each other via the network NW. Further, the server 4 is preferably a cloud server, but is not limited to this.
  • the viewing terminal 5 includes a communication unit that is an interface for communicating with an external device, an input unit such as a touch panel and a physical key, an output unit such as a display, and an audio input / output unit that inputs / outputs audio. It can also be an information communication terminal such as a personal computer, a smartphone equipped with a touch panel, a tablet terminal, a portable information terminal such as a PDA (Personal Digital Interface), or the like. It is preferable that the viewing terminal 5 stores a dedicated program for displaying the electrocardiogram data.
  • the portable electrocardiograph 2 includes a main body unit, a power supply unit, an input unit including an electrode pad, an amplification unit for amplifying input electrocardiogram information, and an amplified electrocardiogram.
  • a conversion unit that digitally converts information a storage unit that stores electrocardiogram data after digital conversion, a wireless transmission unit for wireless communication with the transmission processing terminal 3, and an external device such as the transmission processing terminal 3. It includes a connection unit having a USB terminal for connecting and charging.
  • connection portion of the portable electrocardiograph 2 may include not only a USB terminal but also an AV terminal such as a Lightning terminal, a VGA terminal, and the like, depending on the embodiment.
  • the portable electrocardiograph 2 has a configuration capable of performing wireless communication with the transmission processing terminal 3 by the wireless transmission unit.
  • various wireless communication standards such as Bluetooth (registered trademark) and Zigbee (registered trademark), mesh network format, and P2P (Peer to Peer) format can be adopted. ..
  • the portable electrocardiograph 2 may be connected to the transmission processing terminal 3 by wire using a USB terminal, depending on the usage environment and the like.
  • the subjects who wear the portable electrocardiograph 2 according to the electrocardiogram monitoring system 1 of the present invention and monitor the electrocardiogram are roughly classified into the following three patterns.
  • the first subject is a person who has no subjective symptoms or signs such as heart disease.
  • the purpose is to screen for diseases (preventive medicine).
  • the second subject is a person who has subjective symptoms or signs such as heart disease.
  • the purpose is to detect a fatal arrhythmia and promptly treat the subject.
  • the third subject is a preoperative and / or postoperative patient. In this case, the purpose is to manage the patient's perioperative period and confirm the therapeutic effect.
  • the target person is not limited to the above three patterns.
  • the present invention can also be applied to patients with a certain risk of developing cerebral infarction based on the CHADS 2 score, which scores the risk of developing cerebral infarction in patients with atrial fibrillation.
  • cerebral infarctions there are a certain number of cerebral infarctions whose cause is unknown, but by using the portable electrocardiograph 2 of the present invention, whether or not the cause of such cerebral infarction is cardiogenic. It can also help in diagnosing.
  • the number of days for monitoring the electrocardiogram by wearing the portable electrocardiograph 2 can be appropriately determined according to the above-mentioned purpose of use, but as a guide, it is 1 to 10 days, more preferably 2 to 7 days.
  • the portable electrocardiograph 2 can be attached to the subject's chest via a gel pad.
  • the mounting position of the portable electrocardiograph 2 can be specified based on the instructions of the medical staff according to the required waveform, but from the viewpoint of reducing the influence of noise and myoelectricity, it is mounted in the center of the chest. Is preferable.
  • the direction of the portable electrocardiograph 2 is more preferably such that the longitudinal direction of the main body is perpendicular to the ground.
  • the portable electrocardiograph 2 acquires an electrocardiogram signal (electrocardiogram information) by an input unit, a conversion unit converts this analog signal into digital data (electrocardiogram data), and a storage unit stores this. Then, the obtained electrocardiogram data is transmitted to the transmission processing terminal 3 via the wireless transmission unit or the connection unit.
  • the biological information acquired by the portable electrocardiograph 2 is not necessarily limited to the electrocardiogram data, and may be configured to acquire other biological information such as body surface temperature, if desired.
  • the transmission processing terminal 3 includes a data storage means 31, a round slice data conversion means 32, a round slice data storage means 321, a data transmission means 33, a transmission success data deletion means 34, and a re-execution means. 35 and.
  • the functions of the transmission processing terminal 3 described below are also applicable to the description of the transmission processing program of the present invention.
  • the transmission processing terminal 3 of the present invention may be further provided with a marking means for recording the time, symptom, etc. when the subject becomes aware of the irregular pulsation during the measurement period of the electrocardiogram data.
  • the transmission processing terminal 3 may be configured to have a data communication function, and a smartphone terminal or a tablet terminal can be adopted. Further, these terminals include a computing device (CPU (Central Processing Unit)) and a main storage device (RAM (Random Access Memory)) as a working memory as hardware components.
  • communication such as OS (Operating System), application program, auxiliary storage device such as HDD, SSD, flash memory, etc. that rewritably stores various information (including data), communication control unit, NIC (Network Interface Card), etc. It includes an interface (IF) unit, a display control unit, a display unit, and the like.
  • IF interface
  • the data storage means 31 is configured to temporarily store continuous electrocardiogram data transmitted from the portable electrocardiograph 2.
  • the round slice data conversion means 32 is configured to convert the stored electrocardiogram data into electrocardiogram data for each predetermined unit time.
  • predetermined unit time is preferably in units of 1 minute to 6 hours, more preferably in units of 1 minute to 3 hours, more preferably in units of 5 to 60 minutes, still more preferably in units of 5 to 45 minutes, and particularly preferably in units of 5 to 45 minutes. It is in units of 5 to 30 minutes.
  • the electrocardiogram data converted as data for each predetermined unit time by the round slice data conversion means 32 is stored in the transmission processing terminal 3 by the round slice data storage means 321, and the server 4 is stored by the data transmission means 33. Will be sent to.
  • the portable electrocardiograph 2 may be configured to generate electrocardiogram data for each predetermined unit time.
  • the electrocardiogram data is stored by the round slice data storage means 321 and transmitted to the server 4 by the data transmission means 33.
  • the data transmission means 33 automatically transmits the electrocardiogram data for each predetermined unit time stored in the round slice data storage means 321 every time the predetermined unit time elapses. Send to.
  • the medical staff can monitor the electrocardiogram data of the subject every 15 minutes, that is, in substantially real time. it can.
  • the present invention is a data storage means which includes the above-mentioned data transmission means 33, but stores the electrocardiogram data stored in the round slice data storage means 321 for each predetermined unit time without automatically transmitting the electrocardiogram data to the server 4. It can also be configured to include.
  • the electrocardiogram data stored in the round slice data storage means 321 is stored in the transmission processing terminal 3 without being deleted by the transmission success data deletion means 34 described later.
  • the accumulated electrocardiogram data can be viewed as electrocardiogram data for each predetermined unit time through the display unit of the transmission processing terminal 3.
  • the present invention can be applied even when, for example, the transmission processing terminal 3 and the server 4 are not in a communicable environment.
  • the electrocardiogram data stored in the data storage means is configured to be transmitted to the server 4 by the manual transmission means that manually transmits the electrocardiogram data to the server 4 when the transmission processing terminal 3 and the server 4 can communicate with each other. You can also do it.
  • the present invention provides the above-mentioned data transmitting means 33, but does not convert the continuous electrocardiogram data transmitted from the portable electrocardiograph 2 into the electrocardiogram data at predetermined unit times, but instead sends the continuous electrocardiogram data to the server 4. It can also be configured to include a real-time transmission means for transmission.
  • the present invention further includes not only the data transmission means 33 that automatically transmits the electrocardiogram data for each predetermined unit time to the server 4, but also the data storage means, the manual transmission means, and the real-time transmission means. it can. Therefore, the target person or the medical worker can appropriately select the transmission mode of the electrocardiogram data according to the purpose.
  • Each of these functions can be switched by the target person himself or a related person such as the target person's family by changing the setting of the transmission processing terminal 3.
  • the transmission success data deletion means 34 automatically deletes the electrocardiogram data for which the transmission was successful when the electrocardiogram data stored in the round slice data storage means 321 for each predetermined unit time is successfully transmitted to the server 4. It is a configuration to do.
  • the transmission success data deletion means 34 receives a notification indicating that the server 4 has succeeded in normally receiving the electrocardiogram data from the notification means 43 described later, it determines that the transmission of the electrocardiogram data has been successful, and the transmission is successful. It is preferable that the data is deleted from the transmission processing terminal 3.
  • the transmission success data deleting means 34 after the electrocardiogram data is transmitted to the server 4 by the data transmitting means 33 and a certain time has elapsed after the receiving means 41 described later receives the electrocardiogram data. Upon receiving the notification, it is determined that the transmission of the electrocardiogram data has been successfully completed, and the transmission success data is deleted from the transmission processing terminal 3. The above-mentioned "constant time" will be described later.
  • the re-execution means 35 When the re-execution means 35 fails to transmit the electrocardiogram data stored in the round slice data storage means 321 for each predetermined unit time to the server 4, the re-execution means 35 automatically transmits the electrocardiogram data for which the transmission fails after the elapse of the predetermined time. This is a configuration for retransmitting to the server 4.
  • the re-execution means 35 When the re-execution means 35 receives a notification indicating that the server 4 has failed to normally receive the electrocardiogram data from the notification means 43 described later, the re-execution means 35 determines that the transmission of the electrocardiogram data has failed, and receives the notification. It is preferable to perform the transmission process again after a lapse of a predetermined time.
  • the electrocardiogram data is transmitted to the server 4 by the data transmission means 33, and the notification means is notified after a certain time has elapsed since the receiving means 41 described later receives the electrocardiogram data.
  • the notification that the transmission has failed is received from 43, it is determined that the transmission of the electrocardiogram data has failed, and after a predetermined time has elapsed, the transmission failure data is retransmitted.
  • the predetermined time can be arbitrarily set, but within a predetermined unit time, which is a unit for rounding the electrocardiogram data, preferably once or more, more preferably two times or more, still more preferably three times or more, again. It is preferable to set the time during which the transmission process of
  • the predetermined time is preferably 1 to 100 minutes, more preferably 3 to 60 minutes, still more preferably 5 to 30 minutes, and particularly preferably 5 to 15 minutes. More specifically, when the electrocardiogram data for each predetermined unit time is set as the data for each 15 minutes, the predetermined time is preferably 5 minutes.
  • the predetermined time it is preferable to set the predetermined time to a time during which the transmission process can be performed again at least the above number of times.
  • the re-execution means 35 repeatedly executes the transmission process until the transmission of the transmission failure data to the server 4 is successful.
  • the re-execution means 35 fails to transmit the re-executed electrocardiogram data to the server 4
  • the re-execution means 35 re-executes the transmission of the transmission failure data to the server 4 after the elapse of the predetermined time.
  • the transmission process is repeated until the transmission of the transmission failure data to the server is successful.
  • the re-execution means 35 succeeds in receiving the notification of whether or not the server 4 has succeeded in normally receiving the electrocardiogram data from the notification means 43, which will be described later, by the re-transmission process. Determine if the data transmission is complete.
  • the notification means 43 notifies that the transmission has failed
  • the re-execution means 35 performs the transmission process again after the same time as the predetermined time has elapsed.
  • n is 1 or more, more preferably 2 or more, and even more preferably 3 or more.
  • Ta is preferably 1 minute to 6 hours, more preferably 1 minute to 3 hours, more preferably 5 to 60 minutes, still more preferably 5 to 45 minutes, and particularly preferably 5 to 30 minutes.
  • the Tb is preferably 1 to 100 minutes, more preferably 3 to 60 minutes, still more preferably 5 to 30 minutes, and particularly preferably 5 to 15 minutes.
  • the re-execution means 35 ends the repeated transmission process. Then, the transmission success data deleting means 34 deletes the electrocardiogram data from the transmission processing terminal 3.
  • the electrocardiogram data for each predetermined unit time following the transmission failure data is stored in the server in the transmission processing terminal 3. It will be accumulated without being transmitted to 4.
  • the re-execution means 35 together with the electrocardiogram data related to the transmission failure the electrocardiogram data accumulated until the transmission failure data to the server 4 is successful. It is preferable that the data is also transmitted to the server 4.
  • the electrocardiogram data for each predetermined unit time is set to the electrocardiogram data for each 15 minutes
  • the re-transmission processing is performed. If all three failures occur, the next 15-minute unit electrocardiogram data is accumulated in the transmission processing terminal 3. In such a case, the transmission efficiency of the electrocardiogram data is improved by configuring the configuration in which the next 15 units of electrocardiogram data are transmitted to the server 4 together with the transmission failure data.
  • the transmission processing terminal 3 is provided with DICOM conversion means for converting ECG data into DICOM format data.
  • one-dimensional waveform data related to physiological tests such as electrocardiogram, electroencephalogram, and respiratory waveform are stored in a data format different from DICOM format, and are managed differently from DICOM data even within the same facility. It was.
  • the electrocardiogram data of the subject can be centrally managed by the DICOM server together with other medical data.
  • converting ECG data into DICOM format data is not necessarily limited to the transmission processing terminal 3.
  • the server 4, which will be described later, may have the same function.
  • the server 4 includes a receiving means 41, a storage means 42, a notification means 43, a transmitting means 44, and an analysis means 45.
  • the receiving means 41 is configured to receive the electrocardiogram data transmitted from the transmission processing terminal 3. Then, after the receiving means 41 receives the electrocardiogram data of the target person, the storage means 42 stores the electrocardiogram data in the server 4.
  • the storage means 42 stores the transmitted electrocardiogram data in a facility unit, a device unit (target person unit), and a date unit. By storing the electrocardiogram data in such a data structure, it is possible to efficiently manage the data related to a plurality of target persons.
