JPH0856910A - At-home medical system - Google Patents

Abstract

PURPOSE: To always make an appropriate diagnosis on an at-home patient by a doctor. CONSTITUTION: A portable handy tele-terminal device 10 including, for example, a halter electrocardiograph, etc., is loaded on the patient, and patient information with respect to the patient is read by the device. The patient information is transmitted to a hospital one after another via a receiver 21, a demodulator 22, an A/D converter 23, a selector 26 and a modulator 27.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a home medical system suitable for use in diagnosing a patient at home, for example.

[0002]

2. Description of the Related Art A conventional medical image information transmission system as a home medical system is, for example, Japanese Patent Application No. 2-218.
There is one disclosed in Japanese Patent No. 336. This system includes an image capturing device installed at a remote location, an image reading device, a display unit for displaying and confirming the obtained image information, an image information storage device, a first transmitting / receiving device, and an urban area. The second transmission / reception device installed, the image processing device, and the image output device that reproduces and outputs the received image information, and temporarily stores the image information obtained from the image capturing device installed in a predetermined area. Then, after displaying and confirming the captured image, the image is reproduced by being transmitted to another area through a communication line. As a result, it is possible to diagnose a patient in a remote place where there is no doctor.

Next, FIGS. 3 and 4 show the configuration of an example of a conventional medical information transmission system as another home medical system. It should be noted that this medical information transmission system is composed of a user-side device and a server-side device.
Shows the configuration of user-side equipment installed in, for example, a patient's house, and FIG. 4 shows the configuration of server-side equipment installed in, for example, a hospital. The medical device 100 is, for example, a Holter electrocardiograph or the like, and obtains patient information (information related to a patient's condition) such as electrocardiogram information of the patient, which is obtained from a pad (Pad) terminal 111 attached to the patient, For example, it is recorded on a recording medium such as a magnetic tape (cassette tape) (TAPE) 101.
The electrocardiographic information recorded on the magnetic tape 101 is reproduced from the electrocardiographic information and supplied to the modulator (MOD) device 127. In the modulator device 127, the electrocardiogram information is converted into communication data that can be transmitted by, for example, a telephone line (TEL Line), and is transmitted to the server-side device shown in FIG. 4 via the telephone line.

In the server-side device (FIG. 4), the data for communication transmitted from the user-side device is received by the demodulator (DeMOD) device 131, and converted into the original data, electrocardiogram information. This electrocardiogram (Electrocar
The diogram information is temporarily stored in the memory device 132 and sequentially output to the monitor 137.

Therefore, even if the doctor of the hospital does not go to the patient's home or the patient does not go to the hospital, the doctor can recognize the condition of the patient and make an appropriate diagnosis.

[0006]

By the way, in the conventional home medical system, the image information of the patient and the patient information such as the electrocardiogram are recorded, for example, in the image information storage device or the magnetic tape 101 as described above. It is designed to be recorded on a medium, and therefore, patient information is not designed to be sequentially transmitted to a server-side device or the like. Furthermore, according to the conventional home medical care system, regardless of whether the information sent to the server-side device is normal data or abnormal data, the doctor needs to see all the information. In addition, in the conventional home medical system, the Holter electrocardiograph 1 is used while the image is captured by the image capturing device.
The patient was unable to move freely while taking an electrocardiogram at 00. That is, conversely, it was difficult to constantly obtain patient information from the patient.

Therefore, even if the patient's condition suddenly changes, for example, there is a problem that it is difficult for the doctor to immediately know about it.

Further, in the home medical system as described above, it is preferable that the doctor can immediately deal with the emergency situation, but conventionally, it is dangerous for the user of the user side device such as the patient. It was not designed to be able to inform that there was an emergency situation that caused

The present invention has been made in view of such a situation, and enables a doctor to immediately make appropriate diagnosis and coping.

