JP2002083058A - Wide-area medical information system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To actualize a wide-area medical information system which provides places where medical information is made open between medical related facilities, between patients, and between the medical related facilities and patients. SOLUTION: This system is equipped with a hospital network which connects multiple medical related facilities to exchange information, a general network which connects multiple individual users to exchange information, a medical- facility server which totally manages the hospital network and stores common information on the medical related facilities connected to the hospital network, a general server which totally manages the general network and stores common information of users connected to the general network, and an information server which connects information of the hospital network and general network.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a wide-area medical information system that provides a place for publicizing medical information between medical institutions, between patients, or between a medical organization and a patient.

[0002]

2. Description of the Related Art In a medical institution, an image of an affected part of a patient is photographed using an X-ray apparatus, CT, or MR apparatus (hereinafter, referred to as a modality apparatus) in accordance with the condition of the patient, and the patient is observed by observing the image. He has created medical records and findings reports for medical conditions.

[0003] In recent years, with the development of computer technology, medical institutions have converted medical films, such as films of affected part images, findings reports, medical records, and inspection records, used as medical examinations into electronic data as medical record data. It has come to be managed by a computer system connected to a local area network or the like.

[0004] For example, in the field where radiation work is performed, DICOM (Digital) is used instead of films such as X-rays.
(Imaging and Communications in Medicine) Standardized radiographs and images obtained by CT and MR equipment are converted into electronic data, and findings reports that describe doctors' findings on examinations performed on patients are also converted into electronic data. Has come to be stored.

Thus, a doctor can read medical image data, medical finding data, and the like of a target patient freely from a terminal device installed in a doctor's office and perform medical treatment.

[0006]

However, the above-mentioned conventional medical information system is for effectively utilizing the medical record data of a patient in a medical institution, and is used for an external medical institution or an external medical institution. It did not exchange information with the three parties.

[0007] Therefore, for example, when a patient of a case that a physician has never experienced at a medical institution comes to the hospital, it is desirable to seek advice from a physician at another hospital who has experience treating the patient of this case. Until now, there was no place to exchange such information.

[0008] In addition, as a patient to receive medical treatment, it is desirable to assign a physician who can most appropriately treat his / her own illness to take care of the illness. Usually, information on which physician at which hospital is familiar with which disease is disclosed. As a result, they are usually referred to a hospital in the patient's area of residence.

In other words, until now, there has been no place for exchanging medical information between doctors in different hospitals or between a plurality of patients, so that optimal medical treatment for patients may not be performed, and patients may not be able to receive medical information. There has been a problem that there is no way to find a doctor or medical institution that can properly treat one's disease.

[0010] In recent years, fraudulent billing of medical expenses, frequent occurrence of medical mistakes, and concealment of these have become social problems. There is an increasing demand to know the actual situation of medical treatment, such as whether there is a medical treatment performed or not.

The present invention solves the above problems, and
The purpose is to realize a wide-area medical information system that provides a place to disclose medical information between medical institutions, between patients, or between medical institutions and patients.

[0012]

According to the first aspect of the present invention, there is provided a hospital network for connecting a plurality of medical institutions and exchanging information with each other.
A general network for connecting a plurality of individual users and enabling information exchange, a medical institution server for centrally managing the hospital network and storing shared information of medical institutions connected to the hospital network; A general server that manages a network and stores shared information of users connected to the general network;
An information server for connecting information on the hospital network and general network is provided.

According to a second aspect of the present invention, in the first aspect of the present invention, the medical institution server publishes information on at least a database for storing medical information and the hospital network or general network. It is characterized by having an information disclosure function.

According to a third aspect of the present invention, in the first aspect of the present invention, the general server includes at least a database storing at least a medical history of a user and a medical record of a hospital visited, and the general network or It is characterized by having an information disclosure function of releasing information on a hospital network.

According to a fourth aspect of the present invention, in the first aspect of the present invention, the information server is configured to permit browsing of information from the hospital network side to the general network side. It is characteristic.

According to a fifth aspect of the present invention, in the first aspect of the present invention, the information server has a filter function for restricting browsing of information from the general network side to the hospital network side. It is characteristic.