  • the notification means 43 is configured to notify the transmission processing terminal 3 whether or not the receiving means 41 has normally received the electrocardiogram data after a certain period of time has elapsed from the reception of the electrocardiogram data.
  • the notification means 43 determines that the transmission has failed when the electrocardiogram data is not stored in the server 4 by the storage means 42 within a certain time after the receiving means 41 receives the electrocardiogram data. Notify the transmission processing terminal 3 to that effect.
  • the notification means 43 notifies the transmission processing terminal 3 that the transmission is successful when the electrocardiogram data is stored in the server 4 by the storage means 42 and a certain time elapses.
  • constant time can be arbitrarily set as long as the effect of the present invention is not hindered, but is preferably 1 to 10 minutes after the receiving means 41 receives the electrocardiogram data, more preferably. Is preferably 1 to 5 minutes, more preferably 1 to 3 minutes, and particularly preferably 30 to 60 seconds.
  • the transmission processing terminal 3 can quickly determine whether the transmission of the electrocardiogram data to the server 4 is successful or unsuccessful, and the transmission successful data deletion means 34 or re-execution The processing by the means 35 can be executed more efficiently.
  • the transmission means 44 is configured to transmit the electrocardiogram data stored in the storage means 42 to the viewing terminal 5 in response to a request from the viewing terminal 5.
  • a list of portable electrocardiographs 2 registered in the facility is displayed on the display unit of the browsing terminal 5 via a dedicated program.
  • the medical worker selects the portable electrocardiograph 2 related to the target person who wants to view the electrocardiogram data, the date list and the file list are displayed.
  • the medical staff can download all the electrocardiogram data measured by the portable electrocardiograph 2 from the server 4 by pressing the "download” button located on the left side of the upper part of FIG. Further, if necessary, only specific electrocardiogram data can be downloaded from the server 4 by pressing the "acquire only selected files” button located on the right side of the upper part of the figure.
  • the medical staff can press the "Automatic data acquisition for the last 2 days" button located on the left side of the upper part of the figure to measure the data for the last 2 days with all the portable electrocardiographs 2 registered in the facility. It is also possible to check the electrocardiogram data at predetermined unit times and automatically download the unacquired data.
  • the above-mentioned ECG data download is an embodiment in which the server 4 and the viewing terminal 5 are communicably connected via the network NW, and the present invention has such an embodiment. While assuming the form, it is also possible to download the electrocardiogram data offline.
  • the transmission processing terminal 3 and the viewing terminal 5 are connected by a Lightning cable or the like, and the electrocardiogram data stored in the round slice data storage means 321 of the transmission processing terminal 3 is duplicated in the viewing terminal 5.
  • the electrocardiogram data duplicated on the viewing terminal 5 can be manually deleted from the transmission processing terminal 3.
  • the medical worker can browse the electrocardiogram data acquired in this way through the browsing terminal 5 and diagnose the presence or absence of an arrhythmia event in the subject by himself / herself.
  • the medical staff specifies the electrocardiogram data measured by a specific portable electrocardiograph 2 in a specific time zone, requests an external specialist to analyze it, and refers to the result of the analysis. It is also possible to diagnose the subject.
  • the analysis means 45 is configured to analyze the electrocardiogram data on the server 4 in response to a request from the viewing terminal 5.
  • the medical worker can access the dedicated website from the browsing terminal 5 via a web browser and browse the electrocardiogram data stored in the server 4.
  • the analysis means 45 automatically detects the presence or absence of an arrhythmia event in the electrocardiogram data designated by the medical staff.
  • the type of arrhythmia to be detected is not particularly limited, but diagnostic names include, for example, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, paroxysmal supraventricular tachycardia, extrasystole, sinus tachycardia, and atrioventricular. Block, sinus dysfunction syndrome, etc. can be mentioned.
  • the automatic analysis of the presence or absence of an arrhythmia event can be executed by designing an algorithm according to the type of arrhythmia to be detected.
  • Such an algorithm can have the same configuration as that conventionally installed and used in an information processing terminal such as a PC as an electrocardiogram automatic analysis program.
  • the analysis means 45 makes it possible to browse all the electrocardiogram data of the subject, preferably on the cloud server, and further automatically analyze the arbitrary electrocardiogram data to improve the work efficiency of the medical staff. Not only will it improve, but it will also enable diagnostic support.
  • FIG. 4 is a flowchart showing the flow of processing in the electrocardiogram monitoring system 1 of the present embodiment from the portable electrocardiograph 2 to transmitting the electrocardiogram data to the server 4 via the transmission processing terminal 3.
  • step S1 the portable electrocardiograph 2 acquires the electrocardiogram data of the subject and transmits it to the transmission processing terminal 3. Then, in the following step S2, the data storage means 31 stores the electrocardiogram data transmitted from the portable electrocardiograph 2.
  • the electrocardiogram data stored here is converted into electrocardiogram data for each predetermined unit time by the round slice data conversion means 32, and then stored in the transmission processing terminal 3 by the round slice data storage means 321 (step S3).
  • step S4 the electrocardiogram data for each predetermined unit time is transmitted to the server 4 by the data transmitting means 33, and the receiving means 41 accepts this.
  • the electrocardiogram data successfully transmitted to the server 4 is automatically deleted from the transmission processing terminal 3 by the transmission success data deleting means 34 (step S5).
  • the electrocardiogram data that has failed to be transmitted to the server 4 is repeatedly transmitted to the server 4 by the re-execution means 35 until the transmission to the server 4 is successful after a lapse of a predetermined time (step S6). ).
  • the electrocardiogram data successfully transmitted to the server 4 by the re-execution means 35 is deleted from the transmission processing terminal 3 by the transmission success data deleting means 34.
  • FIG. 5 is a flowchart showing a processing flow from the transmission of the electrocardiogram data from the transmission processing terminal 3 to the server 4 in step S4 in FIG. 4 until the server 4 determines the success or failure of the transmission of the electrocardiogram data. ..
  • step S41 the receiving means 41 of the server 4 receives the electrocardiogram data transmitted from the transmission processing terminal 3. Then, in step S42, the storage means 42 executes the storage process of the electrocardiogram data in the server 4.
  • the notification means 43 determines whether or not the electrocardiogram data has been successfully transmitted to the server 4 depending on whether or not the electrocardiogram data is stored in the server 4 by the storage means 42 within a certain time.
  • the notification means 43 determines that the normal reception of the electrocardiogram data has been completed, and retains the stored electrocardiogram data in the server 4. Then, as step S43, the notification means 43 notifies the transmission processing terminal 3 that the transmission of the electrocardiogram data has been successful. On the other hand, if the storage process is not completed within a certain time, the notification means 43 notifies the transmission processing terminal 3 that the transmission of the electrocardiogram data has failed.
  • the re-execution means 35 of the transmission processing terminal 3 executes the re-transmission processing of the electrocardiogram data whose transmission has failed after a predetermined time has elapsed from the notification, and the receiving means 41 , The electrocardiogram data reception process is performed again (step S41).
  • the series of processes is repeatedly executed until the transmission of the electrocardiogram data is successfully completed.
  • the present invention can be applied to ECG monitoring of a subject in home medical care.
  • ECG monitoring system Portable electrocardiograph 3 Transmission processing terminal 31 Data storage means 32 Round-cut data conversion means 321 Round-cut data storage means 33 Data transmission means 34 Transmission success data deletion means 35 Re-execution means 4 Server 41 Reception means 42 Storage means 43 Notification means 44 Transmission means 45 Analysis means 5 Browsing terminal NW In-hospital network

Abstract

This electrocardiogram monitoring system is characterized in that: the system is provided with a mobile electrocardiograph for acquiring electrocardiogram data of a subject, a transmission processing terminal for receiving the electrocardiogram data from the mobile electrocardiograph, and a server for storing the electrocardiogram data transmitted from the transmission processing terminal; and the transmission processing terminal has a data transmission means for transmitting, to the server, electrocardiogram data which is data for each preset unit time.

Description

心電図監視システム及び心電図監視システムの作動方法、並びに伝送処理プログラムHow to operate the electrocardiogram monitoring system and the electrocardiogram monitoring system, and the transmission processing program
　本発明は、対象者の心電図を監視するシステム及び該システムの作動方法、並びに伝送処理プログラムに関する。 The present invention relates to a system for monitoring an electrocardiogram of a subject, an operation method of the system, and a transmission processing program.
　近年、高齢化社会の進展等を背景に在宅医療のニーズが高まっている。在宅医療は、地域に暮らす高齢者にとって安心して住み慣れた場所で生活しながら質の高い医療的ケアを受け、あるいは介護支援を受けることを可能にする医療であり、地域包括ケアシステムと密接にかかわりながら発展を遂げている。また、小児在宅医療とも称されるように、医療機器が日常的に必要な小児等に対する在宅医療のニーズも増加している。 In recent years, the need for home medical care has been increasing against the backdrop of the progress of an aging society. Home medical care is medical care that enables elderly people living in the community to receive high-quality medical care or long-term care support while living in a familiar place with peace of mind, and is closely related to the comprehensive community care system. However, it is developing. In addition, as it is also called pediatric home medical care, there is an increasing need for home medical care for children and the like who need medical equipment on a daily basis.
　一方で、我が国においては、医師不足という深刻な問題も抱えている現状から、患者に対するより効率的な医療の提供が求められてきた。このような背景も踏まえ、ＩＣＴ（Ｉｎｆｏｒｍａｔｉｏｎ　ａｎｄ　Ｃｏｍｍｕｎｉｃａｔｉｏｎ　Ｔｅｃｈｎｏｌｏｇｙ）を活用した遠隔医療システムの構築への取り組みがますます拡がりを見せている。 On the other hand, in Japan, there is a serious problem of a shortage of doctors, so there is a demand for more efficient medical care for patients. Against this background, efforts to build a telemedicine system utilizing ICT (Information and Communication Technology) are becoming more widespread.
　とりわけ、心臓疾患を有する者又はその疑いのある者に対しては、日常生活を送りながら一定の期間心電図を測定し、心臓疾患などの所見の有無を評価するための心電図モニタリングシステムが種々知られている。 In particular, for those who have or are suspected of having heart disease, various electrocardiogram monitoring systems are known for measuring the electrocardiogram for a certain period of time while living a daily life and evaluating the presence or absence of findings such as heart disease. ing.
　例えば特許文献１には、複数の患者の心電図をリアルタイムにかつ集中的にモニタリングすることを目的とする心電図モニタリングシステムが開示されている。 For example, Patent Document 1 discloses an electrocardiogram monitoring system for the purpose of monitoring the electrocardiograms of a plurality of patients in real time and intensively.
　また、特許文献２には、緊急性が要求される救急医療に適用することを前提に、生体データを効率良く迅速に送受信することを目的とする、生体データ送受信システムが開示されている。 Further, Patent Document 2 discloses a biometric data transmission / reception system for the purpose of efficiently and quickly transmitting / receiving biometric data on the premise that it is applied to emergency medical care that requires urgency.
特許第３８３１７０１号公報Japanese Patent No. 3831701 特許第４１７２５４３号公報Japanese Patent No. 4172543
　特許文献１では、患者の心電図をリアルタイムにモニタすることが可能とされているが、在宅医療においては、リアルタイムでの診断だけではなく、心電図測定日とは異なる日時に診断を行う場合も当然想定される。また、そのような後日時での診断を行う際に、医療従事者がある特定の時間帯における心電図データの参照を希望することも同様に想定される。 In Patent Document 1, it is possible to monitor the patient's electrocardiogram in real time, but in home medical care, it is naturally assumed that the diagnosis is performed not only in real time but also on a date and time different from the electrocardiogram measurement date. Will be done. It is also envisioned that a healthcare professional may wish to refer to ECG data at a particular time zone when making such a later diagnosis.
　また、特許文献２では、心電図データを１秒単位の区切りで記憶することや、指定した時間の心電図データを取得することが可能とされている。しかしながら、これは救急医療における必要な心電図データの迅速かつ効率的な転送を目的としたものであり、長期間にわたって心電図データを取得する場合を想定したものではない。 Further, in Patent Document 2, it is possible to store the electrocardiogram data in units of 1 second and to acquire the electrocardiogram data at a specified time. However, this is intended for the rapid and efficient transfer of the electrocardiogram data necessary for emergency medical care, and is not intended for the case of acquiring the electrocardiogram data for a long period of time.
　このように、リアルタイムで心電図をモニタリングする場合や、患者搬送時などの比較的短時間における心電図データを転送する場合について、効率的に心電図データを処理するシステムが開示されているが、数日にわたって心電図を遠隔監視することを前提に、リアルタイム及び後日診断の両側面において効率的に心電図データを送信し、管理することが可能なシステムは従来知られていなかった。 As described above, a system for efficiently processing electrocardiogram data is disclosed for the case of monitoring the electrocardiogram in real time or the case of transferring the electrocardiogram data in a relatively short time such as when transporting a patient. There has been no known system capable of efficiently transmitting and managing electrocardiogram data in both real-time and later diagnosis on the premise of remote monitoring of electrocardiogram.
　また、従来から、長期間連続的に心電図をモニタリングするための携帯型心電計自体は知られていたものの、測定したデータを一括してオフラインで転送する方式が採られていたため、データ転送に時間を要する、あるいは所望の時間帯のデータを表示するのに手間がかかるなどの問題があり、解決が求められていた。 In addition, although the portable electrocardiograph itself for continuously monitoring the electrocardiogram for a long period of time has been known from the past, a method of collectively transferring the measured data offline has been adopted, so that it is used for data transfer. There are problems such as time-consuming or time-consuming display of data in a desired time zone, and a solution has been sought.