[0010]

A home medical system according to the present invention is a home medical system comprising a user-side device and a server-side device, wherein the user-side device reads patient information about a patient (for example, patient information reading means). , The handy teleterminal device 10 shown in FIG. 1) and the output of the patient information reading means are converted into data for the first communication,
The server-side device has a transmitting means (for example, the modulator device 27 shown in FIG. 1) for immediate transmission, and the server-side device receives the data for the first communication transmitted from the transmitting means. , Receiving means for converting the patient information (for example, the demodulator device 31 shown in FIG. 2) and patient information outputting means for outputting the patient information supplied from the receiving means (for example, the speaker 36 and the monitor 37 shown in FIG. 2). Etc.) and.

In this home medical care system, the server-side device comprises a diagnostic means (for example, the diagnostic processor unit 34 shown in FIG. 2) for performing a diagnosis based on the patient information supplied from the receiving means, and a diagnostic means. It can further have a diagnostic result output means (for example, the speaker 36 and the monitor 37 shown in FIG. 2) for outputting the diagnostic result.

Further, the server device may further include medical information storage means (for example, the storage device 35 shown in FIG. 2) that stores medical information used for diagnosis by the diagnosis means. Further, the server side device, when the diagnostic result by the diagnostic means is something that should be dealt with immediately,
A medical information notifying means (for example, the speaker 36, the monitor 37, etc. shown in FIG. 2) for notifying that effect can be further provided.

When the user device is composed of a portable device carried by the patient and other parts, the portable device outputs the patient information reading means and the output of the patient information reading means to the second communication data. Output conversion means for converting to (for example, the modulator device 12 shown in FIG. 1), and second communication data transmission for transmitting the second communication data supplied from the output conversion means to other parts. Means (for example, the transmitting device 13 shown in FIG. 1), and the other part receives the second communication data transmitted from the transmitting means and the data transmitting means for the second communication. However, it may have a second communication data receiving means (for example, the receiving device 21) for supplying to the transmitting means.

The user-side device further has an emergency information input means for inputting emergency information (for example, the emergency information reading device 25 shown in FIG. 1), and the transmission means also outputs the emergency information input means. Convert it to the data for the first communication,
When causing the server-side device to transmit the data and causing the receiving unit to receive the first communication data transmitted from the transmitting unit and convert the data into emergency information, the server-side device transmits the emergency information supplied from the receiving unit. An emergency information output unit for outputting (for example, the speaker 36 and the monitor 37 shown in FIG. 2) can be further provided.

The server-side device may further include an emergency information notification means (for example, the speaker 36 shown in FIG. 2) for notifying that the emergency information has been received. Also,
The user side device further has a voice input means (for example, the voice information reading device 24 shown in FIG. 2) for inputting voice, and the output of the voice input means is converted into the data for the first communication in the transmitting means. In the case of causing the server-side device to transmit the data and causing the receiving unit to receive the first communication data transmitted from the transmitting unit and convert the data into voice, the server-side device outputs the voice supplied from the receiving unit. It is possible to further have a voice output means (for example, the speaker 36 shown in FIG. 2) for outputting Furthermore, the server-side device can further include an output storage unit that stores the output of the reception unit.

When the user-side device is composed of a mobile device carried by the patient and other parts, the mobile device outputs the patient information reading means and the output of the patient information reading means to the second communication data. Output conversion means for converting to (for example, the modulator device 12 shown in FIG. 1), and second communication data transmission for transmitting the second communication data supplied from the output conversion means to other parts. Means (for example, the transmitting device 13 shown in FIG. 2), and the other part receives the second communication data transmitted from the second communication data transmitting means. Data receiving means for communication (for example, the receiving device 21 shown in FIG. 1), emergency information inputting means, transmitting means, and data for second communication received by the data receiving means for second communication. Second to convert patient information into patient information Data converting means for communication (e.g.,
The demodulator device 22 or the like shown in FIG. 1) and the selecting means for selecting the output of any one of the emergency information input means and the data converting means for the second communication and supplying it to the transmitting means (for example, in FIG. Selection device 26 as shown).

