JP2003316901A - System and method for investigation and analysis of clinic data - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To automatically investigate data in a plurality of medical institutes for checking which fitted disease a pharmaceutical is used for, or amount of dosage per day. <P>SOLUTION: The investigation and analysis device stores a plurality of data counting programs according to investigation subjects, and sends one of the plurality of data counting programs to a clinic data storing device via a communication network. The clinic data storing device inputs clinic data of a patient and creates receipt data and chart data to store, receives counting programs for itself via the communication network, executes the counting programs received and sends the result to the investigation and analysis device via the communication network. The investigation and analysis device receives the counting data and executes a data analyzing program to carry out an analysis. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

TECHNICAL FIELD The present invention relates to a medical care data survey analysis system.

[0002]

2. Description of the Related Art The extent to which a specific drug is used in the medical field, the share compared with rival drugs,
It is a concern of drug manufacturers whether the drug is being administered to the intended target patient. Therefore, conventionally, a survey sheet asking the usage and dose of the specific drug of the company was distributed to a medical institution, and what was asked by a doctor was collected to conduct the survey. The survey items include age distribution, sex, dose per administration, number of administration days per prescription, indication of disease, and usage ratio by clinical department, etc., as the survey items.

Further, the number of cases of a specific disease, the average treatment period and the total treatment cost, the number of cases by region, and the like are valuable data for government agencies and research institutions that prevent the disease.

[0004]

In conducting these investigations, it is necessary to refer to the patient's medical chart and prescription, so it is necessary for the doctor to be directly involved in the investigation. However, the survey requires a considerable amount of time, such as scrutinizing the medical chart, and the doctor must take the valuable time to fill out the survey form. Therefore, the number of doctors and medical institutions that can cooperate is limited, and it is necessary to give a reward to the doctors and medical institutions who cooperated in the survey. In addition, the conventional survey is time-consuming because it is almost manually performed by a doctor, and the survey can be conducted only once every six months. Moreover, the number of patients to be surveyed was limited, and it was difficult to systematically conduct surveys to continuously collect data on specific patients.

By the way, in many medical institutions, a medical office computer for registering medical care data of a patient and issuing a medical treatment remuneration statement (hereinafter referred to as “receipt”), a so-called “recept computer”, is abbreviated as a receipt computer. There is. Further, recently, electronic medical chart devices replacing paper charts are becoming popular. Data of medical treatment received by the patient is recorded in these receipt computers and electronic medical record devices. The name of the patient's injury and illness is also recorded along with the treatment start date, treatment end date, and outcome. Of course, the patient's age and sex are also recorded.
Also, in dispensing pharmacies, dispensing receipts for registering the contents of prescriptions brought in and issuing a dispensing fee statement are becoming popular. The name, usage, and dose of the drug prescribed by the doctor are recorded in the dispensing tablet by patient.

[0006] Therefore, it is an object of the present application to provide a system for automatically carrying out the above-mentioned investigation by using medical care data recorded in a receipt computer or an electronic medical chart device.

[0007]

According to the present invention, a medical care data recording device of a medical institution and a research and analysis device of a center are configured to be capable of transmitting and receiving data via a communication network. Program storage means for storing another plurality of data totalization programs, and program transmission means for transmitting one of the plurality of data totalization programs to the medical data recording device to the communication network.
Data receiving means for receiving aggregated data addressed to the device itself from the communication network, program storage means for storing a plurality of data analysis programs for each research theme, and aggregated data received from the communication network for the data analysis program 1 Data analysis means for executing and analyzing the data, the medical care data recording device receives medical care data of a patient and stores the medical care data as receipt data or medical record data, and from the communication network to the own device. And a program transmitting means for executing the received counting program, an external program executing means for executing the received counting program, and a data transmitting means for transmitting the data collected by the counting program to the communication network to the survey analysis device. Is the solution.

[0008]

FIG. 1 is a diagram showing the configuration of an embodiment system, FIG.
FIG. 1 is a diagram for explaining the outline of a medical care data survey analysis system of an example. The system is configured such that the medical care data recording device 40 of a medical institution and the research / analysis device 30 of a data management center are capable of transmitting / receiving data via a communication network, and the research / analysis device 30 and a company or research institution that is a customer. The computer 20 is configured to be capable of transmitting and receiving data via a communication network.