　本発明は、このような背景に鑑み、従来の携帯型心電計の問題を解決することを目的に為されたものであり、在宅医療における遠隔診断の効率化を支援すべく、対象者の心電図データを効率的に送信し、管理することを可能とするシステムを提供することにある。 In view of such a background, the present invention has been made for the purpose of solving the problem of the conventional portable electrocardiograph, and in order to support the efficiency of remote diagnosis in home medical care, the subject The purpose is to provide a system that enables efficient transmission and management of electrocardiogram data.
　上記課題を解決する本発明は、
対象者の心電図データを取得する携帯型心電計と、
前記心電図データを携帯型心電計から受信する伝送処理端末と、
前記伝送処理端末から送信された心電図データを保管するサーバと、を備え、
前記伝送処理端末は、所定の単位時間毎のデータとして構成された心電図データを前記サーバに送信するデータ送信手段を有することを特徴とする、心電図監視システムである。 The present invention that solves the above problems
A portable electrocardiograph that acquires the electrocardiogram data of the subject,
A transmission processing terminal that receives the electrocardiogram data from a portable electrocardiograph, and
A server for storing electrocardiogram data transmitted from the transmission processing terminal is provided.
The transmission processing terminal is an electrocardiogram monitoring system characterized by having a data transmission means for transmitting electrocardiogram data configured as data for each predetermined unit time to the server.
　このような構成を備える本発明によれば、対象者の心電図データを効率的に送信し、管理することができる。 According to the present invention provided with such a configuration, it is possible to efficiently transmit and manage the electrocardiogram data of the subject.
　本発明の好ましい実施の形態では、前記伝送処理端末は、前記心電図データのサーバへの送信が成功した場合、前記伝送処理端末に記憶された送信成功データを削除する送信成功データ削除手段を有することを特徴とする。 In a preferred embodiment of the present invention, the transmission processing terminal has a transmission success data deleting means for deleting the transmission success data stored in the transmission processing terminal when the electrocardiogram data is successfully transmitted to the server. It is characterized by.
　このような構成とすることで、成功裏にサーバへの送信が完了した心電図データが順次削除されるため、不要なデータが蓄積されず、処理速度を向上することができる。 With such a configuration, the electrocardiogram data that has been successfully transmitted to the server is sequentially deleted, so that unnecessary data is not accumulated and the processing speed can be improved.
　本発明の好ましい実施の形態では、前記伝送処理端末は、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段を有しており、前記再実行手段は、該送信失敗データのサーバへの送信が成功するまで送信処理を繰り返すことを特徴とする。 In a preferred embodiment of the present invention, the transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails. The re-execution means is characterized in that the transmission process is repeated until the transmission of the transmission failure data to the server is successful.
　このような構成とすることで、通信エラーなどの問題でサーバへの送信に失敗した心電図データが、送信が成功するまで自動的に再送信されるため、測定したデータを漏れなく管理することができる。 With such a configuration, the electrocardiogram data that failed to be transmitted to the server due to a problem such as a communication error is automatically retransmitted until the transmission is successful, so that the measured data can be managed without omission. it can.
　本発明の好ましい実施の形態では、前記再実行手段は、前記送信失敗データと共に、該送信失敗データのサーバへの送信が成功するまでに蓄積された前記心電図データを前記サーバに送信することを特徴とする。 In a preferred embodiment of the present invention, the re-execution means transmits the transmission failure data and the electrocardiogram data accumulated until the transmission of the transmission failure data to the server is successful to the server. And.
　このような構成とすることで、サーバへの送信が失敗したデータ以外の測定データも、連続性を維持したまま漏れなく管理することができる。 With such a configuration, measurement data other than the data that failed to be transmitted to the server can be managed without omission while maintaining continuity.
　本発明の好ましい実施の形態では、前記伝送処理端末は、前記心電図データを所定の単位時間毎の心電図データに変換する輪切りデータ変換手段を備えることを特徴とする。 In a preferred embodiment of the present invention, the transmission processing terminal is characterized by comprising a round slice data conversion means for converting the electrocardiogram data into electrocardiogram data at predetermined unit times.
　このような構成とすることで、連続的に取得した心電図情報が所定の単位時間毎の輪切りのデータに変換され、対象者の心電図データをより効率的に送信し、管理することができる。 With such a configuration, the continuously acquired electrocardiogram information is converted into round slice data for each predetermined unit time, and the electrocardiogram data of the subject can be transmitted and managed more efficiently.
　本発明の好ましい実施の形態では、前記所定の単位時間は、１分～６時間単位であることを特徴とする。 In a preferred embodiment of the present invention, the predetermined unit time is 1 minute to 6 hours.
　このような構成とすることで、心電図データが上記の所定の単位時間毎のデータに分割されることとなる。そのため、データの閲覧性や管理性がより向上する。 With such a configuration, the electrocardiogram data is divided into the above-mentioned data for each predetermined unit time. Therefore, the viewability and manageability of the data are further improved.
　本発明の好ましい実施の形態では、前記伝送処理端末は、前記心電図データをＤＩＣＯＭ形式のデータに変換してサーバに送信することを特徴とする。 In a preferred embodiment of the present invention, the transmission processing terminal is characterized in that the electrocardiogram data is converted into DICOM format data and transmitted to a server.
　各種検査結果に係る医療用データ等は、今日、ＤＩＣＯＭ（Ｄｉｇｉｔａｌ　Ｉｍａｇｉｎｇ　ａｎｄ　Ｃｏｍｍｕｎｉｃａｔｉｏｎｓ　ｉｎ　Ｍｅｄｉｃｉｎｅ）規格に準拠したデータ形式で保管されることが一般的である。そのため、本発明に係る心電図情報は、ＤＩＣＯＭ形式のデータに変換した上でサーバに送信することが好ましい。 Medical data and the like related to various test results are generally stored in a data format compliant with the DICOM (Digital Imaging and Communications in Medicine) standard today. Therefore, it is preferable that the electrocardiogram information according to the present invention is converted into DICOM format data and then transmitted to the server.
　本発明の好ましい実施の形態では、さらに、前記サーバはクラウドサーバであり、該クラウドサーバは、前記心電図データを解析して不整拍動を検出することを特徴とする。 In a preferred embodiment of the present invention, the server is a cloud server, and the cloud server analyzes the electrocardiogram data to detect irregular pulsations.
　従来、クラウドサーバなどのサーバに保管された心電図データは、所望のデータをインターネット経由でダウンロードするか、あるいは心電図データが記憶された端末からオフラインで取り込んで解析に供することが一般的であった。 Conventionally, it has been common for electrocardiogram data stored in a server such as a cloud server to be downloaded via the Internet or taken offline from a terminal in which the electrocardiogram data is stored for analysis.
　しかしながら、本発明によれば、クラウドサーバ上で直接所望のデータを解析することが可能であるため、データ解析の効率がより向上する。 However, according to the present invention, since it is possible to analyze desired data directly on the cloud server, the efficiency of data analysis is further improved.
　本発明の好ましい形態では、前記伝送処理端末は、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段を有しており、前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データと共に、該送信失敗データのサーバへの送信が成功するまでに蓄積された前記心電図データを前記サーバに送信することを特徴とする。 In a preferred embodiment of the present invention, the transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails. The re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, and accumulates the transmission failure data together with the transmission failure data until the transmission of the transmission failure data to the server is successful. It is characterized in that ECG data is transmitted to the server.
　また、本発明の好ましい形態では、前記伝送処理端末は、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、を有しており、前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記所定の単位時間は、５～４５分単位であり、前記所定時間は、前記所定の単位時間内において３回以上再度の送信処理が可能な時間であることを特徴とする。 Further, in a preferred embodiment of the present invention, when the transmission processing terminal fails to transmit the electrocardiogram data to the server, the re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time, and the re-execution means. The re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, and the predetermined unit time is in units of 5 to 45 minutes. It is characterized in that it is a time during which the transmission process can be performed again three times or more within the predetermined unit time.
　本発明の好ましい形態では、前記伝送処理端末は、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、を有しており、前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データのサーバへの送信が成功するまで、前記送信失敗データに続く前記心電図データをサーバへ送信せずに伝送処理端末内に蓄積することを特徴とする。 In a preferred embodiment of the present invention, the transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails. The re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, and the electrocardiogram following the transmission failure data until the transmission of the transmission failure data to the server is successful. The feature is that the data is stored in the transmission processing terminal without being transmitted to the server.
　本発明は、対象者の心電図データを携帯型心電計により取得する情報取得工程と、
前記携帯型心電計により取得された前記心電図データを伝送処理端末に伝送する情報伝送工程と、
前記伝送処理端末により受信された前記心電図データをサーバに送信するデータ送信工程と、を含み、
前記データ送信工程は、所定の単位時間毎のデータとして構成された心電図データを前記サーバに送信することを特徴とする、心電図監視システムの作動方法にも関する。 The present invention includes an information acquisition process for acquiring electrocardiogram data of a subject by a portable electrocardiograph, and
An information transmission process for transmitting the electrocardiogram data acquired by the portable electrocardiograph to a transmission processing terminal, and
A data transmission step of transmitting the electrocardiogram data received by the transmission processing terminal to a server is included.
The data transmission step also relates to a method of operating an electrocardiogram monitoring system, which comprises transmitting electrocardiogram data configured as data for each predetermined unit time to the server.
　本発明の好ましい形態では、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行工程を含み、前記再実行工程は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データと共に、該送信失敗データのサーバへの送信が成功するまでに蓄積された前記心電図データを前記サーバに送信することを特徴とする。 In a preferred embodiment of the present invention, when the transmission of the electrocardiogram data to the server fails, the re-execution step includes re-execution of the transmission of the transmission failure data to the server after a lapse of a predetermined time, and the re-execution step includes the re-execution step. The transmission process is repeated until the transmission failure data is successfully transmitted to the server, and the transmission failure data and the electrocardiogram data accumulated until the transmission failure data is successfully transmitted to the server are transmitted to the server. It is characterized by.
　本発明の好ましい形態では、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行工程を含み、前記再実行工程は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、
前記所定の単位時間は、５～４５分単位であり、前記所定時間は、前記所定の単位時間内において３回以上再度の送信処理が可能な時間であることを特徴とする。 In a preferred embodiment of the present invention, when the transmission of the electrocardiogram data to the server fails, the re-execution step includes re-execution of the transmission of the transmission failure data to the server after a lapse of a predetermined time, and the re-execution step includes the re-execution step. Repeat the transmission process until the transmission failure data is successfully transmitted to the server.
The predetermined unit time is in units of 5 to 45 minutes, and the predetermined time is a time during which the transmission process can be performed again three times or more within the predetermined unit time.
　本発明の好ましい形態では、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行工程を含み、
前記再実行工程は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データのサーバへの送信が成功するまで、前記送信失敗データに続く前記心電図データをサーバへ送信せずに伝送処理端末内に蓄積することを特徴とする。 A preferred embodiment of the present invention includes a re-execution step of re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
The re-execution step repeats the transmission process until the transmission failure data is successfully transmitted to the server, and the electrocardiogram data following the transmission failure data is sent to the server until the transmission failure data is successfully transmitted to the server. It is characterized in that it accumulates in a transmission processing terminal without transmitting.
　また本発明は、携帯型心電計を介して取得した対象者の心電図データをサーバに送信するための伝送処理プログラムであって、
前記心電図データを所定の単位時間毎のデータとして構成された心電図データとして前記サーバに送信するデータ送信手段としてコンピュータを機能させることを特徴とする、伝送処理プログラムにも関する。 Further, the present invention is a transmission processing program for transmitting the electrocardiogram data of a subject acquired via a portable electrocardiograph to a server.
The present invention also relates to a transmission processing program characterized in that a computer functions as a data transmission means for transmitting the electrocardiogram data to the server as electrocardiogram data configured as data for each predetermined unit time.
本発明の好ましい形態では、コンピュータを、前記送信手段と、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、として機能させ、前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データと共に、該送信失敗データのサーバへの送信が成功するまでに蓄積された前記心電図データを前記サーバに送信することを特徴とする。 In a preferred embodiment of the present invention, the computer is provided with the transmission means and a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails. The re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, and accumulates the transmission failure data together with the transmission failure data until the transmission of the transmission failure data to the server is successful. The electrocardiogram data is transmitted to the server.
　本発明の好ましい形態では、コンピュータを、前記送信手段と、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、として機能させ、前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記所定の単位時間は、５～４５分単位であり、前記所定時間は、前記所定の単位時間内において３回以上再度の送信処理が可能な時間であることを特徴とする。 In a preferred embodiment of the present invention, the computer is provided with the transmission means and a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails. The re-execution means repeats the transmission process until the transmission of the transmission failure data to the server is successful, the predetermined unit time is in units of 5 to 45 minutes, and the predetermined time is the predetermined time. It is characterized in that it is a time during which the transmission process can be performed again three times or more within the unit time of.
　コンピュータを、前記送信手段と、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、として機能させ、前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データのサーバへの送信が成功するまで、前記送信失敗データに続く前記心電図データをサーバへ送信せずに伝送処理端末内に蓄積することを特徴とする。 The computer is made to function as the transmission means and a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails. The means repeats the transmission process until the transmission failure data to the server is successful, and does not transmit the electrocardiogram data following the transmission failure data to the server until the transmission failure data is successfully transmitted to the server. It is characterized by accumulating in the transmission processing terminal.