When the user-side device is composed of a portable device carried by the patient and other parts, the portable device outputs the patient information reading means and the output of the patient information reading means.
An output conversion unit (for example, the modulator device 12 shown in FIG. 1) that converts the second communication data, and a second communication data that is supplied from the output conversion unit to another unit. 2 for data transmission (for example, the transmission device 13 shown in FIG. 1) for communication, and the other part is for the second communication transmitted from the data transmission for second communication. Data receiving means for second communication for receiving data (for example, the receiving device 21 shown in FIG. 1)
An emergency information input means, a transmission means, a voice input means, and second communication data received by the second communication data receiving means for converting the second communication data into patient information. A data converting means (for example, the demodulator device 22 shown in FIG. 1), an emergency information inputting means, a voice inputting means, or an output of any of the data converting means for the second communication is selected, and the transmitting means is selected. And a selection means (for example, the selection device 26 shown in FIG. 1) for supplying to the.

In the other part, the output of the data conversion means for the second communication is A / D converted and supplied to the selection means.
It may further include D conversion means (for example, the A / D conversion device 23 shown in FIG. 1). Further, the other part may further include a data storage unit (for example, the memory 26a shown in FIG. 1) for storing the data supplied to the selection unit.

The user-side device may further include patient information storage means (for example, the memory 12a shown in FIG. 1) for storing the patient information read by the patient information reading means.

[0020]

In the home medical system having the above-mentioned configuration, the user side device reads the patient information about the patient, converts it into the first communication data, and the server side device reads it.
Immediately sent. On the other hand, the server-side device receives the first communication data transmitted from the user-side device, converts the data into patient information, and outputs the patient information. Therefore, since the patient information is sequentially transmitted, the doctor can immediately make an appropriate diagnosis,
It becomes possible to take measures.

[0021]

1 and 2 are block diagrams showing the configuration of an embodiment of a medical information transmission system to which the home medical system of the present invention is applied. Note that FIG. 1 shows the configuration of user-side equipment installed in, for example, a patient's house, and FIG.
For example, the configuration of server-side equipment installed in a hospital or the like is shown.

The user-side device shown in FIG. 1 is, for example, a Handy Teletermin that can be carried by a patient.
al) Device 10 and other blocks. The handy teleterminal device 10 has a pad (Pa
d) It is composed of a terminal 11, a modulator (MOD) device 12, and a send device (data transmission device) 13. The electrocardiogram or other patient information can be read, such as a Holter monitor. That is, in this embodiment, the handy teleterminal device 10 is adapted to generate patient information such as electrocardiogram information from the output of the pad terminal 11.

The pad terminal 11 is, for example, a heart.
It is attached to the human body such as near the. Modulator device 12
Is adapted to convert the patient information obtained from the output of the pad terminal 11 into communication data. The modulator device 12 may have a built-in memory 12a. In this case, if necessary, the patient information may be temporarily stored in the memory 12a and then converted into communication data. It is possible. The transmitter 13
The data for communication supplied from the modulator device 12 is received by the receiving device 21 via a wireless line or a wired line.
It is designed to be transmitted to.

The receiving (get) device 21 receives the signal from the transmitting device 13, and receives the signal from the demodulator (DeMOD) device 22.
It is designed to be supplied to. Demodulator device 2
Reference numeral 2 converts the signal supplied from the receiving device 21, that is, the communication data, into the patient information which is the original data (inverse conversion).
However, the power is supplied to the A / D conversion device 23. The A / D conversion device 23 is configured to sample (A / D convert) the supplied patient information at a predetermined sampling frequency and supply it to the selection (MUX) device 26.

The voice information reading (phone) device 24 is composed of, for example, a microphone or a headset, and when voice or other similar information is input, it is converted into a voice signal as an electric signal and the selecting device 26 is selected. (Information such as voice is read and supplied to the selection device 26). Emergency information is input to the emergency call device 25, where the information is converted to emergency information as an electric signal and supplied to the selection device 26 (in case of emergency). Such as information (emergency information) can be read).