According to a sixth aspect of the present invention, in the first aspect of the present invention, the medical institution server, the general server, and the information server are provided by a data management specialist or a system management that specially manages the same. It is characterized by being managed by a person.

According to a seventh aspect of the present invention, in the first aspect of the present invention, the hospital network and the general network are provided with network protection means for preventing intrusion of computer viruses and unauthorized intruders. Is what you do.

According to an eighth aspect of the present invention, in the first aspect of the present invention, the hospital network and the general network are the Internet.

According to a ninth aspect of the present invention, in the first aspect of the present invention, the hospital network or the general network is connected to a terminal device of an insurance company.

[0021]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described below in detail with reference to the drawings. FIG. 1 is a configuration diagram showing one embodiment of the wide area medical information system according to the present invention.

In FIG. 1, a hospital A is provided with a medical information system 10.

The medical information system 10 includes a server 11,
A modality device 12 such as an X-ray device 12a, a CT device 12b, and an MR device 12c is connected to a local area network including a terminal device 13 and an information network L10.

The server 11 includes a database 11a and network protection means 11b for preventing computer viruses and unauthorized intruders from entering, and is connected to the information network L10 and the hospital network L1 via the network protection means 11b.

The terminal device 13 is equipped with a web browser such as a WWW browser, and can access information on the information network L10 and the hospital network L1 via the web browser.

Also, small and medium hospitals B and C which do not have a large-scale medical information system such as the medical information system 10 described above.
Then, the terminal devices 21 and 3 having the same configuration as the terminal device 13 will be described.
1 and the medical institution server 50.
Is connected to the hospital network L1.

The medical institution server 50 manages the entire hospital network L1 and provides a place for information exchange to each client connected thereto. The database 51 and the electronic bulletin board function 52 for realizing this are provided. A user recognition function 53 is provided.

Each of the terminal devices 71 to 73 is an information terminal operated by a general user, and is provided with a network protection means (not shown) for preventing a computer virus or an unauthorized intruder from entering. These terminal devices 7
1 to 73 and the general server 60 are connected to a general network L2 realized by, for example, the Internet.

The general server 60 is a general network L
It manages the entire system 2 and provides a place for information exchange to each client connected thereto. The database 61, an electronic bulletin board function 62, and a user recognition function 63 for realizing this are provided.

The hospital network L1 and general network L2 are connected to each other by an information server 40 which controls the flow of information between the two.

The wide-area medical information system of the present invention comprising the above-mentioned hospital network L1 and general network L2, each of the above-mentioned servers, and each terminal device is operated by a business which specializes in Internet connection or data management.
Here, there is a resident system administrator who specially manages this.

The operation of the wide area medical information system having such a configuration will be described below.

First, a hospital or general user who intends to participate in the wide area medical information system makes an application to a business operator that operates the system and obtains an identification ID and a password from the business business.

The hospital or user who has obtained the identification ID and password connects to the medical institution server 50 or the general server 60 from the terminal device using the identification ID and password. Judgment of the consistency of the hospital and the connection of the hospital or user.

As described above, in the wide area medical information system in which a plurality of hospitals or general users are connected, when a certain hospital wants to release medical information to another hospital connected to the hospital network L1, By writing this medical information on the electronic bulletin board 52 of the medical institution server 50 and referring to the electronic bulletin board 52 by another hospital, the medical information can be disclosed to each hospital connected to the hospital network L1. .

The medical record data related to the released medical information is stored in the database 51 of the medical institution server 50.
Can be disclosed to each hospital connected to the hospital network L1.

Similarly, a certain user enters the general network L
If the user wants to make certain information public, the information can be made public using the database 61 of the general server 60 and the electronic bulletin board 62.

The information server 40 has a filter function 41 for managing the flow of information between the hospital network L1 and the general network L2. For example, it is not possible for the hospital network L1 to refer to information on the general network L2. Although it is possible, on the hospital network L1,
Since there is a possibility that personal information and privacy-related information of the patient may flow, when referring to the information of the hospital network L1 from the general network L2, the filter function 41 restricts the personal information and the privacy-related information of the patient. Is done.

In such a wide-area medical information system, medical information can be disclosed or utilized in an operation mode described below.