　本発明によれば、対象者の心電図データを効率的に送信し、管理することを可能とするシステムが提供され、在宅医療における遠隔診断の効率化を果たすことができる。 According to the present invention, a system that enables efficient transmission and management of electrocardiogram data of a subject is provided, and remote diagnosis in home medical care can be made more efficient.
本発明の実施形態に係る心電図監視システムの概要を示す図である。It is a figure which shows the outline of the electrocardiogram monitoring system which concerns on embodiment of this invention. 本発明の実施形態に係る心電図監視システムの機能構成例を示す機能ブロック図である。It is a functional block diagram which shows the functional structure example of the electrocardiogram monitoring system which concerns on embodiment of this invention. 本発明の実施形態に係る心電図監視システムの閲覧画面の表示例である。This is a display example of a browsing screen of the electrocardiogram monitoring system according to the embodiment of the present invention. 本発明の実施形態に係る心電図監視システムにおける心電図データの処理の流れを示すフローチャートである。It is a flowchart which shows the flow of processing of the electrocardiogram data in the electrocardiogram monitoring system which concerns on embodiment of this invention. 本発明の実施形態に係る心電図監視システムにおける心電図データの処理の流れを示すフローチャートである。It is a flowchart which shows the flow of processing of the electrocardiogram data in the electrocardiogram monitoring system which concerns on embodiment of this invention.
　以下、図面を参照しながら本発明に係る心電図監視システムについて説明する。なお、以下に示す実施形態（Ｇｒａｐｈｉｃａｌ　Ｕｓｅｒ　Ｉｎｔｅｒｆａｃｅを含む）は本発明の一例であり、本発明を以下の実施形態に限定するものではない。 Hereinafter, the electrocardiogram monitoring system according to the present invention will be described with reference to the drawings. The embodiments shown below (including the Graphical User Interface) are examples of the present invention, and the present invention is not limited to the following embodiments.
　本実施形態では心電図監視システムの構成、動作等について説明するが、同様の構成の装置、コンピュータプログラム、方法等も、同様の作用効果を奏する。また、プログラムは、記録媒体に記憶させてもよい。この記録媒体を用いれば、例えばコンピュータにプログラムをインストールすることができる。プログラムを記憶した記録媒体は、例えばＣＤ－ＲＯＭ等の非一過性の記録媒体であってもよい。 In this embodiment, the configuration, operation, etc. of the electrocardiogram monitoring system will be described, but devices, computer programs, methods, etc. having the same configuration also have the same effects. Further, the program may be stored in a recording medium. Using this recording medium, for example, a program can be installed on a computer. The recording medium in which the program is stored may be a non-transient recording medium such as a CD-ROM.
　本発明において、「心電図情報」とは、携帯型心電計を介して体表面から取得される、心筋の活動電位ないし活動電流として検出された心電図信号である。
　また、「心電図データ」とは、前記の心電図情報の時間的変化を波形として記録したデジタルデータであり、一般に、心電図、ＥＣＧ（Ｅｌｅｃｔｒｏｃａｒｄｉｏｇｒａｍ）とも称される。 In the present invention, the "electrocardiogram information" is an electrocardiogram signal detected as an action potential or an action current of the myocardium acquired from the body surface via a portable electrocardiograph.
Further, the "electrocardiogram data" is digital data in which the temporal change of the electrocardiogram information is recorded as a waveform, and is generally also referred to as an electrocardiogram or ECG (Electrocardiogram).
　図１は、本発明に係る心電図監視システム１の概要を示す図である。
　図１に示すように、心電図監視システム１は、対象者の胸部に装着される携帯型心電計２と、携帯型心電計２を介して取得した心電図データをサーバ４に送信する伝送処理端末３と、サーバ４と、閲覧用端末５と、を備えている。 FIG. 1 is a diagram showing an outline of an electrocardiogram monitoring system 1 according to the present invention.
As shown in FIG. 1, the electrocardiogram monitoring system 1 transmits an electrocardiogram data acquired via a portable electrocardiograph 2 mounted on the chest of a subject and a portable electrocardiograph 2 to a server 4. It includes a terminal 3, a server 4, and a browsing terminal 5.
　携帯型心電計２は、伝送処理端末３と無線通信を行う。また、伝送処理端末３とサーバ４、及び、サーバ４と閲覧用端末５は、それぞれがネットワークＮＷを介して相互に通信可能に接続されている。また、サーバ４は、クラウドサーバであることが好ましいが、これに限定されるものではない。 The portable electrocardiograph 2 performs wireless communication with the transmission processing terminal 3. Further, the transmission processing terminal 3 and the server 4, and the server 4 and the browsing terminal 5 are connected to each other so as to be able to communicate with each other via the network NW. Further, the server 4 is preferably a cloud server, but is not limited to this.
　閲覧用端末５は、外部の装置と通信を行うためのインターフェースである通信部や、タッチパネルや物理キー等の入力部、ディスプレイ等の出力部、音声の入出力を行う音声入出力部等を備えた、パーソナルコンピュータ等の情報通信端末や、タッチパネルを備えたスマートフォン、タブレット端末やＰＤＡ（Ｐｅｒｓｏｎａｌ　Ｄｉｇｉｔａｌ　Ａｓｓｉｓｔａｎｔ）等の携帯情報端末等とすることができる。閲覧用端末５には、心電図データを表示するための専用プログラムが記憶されていることが好ましい。 The viewing terminal 5 includes a communication unit that is an interface for communicating with an external device, an input unit such as a touch panel and a physical key, an output unit such as a display, and an audio input / output unit that inputs / outputs audio. It can also be an information communication terminal such as a personal computer, a smartphone equipped with a touch panel, a tablet terminal, a portable information terminal such as a PDA (Personal Digital Interface), or the like. It is preferable that the viewing terminal 5 stores a dedicated program for displaying the electrocardiogram data.
　本明細書において図示は省略するが、携帯型心電計２は、本体部と、電源部と、電極パッドからなる入力部と、入力された心電図情報を増幅する増幅部と、増幅された心電図情報をデジタル変換する変換部と、デジタル変換された後の心電図データを記憶する記憶部と、伝送処理端末３と無線通信を行うための無線送信部と、伝送処理端末３等の外部機器との接続や充電を行うためのＵＳＢ端子を有する接続部と、を備える。 Although not shown in the present specification, the portable electrocardiograph 2 includes a main body unit, a power supply unit, an input unit including an electrode pad, an amplification unit for amplifying input electrocardiogram information, and an amplified electrocardiogram. A conversion unit that digitally converts information, a storage unit that stores electrocardiogram data after digital conversion, a wireless transmission unit for wireless communication with the transmission processing terminal 3, and an external device such as the transmission processing terminal 3. It includes a connection unit having a USB terminal for connecting and charging.
　なお、携帯型心電計２の接続部は、実施の形態に応じて、ＵＳＢ端子だけでなく、Ｌｉｇｈｔｎｉｎｇ端子等のＡＶ端子やＶＧＡ端子等を含んでいてもよい。 The connection portion of the portable electrocardiograph 2 may include not only a USB terminal but also an AV terminal such as a Lightning terminal, a VGA terminal, and the like, depending on the embodiment.
　上述したように、携帯型心電計２は、無線送信部により伝送処理端末３と無線通信を行うことが可能な構成となっている。無線通信の規格としては、Ｂｌｕｅｔｏｏｔｈ（登録商標）やＺｉｇｂｅｅ（登録商標）等の無線通信規格、メッシュネットワーク形式や、Ｐ２Ｐ（Ｐｅｅｒ　ｔｏ　Ｐｅｅｒ）形式等、種々の無線通信の規格を採用することができる。 As described above, the portable electrocardiograph 2 has a configuration capable of performing wireless communication with the transmission processing terminal 3 by the wireless transmission unit. As the wireless communication standard, various wireless communication standards such as Bluetooth (registered trademark) and Zigbee (registered trademark), mesh network format, and P2P (Peer to Peer) format can be adopted. ..
　また、携帯型心電計２は、使用環境等に応じて、ＵＳＢ端子を用いて伝送処理端末３と有線により接続しても構わない。 Further, the portable electrocardiograph 2 may be connected to the transmission processing terminal 3 by wire using a USB terminal, depending on the usage environment and the like.
　本発明の心電図監視システム１に係る携帯型心電計２を装着して、心電図をモニタリングする対象者は、次のとおり大きく３パターンに分類される。第１の対象者は、心臓疾患等の自覚症状や徴候のない者である。この場合、疾患のスクリーニングを行うこと（予防医学）が目的となる。第２の対象者は、心臓疾患等の自覚症状や徴候のある者である。この場合、致死性の不整脈を検出して対象者への処置等を迅速に行うことが目的となる。第３の対象者は、術前及び／又は術後の患者である。この場合、患者の周術期管理や治療効果の確認などが目的となる。 The subjects who wear the portable electrocardiograph 2 according to the electrocardiogram monitoring system 1 of the present invention and monitor the electrocardiogram are roughly classified into the following three patterns. The first subject is a person who has no subjective symptoms or signs such as heart disease. In this case, the purpose is to screen for diseases (preventive medicine). The second subject is a person who has subjective symptoms or signs such as heart disease. In this case, the purpose is to detect a fatal arrhythmia and promptly treat the subject. The third subject is a preoperative and / or postoperative patient. In this case, the purpose is to manage the patient's perioperative period and confirm the therapeutic effect.
　なお、対象者は前記の３パターンに限定されるものではない。例えば、この他にも、心房細動患者における脳梗塞発症リスクをスコア化したＣＨＡＤＳ２スコアに基づき、一定の脳梗塞発症リスクが認められる患者を対象に本発明を適用することもできる。 The target person is not limited to the above three patterns. For example, in addition to this, the present invention can also be applied to patients with a certain risk of developing cerebral infarction based on the CHADS 2 score, which scores the risk of developing cerebral infarction in patients with atrial fibrillation.
　また、脳梗塞の中でも原因不明とされるものが一定数存在するが、本発明の携帯型心電計２を使用することで、そのような脳梗塞の発症原因が心原性であるか否かを診断する一助とすることも可能である。 In addition, there are a certain number of cerebral infarctions whose cause is unknown, but by using the portable electrocardiograph 2 of the present invention, whether or not the cause of such cerebral infarction is cardiogenic. It can also help in diagnosing.
　携帯型心電計２を装着して心電図をモニタリングする日数は、上述の使用目的に応じて適宜決定することができるが、目安として、１～１０日、より好ましくは２～７日である。 The number of days for monitoring the electrocardiogram by wearing the portable electrocardiograph 2 can be appropriately determined according to the above-mentioned purpose of use, but as a guide, it is 1 to 10 days, more preferably 2 to 7 days.
　携帯型心電計２は、ジェルパットを介して対象者の胸部に取り付けることができる。携帯型心電計２の装着位置は、必要とする波形に応じて医療従事者の指示に基づき指定することができるが、ノイズや筋電の影響を小さくする観点から、胸部の中心に装着することが好ましい。なお、この場合の携帯型心電計２の方向は、本体部の長手方向が地面と垂直となる向きとすることがより好ましい。 The portable electrocardiograph 2 can be attached to the subject's chest via a gel pad. The mounting position of the portable electrocardiograph 2 can be specified based on the instructions of the medical staff according to the required waveform, but from the viewpoint of reducing the influence of noise and myoelectricity, it is mounted in the center of the chest. Is preferable. In this case, the direction of the portable electrocardiograph 2 is more preferably such that the longitudinal direction of the main body is perpendicular to the ground.
　携帯型心電計２は、入力部によって心電図信号（心電図情報）を取得し、変換部がこのアナログ信号をデジタルデータ（心電図データ）に変換し、記憶部がこれを記憶する。そして、無線送信部又は接続部を介して、得られた心電図データは伝送処理端末３に伝送される。 The portable electrocardiograph 2 acquires an electrocardiogram signal (electrocardiogram information) by an input unit, a conversion unit converts this analog signal into digital data (electrocardiogram data), and a storage unit stores this. Then, the obtained electrocardiogram data is transmitted to the transmission processing terminal 3 via the wireless transmission unit or the connection unit.
　なお、携帯型心電計２が取得する生体情報は、必ずしも心電図データに限定されるものではなく、所望により、体表面温度など他の生体情報を取得する構成とすることもできる。 The biological information acquired by the portable electrocardiograph 2 is not necessarily limited to the electrocardiogram data, and may be configured to acquire other biological information such as body surface temperature, if desired.
　図２に示すように、伝送処理端末３は、データ記憶手段３１と、輪切りデータ変換手段３２と、輪切りデータ記憶手段３２１と、データ送信手段３３と、送信成功データ削除手段３４と、再実行手段３５と、を備えている。なお、以下に説明する伝送処理端末３の機能は、本発明の伝送処理プログラムの説明にも妥当する。 As shown in FIG. 2, the transmission processing terminal 3 includes a data storage means 31, a round slice data conversion means 32, a round slice data storage means 321, a data transmission means 33, a transmission success data deletion means 34, and a re-execution means. 35 and. The functions of the transmission processing terminal 3 described below are also applicable to the description of the transmission processing program of the present invention.
　また、本発明の伝送処理端末３は、心電図データの計測期間中、対象者が自ら不整拍動を自覚した際に、当該時刻、症状などを記録するマーキング手段をさらに備える構成としてもよい。 Further, the transmission processing terminal 3 of the present invention may be further provided with a marking means for recording the time, symptom, etc. when the subject becomes aware of the irregular pulsation during the measurement period of the electrocardiogram data.