The selection device 26 selects one of the outputs of the A / D conversion device 23, the voice information reading device 24, and the emergency information reading device 25 (A / D conversion device 23, voice information reading device 24). , And the output of the emergency information reading device 25 is multiplexed) and output to the modulator (MOD) device 27. The selection device 26 may be provided with a memory 26a. In this case, the outputs of the A / D conversion device 23, the voice information reading device 24, and the emergency information reading device 25 are stored in the memory 26a. It is possible to store the data as needed and then select (multiplex) the data.

The modulator device 27 converts the output of the selection device 26 into data for communication by, for example, a telephone line (TEL Line), and through a communication system such as a telephone line,
It is adapted to be transmitted (transmitted) to the server side device (FIG. 2).

The user-side device configured as described above is installed in the home of one or more patients.

The demodulator (DeMOD) device 31 of the server-side device (FIG. 2) receives the communication data transmitted from the user-side device (FIG. 1) and uses the original data (patient information, emergency information, And any of the audio signals) (inverse conversion) and supplies the converted data to the memory device 32. The memory device 32 is configured to temporarily store the original data from the demodulator device 31, supply the original data to the storage device (Data buffer) 33 for storage, and supply the original data to the diagnostic processor device 34.

The storage device 33 is adapted to store the output from the memory device 32, that is, the patient information, the emergency information, and the voice signal. The memory (Diagnosis DataBase) device 35 stores various cases, medical information such as clinical results and past diagnosis results (for example, abnormal electrocardiographic waveform). The medical information stored in the storage device 35 is the diagnostic processor (Diagnosis Proces) described below.
sor) Used for examination by the device 34.

The diagnostic processor unit 34 is a memory device 3
Of the data supplied from 2, the emergency information and the voice signal are output to the speaker 36 or the monitor 37 in the subsequent stage, and the diagnosis (automatic diagnosis) is performed based on the patient information. The diagnostic processor unit 34 is configured to refer to the medical information stored in the storage unit 35, if necessary for diagnosing the patient information. The diagnostic processor 34 is also configured to output a message to the speaker 36 or the monitor 37 in the subsequent stage when the diagnostic result should be dealt with immediately.

The speaker 36 is controlled by the diagnostic processor 34 and outputs emergency information and a voice signal supplied from the speaker 36. Further, the speaker 36 informs that emergency information has been received and that the diagnostic result by the diagnostic processor 34 should be dealt with promptly by, for example, a buzzer sound, a red siren, or the like (Emergency).
Call) is also made.

The monitor 37 is controlled by the diagnostic processor 34 and displays emergency information supplied from the diagnostic processor 34, patient information such as a diagnostic result by the diagnostic processor 34 and an electrocardiogram used to obtain the diagnostic result. (Output as an image). Further, the monitor 37 informs that the emergency information is received and that the diagnosis result by the diagnosis processor 34 should be dealt with immediately (Emergency Caching), like the speaker 36 described above.
ll).

Next, the operation will be described. In the handy teleterminal device 10 of the user-side device (FIG. 1), patient information such as electrocardiogram information of the patient obtained from the pad terminal 11 attached to the patient is received via the modulator device 12 and the transmitter 13. Device 2
Received transmitted to 1. The signal received by the reception device 21 is supplied to the selection device 26 via the demodulator device 22 and the A / D conversion device 23.

On the other hand, when voice (voice information) or emergency information is input to the voice information reading device 24 or the emergency information reading device 25, the voice or emergency information is also supplied to the selection device 26. The selection device 26 multiplexes the patient information, the voice information, and the emergency information (selects any one of the patient information, the voice information, and the emergency information) and supplies the multiplexed information to the modulator device 27. Modulator device 27
Then, the output of the selection device 26 is converted into communication data and immediately transmitted to the server-side device (FIG. 2) via the telephone line.

The demodulator device 31 of the server-side device receives the communication data transmitted from the user-side device and converts it into the original data. This data is supplied to and stored in the storage device 33 via the memory device 32 and is also supplied to the diagnostic processor device 34. Data stored in the storage device 33, that is, patient information,
The emergency information and the voice information are referred to by a doctor in the hospital as needed (for example, used when the doctor obtains information on a specific patient).