The medical care data recording device 40 corresponds to a medical office processing device installed in a medical institution, that is, a receipt computer or an electronic medical record device, or a dispensing dispenser installed in a dispensing pharmacy. In the case of a receipt computer, a receipt creation program is executed every day, prescription data, that is, receipt data is recorded for each patient, and a medical fee statement, a so-called receipt, is issued monthly. In addition, the electronic medical chart device records the contents that a doctor conventionally described in a paper medical chart in daily medical care as electronic data, and manages the data for each patient. Then, these devices also have a function of receiving an optional program for adding a function and an external program for remote maintenance from a network and executing the program. By using this external program execution function, the function as a data collection device for medical data investigation and analysis is achieved. The term “medical institution” as used herein includes not only hospitals and clinics but also outpatient dispensing pharmacies and prescription pharmacies.

The computer 20 of the customer company orders a survey to the data management center via the network and receives a report of the result via the network. When ordering a survey, the details of what survey you want to send are sent to the center, which can be done by inputting them back to the survey specifications received from the center or sending them back. You can also access the homepage of and fill out the survey specifications. Therefore, the computer 20 on the customer side is not special, and a general-purpose personal computer can be used.

When the survey analysis device 30 of the center receives a survey request from the customer computer 20 via the network, it first analyzes the content of the request and collects data from the medical care data recording device 40. Select the aggregation program that is suitable for the survey from the multiple types of aggregation programs that collect data. The tabulation program is sent to each medical care data recording device 40 placed in a plurality of medical institutions to collect the data. Then, the data is analyzed according to the survey contents and a report is created. This report is submitted to the customer via the network.

When the customer receives the report, the customer pays the investigation fee to the center, and the center distributes a reward to the medical institution as needed. The embodiment system also has a function of processing the survey fee and the reward by electronic settlement.

FIG. 3 shows a block configuration of the research and analysis apparatus 30 of the center. 33 is a communication device, such as LAN or WA
N or via a communication network such as the Internet,
Data is transmitted / received to / from the medical care data recording device 40 and the customer computer 20. Reference numeral 34 is a display device composed of a CRT or the like, 35 is an input device composed of a keyboard or mouse device, and 36 is a printing device. Reference numeral 32 is an auxiliary storage device composed of a hard disk device or the like. The auxiliary storage device 32 stores the following program files and data files. That is, a request analysis program for analyzing the contents of the survey request received from the customer, various aggregation programs for collecting data from the medical care data recording device 40, and various types of analysis for analyzing the data collected from the medical care data recording device 40. An analysis program and a report creation program that creates an investigation report based on the analysis result,
A request specification file that stores data related to the survey specification designated by the customer, a total data file collected from the medical care data recording device 40, and the like. When the control device 31 reads and executes these programs and data, the function as the survey analysis device 30 is achieved.

FIG. 4 shows the structure of a receiving computer placed in a hospital, which is an example of the medical care data recording device 40.
Is a communication device that transmits and receives data to and from the survey analysis device 30 via a communication network such as a LAN, WAN, or the Internet, 44 is a display device configured by CRT, 45 is an input device configured by a keyboard or mouse device, and 46 is The printing device 42 is an auxiliary storage device including a hard disk device or the like. In this auxiliary storage device 42, a medical care program and a medical care program for inputting a medical practice performed on a patient and drug prescriptions based on the medical care program, and a data created by the medical receipt program for each patient are stored. In addition, a receipt data file stored for each medical treatment day, a disease name data file for storing the medical history of the patient, an insurance data file for storing data related to insurance used by the patient, and the like are stored. Here, each patient is given a unique patient ID for identifying each, and the above-mentioned receipt data file, disease name data file, and insurance data file are the patient ID.
Since the data is stored in association with, it is possible to refer to each other by using the patient ID as a key. Then, the control device 41 reads out and executes these programs and data, so that the medical data recording device 40, that is, here, functions as a receiver.

Further, the control device 41 also has a function of fetching an external program via the network and executing the external program in parallel behind the receipt creating program. Therefore, the auxiliary program for collecting medical data collection data, which is an external program received from the center via the network, and the total data file, which is a copy of the total data sent by the total program to the center, are also stored in the auxiliary storage device. Is what you are doing. And
When the control device 41 reads and executes these programs and data, the function as a data collection device is achieved.

The tabulation program encrypts the data and then sends it to the network. On the other hand, the data analysis means of the survey analysis device 30 has a function of decrypting the encrypted data.