　伝送処理端末３は、データ通信機能を有する構成であればよく、スマートフォン端末やタブレット端末を採用することができる。また、これらの端末は、ハードウェア構成要素として、演算装置（ＣＰＵ（Ｃｅｎｔｒａｌ　Ｐｒｏｃｅｓｓｉｎｇ　Ｕｎｉｔ））と、作業用メモリとしての主記憶装置（ＲＡＭ（Ｒａｎｄｏｍ　Ａｃｃｅｓｓ　Ｍｅｍｏｒｙ））とを備える。また、ＯＳ（Ｏｐｅｒａｔｉｎｇ　Ｓｙｓｔｅｍ）、アプリケーションプログラム、及び各種情報（データを含む）を書換え可能に格納するＨＤＤやＳＳＤ、フラッシュメモリ等の補助記憶装置、通信制御部、ＮＩＣ（Ｎｅｔｗｏｒｋ　Ｉｎｔｅｒｆａｃｅ　Ｃａｒｄ）などの通信インターフェース（ＩＦ）部、表示制御部、表示部などを備える。 The transmission processing terminal 3 may be configured to have a data communication function, and a smartphone terminal or a tablet terminal can be adopted. Further, these terminals include a computing device (CPU (Central Processing Unit)) and a main storage device (RAM (Random Access Memory)) as a working memory as hardware components. In addition, communication such as OS (Operating System), application program, auxiliary storage device such as HDD, SSD, flash memory, etc. that rewritably stores various information (including data), communication control unit, NIC (Network Interface Card), etc. It includes an interface (IF) unit, a display control unit, a display unit, and the like.
　データ記憶手段３１は、携帯型心電計２から伝送された連続的な心電図データを一時的に記憶するための構成である。そして、輪切りデータ変換手段３２は、記憶された心電図データを所定の単位時間毎の心電図データに変換するための構成である。 The data storage means 31 is configured to temporarily store continuous electrocardiogram data transmitted from the portable electrocardiograph 2. The round slice data conversion means 32 is configured to convert the stored electrocardiogram data into electrocardiogram data for each predetermined unit time.
　前記の「所定の単位時間」は、好ましくは１分～６時間単位、より好ましくは１分～３時間単位、より好ましくは５～６０分単位、さらに好ましくは５～４５分単位、特に好ましくは５～３０分単位である。
　所定の単位時間を上記とすることで、データの閲覧性や管理性が向上する。 The above-mentioned "predetermined unit time" is preferably in units of 1 minute to 6 hours, more preferably in units of 1 minute to 3 hours, more preferably in units of 5 to 60 minutes, still more preferably in units of 5 to 45 minutes, and particularly preferably in units of 5 to 45 minutes. It is in units of 5 to 30 minutes.
By setting the predetermined unit time as described above, the viewability and manageability of data are improved.
　本発明の好ましい形態では、輪切りデータ変換手段３２によって所定の単位時間毎のデータとして変換された心電図データは、輪切りデータ記憶手段３２１によって伝送処理端末３内に記憶され、データ送信手段３３によってサーバ４へ送信される。 In a preferred embodiment of the present invention, the electrocardiogram data converted as data for each predetermined unit time by the round slice data conversion means 32 is stored in the transmission processing terminal 3 by the round slice data storage means 321, and the server 4 is stored by the data transmission means 33. Will be sent to.
　また、本発明の他の形態では、携帯型心電計２が所定の単位時間毎の心電図データを生成する構成とすることもできる。この場合、当該心電図データが輪切りデータ記憶手段３２１によって記憶され、データ送信手段３３によってサーバ４へ送信される。 Further, in another embodiment of the present invention, the portable electrocardiograph 2 may be configured to generate electrocardiogram data for each predetermined unit time. In this case, the electrocardiogram data is stored by the round slice data storage means 321 and transmitted to the server 4 by the data transmission means 33.
　また、本発明の好ましい形態では、データ送信手段３３は、輪切りデータ記憶手段３２１に記憶された所定の単位時間毎の心電図データを、当該所定の単位時間が経過するたびに、自動的にサーバ４へ送信する。 Further, in a preferred embodiment of the present invention, the data transmission means 33 automatically transmits the electrocardiogram data for each predetermined unit time stored in the round slice data storage means 321 every time the predetermined unit time elapses. Send to.
　このような構成とすることで、例えば、前記の所定の単位時間を１５分単位に設定した場合、医療従事者は、対象者の心電図データを１５分毎に、すなわち略リアルタイムでモニタリングすることができる。 With such a configuration, for example, when the predetermined unit time is set to 15 minutes, the medical staff can monitor the electrocardiogram data of the subject every 15 minutes, that is, in substantially real time. it can.
　また、略リアルタイムでのモニタリングとしない場合、すなわち後日時での診断を行う場合でも、観察期間中に測定された対象者の全ての心電図データが１５分単位のデータとしてサーバ４に蓄積されているため、医療従事者は、所望のデータに迅速かつ容易にアクセスすることができる。 Further, even when the monitoring is not performed in substantially real time, that is, when the diagnosis is performed at a later date and time, all the electrocardiogram data of the subject measured during the observation period are accumulated in the server 4 as data in units of 15 minutes. Therefore, the medical staff can quickly and easily access the desired data.
　また、本発明は、上記のデータ送信手段３３を備えつつも、輪切りデータ記憶手段３２１に記憶された所定の単位時間毎の心電図データを自動的にサーバ４へ送信せずに蓄積するデータ蓄積手段を備える構成とすることもできる。この場合、輪切りデータ記憶手段３２１に記憶された心電図データは、後述する送信成功データ削除手段３４によって削除されずに伝送処理端末３内に蓄積される。蓄積された心電図データは、伝送処理端末３の表示部を通じて、所定の単位時間毎の心電図データとして閲覧することができる。 Further, the present invention is a data storage means which includes the above-mentioned data transmission means 33, but stores the electrocardiogram data stored in the round slice data storage means 321 for each predetermined unit time without automatically transmitting the electrocardiogram data to the server 4. It can also be configured to include. In this case, the electrocardiogram data stored in the round slice data storage means 321 is stored in the transmission processing terminal 3 without being deleted by the transmission success data deletion means 34 described later. The accumulated electrocardiogram data can be viewed as electrocardiogram data for each predetermined unit time through the display unit of the transmission processing terminal 3.
　このような構成とすることで、例えば伝送処理端末３とサーバ４とが通信可能な環境にない場合でも、本発明を適用することができる。なお、データ蓄積手段に蓄積された心電図データは、伝送処理端末３とサーバ４とが通信可能となった際に、手動でサーバ４へ送信する手動送信手段により、サーバ４へ送信する構成とすることもできる。 With such a configuration, the present invention can be applied even when, for example, the transmission processing terminal 3 and the server 4 are not in a communicable environment. The electrocardiogram data stored in the data storage means is configured to be transmitted to the server 4 by the manual transmission means that manually transmits the electrocardiogram data to the server 4 when the transmission processing terminal 3 and the server 4 can communicate with each other. You can also do it.
　また、本発明は、上記のデータ送信手段３３を備えつつも、携帯型心電計２から伝送された連続的な心電図データを、所定の単位時間毎の心電図データに変換せずにサーバ４へ送信するリアルタイム送信手段を備える構成とすることもできる。 Further, the present invention provides the above-mentioned data transmitting means 33, but does not convert the continuous electrocardiogram data transmitted from the portable electrocardiograph 2 into the electrocardiogram data at predetermined unit times, but instead sends the continuous electrocardiogram data to the server 4. It can also be configured to include a real-time transmission means for transmission.
　このような構成とすることで、集中的な管理ないし観察が必要な対象者に対する、リアルタイムでの心電図データのモニタリングを行うことができる。 With such a configuration, it is possible to monitor ECG data in real time for a subject who requires intensive management or observation.
　このように、本発明は、所定の単位時間毎の心電図データを自動的にサーバ４へ送信するデータ送信手段３３のみならず、データ蓄積手段、手動送信手段、リアルタイム送信手段、をさらに備えることができる。このため、対象者ないし医療従事者は、目的に応じて、心電図データの送信態様を適宜選択することが可能となる。 As described above, the present invention further includes not only the data transmission means 33 that automatically transmits the electrocardiogram data for each predetermined unit time to the server 4, but also the data storage means, the manual transmission means, and the real-time transmission means. it can. Therefore, the target person or the medical worker can appropriately select the transmission mode of the electrocardiogram data according to the purpose.
　これらの各機能は、対象者自身又は対象者の家族等の関係者が、伝送処理端末３の設定を変更することによって切り替えることができる。 Each of these functions can be switched by the target person himself or a related person such as the target person's family by changing the setting of the transmission processing terminal 3.
　送信成功データ削除手段３４は、輪切りデータ記憶手段３２１に記憶された所定の単位時間毎の心電図データがサーバ４へ成功裏に送信完了した場合に、当該送信が成功した心電図データを自動的に削除するための構成である。 The transmission success data deletion means 34 automatically deletes the electrocardiogram data for which the transmission was successful when the electrocardiogram data stored in the round slice data storage means 321 for each predetermined unit time is successfully transmitted to the server 4. It is a configuration to do.
　送信成功データ削除手段３４は、サーバ４が心電図データの正常な受付に成功したことを示す通知を後述する通知手段４３から受けた場合に、心電図データの送信に成功したと判定し、当該送信成功データを伝送処理端末３内から削除する構成とすることが好ましい。 When the transmission success data deletion means 34 receives a notification indicating that the server 4 has succeeded in normally receiving the electrocardiogram data from the notification means 43 described later, it determines that the transmission of the electrocardiogram data has been successful, and the transmission is successful. It is preferable that the data is deleted from the transmission processing terminal 3.
　より具体的には、送信成功データ削除手段３４は、データ送信手段３３により心電図データがサーバ４へ送信され、後述する受信手段４１が当該心電図データの受付を行ってから一定の時間が経過した後に当該通知を受けることによって、成功裏に心電図データの送信が完了したと判定し、当該送信成功データを伝送処理端末３から削除する。なお、前記の「一定の時間」については後述する。 More specifically, in the transmission success data deleting means 34, after the electrocardiogram data is transmitted to the server 4 by the data transmitting means 33 and a certain time has elapsed after the receiving means 41 described later receives the electrocardiogram data. Upon receiving the notification, it is determined that the transmission of the electrocardiogram data has been successfully completed, and the transmission success data is deleted from the transmission processing terminal 3. The above-mentioned "constant time" will be described later.
　また、後述するように、通知手段４３は、受け付けた心電図データが一定の時間内に記憶手段４２によりサーバ４内に格納されたか否かによって、心電図データがサーバ４へ成功裏に送信完了したか否かを判定することができる。 Further, as will be described later, whether the notification means 43 has successfully completed the transmission of the received electrocardiogram data to the server 4 depending on whether or not the received electrocardiogram data is stored in the server 4 by the storage means 42 within a certain time. It can be determined whether or not.
　再実行手段３５は、輪切りデータ記憶手段３２１に記憶された所定の単位時間毎の心電図データのサーバ４への送信が失敗した場合に、所定時間の経過後に当該送信が失敗した心電図データを自動的にサーバ４へ再送信するための構成である。 When the re-execution means 35 fails to transmit the electrocardiogram data stored in the round slice data storage means 321 for each predetermined unit time to the server 4, the re-execution means 35 automatically transmits the electrocardiogram data for which the transmission fails after the elapse of the predetermined time. This is a configuration for retransmitting to the server 4.
　再実行手段３５は、サーバ４が心電図データの正常な受付に失敗したことを示す通知を後述する通知手段４３から受けた場合に、心電図データの送信に失敗したと判定し、当該通知を受けてから所定時間の経過後に再度の送信処理を行うことが好ましい。 When the re-execution means 35 receives a notification indicating that the server 4 has failed to normally receive the electrocardiogram data from the notification means 43 described later, the re-execution means 35 determines that the transmission of the electrocardiogram data has failed, and receives the notification. It is preferable to perform the transmission process again after a lapse of a predetermined time.
　より具体的には、再実行手段３５は、データ送信手段３３により心電図データがサーバ４へ送信され、後述する受信手段４１が当該心電図データの受付を行ってから一定の時間が経過した後に通知手段４３から送信に失敗した旨の通知を受けたときに、心電図データの送信が失敗したと判定し、所定の時間が経過した後に当該送信失敗データの再度の送信処理を行う。 More specifically, in the re-execution means 35, the electrocardiogram data is transmitted to the server 4 by the data transmission means 33, and the notification means is notified after a certain time has elapsed since the receiving means 41 described later receives the electrocardiogram data. When the notification that the transmission has failed is received from 43, it is determined that the transmission of the electrocardiogram data has failed, and after a predetermined time has elapsed, the transmission failure data is retransmitted.
　前記の所定時間は任意に設定することができるが、心電図データの輪切りの単位である所定の単位時間内において、好ましくは１回以上、より好ましくは２回以上、さらに好ましくは３回以上、再度の送信処理が可能な時間に設定することが好ましい。 The predetermined time can be arbitrarily set, but within a predetermined unit time, which is a unit for rounding the electrocardiogram data, preferably once or more, more preferably two times or more, still more preferably three times or more, again. It is preferable to set the time during which the transmission process of
　より具体的には、前記の所定時間は、好ましくは１～１００分、より好ましくは３～６０分、さらに好ましくは５～３０分、特に好ましくは５～１５分である。また、より詳細には、所定の単位時間毎の心電図データを１５分単位のデータとして設定した場合、前記の所定時間は、５分とすることが好ましい。 More specifically, the predetermined time is preferably 1 to 100 minutes, more preferably 3 to 60 minutes, still more preferably 5 to 30 minutes, and particularly preferably 5 to 15 minutes. More specifically, when the electrocardiogram data for each predetermined unit time is set as the data for each 15 minutes, the predetermined time is preferably 5 minutes.