On the other hand, in the diagnostic processor unit 34, the data supplied from the memory unit 32 is voice information (voice signal).
If so, the audio information is supplied to the speaker 36 and output. In addition, the diagnostic processor device 34, when the data supplied from the memory device 32 is the emergency information,
The speaker 36 or the monitor 37 is controlled to notify that the emergency information is received, and then the emergency information is output.

Further, when the data supplied from the memory device 32 is patient information, the diagnostic processor device 34 is based on the patient information, and if necessary, the storage device 35.
Make a diagnosis by referring to the medical information stored in. And
When the diagnosis result is something that should be dealt with immediately, the fact is output to the speaker 36 or the monitor 37. Further, thereafter, the patient information such as an electrocardiogram (Electrocardiogram) used for obtaining the diagnosis result is monitored 37
To display.

As described above, in the user side device, the patient information is immediately transmitted to the server side device, that is, since the patient information is sequentially transmitted, the doctor can always make an appropriate diagnosis and treatment. It can be performed.

Further, when the diagnosis (automatic diagnosis) is made based on the patient information and the diagnosis result should be dealt with immediately, the fact is notified so that the doctor can immediately detect the abnormality of the patient. It becomes possible to know and deal with it immediately.

Further, since the user side device can transmit the emergency information and the server side device informs that the emergency information has been received, the patient is in danger of himself. While being able to immediately notify the occurrence of such an emergency, the doctor can promptly deal with the emergency.

Furthermore, since the voice can be transmitted from the user side device, the patient can inform the doctor of more details of the emergency.

Further, since the handy teleterminal device 10 of the user side device is portable, the patient can act freely to some extent even with the handy teleterminal device 10 worn, and as a result, the patient information can be obtained. It is possible to always send to the server side device.

The patient information such as an electrocardiogram is monitored by the monitor 37 even if the result of the diagnosis is not something that should be dealt with immediately.
It is possible to always display. Further, the patient information such as an electrocardiogram can be output to a printer (not shown) or the like instead of the monitor 37 and printed out.

Further, the user side device can be constructed without providing the voice information reading device 24 or the emergency information reading device 25, for example. In addition, the voice information reading device 24
When neither the emergency information reading device 25 nor the emergency information reading device 25 is provided, the user-side device can be configured without providing the selection device 26. Further, the server-side device 34 can be configured without providing the diagnostic processor device 34 and the storage device 35. In the above case, the device can be configured small and inexpensive.

In the present embodiment, the data is transmitted from the user side device to the server side device through the telephone line. However, when transmitting this data, a wired line other than the telephone line or a wireless line is used. Can be used.

[0047]

As described above, according to the home medical care system of the present invention, since the patient information is sequentially transmitted, the doctor can always make an appropriate diagnosis.

[Brief description of drawings]

FIG. 1 is a block diagram showing a configuration of an embodiment of a user-side device that constitutes a medical information transmission system to which the present invention is applied.

FIG. 2 is a block diagram showing a configuration of an embodiment of a server-side device that constitutes the medical information transmission system to which the present invention is applied.

FIG. 3 is a block diagram showing a configuration of an example of a user-side device that constitutes a conventional medical information transmission system.

FIG. 4 is a block diagram showing a configuration of an example of a server-side device that constitutes a conventional medical information transmission system.

[Explanation of symbols]

 10 Handy Tele Terminal Device 11 Pad Terminal 12 Modulator Device 12a Memory 13 Transmitter Device 21 Receiver Device 22 Demodulator Device 23 A / D Converter Device 24 Voice Information Reader Device 25 Emergency Information Reader Device 26 Selector Device 26a Memory 27 Modulator Device 31 Demodulator Device Device 32 Memory Device 33 Storage Device 34 Diagnostic Processor Device 35 Storage Device 36 Speaker 37 Monitor 100 Holter Electrocardiograph 101 Magnetic Tape 111 Pad Terminal 127 Modulator Device 131 Demodulator Device 132 Memory Device 137 Monitor

Claims (14)