Next, the actual medical data survey will be specifically described. First, for example, suppose that it is desired to investigate which indication name a specific drug is used for. The package insert of the drug used in the medical institution describes the name of the disease on which the drug effectively acts, and this is called the indication disease name. There may be one indication disease name or multiple indication disease names. Therefore, for a specific type of drug, it is investigated what kind of ratio the drug is used for and in what proportion. Therefore, the customer inputs the survey theme "drug investigation" and the specific drug name or survey item as to which drug he / she wants to investigate in the survey specifications, and sends it to the network for the data management center. Send out.

Upon receiving the survey request via the network, the survey analysis device 30 of the center analyzes which survey theme, drug, etc., specifically, what item to survey. Then, a totaling program suitable for the designated research theme is selected, the designated survey items are attached, and the totaling program is simultaneously delivered to the medical care data recording device 40 of the cooperating medical institution. It should be noted that the center side may prepare in advance a standard survey theme, including a “medicine adaptation survey”, its tabulation program and analysis program.
In addition, if a survey request not included in the standard survey theme is received, a new aggregation program and analysis program that meet the specifications will be created and surveyed. Then, the program is added to the standard survey theme and stored in the auxiliary storage device 32 so that the new survey theme can be used by the customer from the next time onward, and it is also reflected in the survey specifications entered by the customer. Is.

The medical care data recording device 40 receives the totalization program via the network and executes it as an external program. Since the prescribed drug and the disease name of the patient are to be described in the receipt, the data is recorded in the receipt data file and the disease name data file of the medical care data recording device 40, respectively. Therefore,
The tabulation program searches the receipt data file for the specified drug, searches the disease name data file for the disease name of the patient to whom the drug is prescribed, and counts it. This is carried out for all designated drugs and the receipt data and disease name data of all patients, and the totalized result is made into an encrypted file and sent to the network for the survey analysis device 30. The activated totalizing program is programmed to be active during the night when the receipt creating program is at a rest or at night so that the medical data recording device 40 is less affected by the original work.

Since the data receiving means of the survey analysis device 30 receives the data file of the aggregation result via the network, the control device 31 activates the analysis program which matches the stored required specifications and decrypts the aggregation data. ,analyse. In the case of this example, for each designated drug, the disease name of the patient when the drug was used and the ratio used for the disease name are calculated. Then, the control device 31 activates the report creating program, arranges the analysis result in a form of a report and file it, and sends the report to the client computer 20 to the network.

FIG. 5 shows a print example of the report received by the customer. With respect to each of the designated drugs A, B, C, D, ..., The proportions used for each of the indications of angina and hypertension are displayed in a table format.

Next, for example, suppose that the user wants to investigate how much a particular drug is used at one time and the amount used.
Therefore, the customer inputs the research theme "prescription amount of drug" and the specific drug name, that is, the research item, for which drug to be researched, into the research specifications, and sends it to the data management center for network. Send to.

When the survey analysis device 30 of the center receives the survey request via the network, it analyzes the required specifications, selects a tabulation program suitable for it, attaches the designated survey items, and attaches the tabulated program to a medical institution. The data is distributed to the data recording devices 40 all at once. In this case, a program for totaling the dose of the specific drug, the number of times in one prescription, that is, the number of days of administration, and the total number of prescriptions is delivered.

The medical care data recording device 40 receives the totalization program via the network and executes it as an external program. The name of the drug, the dose per dose, for example, mg (milligram), and the number of times, for example, four days, are recorded in the receipt as data of the drug prescription. Therefore, the counting program searches the receipt data file for the designated drug and counts the amount and the number of times when the drug was prescribed. This is carried out for the receipt data of all patients, and the totalized result is converted into an encrypted file and sent to the network for the survey analysis device 30.

Then, in the survey analysis device 30, the data receiving means receives the data file of the aggregation result via the network, and accordingly, the control device 31 activates the analysis program to decrypt and analyze the aggregation data. . In the case of this example, an average value of the total number of prescriptions, the usage amount per dose, and the number of times per prescription is calculated for each designated drug. Next, the control device 31 activates the report generation program, arranges the analysis result in the form of a report, converts it into a file, and sends the report file to the customer computer 20.

FIG. 6 shows a print example of the report received by the customer. For each of the designated drugs A, B, C, D, ..., The total number of prescriptions, the amount used per dose, and the average value of the number of times per prescription are displayed in a table format.