　このような構成とすることで、仮にある１５分単位の心電図データがサーバ４への送信に失敗したとして、次の１５分単位の心電図データが伝送処理端末３に蓄積されるまでに、当該送信失敗データについて３回の再送信の機会が得られる。 With such a configuration, even if a certain 15-minute unit ECG data fails to be transmitted to the server 4, the transmission is performed by the time the next 15-minute unit ECG data is accumulated in the transmission processing terminal 3. You will have the opportunity to resend the failed data three times.
　そのため、この間に送信失敗の原因となった要因が取り除かれることで、１５分単位の心電図データが伝送処理端末３内に過度に蓄積することを防止することができ、サーバ４への送信効率が向上する。
　このような観点から、前記の所定時間は、上述の回数以上、再度の送信処理が可能な時間に設定することが好ましい。 Therefore, by removing the factor that caused the transmission failure during this period, it is possible to prevent the ECG data in units of 15 minutes from being excessively accumulated in the transmission processing terminal 3, and the transmission efficiency to the server 4 can be improved. improves.
From such a viewpoint, it is preferable to set the predetermined time to a time during which the transmission process can be performed again at least the above number of times.
　また、再実行手段３５は、前記の送信失敗データのサーバ４への送信が成功するまで、送信処理を繰り返し実行する。好ましい実施の形態では、再実行手段３５は、再度実行した心電図データのサーバ４への送信が失敗した場合、前記の所定時間の経過後に送信失敗データのサーバ４への送信を再度実行することで、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返す。
　そして、前記と同様に、再実行手段３５は、再度の送信処理によりサーバ４が心電図データの正常な受付に成功したか否かの通知を後述する通知手段４３から受けることによって、成功裏に心電図データの送信が完了したかを判定する。そして、通知手段４３から送信に失敗した旨の通知を受けたとき、再実行手段３５は、前記の所定時間と同様の時間が経過した後に、再度の送信処理を行う。 Further, the re-execution means 35 repeatedly executes the transmission process until the transmission of the transmission failure data to the server 4 is successful. In a preferred embodiment, when the re-execution means 35 fails to transmit the re-executed electrocardiogram data to the server 4, the re-execution means 35 re-executes the transmission of the transmission failure data to the server 4 after the elapse of the predetermined time. , The transmission process is repeated until the transmission of the transmission failure data to the server is successful.
Then, similarly to the above, the re-execution means 35 succeeds in receiving the notification of whether or not the server 4 has succeeded in normally receiving the electrocardiogram data from the notification means 43, which will be described later, by the re-transmission process. Determine if the data transmission is complete. Then, when the notification means 43 notifies that the transmission has failed, the re-execution means 35 performs the transmission process again after the same time as the predetermined time has elapsed.
　以上をまとめると以下のフローでの送信処理が実現される構成とすることが好ましい。
　（ｉ）心電図データのサーバ４への送信が失敗
　（ｉｉ）再実行手段３５が所定時間の経過後に再送信
　（ｉｉｉ）再実行手段３５による再送信も失敗
　（ｉｖ）再実行手段３５が所定時間の経過後にさらに再送信
　（ｖ）送信が成功するまで（ｉｉｉ）と（ｉｖ）を繰り返す Summarizing the above, it is preferable to have a configuration in which transmission processing in the following flow is realized.
(I) Transmission of electrocardiogram data to server 4 fails (ii) Re-execution means 35 retransmits after a predetermined time (iii) Re-transmission by re-execution means 35 also fails (iv) Re-execution means 35 fails for a predetermined time (V) Repeat (iii) and (iv) until the transmission is successful.
　上述した単位時間をＴａ（分）、上述した所定時間をＴｂ（分）、単位時間内において再度の送信処理が可能である回数をｎ（回）とした場合、以下の数式が成り立つ。
　　（式１）Ｔａ≧Ｔｂ・ｎ When the above-mentioned unit time is Ta (minutes), the above-mentioned predetermined time is Tb (minutes), and the number of times that the transmission process can be performed again within the unit time is n (times), the following formula is established.
(Equation 1) Ta ≧ Tb · n
　式１においてｎは１以上、より好ましくは２以上、さらに好ましくは３以上である。
　また、式１において、Ｔａは好ましくは１分～６時間、より好ましくは１分～３時間、より好ましくは５～６０分、さらに好ましくは５～４５、特に好ましくは５～３０分である。
　また、Ｔｂは、好ましくは１～１００分、より好ましくは３～６０分、さらに好ましくは５～３０分、特に好ましくは５～１５分である。 In formula 1, n is 1 or more, more preferably 2 or more, and even more preferably 3 or more.
Further, in the formula 1, Ta is preferably 1 minute to 6 hours, more preferably 1 minute to 3 hours, more preferably 5 to 60 minutes, still more preferably 5 to 45 minutes, and particularly preferably 5 to 30 minutes.
The Tb is preferably 1 to 100 minutes, more preferably 3 to 60 minutes, still more preferably 5 to 30 minutes, and particularly preferably 5 to 15 minutes.
　一方、後述する通知手段４３から送信に成功した旨の通知を受けたとき、再実行手段３５は、繰り返しの送信処理を終了する。そして、送信成功データ削除手段３４は、当該心電図データを伝送処理端末３から削除する。 On the other hand, when the notification means 43 described later notifies that the transmission is successful, the re-execution means 35 ends the repeated transmission process. Then, the transmission success data deleting means 34 deletes the electrocardiogram data from the transmission processing terminal 3.
　再実行手段３５による心電図データのサーバ４への送信失敗がある程度の長時間に及んだ場合、伝送処理端末３内には、当該送信失敗データに続く所定の単位時間毎の心電図データが、サーバ４へ送信されずに蓄積されることとなる。 When the transmission failure of the electrocardiogram data to the server 4 by the re-execution means 35 lasts for a certain long time, the electrocardiogram data for each predetermined unit time following the transmission failure data is stored in the server in the transmission processing terminal 3. It will be accumulated without being transmitted to 4.
　このような場合でも、心電図データの送信効率を向上させるため、再実行手段３５は、送信失敗に係る心電図データと共に、当該送信失敗データのサーバ４への送信が成功するまでに蓄積された心電図データを併せてサーバ４に送信する構成とすることが好ましい。 Even in such a case, in order to improve the transmission efficiency of the electrocardiogram data, the re-execution means 35 together with the electrocardiogram data related to the transmission failure, the electrocardiogram data accumulated until the transmission failure data to the server 4 is successful. It is preferable that the data is also transmitted to the server 4.
　例えば、前記の所定の単位時間毎の心電図データを１５分単位の心電図データとした場合において、再実行手段３５により再度の送信処理を行うまでの所定時間を５分に設定したとき、再送信処理に３回すべて失敗すると、次の１５分単位の心電図データが伝送処理端末３内に蓄積される。このような場合に、次の１５単位の心電図データを送信失敗データと共にサーバ４へ送信する構成とすることで、心電図データの送信効率が向上する。 For example, in the case where the electrocardiogram data for each predetermined unit time is set to the electrocardiogram data for each 15 minutes, when the predetermined time until the re-transmission processing is performed again by the re-execution means 35 is set to 5 minutes, the re-transmission processing is performed. If all three failures occur, the next 15-minute unit electrocardiogram data is accumulated in the transmission processing terminal 3. In such a case, the transmission efficiency of the electrocardiogram data is improved by configuring the configuration in which the next 15 units of electrocardiogram data are transmitted to the server 4 together with the transmission failure data.
　伝送処理端末３は、心電図データをＤＩＣＯＭ形式のデータに変換するＤＩＣＯＭ変換手段を備える構成とすることがさらに好ましい。 It is more preferable that the transmission processing terminal 3 is provided with DICOM conversion means for converting ECG data into DICOM format data.
　従来、ＣＴ（Ｃｏｍｐｕｔｅｄ　Ｔｏｍｏｇｒａｐｈｙ）やＣＲ（Ｃｏｍｐｕｔｅｄ　Ｒａｄｉｏｇｒａｐｈｙ）、ＭＲ（Ｍａｇｎｅｔｉｃ　Ｒｅｓｏｎａｎｃｅ）、ＸＡ（Ｘ－Ｒａｙ　Ａｎｇｉｏｇｒａｐｈｉｃ）などの放射線機器による検査に係る画像は、ＤＩＣＯＭ形式のデータとして施設内のＤＩＣＯＭサーバで管理されることが一般的であった。 Conventionally, images related to inspections by radiation equipment such as CT (Computed Tomography), CR (Computed Radiography), MR (Magnetic Resonance), and XA (X-Ray Angiography) are managed by DICOM servers in the facility as DICOM format data. It was common to be done.
　一方で、心電図や脳波、呼吸波形などの生理検査に係る一次元の波形データは、ＤＩＣＯＭ形式とは異なるデータ形式で保管されており、同一施設内でも、ＤＩＣＯＭデータとは異なる管理が為されていた。 On the other hand, one-dimensional waveform data related to physiological tests such as electrocardiogram, electroencephalogram, and respiratory waveform are stored in a data format different from DICOM format, and are managed differently from DICOM data even within the same facility. It was.
　そのため、本発明に係る心電図データをＤＩＣＯＭ形式のデータに変換することで、対象者の心電図データを他の医用データと共にＤＩＣＯＭサーバで一元管理することが可能となる。 Therefore, by converting the electrocardiogram data according to the present invention into DICOM format data, the electrocardiogram data of the subject can be centrally managed by the DICOM server together with other medical data.
　なお、心電図データをＤＩＣＯＭ形式のデータに変換するのは必ずしも伝送処理端末３に限定されるものではない。後述するサーバ４が、同様の機能を有していてもよい。 Note that converting ECG data into DICOM format data is not necessarily limited to the transmission processing terminal 3. The server 4, which will be described later, may have the same function.
　次に、サーバ４について説明する。サーバ４は、受信手段４１と、記憶手段４２と、通知手段４３と、送信手段４４と、解析手段４５と、を備える。 Next, the server 4 will be described. The server 4 includes a receiving means 41, a storage means 42, a notification means 43, a transmitting means 44, and an analysis means 45.
　受信手段４１は、伝送処理端末３から送信された心電図データを受け付けるための構成である。そして、受信手段４１が対象者の心電図データを受け付けた後、記憶手段４２によって当該心電図データをサーバ４内に格納する。 The receiving means 41 is configured to receive the electrocardiogram data transmitted from the transmission processing terminal 3. Then, after the receiving means 41 receives the electrocardiogram data of the target person, the storage means 42 stores the electrocardiogram data in the server 4.
　記憶手段４２は、送信された心電図データを、施設単位、デバイス単位（対象者単位）、日付単位で記憶する。このようなデータ構造で心電図データを記憶することで、複数の対象者に係るデータを効率的に管理することができる。 The storage means 42 stores the transmitted electrocardiogram data in a facility unit, a device unit (target person unit), and a date unit. By storing the electrocardiogram data in such a data structure, it is possible to efficiently manage the data related to a plurality of target persons.
　通知手段４３は、受信手段４１が心電図データを正常に受け付けたか否かを、心電図データの受付から一定の時間の経過後に伝送処理端末３に通知するための構成である。通知手段４３は、受信手段４１が心電図データの受付を行ってから一定の時間内に当該心電図データが記憶手段４２によりサーバ４内に格納されなかったときに、送信が失敗したと判定し、その旨を伝送処理端末３に通知する。 The notification means 43 is configured to notify the transmission processing terminal 3 whether or not the receiving means 41 has normally received the electrocardiogram data after a certain period of time has elapsed from the reception of the electrocardiogram data. The notification means 43 determines that the transmission has failed when the electrocardiogram data is not stored in the server 4 by the storage means 42 within a certain time after the receiving means 41 receives the electrocardiogram data. Notify the transmission processing terminal 3 to that effect.
　一方、通知手段４３は、記憶手段４２により心電図データがサーバ４内に格納され、一定の時間が経過した時点で、送信に成功した旨を伝送処理端末３に通知する。 On the other hand, the notification means 43 notifies the transmission processing terminal 3 that the transmission is successful when the electrocardiogram data is stored in the server 4 by the storage means 42 and a certain time elapses.
　前記の「一定の時間」は、本発明の効果が妨げられない範囲で任意に設定することができるが、受信手段４１が心電図データの受け付けを行ってから、好ましくは１～１０分、より好ましくは１～５分、さらに好ましくは１～３分、特に好ましくは３０～６０秒とすることが好ましい。 The above-mentioned "constant time" can be arbitrarily set as long as the effect of the present invention is not hindered, but is preferably 1 to 10 minutes after the receiving means 41 receives the electrocardiogram data, more preferably. Is preferably 1 to 5 minutes, more preferably 1 to 3 minutes, and particularly preferably 30 to 60 seconds.
　上記の時間に設定することで、心電図データのサーバ４への送信が成功したか、又は失敗したかを伝送処理端末３が迅速に判定することが可能となり、送信成功データ削除手段３４又は再実行手段３５による処理をより効率的に実行することができる。 By setting the above time, the transmission processing terminal 3 can quickly determine whether the transmission of the electrocardiogram data to the server 4 is successful or unsuccessful, and the transmission successful data deletion means 34 or re-execution The processing by the means 35 can be executed more efficiently.
