JP2004265039A - Medical information processing service system and medical information system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical information provision system and a medical information processing service system, for browsing medical data on a result or the like of medical examination reception in a medical institution by an information appliance which a medical examinee uses in one's house or the like without accompanying risk of information leakage to the outside, and to provide a medical information system using them. <P>SOLUTION: Medical information is recorded in a storage medium 17 carried by a receiving person, and the medical examinee only receives provision of a program 36 for displaying the medical information recorded in the storage medium 17 on the information appliance 21 which the medical examinee oneself uses, via the Internet 14. Accordingly, a database holding the medical information is not hacked via the Internet, or the personal medical information is not leaked to the outside halfway through communication, so as to maintain high security to the medical information. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical information processing service system and a medical information system for displaying medical information provided by a medical institution regarding a patient on an information device used by the patient at his / her home or the like.
[0002]
[Prior art]
In recent years, with the spread of the Internet technology, it has been used as an information providing method in various fields. Also in the medical field, a system has been proposed in which medical information of a medical examinee is provided from a medical institution via the Internet (for example, see Patent Document 1).
[0003]
In such a system, the medical information of the examinee is managed in a database of a server provided in the medical institution, and the medical information of the examinee is transmitted to the Internet by a request from an information device used at home or the like. The information is transmitted to the information device of the examinee via.
[0004]
When the personal information is handled by the Web application in this way, the security of the server itself is strengthened so that the personal information is not leaked to the outside, and the data sent to the examinee is encrypted by an encryption technology such as SSL (Secure Sockets Layer). And authentication technology to prevent information leakage.
[0005]
[Patent Document 1]
JP-A-2002-203049
[Problems to be solved by the invention]
However, as described above, data managed by the Web server is always at risk of hacking by hackers. Also, data flowing through the Internet may be sniffed even if it is encrypted, and there is no danger of leakage.
[0007]
An object of the present invention is to provide a medical information processing system for a medical examiner to view medical data such as a result of a medical examination at a medical institution using an information device used at home or the like without danger of information leakage to the outside. It is to provide a service system and a medical information system.
[0008]
[Means for Solving the Problems]
The medical information processing service system according to the present invention can store medical information of a patient in a medical institution in a card-shaped storage medium carried by the patient, and can be connected to a dedicated information device used by the patient via the Internet. A service database is provided with a program database holding an information program for displaying medical information stored in the card-shaped storage medium on the information device, and in response to a request from the information device used by the examinee, The present invention is characterized in that a corresponding information program is extracted from a program database and transmitted to a requesting information device via the Internet.
[0009]
Further, the medical information system according to the present invention is provided in a medical institution, a medical information database that holds medical information for the examinee, and a card-shaped storage medium carried by the examinee, the medical information database is held in the medical information database Medical information recording means for storing medical information on the patient, and a service provider connected to the information equipment used by the patient via the Internet, and the patient is recorded on the storage medium at the medical institution. A program database holding an information program for displaying medical information on an information device used by the examinee, and, in response to a request from the information device used by the examinee, extracting a corresponding information program from the program database. A server that transmits the information to the requesting information device via the Internet. The features.
[0010]
In the medical information providing system, a card-shaped recording medium that also serves as a health insurance card or a consultation ticket for a medical institution may be used.
[0011]
In the medical information system, the medical information recorded in the storage medium is a time-series test value, the program database has a prediction processing program for predicting a future trend from the time-series value, and the server The prediction processing program is transmitted to the requesting information device via the Internet in response to a request from the information device used by the user.
[0012]
Further, in the medical information system, the program database has an instruction program for creating advice for the examinee based on the medical information recorded on the recording medium, and the server responds to a request from an information device used by the examinee. The prediction processing program may be transmitted to the requesting information device via the Internet.
[0013]
Further, in the medical information system, the service provider is also connected to the information equipment of the medical institution via the Internet, and the program database includes a medical treatment appointment program for the patient to make a reservation for a desired medical institution, Has an appointment confirmation program for confirming the appointment status, and the server, upon a request from a patient or a medical institution, transmits the medical treatment appointment program or the appointment confirmation program to the information device of the request source via the Internet It may be configured to transmit.
[0014]
In this case, the medical treatment appointment program may make an appointment using the personal information of the examinee recorded on the card-shaped storage medium.