As described above, in the embodiment, since the data collection for the survey is automated by the tabulation program, unlike the conventional paper survey, it can be carried out in a short time without burdening the doctor. Therefore, conventionally, it was possible to carry out the survey only once every half a year, but it is possible to carry out the survey whenever and whenever necessary, without burdening the doctor or the medical institution. In addition, in the past, since the number of patients to be surveyed was limited to some extent because it was manual work, in the present embodiment, the aggregation program targets all medical data of all patients recorded in the receipt data file. Since it is extracted, there is virtually no limit on the number of target patients,
It is possible to collect more samples.
Furthermore, it will also be possible to conduct a systematic survey that tracks the medical care status over time for a specific patient group in which patients are selected according to conditions such as sex, age, and symptoms. Moreover, since the receipt computer is introduced to many medical institutions, it is possible to easily collect data from many medical institutions. Moreover, as the number of samples increases, so does the reliability of the survey results.
In addition, since data can be collected from medical institutions nationwide that have introduced Rececon, it is possible to investigate regional trends and to compare with data from other countries.

By the way, in the above-mentioned embodiment, the medical care data recording device 40 is assumed to be a hospital receipt computer, but it may be a dispense dispenser located in a dispensing pharmacy outside the hospital. The disease name data file shown in FIG. 4 may not exist in the dispensing drug, but in the above-mentioned survey examples, the drug usage survey and the like can be performed on the dispensing drug. Further, an electronic medical chart device can be used as the medical care data recording device 40. In this case, data such as symptoms and chief complaints are recorded in addition to the receipt data such as the disease name, treatment, and drug prescription. Therefore, it becomes possible to investigate the relationship between symptoms and administered drugs, and statistics of diseases exhibiting certain symptoms.

[0029]

According to the present invention, it becomes possible to collect data for medical data survey analysis without burdening medical institutions and doctors. Moreover, since the data is used as it is for creating the medical chart and the receipt, the neutrality and reliability of the survey results are secured. In addition, data can be collected for medical institutions and dispensing pharmacies nationwide that have introduced electronic medical chart devices and receipt computers, and since all patients at those medical institutions are surveyed, a sufficient sample size can be secured, and the survey results The statistical reliability of will be obtained.

[Brief description of drawings]

FIG. 1 is a diagram showing a configuration of an example system.

FIG. 2 is a diagram illustrating an outline of a medical care data survey analysis system according to an embodiment.

FIG. 3 is a diagram showing a configuration of a survey analysis device in an example.

FIG. 4 is a diagram showing a configuration of a medical care data recording device in an embodiment.

FIG. 5 is a print example of a report created by the survey analysis device.

FIG. 6 is a print example of a report created by the survey analysis device.

[Explanation of symbols]

20 Customer computer 30 Survey and analysis device
40 Medical data recorder

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Hiroyuki Kuriyama             2-5-3 Keihan Hondori, Moriguchi City, Osaka Prefecture             Within Yo Denki Co., Ltd. (72) Inventor Masahiko Fukuzawa             2-3 2-3 Nihonbashihonmachi, Chuo-ku, Tokyo             Within Banyu Pharmaceutical Co., Ltd.

Claims (8)

