JP2005165996A - Support network system of medical institution - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide the newest medical treatment to medical institutions and clinics, etc. at remote/sparsely-populated areas which are easy to be left by progress of medical technology, to reduce economic burdens of terminal medical institutions and patients, to enable the patients to easily take health screening and diagnosis at nearby medical institutions and to relieve labor and an equipment burden to a specific newest medical institution and an expert as securing diagnostic/inspection precision. <P>SOLUTION: The most advanced diagnosis and inspection are provided to the patients by arranging terminal appliances of the minimum diagnostic check machines in a plurality of terminal medical institutions such as the clinics at the remote/sparsely-populated area, diagnosing, inspecting the patients by the terminal appliances in the terminal medical institutions, transmitting pieces of diagnostic/inspection data of the terminal appliances to a precision medical institution in which expert staff gathers via a communication network, performing data analysis processing in the precision medical institution and transmitting a processing result to the terminal medical institutions via the communication network. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a support network system of a medical institution, and relates to a suitable technique for providing the latest medical care to a medical institution or clinic in a remote / depopulated area that is likely to be left behind by progress in medical technology.

  Currently, medical equipment, devices, equipment, and medical methods are making rapid progress, and large-scale medical institutions and university hospitals make full use of the latest medical equipment, devices, equipment, and the latest diagnosis, inspection, and treatment. Has been done.

  On the other hand, in these large-scale medical institutions and the like, there is a possibility that the waiting time is generated and the patient waits for a long time and the actual examination time is several minutes.

  On the other hand, medical institutions such as remote islands and remote / depopulated clinics have a problem that it is difficult to receive the latest medical technology due to lack of human resources such as excellent doctors and aging medical equipment / devices / equipment. In order to receive the latest medical treatment, it may be forced to go to the city etc. by spending a lot of time and transportation expenses.

As a measure to improve these, using recently developed high-speed communication lines, home diagnosis / inspection etc. and images of medical equipment / devices / equipment are transferred to large-scale medical institutions where specialist doctors are stationed ( It is considered to introduce medical technology, such as transmission).
Japanese Patent Laid-Open No. 2001-357134, “Image Capturing Device and Image Processing Device” Japanese Patent Application Laid-Open No. 2002-282250, “Ultrasonic Image Diagnostic Apparatus” Japanese Patent Application Laid-Open No. 2002-015062 “Advanced Medical Imaging System” JP 2003-190098 A “Medical Imaging Data Streaming”
The technique of Patent Document 1 is that the patient himself / herself operates / photographs the device at home or the like and transfers the examination data to a supporting medical institution or the like. Since the operation of the device is entrusted to a seriously ill person or his / her attendant, reliability is limited.
The technique of Patent Literature 2 is to switch between a measurement screen and a monitor screen in ultrasonic image diagnosis to ensure the accuracy of diagnosis and shorten the time required for diagnosis. It is limited to only a medical institution equipped with and ultrasonic image diagnosis.
The technology of Patent Document 3 connects a specialized clinic such as an MR apparatus with one or more advanced image capturing facilities to a plurality of medical institutions that do not have an advanced image capturing facility via a communication line, and performs image capturing. It is transmitted to a remote medical institution, and it is interpreted as a technology in which medical image interpretation specialists who are resident and doctors at multiple medical institutions collaborate by seeing images in real time to confirm, examine, and diagnose. However, since not only patients who receive diagnosis but also specialists are concentrated at one specialized hospital, patients and medical personnel are waiting in turn, and the efficiency is reduced due to the schedule of the specialized clinic. It is possible to invite.
The technology of Patent Document 4 transmits unprocessed medical image data of a patient imaged by a medical imaging apparatus to a remote terminal, processes the remote terminal to create a medical image, and makes an expert evaluate the remote image. Is interpreted as a technique that enables control of imaging parameters of a medical imaging apparatus.
However, labor is concentrated on experts who are in charge of evaluation and the burden increases, and at least during the evaluation, it occupies equipment for processing medical image data and creating medical images, so efficient medical care is performed. It becomes hard to be broken. In addition, in order to exchange data, equipment that conforms to these is necessary for both sides, and in order to support medical institutions such as multiple clinics, equipment that conforms to all of them is necessary. Equipment costs will increase.