[0015]
In these inventions, the medical information is recorded on a storage medium carried by the recipient, and the examinee transmits, via the Internet, a program for displaying the medical information recorded on the storage medium on an information device used by the patient. It is only provided by. Therefore, a database holding medical information is not hacked via the Internet, and personal medical information is not leaked outside during communication, and high security for medical information can be maintained.
[0016]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a conceptual diagram for explaining the outline of this embodiment, and FIG. 2 is a block diagram showing the system configuration of FIG.
[0017]
The medical information system according to the present invention is configured via the Internet 14 between a medical institution 11, a service provider 12 called an ASP, and a general household 13 in which a patient lives.
[0018]
A medical information providing system 16 is provided in the medical institution 11 (in the example of the figure, an obstetrics and gynecology clinic is illustrated, and the description will be hereinafter made as an obstetrics and gynecology clinic). The medical information providing system 16 is a system for recording medical information on a patient by a medical information recording unit 18 in a card-shaped storage medium 17 carried by the patient. That is, various types of medical information relating to the examinee input from the various types of examination equipment 19 and the like in the medical institution 11 are stored in a medical information database described later and recorded in the storage medium 17.
[0019]
The card-shaped recording medium 17 also serves as a health insurance card or a consultation ticket (the example shows a case of a consultation ticket) carried by the examinee with the medical institution 11, and is formed of, for example, an IC card or the like. . This storage medium (hereinafter referred to as an IC card) 17 stores basic personal information such as the name and address of each examinee, and has a storage area for recording medical information.
[0020]
The service provider 12 is connected via the Internet 14 to information devices 21 used by the examinee provided in the general home 13 and the like, and has a medical information processing service system 22. This medical information service system includes a program database 23 and a server 24.
[0021]
The program database 23 holds an information program or the like for displaying medical information recorded on the guard-shaped storage medium 17 on the information device 21 used by the examinee. Further, in response to a request from the information device 21 used by the examinee, the server 24 extracts the corresponding information program from the program database 23 and transmits the information program to the requesting information device 21 via the Internet 14.
[0022]
The general household 13 where the examinee lives is provided with a general-purpose personal computer (hereinafter, referred to as a personal computer) as the information device 21 used by the examinee. The medical information recorded on the card 17 can be browsed by the personal computer 21.
[0023]
The computer for business processing (not shown) of the medical institution 11 is also connected to the financial institution 26, and is used for processing for withdrawing medical expenses. That is, the IC card 17 is linked with the credit card (positioning of a child card) to enable cashless processing.
[0024]
Although not shown in FIG. 1, the medical institution 11 has an information device for reservation confirmation, which can be connected to the service provider 12 through the Internet 14. Is configured.
[0025]
Next, a specific system configuration of each unit will be described with reference to FIG.
[0026]
In the medical institution 11, the medical information recording means 18 constituting the medical information providing system 16 has a medical information receiving program 28 and a medical information recording program 29. The medical information receiving program 28 receives the inspection results inspected by the various inspection devices 19 and stores the inspection results in the medical information database 30. The medical information that is not directly input from the test device 19 is stored in the medical information database 30 using the test data input terminal 31.
[0027]
The medical information database 30 stores various types of medical information 32 on the examinee. In the figure, medical data 32a of a fetus and medical data 32b of a pregnant woman are illustrated.
[0028]
Reference numeral 33 denotes a card reader / writer (hereinafter referred to as an IC card R / W), which reads out basic information of the individual of the examinee by inserting an IC card 17 carried by the examinee, and converts the basic information to medical treatment. Notify the information recording program 29. Then, the medical information recording program 29 writes the medical information 32 on the relevant examinee read from the medical information database 30 to the IC card 17.
[0029]
The medical test result data of the medical information database 30 at the time of the medical examination of the examinee is transmitted to the business processing computer 43, and after the medical expenses are calculated, the calculation result is transmitted to the financial institution 26. The withdrawal process is performed from the examinee's financial account.
[0030]
In the general home 13 where the examinee resides, a personal computer 21 used by the examinee and an IC card R / W 34 are provided. The IC card R / W 34 is loaded with the IC card 17 that the examinee brought home with the hand carry. The personal computer 21 has a Web browser 35 such as an Internet Explorer, and executes a program received from a Web server 24 of the service provider 12 described later.