[Claims] 1. A medical data recording device of a medical institution and a research and analysis device of a center are configured to be capable of transmitting and receiving data via a communication network, wherein the research and analysis device is a plurality of data collection programs for each research theme. A program storing means for storing the data, a program transmitting means for transmitting one of the plurality of data totaling programs to the medical data recording device to the communication network, and a data receiving means for receiving total data addressed to the own device from the communication network. A program storage unit that stores a plurality of data analysis programs for each research theme; and a data analysis unit that analyzes the aggregated data received from the communication network by executing one of the data analysis programs, The medical care data recording device inputs the medical care data of the patient to receive the receipt data or the medical record data. Medical data storage means, a program receiving means for receiving a counting program addressed to the device itself from a communication network, an external program executing means for executing the received counting program, and data collected by the counting program for the survey analysis device. And a data transmission means for transmitting the data to a communication network. 2. A medical data recording device of a medical institution and a research and analysis device of a center are configured to be capable of transmitting and receiving data via a communication network, and the research and analysis device and a customer computer are capable of transmitting and receiving data via a communication network. The medical care data recording device includes medical care data storage means for inputting medical care data of a patient and storing it as receipt data or medical record data, and a program receiving means for receiving an aggregation program addressed to the device itself from a communication network. And an external program executing means for executing the received totaling program, and a data transmitting means for transmitting the data aggregated by the totaling program to the communication network addressed to the survey analyzing apparatus, wherein the survey analyzing apparatus is classified by survey theme. A program memorizer that stores multiple data aggregation programs A survey request receiving means for receiving a survey request specification addressed to the device itself from the communication network; a program selecting means for selecting one of the data tallying programs based on the received survey request specification; and a selected data tallying Program transmitting means for transmitting the medical program to the medical data recording device to the communication network, data receiving means for receiving aggregated data addressed to the own device from the communication network, and a program for storing a plurality of data analysis programs for each research theme A storage unit, a data analysis unit that analyzes the aggregated data received from the communication network by executing one of the data analysis programs selected based on the survey request specifications, and creates a report based on the analysis result. Report creation method and the created report is sent to the customer computer. Report transmitting means for transmitting to the network, the customer computer, the transmitting means for transmitting the desired survey request specifications to the survey analysis device to the communication network, and the reception for receiving the report addressed to the own device from the communication network. A medical data survey and analysis system comprising: 3. The medical care data recording device is installed in a plurality of medical institutions, and the program transmission means simultaneously distributes the data totaling program to the plurality of medical care data recording devices. Item 2. The medical data survey and analysis system according to item 2. 4. A medical data recording device of a medical institution and a research / analysis device of a center are configured to be capable of transmitting / receiving data via a communication network, and the research / analysis device stores a plurality of data collection programs for each research theme. Then, one of the plurality of data aggregation programs is sent to the medical data recording device to the communication network, the aggregated data addressed to the device itself is received from the communication network, and a plurality of data analysis programs for each research theme are stored. Then, the aggregated data received from the communication network is analyzed by executing one of the data analysis programs, and the medical care data recording device inputs medical care data of a patient to create receipt data or medical record data, and Stores the data, receives the tally program addressed to its own device from the communication network, and executes the received tally program. And,
A medical data survey and analysis method, comprising transmitting the data aggregated by the tabulation program to a survey analysis device to a communication network. 5. A medical data recording device of a medical institution and a research and analysis device of a center are configured to be capable of transmitting and receiving data via a communication network, and the research and analysis device and a customer computer are capable of transmitting and receiving data via a communication network. The medical care data recording device inputs medical care data of a patient to create receipt data or medical record data, stores the data, receives a totaling program addressed to the own device from a communication network, and receives the totalized data. Run the program,
The data aggregated by the aggregation program is transmitted to the communication network addressed to the survey analysis device, and the survey analysis device stores a plurality of data aggregation programs for each survey theme, and the survey request specifications addressed to the device itself from the communication network are stored. One of the data collection programs is selected based on the received survey request specifications, the selected data collection program is sent to the medical data recording device to the communication network, and the selected data collection program is sent from the communication network to its own device. By receiving the aggregated data, storing a plurality of data analysis programs for each survey theme, and executing the one of the data analysis programs selected based on the survey request specifications on the aggregated data received from the communication network. Analyze, create a report based on the analysis result, and send the created report to the customer computer A medical data survey analysis, wherein the client computer transmits the desired survey request specifications to the survey analysis device to the communication network and receives a report addressed to the device itself from the communication network. Method. 6. The medical examination data recording device is installed in a plurality of medical institutions, and the survey analysis device simultaneously distributes a data totaling program to the plurality of medical examination data recording devices. The medical care data survey analysis method according to claim 5. 7. A computer, an aggregating program storage means for storing a plurality of data aggregating programs by survey theme, an aggregating program selecting means for selecting one of the plurality of data aggregating programs, and a selected data aggregating Program distribution means for sending the target program to the target device to the communication network, data receiving means for receiving the total data addressed to the own device from the communication network, and data analysis means for analyzing the received total data by survey theme A program to let you. 8. A request receiving means for receiving a survey request specification for a computer from a communication network, a totaling program storage means for storing a plurality of data totaling programs by survey theme, and a computer based on the survey request specification. Totaling program selecting means for selecting one of the plurality of data totaling programs, totaling program delivering means for sending the selected data totaling program to the target device to the communication network, totaling data from the communication network to its own device A data receiving means for receiving the data, a data analyzing means for analyzing the received totalized data by survey theme, a report creating means for creating a report based on the analysis result by the data analyzing means, and a created report for the survey request specification Report sent to the communication network to the sender of Program for causing the transmission means function as.