  In the present invention, when providing the latest medical technology to a plurality of terminal medical institutions such as remote / depopulated medical clinics, one type of medical device is reduced by reducing the economic burden of not only the terminal medical institution but also the patient. Improve diagnosis and inspection accuracy by making it easy to receive multiple inspections as well as inspections, reduce the economic burden when installing and maintaining diagnostic inspection instruments and medical equipment, and certain state-of-the-art medical institutions Such as reducing the time limit on workers and specialists, reducing labor and equipment burden, reducing the burden on patients such as going to large hospitals with specialized facilities, and waiting for a long time. And to make it easier for patients to receive close examinations and diagnoses at the nearest clinic / small hospital.

<< Basic structure of invention >>
The present invention provides a plurality of types of diagnostic test equipment for terminal equipment in terminal medical institutions such as remote / depopulated medical clinics with the minimum necessary functions. Transmitting terminal-side diagnostic / inspection data to precision medical institutions such as large hospitals with specialist staff via a communication network, and using high-precision data processing means in precision medical institutions In addition to performing data analysis processing on the main unit side and transmitting the processing results to the terminal medical institution via the communication network, precise medical examination results are obtained at the terminal medical institution and state-of-the-art diagnosis for the patient・ The main technology is to provide inspection.
In addition, as a technology for developing a technology for connecting terminal equipment and a precision medical institution in a terminal medical institution, a technology that enables maintenance of the precision medical institution itself and medical treatment at the time of failure is included.
The terminal medical institution allows multiple locations, and at least the inspection probe and other terminal equipment can detect the patient's condition and convert it to the required data. Diagnostic tester having various functions, data processing means connected to the diagnostic tester and processing data to a level necessary for data transmission, and a communication controller connected to the communication network in accordance with the type and transmitting / receiving data It comprises.
In the communication network, it is desirable to use a high-speed network or broadband as much as possible, and a dedicated or general optical fiber communication network, a wired communication network such as a telephone line or a power line, terrestrial or satellite use, etc. Wireless communication networks and the Internet are used.

《Detailed configuration of terminal medical institution》
In a terminal medical institution, in addition to a diagnostic tester, data processing means, and communication controller, in some cases, a terminal medical device having these functions, at least a computer such as a personal computer, a keyboard for operating various devices Operation means such as a mouse, data storage means for storing data of a terminal medical device or personal computer, a monitor for visualizing image data of the terminal medical device or personal computer, audio to the terminal medical device or personal computer It is desirable to have a microphone or speaker / receiver for inputting, a printer for printing out medical data, image data, or the like.
In particular, a diagnostic tester is required that can acquire and transmit the minimum necessary diagnostic / test data to a precision medical institution. For example, in the case of an ultrasonic probe, an ultrasonic oscillator that transmits ultrasonic waves at a required angle such as vertical, 60 degrees, and 45 degrees, a receiver, and a function that converts received data into electrical signals are required.
In the data processing means, a function to process data obtained by a diagnostic tester of a terminal medical institution into information that can be communicated, and monitor all data that can be received from a precision medical institution, sound generation means, data storage What has the function to perform the process made into suitable data for transmitting to a means is applied.

《Detailed structure of precision medical institution》
For precision medical institutions, large-scale medical institutions for supporting in cooperation with terminal medical institutions, university hospitals and supporting medical institutions with similar functions are sometimes included, and the latest medical equipment and normal medical equipment Etc., as well as a function to complement the diagnostic tester of the terminal medical institution, data processing means for processing diagnosis / test data (calculation, analysis, analysis, imaging), and transmission data from the communication network If necessary, the communication controller has a function to distribute the support destination and transmits the diagnosis / examination data and images processed by the data processing means to the terminal medical institution. An access controller that initiates the data, a data storage means for storing various data as needed, and at least a partnership that is trying to support It is required to collect and a diagnostic tester various having the terminal medical institution or more functions.
A mobile terminal having a function equivalent to the terminal equipment of the terminal medical institution is desirably connected to the precision medical institution as necessary.
In the communication controller of precision medical institutions, the main part of the terminal device used for diagnosis of patients (examinee) and the main body side (device main body) that performs data processing, image processing, data transmission, etc. A main body terminal switching connector for performing connection with a mobile terminal is provided.
The main body terminal switching connector includes means such as a cable and a connector for connecting the main part of the terminal device, the main body side (device main body), and the mobile terminal.
In addition, in order to support medical care, diagnosis, and inspection at terminal medical institutions, medical equipment manufacturers and support institutions, as well as stationed institutions such as specialists corresponding to diagnostic testers, etc., have failed in precision medical institutions. Medical equipment manufacturers and support organizations for supporting time are organically connected via a communication network.