[0031]
The service provider 12 has the medical information processing service system 22 including the program database 23 and the Web server 24 as described above. The program database 23 holds an information program 36 for displaying the medical information 32 stored in the IC card 17 on the personal computer 21 used by the examinee. In the figure, a fetus information program 36a and a pregnant woman information program 36b are illustrated.
[0032]
The Web server 24 extracts, from the program database 23, a program requested by the browser on the terminal side, in this case, the browser 35 of the personal computer 21 used by the examinee, and transmits the program to the request source via the Internet 14. In the example shown in the figure, the fetus information program 36a is downloaded from the program database 23 of the service provider 12 to the personal computer 21 used by the examinee. Therefore, the personal computer 21 displays the fetus medical information data 32a recorded on the IC card 17 and read by the IC card R / W 34 by the downloaded fetus information program 36a.
[0033]
The program database 23 of the service provider 12 further stores a guidance program 37 for creating advice (meal menu, gymnastics menu, etc.) for the examinee based on the medical information read from the IC card 17. Further, although not shown, when the medical information read from the IC card 17 is a time-series test value, a prediction processing program for predicting a future tendency from the time-series value is stored.
[0034]
The program database 23 of the service provider 12 stores a medical treatment reservation program 38 and a reservation confirmation program 39 for making a reservation for the medical institution 11 in addition to the above-mentioned medical information-related programs. The medical treatment appointment program 38 is downloaded by the server 24 to the personal computer 21 via the Internet 14 based on a request from the personal computer 21 of the examinee. The server 24 receives the appointment made by the examinee, and stores the medical appointment data in the storage unit 40. The reservation confirmation program 39 is downloaded from the server 24 to the medical institution in response to a request from the medical institution 11.
[0035]
For this reason, the medical institution 11 is provided with an information device (hereinafter referred to as a personal computer) 41 used for reservation management, and downloads a reservation confirmation program 39 from the service provider 12 via the Internet 14 in response to a request from the browser 42 thereof. The medical appointment data relating to the institution 11 is displayed.
[0036]
Here, the personal computer 41 used for the reservation management provided in the medical institution 11 is connected to the Internet 14, but the medical information recording means 18 for managing the medical information database 30 is provided with the respective inspection devices 19 in the medical institution 11. And the test data input terminal 31, but are completed by the intranet in the medical institution 11 and are not connected to the external Internet. Therefore, the medical information database 30 is not hacked from outside.
[0037]
Next, the operation will be described. First, recording of medical information on the IC card 17 and browsing thereof will be described with reference to the flowcharts of FIGS.
[0038]
When a medical practice such as an examination is performed in the medical institution 11 (S301), medical information data such as an examination result is input directly from the examination equipment 19 or by an examination data input terminal (S302), and the medical information database 30 is entered. Is stored in When the examinee's IC card 17 is inserted into the IC card R / W 32 (S303), the personal basic information of the IC card 17 is read, and the medical information recording program 29 reads the medical information on the relevant examinee from the medical information database 30. 32 is read out and recorded on the IC card 17 (S304).
[0039]
The IC card 17 on which the medical information 32 is recorded is brought back to the general home 13 where the examinee lives by hand carry. When browsing the medical information 32, the user inserts the IC card 17 into the IC card R / W 37 provided at home (S306) and calls the service provider 12 by the personal computer 21. By this operation, the personal computer 21 displays an initial screen as shown in FIG. Using the INDEX on the initial screen, the medical information to be browsed is specified.
[0040]
For example, when the user wants to view the fetus information, he or she clicks the “fetal information” button. By this operation, a request is made from the browser 35 to the server 24 of the service provider 12, and the server 24 extracts the fetus information program 36a from the program database 23, transmits it to the requesting personal computer 21, and downloads it (S307).
[0041]
The personal computer 21 executes the downloaded fetal information program 36a, and reads the fetal medical information data 32a recorded on the IC card 17 via the IC card R / W 34 (S308). Then, the read fetal medical information data 32a is visualized and displayed, for example, as shown in FIG. 6 (S309).
[0042]
FIG. 6 shows the trend of the “head size” of the fetus in a time series in comparison with the standard upper limit and the standard lower limit. Of course, with regard to “leg length”, “belly circumference”, and “head and hip length”, a trend can be displayed in chronological order by designating any of these. If the medical information displayed in this way is time-series data, it is possible to predict a future trend, and if so, a prediction request is made (S310).