　送信手段４４は、閲覧用端末５からの要求に応じて、記憶手段４２に記憶された心電図データを閲覧用端末５に送信するための構成である。 The transmission means 44 is configured to transmit the electrocardiogram data stored in the storage means 42 to the viewing terminal 5 in response to a request from the viewing terminal 5.
　図３に示すように、閲覧用端末５の表示部には、専用プログラムを介して、施設に登録されている携帯型心電計２のリストが表示される。医療従事者が心電図データの閲覧を希望する対象者に係る携帯型心電計２を選択すると、日付リスト及びファイルリストが表示される。 As shown in FIG. 3, a list of portable electrocardiographs 2 registered in the facility is displayed on the display unit of the browsing terminal 5 via a dedicated program. When the medical worker selects the portable electrocardiograph 2 related to the target person who wants to view the electrocardiogram data, the date list and the file list are displayed.
　医療従事者は、図３上段の左側に位置する「ダウンロード」ボタン押下で、当該携帯型心電計２で計測された全ての心電図データをサーバ４からダウンロードすることができる。また、必要に応じて、同図上段の右側に位置する「選択済みファイルのみ取得」ボタン押下で、特定の心電図データのみをサーバ４からダウンロードすることもできる。 The medical staff can download all the electrocardiogram data measured by the portable electrocardiograph 2 from the server 4 by pressing the "download" button located on the left side of the upper part of FIG. Further, if necessary, only specific electrocardiogram data can be downloaded from the server 4 by pressing the "acquire only selected files" button located on the right side of the upper part of the figure.
　また、同図上段の右側に位置する「未取得ファイル全てを取得」ボタンの押下で、当該携帯型心電計２に係る心電図データのうち、ダウンロードされていないもののみをダウンロードすることができる。 Also, by pressing the "Acquire all unacquired files" button located on the right side of the upper part of the figure, only the electrocardiogram data related to the portable electrocardiograph 2 that has not been downloaded can be downloaded.
　さらに、医療従事者は、同図上段の左側に位置する「直近２日間データ自動取得」のボタン押下で、施設に登録されている全ての携帯型心電計２で計測された直近２日間の心電図データを所定の単位時間毎に確認し、未取得のものを自動的にダウンロードすることもできる。 Furthermore, the medical staff can press the "Automatic data acquisition for the last 2 days" button located on the left side of the upper part of the figure to measure the data for the last 2 days with all the portable electrocardiographs 2 registered in the facility. It is also possible to check the electrocardiogram data at predetermined unit times and automatically download the unacquired data.
　なお、上記の心電図データのダウンロードについては、サーバ４と、閲覧用端末５と、がネットワークＮＷを介して通信可能に接続されている場合の実施形態であるが、本発明は、そのような実施形態を前提としつつも、オフラインで心電図データのダウンロードを行う形態とすることもできる。 The above-mentioned ECG data download is an embodiment in which the server 4 and the viewing terminal 5 are communicably connected via the network NW, and the present invention has such an embodiment. While assuming the form, it is also possible to download the electrocardiogram data offline.
　この場合、伝送処理端末３と、閲覧用端末５と、をＬｉｇｈｔｎｉｎｇケーブル等で接続し、伝送処理端末３の輪切りデータ記憶手段３２１に記憶された心電図データを閲覧用端末５に複製する。なお、閲覧用端末５に複製した心電図データは、伝送処理端末３からは手動で削除することができる。 In this case, the transmission processing terminal 3 and the viewing terminal 5 are connected by a Lightning cable or the like, and the electrocardiogram data stored in the round slice data storage means 321 of the transmission processing terminal 3 is duplicated in the viewing terminal 5. The electrocardiogram data duplicated on the viewing terminal 5 can be manually deleted from the transmission processing terminal 3.
　医療従事者は、このようにして取得した心電図データを、閲覧用端末５を通じて閲覧し、自ら対象者の不整脈イベントの有無を診断することができる。 The medical worker can browse the electrocardiogram data acquired in this way through the browsing terminal 5 and diagnose the presence or absence of an arrhythmia event in the subject by himself / herself.
　また、医療従事者は、ある特定の携帯型心電計２で計測された心電図データのうち特定の時間帯のものを指定して外部の専門医に解析を依頼し、当該解析の結果を参照して、対象者の診断を行うこともできる。 In addition, the medical staff specifies the electrocardiogram data measured by a specific portable electrocardiograph 2 in a specific time zone, requests an external specialist to analyze it, and refers to the result of the analysis. It is also possible to diagnose the subject.
　解析手段４５は、閲覧用端末５からの要求に応じて、サーバ４上で心電図データの解析を行うための構成である。医療従事者は、閲覧用端末５から、ウェブブラウザを介して専用のウェブサイトにアクセスし、サーバ４内に格納された心電図データを閲覧することができる。 The analysis means 45 is configured to analyze the electrocardiogram data on the server 4 in response to a request from the viewing terminal 5. The medical worker can access the dedicated website from the browsing terminal 5 via a web browser and browse the electrocardiogram data stored in the server 4.
　当該ウェブサイトでは、閲覧用端末５が専用プログラムを介して表示するのと同様に、施設に登録されている携帯型心電計２で計測された心電図データをすべて表示することができる。このため、医療従事者は、専用プログラムにより施設の閲覧用端末５にダウンロードすることなく、ウェブサイト上で、任意の心電図データを閲覧することが可能となる。 On the website, all the electrocardiogram data measured by the portable electrocardiograph 2 registered in the facility can be displayed in the same way that the browsing terminal 5 displays via a dedicated program. Therefore, the medical staff can browse arbitrary electrocardiogram data on the website without downloading to the browsing terminal 5 of the facility by the dedicated program.
　解析手段４５は、医療従事者が指定した心電図データについて、不整脈イベントの有無を自動的に検出する。検出する不整脈の種類は特に制限されるものではないが、診断名としては、例えば心房細動、心室頻拍、心室細動、発作性上室頻拍、期外収縮、洞頻拍、房室ブロック、洞機能不全症候群などを挙げることができる。 The analysis means 45 automatically detects the presence or absence of an arrhythmia event in the electrocardiogram data designated by the medical staff. The type of arrhythmia to be detected is not particularly limited, but diagnostic names include, for example, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, paroxysmal supraventricular tachycardia, extrasystole, sinus tachycardia, and atrioventricular. Block, sinus dysfunction syndrome, etc. can be mentioned.
　不整脈イベントの有無の自動解析は、検出対象とする不整脈の種類に応じてアルゴリズムを設計することにより実行可能となる。そのようなアルゴリズムは、従来、心電図自動解析プログラムとしてＰＣ等の情報処理端末にインストールして使用されていたものと同様の構成とすることができる。 The automatic analysis of the presence or absence of an arrhythmia event can be executed by designing an algorithm according to the type of arrhythmia to be detected. Such an algorithm can have the same configuration as that conventionally installed and used in an information processing terminal such as a PC as an electrocardiogram automatic analysis program.
　このように、本発明は、解析手段４５によって、好ましくはクラウドサーバ上で対象者の全ての心電図データを閲覧可能とし、さらに任意の心電図データを自動解析することで、医療従事者の業務効率を向上するだけでなく、診断の支援をも可能とするものである。 As described above, according to the present invention, the analysis means 45 makes it possible to browse all the electrocardiogram data of the subject, preferably on the cloud server, and further automatically analyze the arbitrary electrocardiogram data to improve the work efficiency of the medical staff. Not only will it improve, but it will also enable diagnostic support.
　図４は、本実施形態の心電図監視システム１における、心電図データを携帯型心電計２から伝送処理端末３を経てサーバ４へ送信するまでの処理の流れを示すフローチャートである。 FIG. 4 is a flowchart showing the flow of processing in the electrocardiogram monitoring system 1 of the present embodiment from the portable electrocardiograph 2 to transmitting the electrocardiogram data to the server 4 via the transmission processing terminal 3.
　図４において、ステップＳ１では、携帯型心電計２が対象者の心電図データを取得し、伝送処理端末３に伝送する。そして、続くステップＳ２では、携帯型心電計２から伝送された心電図データをデータ記憶手段３１が記憶する。 In FIG. 4, in step S1, the portable electrocardiograph 2 acquires the electrocardiogram data of the subject and transmits it to the transmission processing terminal 3. Then, in the following step S2, the data storage means 31 stores the electrocardiogram data transmitted from the portable electrocardiograph 2.
　ここで記憶された心電図データは、輪切りデータ変換手段３２により所定の単位時間毎の心電図データに変換された上で、輪切りデータ記憶手段３２１により伝送処理端末３内に格納される（ステップＳ３）。 The electrocardiogram data stored here is converted into electrocardiogram data for each predetermined unit time by the round slice data conversion means 32, and then stored in the transmission processing terminal 3 by the round slice data storage means 321 (step S3).
　ステップＳ４として、所定の単位時間毎の心電図データがデータ送信手段３３によってサーバ４へ送信され、受信手段４１がこれを受け付ける。その結果、成功裏にサーバ４へ送信された心電図データは、送信成功データ削除手段３４により伝送処理端末３内から自動的に削除される（ステップＳ５）。 As step S4, the electrocardiogram data for each predetermined unit time is transmitted to the server 4 by the data transmitting means 33, and the receiving means 41 accepts this. As a result, the electrocardiogram data successfully transmitted to the server 4 is automatically deleted from the transmission processing terminal 3 by the transmission success data deleting means 34 (step S5).
　一方で、サーバ４への送信に失敗した心電図データは、所定時間の経過後に、再実行手段３５により、サーバ４への送信が成功するまで繰り返しサーバ４への送信処理が実行される（ステップＳ６）。なお、再実行手段３５によりサーバ４への送信が成功した心電図データは、送信成功データ削除手段３４により伝送処理端末３内から削除される。 On the other hand, the electrocardiogram data that has failed to be transmitted to the server 4 is repeatedly transmitted to the server 4 by the re-execution means 35 until the transmission to the server 4 is successful after a lapse of a predetermined time (step S6). ). The electrocardiogram data successfully transmitted to the server 4 by the re-execution means 35 is deleted from the transmission processing terminal 3 by the transmission success data deleting means 34.
　図５は、図４におけるステップＳ４で、心電図データが伝送処理端末３からサーバ４へ送信された後、サーバ４が当該心電図データの送信の成否を判定するまでの処理の流れを示すフローチャートである。 FIG. 5 is a flowchart showing a processing flow from the transmission of the electrocardiogram data from the transmission processing terminal 3 to the server 4 in step S4 in FIG. 4 until the server 4 determines the success or failure of the transmission of the electrocardiogram data. ..
　ステップＳ４１では、サーバ４の受信手段４１が、伝送処理端末３から送信された心電図データを受け付ける。そして、ステップＳ４２では、記憶手段４２が当該心電図データのサーバ４への格納処理を実行する。 In step S41, the receiving means 41 of the server 4 receives the electrocardiogram data transmitted from the transmission processing terminal 3. Then, in step S42, the storage means 42 executes the storage process of the electrocardiogram data in the server 4.
　通知手段４３は、当該心電図データが一定の時間内に記憶手段４２によりサーバ４内に格納されたか否かによって、心電図データがサーバ４へ成功裏に送信完了したか否かを判定する。 The notification means 43 determines whether or not the electrocardiogram data has been successfully transmitted to the server 4 depending on whether or not the electrocardiogram data is stored in the server 4 by the storage means 42 within a certain time.
　その結果、一定の時間内に前記の格納処理が完了した場合、通知手段４３は当該心電図データの正常な受付が完了したと判定し、格納された当該心電図データをサーバ４内に保持する。そして、ステップＳ４３として、通知手段４３は伝送処理端末３に心電図データの送信が成功した旨の通知を行う。一方、一定の時間内に前記の格納処理が完了しなかった場合、通知手段４３は、伝送処理端末３に心電図データの送信が失敗した旨の通知を行う。 As a result, when the storage process is completed within a certain time, the notification means 43 determines that the normal reception of the electrocardiogram data has been completed, and retains the stored electrocardiogram data in the server 4. Then, as step S43, the notification means 43 notifies the transmission processing terminal 3 that the transmission of the electrocardiogram data has been successful. On the other hand, if the storage process is not completed within a certain time, the notification means 43 notifies the transmission processing terminal 3 that the transmission of the electrocardiogram data has failed.
　心電図データの送信が失敗した場合、伝送処理端末３の再実行手段３５により、当該通知から所定の時間が経過した後、送信が失敗した心電図データの再度の送信処理が実行され、受信手段４１は、再度、心電図データの受付処理を行う（ステップＳ４１）。送信が失敗した場合の一連の処理は、成功裏に心電図データの送信が完了するまで繰り返し実行される。 When the transmission of the electrocardiogram data fails, the re-execution means 35 of the transmission processing terminal 3 executes the re-transmission processing of the electrocardiogram data whose transmission has failed after a predetermined time has elapsed from the notification, and the receiving means 41 , The electrocardiogram data reception process is performed again (step S41). When the transmission fails, the series of processes is repeatedly executed until the transmission of the electrocardiogram data is successfully completed.
　本発明は、在宅医療における対象者の心電図モニタリングに適用することができる。 The present invention can be applied to ECG monitoring of a subject in home medical care.