[Claims] 1. A home medical system comprising a user-side device and a server-side device, wherein the user-side device reads patient information regarding a patient, and outputs an output of the patient information reading unit. And transmitting means for immediately transmitting to the server side device, and the server side device is configured to convert the first communication data transmitted from the transmitting means. A home medical system comprising: a receiving unit that receives and converts the patient information, and a patient information output unit that outputs the patient information supplied from the receiving unit. 2. The server-side device, based on the patient information supplied from the receiving means,
The home medical system according to claim 1, further comprising a diagnostic means for performing a diagnosis and a diagnostic result output means for outputting a diagnostic result by the diagnostic means. 3. The home medical system according to claim 2, wherein the server device further includes a medical information storage unit that stores medical information used for diagnosis by the diagnosis unit. 4. The server-side device further comprises medical information notifying means for notifying that a diagnosis result of the diagnosis means should be promptly dealt with, if any. The home medical system described in 3. 5. The user-side device includes a portable device carried by the patient and other parts, the portable device comprising: a patient information reading means; and an output of the patient information reading means, Output conversion means for converting the communication data into data for communication, and data transmission means for second communication for transmitting the data for second communication supplied from the output conversion means to the other part. The second part receives the second communication data transmitted from the transmission means and the second communication data transmission means, and supplies the second communication data to the transmission means. The home medical system according to any one of claims 1 to 4, further comprising a data receiving unit for use. 6. The user-side device further comprises emergency information input means for inputting emergency information, and the transmission means converts the output of the emergency information input means into data for the first communication. And transmits to the server-side device, the receiving unit receives the first communication data transmitted from the transmitting unit, converts the first communication data into the emergency information, and the server-side device receives the reception information. The home medical system according to any one of claims 1 to 5, further comprising an emergency information output unit that outputs the emergency information supplied from the unit. 7. The home medical system according to claim 6, wherein the server-side device further includes an emergency information notification unit that notifies that the emergency information has been received. 8. The user-side device further includes voice input means for inputting voice, and the transmitting means converts the output of the voice input means into data for the first communication, and the server. To the device on the server side, the receiving unit receives the data for the first communication transmitted from the transmitting unit, converts the data to the voice, and the device on the server side is supplied from the receiving unit. The home medical system according to any one of claims 1 to 7, further comprising a voice output unit that outputs the voice. 9. The home medical system according to claim 1, wherein the server-side device further includes an output storage unit that stores an output of the reception unit. 10. The user-side device includes a portable device carried by the patient and other parts, the portable device comprising: a patient information reading means; and an output of the patient information reading means, Output conversion means for converting the communication data into data for communication, and data transmission means for second communication for transmitting the data for second communication supplied from the output conversion means to the other part. The other part includes a second communication data receiving means for receiving the second communication data transmitted from the second communication data transmitting means, and the emergency information input means. A second transmission data conversion unit for converting the second communication data received by the second communication data reception unit into the patient information; Information input means and 6. any of the select output of the second data conversion means for communication, characterized by having a selection means for supplying said transmitting means
Or the home care system according to 7. 11. The user-side device includes a portable device carried by the patient and other parts, the portable device comprising: a patient information reading means; and an output of the patient information reading means, Output conversion means for converting the communication data into data for communication, and data transmission means for second communication for transmitting the data for second communication supplied from the output conversion means to the other part. The other part includes a second communication data receiving means for receiving the second communication data transmitted from the second communication data transmitting means, and the emergency information input means. A second communication data for converting the second communication data received by the transmitting means, the voice input means, and the second communication data receiving means into the patient information. Conversion means, 9. The selection means for selecting any one of the output of the information input means, the voice input means, and the data conversion means for the second communication and supplying the selected output to the transmission means. Home medical system. 12. The other part further comprises A / D conversion means for A / D converting the output of the data conversion means for the second communication and supplying the output to the selecting means. Item 10. The home medical care system according to Item 10 or 11. 13. The home medical system according to claim 10, wherein the other portion further includes a data storage unit that stores data supplied to the selection unit. 14. The user-side device further comprises patient information storage means for storing the patient information read by the patient information reading means.
The home medical system according to any one of 1 to 13.