[0043]
When a prediction request is made, a prediction value is obtained from a time-series test value so far by a prediction processing program (not shown) stored in the program database 23 of the service provider 12. As this prediction method, a known statistical method may be used. For example, by calculating a regression line based on the test values up to the present time, future changes in the test values are predicted. Then, the prediction result is visualized and displayed (S311).
[0044]
If the user wants to obtain an advice from the displayed result, an advice request is issued (S312). When there is an advice request, advice is created and displayed by the guidance program 37 stored in the program database 23 of the service provider 12 (S313). That is, the guidance program 37 creates and displays advice such as a meal menu and a gymnastics menu based on the data read from the IC card 17 and the data predicted in S311.
[0045]
In this way, the medical information obtained as a result of consultation at a medical institution can be viewed at home, and based on this medical data, future changes and advice on the current or future situation can be obtained. It is also possible to provide accurate health guidance.
[0046]
The above description is about the fetal information. For example, when the “pregnancy screening information” button is clicked on the initial screen shown in FIG. 5, the server 24 of the service provider 12 , And downloads the pregnant woman information program 36b to the requesting personal computer 21 (S307).
[0047]
The personal computer 21 reads the pregnant woman medical information data 32b from the IC card 17 by the downloaded pregnant woman information program 36b (S308), visualizes the data, and displays it as shown in FIG. 7 (S309), for example.
[0048]
FIG. 7 shows the trend of “abdominal circumference” of a pregnant woman in chronological order. Of course, “weight”, “base of the uterus”, and “blood pressure” can also be trend-displayed in time series. In this case, it is the same that the future transition can be predicted (S310, S311), and advice based on medical data can be created and displayed (S312, S313).
[0049]
The same applies to the "ultrasonic image". By clicking the button, the ultrasonic image data of the pregnant woman recorded on the IC card 17 is read and displayed on the personal computer 21.
[0050]
Here, the data provided from the service provider 12 to the personal computer 21 of the general home 13 via the Internet 14 is information program data for displaying various medical data on the personal computer 21, and the medical information of the individual examinee to be displayed is displayed. 32 is recorded on the IC card 17 carried by the examinee. Therefore, unlike the conventional case, when the medical data of the individual examinee flows on the Internet 14, the medical data is not trapped by a third party, and leakage to the outside can be reliably prevented. Also, in the medical institution 11, since the medical information database 30 storing the medical information 32 is not connected to the external Internet 14, the security is improved without being hacked by a hacker.
[0051]
Next, the medical treatment reservation from the general home 13 and the reservation confirmation operation at the medical institution 11 will be described with reference to FIGS.
[0052]
When making a medical appointment reservation from the general household 13, first, the IC card 17 is inserted into the IC card R / W (S401). Next, the personal computer 21 is operated to issue a download request for the medical treatment appointment program 38 from the browser 35 to the server 24 of the service provider 12. By this operation, the medical treatment reservation program 38 is downloaded to the personal computer 21 by the server 24 (S402).
[0053]
Next, the downloaded medical treatment reservation program 38 reads the individual basic information (name, address, age, etc.) of the examinee from the IC card 17 (S403). When the examinee specifies the medical treatment date and time with the personal computer 21 (S404), the specified desired date and time and the read personal basic information (patient information) are converted into the medical service reservation data via the Internet 14 by the service provider 12 (S405). The server 24 records the received medical appointment information in the storage unit 40 (S406).
[0054]
On the other hand, when confirming the reservation status at the medical institution 11, the user operates the personal computer 41 of the medical institution 11, issues a download request of the reservation confirmation program 39 from the browser 42 to the server 24 of the service provider 12, and executes the program 39. It is downloaded to the personal computer 41 (S407). Then, the reservation data is displayed on the personal computer 41 by the downloaded reservation confirmation program 39, and the reservation status is confirmed (S408).
[0055]
According to the above reservation method, the information recorded on the IC card 17 is read as the basic personal information of the reservation person. Therefore, the reservation person only has to input the desired date and time into the personal computer 21 at home. It becomes simple and input errors can be prevented.
[0056]
In the above-described embodiment, the medical information has been described by taking the obstetrics and gynecology clinic as an example, and the information on the fetus or the pregnant woman has been described as an example. Various medical information can be handled as long as the data is basic.