１　　　　　心電図監視システム
２　　　　　携帯型心電計
３　　　　　伝送処理端末
３１　　　　データ記憶手段
３２　　　　輪切りデータ変換手段
３２１　　　輪切りデータ記憶手段
３３　　　　データ送信手段
３４　　　　送信成功データ削除手段
３５　　　　再実行手段
４　　　　　サーバ
４１　　　　受信手段
４２　　　　記憶手段
４３　　　　通知手段
４４　　　　送信手段
４５　　　　解析手段
５　　　　　閲覧用端末
ＮＷ　　　　院内ネットワーク

  1 ECG monitoring system 2 Portable electrocardiograph 3 Transmission processing terminal 31 Data storage means 32 Round-cut data conversion means 321 Round-cut data storage means 33 Data transmission means 34 Transmission success data deletion means 35 Re-execution means 4 Server 41 Reception means 42 Storage means 43 Notification means 44 Transmission means 45 Analysis means 5 Browsing terminal NW In-hospital network

Claims (19)

  1. 対象者の心電図データを取得する携帯型心電計と、
    前記心電図データを携帯型心電計から受信する伝送処理端末と、
    前記伝送処理端末から送信された心電図データを保管するサーバと、を備え、
    前記伝送処理端末は、所定の単位時間毎のデータとして構成された心電図データを前記サーバに送信するデータ送信手段を有することを特徴とする、心電図監視システム。     A portable electrocardiograph that acquires the electrocardiogram data of the subject,
    A transmission processing terminal that receives the electrocardiogram data from a portable electrocardiograph, and
    A server for storing electrocardiogram data transmitted from the transmission processing terminal is provided.
    The transmission processing terminal is an electrocardiogram monitoring system comprising a data transmission means for transmitting electrocardiogram data configured as data for each predetermined unit time to the server.
  2. 前記伝送処理端末は、前記心電図データのサーバへの送信が成功した場合、前記伝送処理端末に記憶された送信成功データを削除する送信成功データ削除手段を有することを特徴とする、請求項１に記載の心電図監視システム。 The transmission processing terminal is characterized in that, when the electrocardiogram data is successfully transmitted to the server, the transmission processing terminal has a transmission success data deleting means for deleting the transmission success data stored in the transmission processing terminal. The electrocardiogram monitoring system described.
  3. 前記伝送処理端末は、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段を有しており、前記再実行手段は、該送信失敗データのサーバへの送信が成功するまで送信処理を繰り返すことを特徴とする、請求項１又は２に記載の心電図監視システム。 When the transmission of the electrocardiogram data to the server fails, the transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time, and the re-execution means The electrocardiogram monitoring system according to claim 1 or 2, wherein the transmission process is repeated until the transmission failure data is successfully transmitted to the server.
  4. 前記再実行手段は、前記送信失敗データと共に、該送信失敗データのサーバへの送信が成功するまでに蓄積された前記心電図データを前記サーバに送信することを特徴とする、請求項３に記載の心電図監視システム。 The re-execution means according to claim 3, wherein the re-execution means transmits the electrocardiogram data accumulated until the transmission failure data to the server is successful together with the transmission failure data. ECG monitoring system.
  5. 前記伝送処理端末は、前記心電図データを所定の単位時間毎の心電図データに変換する輪切りデータ変換手段を備えることを特徴とする、請求項１～４の何れか一項に記載の心電図監視システム。 The electrocardiogram monitoring system according to any one of claims 1 to 4, wherein the transmission processing terminal includes a round slice data conversion means for converting the electrocardiogram data into electrocardiogram data at predetermined unit times.
  6. 前記所定の単位時間は、１分～６時間単位であることを特徴とする、請求項１～５の何れか一項に記載の心電図監視システム。 The electrocardiogram monitoring system according to any one of claims 1 to 5, wherein the predetermined unit time is in units of 1 minute to 6 hours.
  7. 前記伝送処理端末は、前記心電図データをＤＩＣＯＭ形式のデータに変換してサーバに送信することを特徴とする、請求項１～６の何れか一項に記載の心電図監視システム。 The electrocardiogram monitoring system according to any one of claims 1 to 6, wherein the transmission processing terminal converts the electrocardiogram data into DICOM format data and transmits the electrocardiogram data to a server.
  8. さらに、前記サーバはクラウドサーバであり、該クラウドサーバは、前記心電図データを解析して不整拍動を検出することを特徴とする、請求項１～７の何れか一項に記載の心電図監視システム。 The electrocardiogram monitoring system according to any one of claims 1 to 7, wherein the server is a cloud server, and the cloud server analyzes the electrocardiogram data to detect irregular pulsations. ..
  9. 前記伝送処理端末は、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段を有しており、
    前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データと共に、該送信失敗データのサーバへの送信が成功するまでに蓄積された前記心電図データを前記サーバに送信することを特徴とする、請求項１～８の何れか一項に記載の心電図監視システム。     The transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
    The re-execution means repeats the transmission process until the transmission failure data is successfully transmitted to the server, and together with the transmission failure data, the electrocardiogram data accumulated until the transmission failure data is successfully transmitted to the server. The electrocardiogram monitoring system according to any one of claims 1 to 8, wherein the data is transmitted to the server.
  10. 前記伝送処理端末は、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、を有しており、
    前記再実行手段は、再度実行した前記心電図データのサーバへの送信が失敗した場合、前記所定時間の経過後に送信失敗データのサーバへの送信を再度実行することで、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、
    前記所定の単位時間は、５～４５分単位であり、
    前記所定時間は、前記所定の単位時間内において３回以上再度の送信処理が可能な時間であることを特徴とする、請求項１～８の何れか一項に記載の心電図監視システム。     The transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
    When the re-execution means fails to transmit the re-executed electrocardiogram data to the server, the re-execution means re-executes the transmission of the transmission failure data to the server after the elapse of the predetermined time to the server of the transmission failure data. Repeat the transmission process until the transmission is successful,
    The predetermined unit time is in units of 5 to 45 minutes.
    The electrocardiogram monitoring system according to any one of claims 1 to 8, wherein the predetermined time is a time during which the transmission process can be performed again three times or more within the predetermined unit time.
  11. 前記伝送処理端末は、前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、を有しており、
    前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データのサーバへの送信が成功するまで、前記送信失敗データに続く前記心電図データをサーバへ送信せずに伝送処理端末内に蓄積することを特徴とする、請求項１～８の何れか一項に記載の心電図監視システム。     The transmission processing terminal has a re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time when the transmission of the electrocardiogram data to the server fails.
    The re-execution means repeats the transmission process until the transmission failure data is successfully transmitted to the server, and the electrocardiogram data following the transmission failure data is sent to the server until the transmission failure data is successfully transmitted to the server. The electrocardiogram monitoring system according to any one of claims 1 to 8, wherein the electrocardiogram monitoring system is stored in a transmission processing terminal without being transmitted.
  12. 対象者の心電図データを携帯型心電計により取得する情報取得工程と、
    前記携帯型心電計により取得された前記心電図データを伝送処理端末に伝送する情報伝送工程と、
    前記伝送処理端末により受信された前記心電図データをサーバに送信するデータ送信工程と、を含み、
    前記データ送信工程は、所定の単位時間毎のデータとして構成された心電図データを前記サーバに送信することを特徴とする、心電図監視システムの作動方法。     The information acquisition process for acquiring the subject's electrocardiogram data with a portable electrocardiograph,
    An information transmission process for transmitting the electrocardiogram data acquired by the portable electrocardiograph to a transmission processing terminal, and
    A data transmission step of transmitting the electrocardiogram data received by the transmission processing terminal to a server is included.
    The data transmission step is a method of operating an electrocardiogram monitoring system, which comprises transmitting electrocardiogram data configured as data for each predetermined unit time to the server.
  13. 前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行工程を含み、
    前記再実行工程は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データと共に、該送信失敗データのサーバへの送信が成功するまでに蓄積された前記心電図データを前記サーバに送信することを特徴とする、請求項１２に記載の心電図監視システムの作動方法。     When the transmission of the electrocardiogram data to the server fails, the re-execution step of re-transmitting the transmission failure data to the server after a lapse of a predetermined time is included.
    The re-execution step repeats the transmission process until the transmission failure data is successfully transmitted to the server, and together with the transmission failure data, the electrocardiogram data accumulated until the transmission failure data is successfully transmitted to the server. 12. The method of operating the electrocardiogram monitoring system according to claim 12, wherein the data is transmitted to the server.
  14. 前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行工程を含み、
    前記再実行工程は、再度実行した前記心電図データのサーバへの送信が失敗した場合、前記所定時間の経過後に送信失敗データのサーバへの送信を再度実行することで、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、
    前記所定の単位時間は、５～４５分単位であり、
    前記所定時間は、前記所定の単位時間内において３回以上再度の送信処理が可能な時間で
    あることを特徴とする、請求項１２に記載の心電図監視システムの作動方法。     When the transmission of the electrocardiogram data to the server fails, the re-execution step of re-transmitting the transmission failure data to the server after a lapse of a predetermined time is included.
    In the re-execution step, when the re-executed transmission of the electrocardiogram data to the server fails, the transmission of the transmission failure data to the server is re-executed after the elapse of the predetermined time, so that the transmission failure data is sent to the server. Repeat the transmission process until the transmission is successful,
    The predetermined unit time is in units of 5 to 45 minutes.
    The method for operating an electrocardiogram monitoring system according to claim 12, wherein the predetermined time is a time during which the transmission process can be performed again three times or more within the predetermined unit time.
  15. 前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行工程を含み、
    前記再実行工程は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データのサーバへの送信が成功するまで、前記送信失敗データに続く前記心電図データをサーバへ送信せずに伝送処理端末内に蓄積することを特徴とする、請求項１２に記載の心電図監視システムの作動方法。     When the transmission of the electrocardiogram data to the server fails, the re-execution step of re-transmitting the transmission failure data to the server after a lapse of a predetermined time is included.
    The re-execution step repeats the transmission process until the transmission failure data is successfully transmitted to the server, and the electrocardiogram data following the transmission failure data is sent to the server until the transmission failure data is successfully transmitted to the server. The method of operating an electrocardiogram monitoring system according to claim 12, wherein the electrocardiogram monitoring system is stored in a transmission processing terminal without being transmitted.
  16. 携帯型心電計を介して取得した対象者の心電図データをサーバに送信するための伝送処理プログラムであって、
    前記心電図データを所定の単位時間毎のデータとして構成された心電図データとして前記サーバに送信するデータ送信手段としてコンピュータを機能させることを特徴とする、伝送処理プログラム。     It is a transmission processing program for transmitting the electrocardiogram data of the subject acquired via the portable electrocardiograph to the server.
    A transmission processing program characterized in that a computer functions as a data transmission means for transmitting the electrocardiogram data to the server as electrocardiogram data configured as data for each predetermined unit time.
  17. コンピュータを、
    前記送信手段と、
    前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、
    として機能させ、
    前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データと共に、該送信失敗データのサーバへの送信が成功するまでに蓄積された前記心電図データを前記サーバに送信することを特徴とする、請求項１６に記載の伝送処理プログラム。     Computer,
    With the transmission means
    When the transmission of the electrocardiogram data to the server fails, the re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time, and the re-execution means.
    To function as
    The re-execution means repeats the transmission process until the transmission failure data is successfully transmitted to the server, and together with the transmission failure data, the electrocardiogram data accumulated until the transmission failure data is successfully transmitted to the server. 16. The transmission processing program according to claim 16, wherein the data is transmitted to the server.
  18. コンピュータを、
    前記送信手段と、
    前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、
    として機能させ、
    前記再実行手段は、再度実行した前記心電図データのサーバへの送信が失敗した場合、前記所定時間の経過後に送信失敗データのサーバへの送信を再度実行することで、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、
    前記所定の単位時間は、５～４５分単位であり、
    前記所定時間は、前記所定の単位時間内において３回以上再度の送信処理が可能な時間であることを特徴とする、請求項１６に記載の伝送処理プログラム。     Computer,
    With the transmission means
    When the transmission of the electrocardiogram data to the server fails, the re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time, and the re-execution means.
    To function as
    When the re-execution means fails to transmit the re-executed electrocardiogram data to the server, the re-execution means re-executes the transmission of the transmission failure data to the server after the elapse of the predetermined time to the server of the transmission failure data. Repeat the transmission process until the transmission is successful,
    The predetermined unit time is in units of 5 to 45 minutes.
    The transmission processing program according to claim 16, wherein the predetermined time is a time during which the transmission processing can be performed again three times or more within the predetermined unit time.
  19. コンピュータを、
    前記送信手段と、
    前記心電図データのサーバへの送信が失敗した場合、所定時間の経過後に送信失敗データのサーバへの送信を再度実行する再実行手段と、
    として機能させ、
    前記再実行手段は、前記送信失敗データのサーバへの送信が成功するまで送信処理を繰り返し、前記送信失敗データのサーバへの送信が成功するまで、前記送信失敗データに続く前記心電図データをサーバへ送信せずに伝送処理端末内に蓄積することを特徴とする、請求項１６に記載の伝送処理プログラム。
     

          Computer,
    With the transmission means
    When the transmission of the electrocardiogram data to the server fails, the re-execution means for re-transmitting the transmission failure data to the server after a lapse of a predetermined time, and the re-execution means.
    To function as
    The re-execution means repeats the transmission process until the transmission failure data is successfully transmitted to the server, and the electrocardiogram data following the transmission failure data is sent to the server until the transmission failure data is successfully transmitted to the server. The transmission processing program according to claim 16, wherein the data is stored in the transmission processing terminal without being transmitted.
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