For example, if a patient suspected of having abnormal EEG visits a clinic C in a depopulated area, which is operated by a doctor specializing in internal medicine, conventionally, this patient will be He has to go to the hospital A, which is not equipped for medical treatment and is equipped with a remote EEG system.

On the other hand, in the case of a hospital connected to the wide area medical information system of the present invention, this patient undergoes a detailed examination only at the hospital A equipped with facilities for the first time, and the medical information obtained there is depopulated. The patient is transferred to the local clinic C and the doctor of the clinic C in the depopulated area regularly exchanges medical information about the patient with the brain specialist at the hospital A via the hospital network L1. Thus, it is possible to receive appropriate medical treatment at the clinic C in a depopulated area.

Also, for example, when a patient who has never experienced a doctor visits the clinic, the physician publishes the patient's case using the electronic bulletin board 52 so that the same doctor as the patient can be obtained from another hospital. It is possible to search for a physician who has experienced the above case, receive advice from this physician via the hospital network L1, and perform an appropriate treatment for the patient.

Further, the user who participates in the general network L2 can use the wide-area medical information system of the present invention to find a doctor who can treat his / her disease most appropriately.

For example, if the condition does not improve despite having been to the hospital for a long time, the patient writes his / her condition and the progress of the treatment to the electronic bulletin board function 62 of the general server 60.

The contents of the electronic bulletin board function 62 written here can be referred to from each hospital connected to the hospital network L1, and the hospital that knows an appropriate treatment method for this patient is the patient or the patient. Provide appropriate advice to the hospital you are visiting or encourage you to visit your hospital. This allows the patient to receive an appropriate medical procedure.

For example, when a patient suffering from a cecum desires an optimal resection operation, his or her desired operation conditions such as a scar within 2 cm and a hospital stay within 5 days are written in the electronic bulletin board function 62.

When the hospital which referred to the desired operation condition via the hospital network L1 determines that the operation that satisfies the condition can be performed in the own hospital, the hospital is referred to the hospital for the patient. Prompt. This allows the patient to receive the optimal medical procedure desired. This also leads to the elimination of poor hospitals with poor medical skills.

On the general user side, the name of the patient's disease, symptoms, hospitals visited, the number of days required for complete healing, medical expenses requested by the hospital, etc. are written in the database 61 of the general network L2 and are made into a database. By doing so, it becomes possible to grasp the market price of the illness and the overall medical treatment for it and use it as a reference for judging good hospitals and bad hospitals.

Further, for example, a business operator operating the wide area medical information system conducts a questionnaire at each hospital for general users who have experienced outpatient visits, aggregates the results, and stores the results in the database 61. By publishing it on the network L2, it becomes possible to publish the actual medical conditions of the hospital.

The contents of the questionnaire in this case may be as follows, for example. 1. Degree of disclosure of medical information Is sufficient explanation given to patients about illness and treatment methods? 2. Disclosure of medical expenses Is the medical expenses detailed on the hospital bill? Also, is the explanation given to the patient sufficient? 3. Degree of disclosure of prescription drugs Is the patient fully explained about the prescription drugs? 4. Degree of facility maintenance Is the hospital room and waiting room cleaned and maintained sufficiently? 5. Patient services Are doctors and nurses good at treating and handling patients?

The above-mentioned business operator divides such questionnaire items into, for example, a five-step standard and conducts a questionnaire to general users who have experienced hospital visits, and tabulates them in a radar chart format as shown in FIG. , Stored in the database 61.

A general user can grasp the actual medical condition of each hospital by browsing such a totaling result.

In other words, in the wide-area medical information system of the present invention, a patient's medical condition, medical record, or medical information can be commonly used by a plurality of medical institutions connected to an information network, and the individual patient's medical condition can be used. By transmitting information such as medical records and medical records on a network, medical information from a plurality of medical institutions can be obtained.

Further, in the wide area medical information system of the present invention, since the actual situation of the medical site, which has been rarely made public, is disclosed, the hospital side needs to improve the inferiority with other hospitals. Medical technology and services for patients are improved. Participation in such a wide-area medical information system also enhances the image of a hospital.

On the general user side, it is possible to receive the optimal medical treatment desired by the user, and it is also possible to obtain a criterion for determining the hospital to be treated.