[0057]
In the above-described embodiment, the medical institution 11 and the service provider 12 are described as separate organizations. However, the present invention is not limited to this. For example, in a large-scale medical institution, the computer section of the medical institution is the same as the service provider 12. Functions may be provided. That is, a system configuration in which the service provider 12 is installed in the medical institution 11 may be used.
[0058]
Further, an IC card is illustrated as the storage medium 17, but other storage media may be used.
[0059]
Also, the embodiment in which a personal computer is used as an information device used at home has been described, but a mobile phone is used as the information device, an IC card R / W is connected to the mobile phone, and a service provider is used using a mobile phone line. May be connected. In this case, it is possible to check and make reservations for medical information even outside the home, thereby improving convenience.
[0060]
【The invention's effect】
According to the present invention, medical information such as a result of a medical examination received at a medical institution is recorded on a storage medium carried by the examinee, and is displayed on an information device used at home or the like by an information program obtained via the Internet for viewing. can do. In this case, it is only necessary to obtain a program for displaying medical information on the Internet, and there is no risk that personal medical information leaks to the outside, and the security of personal medical information is improved.
[Brief description of the drawings]
FIG. 1 is a conceptual diagram showing one embodiment of a medical information system according to the present invention.
FIG. 2 is a system block diagram illustrating one embodiment of the present invention.
FIG. 3 is a flowchart illustrating a recording and browsing operation of medical information according to the first embodiment.
FIG. 4 is a flowchart illustrating a medical appointment appointment and an appointment confirmation operation according to the embodiment.
FIG. 5 is an initial screen diagram in the first embodiment.
FIG. 6 is a diagram of a fetus information screen according to the embodiment of the present invention;
FIG. 7 is a diagram showing a pregnant woman information screen according to the first embodiment;
[Explanation of symbols]
11 Medical Institution 12 Service Provider 13 General Home 14 Internet 16 Medical Information Providing System 17 Storage Medium 18 Medical Information Recording Means 19 Examination Equipment 21 Information Equipment Used by Patients 22 Medical Information Processing Service System 23 Program Database 24 Server 30 Medical Information Database 32 Medical Information 36 Information Program 37 Guidance Program 38 Medical Reservation Program 39 Reservation Confirmation Program 41 Information Equipment Used for Reserving Medical Institutions

Claims (7)

In a medical institution, the medical information of the examinee is stored in a card-like storage medium carried by the examinee, and the card-like storage medium is connected to a dedicated information device used by the examinee and a service provider connectable via the Internet. Providing a program database holding an information program for displaying the medical information stored in the information device on the information device, in response to a request from the information device used by the examinee, extracting the relevant information program from the program database A medical information processing service system, which transmits the information to a requesting information device via the Internet. A medical information database provided at a medical institution and holding medical information for the examinee;
Medical information recording means for storing medical information about the patient held in the medical information database, for a card-shaped storage medium carried by the patient,
Provided in a service provider connectable to the information device used by the examinee via the Internet, so that the examinee can display the medical information recorded in the storage medium at the medical institution on the information device used by the examinee A program database that holds information programs of
In response to a request from the information device used by the examinee, a server that extracts a corresponding information program from the program database and sends it to the requesting information device via the Internet,
A medical information system comprising: 2. The medical information processing service system according to claim 1, wherein the card-shaped recording medium also serves as a health insurance card or a consultation ticket. The medical information recorded on the storage medium is a time-series test value,
The program database has a prediction processing program for predicting future trends from time-series values,
The medical information system according to claim 2, wherein the server transmits the prediction processing program to the requesting information device via the Internet in response to a request from the information device used by the examinee. The program database has a guidance program for creating advice for the examinee based on the medical information recorded on the recording medium,
The medical information system according to claim 2, wherein the server transmits the prediction processing program to the requesting information device via the Internet in response to a request from the information device used by the examinee. The service provider is also connected to medical institutions' information devices via the Internet,
The program database has a medical treatment appointment program for the patient to make a medical appointment, and a reservation confirmation program for the information equipment of the medical institution to confirm the appointment status,
3. The medical information system according to claim 2, wherein the server transmits the medical treatment reservation program or the reservation confirmation program to the requesting information device via the Internet in response to a request from a patient or a medical institution. 7. The medical information system according to claim 6, wherein the medical appointment reservation program makes an appointment using personal information of the examinee recorded in a card-shaped storage medium.

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