The foregoing description merely illustrates certain preferred embodiments for purposes of explanation and illustration of the invention. Therefore, the present invention is not limited to the above-described embodiment, and includes many more modifications without departing from the spirit thereof.
This includes deformation.

For example, the configuration diagram of the present invention shown in FIG.
In order to clarify the configuration concept, the information network is divided into two layers, that is, the hospital network L1 and the general network L2, and the information network is connected by the information server 40. However, as shown in FIG. And users 71 to 7
3 may be connected to the same layer of the Internet, and the information server 40, the medical institution server 50, and the general server 60 may be integrated into one server 70.

The medical institution connected to the hospital network L1 is not limited to a hospital. For example, by connecting an institution related to the Ministry of Health and Welfare or a public institution such as a local government, it is possible to instruct sound management of the hospital. At the same time, it becomes possible to provide public medical information to users connected to a general network.

Further, in the wide area medical information system of the present invention, for example, by connecting a terminal device of an insurance company to the hospital network L1 or the general network L2,
It is possible to eliminate the complexity of insurance screening.

This is achieved by allowing the patient's medical record data stored in the medical institution server 50 to be temporarily referenced from the terminal device of the insurance company by agreement between the patient and the hospital. When subscribing to life insurance or the like, the trouble of having to go to a medical institution and prepare a medical certificate can be saved.

This not only makes it possible to increase the efficiency of the procedure for the patient to join the insurance, but also leads to an improvement in the service for the patient on the hospital side, and can add value to the medical treatment at the hospital.

[0062]

As is apparent from the above description,
According to the present invention, the following effects can be obtained. According to the first to eighth aspects of the present invention, it is possible to provide a place for publicizing medical information that has been rarely disclosed so far, and to ensure transparency of the medical information.

According to the ninth aspect of the present invention, it is possible to eliminate the complexity of the insurance enrollment examination, so that the procedure for enrolling the insurance for the patient can be made more efficient and the service for the patient on the hospital side can be improved. This can add value to hospital practice.

[Brief description of the drawings]

FIG. 1 is a configuration diagram showing one embodiment of a wide-area medical information system according to the present invention.

FIG. 2 is a diagram showing an example of medical information stored in a database.

FIG. 3 is a diagram illustrating a wide-area medical information system according to various embodiments of the present invention.

[Explanation of symbols]

 10, 20, 30 Medical information system 11 Server 11a Database 11b Network protection means 12 Modality device 12a X-ray device 12b CT device 12c MR device 13 Terminal device L1 Hospital network L2 General network 40 Information server 41 Filter function 50 Medical institution server 51, 61 Database 52, 62 Electronic Bulletin Board 53, 63 User Recognition Function 60 General Server 71, 72, 73 Terminal Device

Claims (9)

[Claims] 1. A hospital network for connecting a plurality of medical institutions and exchanging information, a general network for connecting a plurality of individual users and exchanging information, A medical institution server that stores shared information of medical institutions connected to a hospital network; a general server that centrally manages the general network and stores shared information of users connected to the general network; A wide area medical information system comprising an information server for connecting information of a hospital network and information of a general network. 2. The medical institution server according to claim 1, wherein the medical institution server has a database for storing at least medical information and an information disclosure function for releasing information on the hospital network or the general network. Wide-area medical information system. 3. The general server according to claim 1, further comprising a database for storing at least a medical history of the user and medical records of hospitals visited, and an information publishing function for publishing information on the general network or the hospital network. The wide area medical information system according to claim 1, wherein: 4. The wide-area medical information system according to claim 1, wherein the information server is configured to permit browsing of information from the hospital network side to the general network side. 5. The wide area medical information system according to claim 1, wherein said information server has a filter function for restricting browsing of information from said general network side to said hospital network side. 6. The server according to claim 1, wherein the medical institution server, the general server, and the information server are managed by a data management specialist or a system administrator who specializes in managing the data. Wide-area medical information system. 7. The wide-area medical information system according to claim 1, wherein the hospital network and the general network include network protection means for preventing a computer virus or an unauthorized intruder from entering. 8. The system according to claim 1, wherein the hospital network and the general network are the Internet.
Wide-area medical information system described in 1. 9. The wide area medical information system according to claim 1, wherein the hospital network or the general network is connected to a terminal device of an insurance company.