《Detailed structure of other support organizations》
In other support organizations, it is desirable to use them together with precision medical institutions.
A data processing request or support request from a terminal medical institution occurs, and the precision medical institution for some reason (the reason is that the latest medical device is in use or a specialist is temporarily absent) When a medical institution cannot respond to a request for support, a medical device of a precision medical institution itself is out of order and needs repair, or when maintenance is required, it is connected via a communication network or direct wire (such as a cable). .
For example, other support organizations have terminal equipment similar to or equivalent to or higher than precision medical institutions, but include at least operation means, data storage means, monitor, voice input means, voice generation means, and data processing means. It is desirable to include the medical device manufacturers and various inspection institutions described above.

<Detailed configuration of mobile terminal>
The precision medical institution is connected to a mobile terminal that supports the case where one diagnostic tester breaks down, moves to the location of the precision medical institution, and performs diagnosis / inspection instead.
The mobile terminal is equipped with a diagnostic tester that is at least equal to or more than the diagnostic tester of the terminal medical institution and has the same function as the diagnostic tester of the precision medical institution, as well as vehicles, railways, ships, aircraft and helicopters. Including those mounted on moving means such as.
Note that it is desirable that the communication means includes a communication controller similar to the communication controller described in the terminal medical institution or precision medical institution.

(1) The terminal medical institution is equipped with the minimum necessary diagnostic test equipment terminal equipment to diagnose and inspect the patient at the terminal medical institution, and support the precision medical institution as necessary for details of the diagnosis and inspection results. By receiving it, it becomes easy to provide the latest medical care to medical institutions and clinics in remote and depopulated areas that are easily left behind by advances in medical technology.
(2) With the above, the equipment cost of the terminal medical institution can be reduced, and the economic burden on the patient can be reduced.
(3) By performing a plurality of examinations at the terminal medical institution, it is possible to easily provide highly accurate medical care as compared with a case where it is simply performed at home medical care.
(4) By providing the terminal equipment of the minimum necessary diagnostic tester, it is easy to receive a plurality of tests in the terminal medical institution, and the diagnosis / test accuracy can be improved.
(5) Maintenance can be easily performed by simplifying the equipment of the terminal medical institution.
(6) The diagnosis / inspection / treatment with high reliability can be performed by transmitting the diagnosis / inspection data of the terminal medical institution to the precision medical institution for analysis processing.
(7) It is easy to distribute diagnosis and examinations to terminal medical institutions, can reduce the concentration of patients at university hospitals, etc., and can solve problems such as patient waiting for a long time. .
(8) By adopting a technology for connecting a terminal medical institution and a precision medical institution through a communication network, it is possible to simplify the maintenance of the precision medical institution itself and reduce medical interruption when a medical device fails.
(9) By providing data storage means, monitors for imaging image data, microphones, speakers / receivers, printers, etc. to terminal medical institutions, exchange of medical information by voice with precision medical institutions and to patients Can be effectively provided.
(10) Even if the precision medical institution is congested by allocating a communication controller to the precision medical institution and starting processing of transmission data from the terminal medical institution and distributing support destinations, It is possible to respond finely to the request of the terminal medical institution.
(11) By utilizing some medical equipment of precision medical institutions at terminal medical institutions, the availability and efficiency of the latest medical equipment and specialized staff in precision medical institutions will increase, and equipment investment Costs can be recovered early and costs can be reduced.
(12) By separating medical equipment and mounting only the minimum necessary diagnostic test equipment in an ambulance, etc., the number of types of diagnostic test equipment that can be installed is increased, and the range of medical support is widened to provide appropriate emergency services. Medical care can be performed.

  Even if the terminal medical institution diagnoses and inspects the patient, the terminal medical institution is equipped with the terminal equipment of the minimum necessary diagnostic tester and cooperates with the precision medical institution via the communication network. The medical technology and communications available at the present time are designed to improve the functionality of precision medical institutions as well as to reduce medical and time burdens on terminal medical institutions and patients. We realize the best medical care by technology.

FIG. 1 shows a basic configuration of a medical institution support network system according to the present invention. A terminal medical institution A and a precision medical institution B are connected by a communication network C.
The precision medical institution B is connected to a support institution D as necessary.

  The terminal medical institution A is a small / medium hospital or the like where remote medical facilities or remote medical facilities are insufficient, and has a terminal facility 10 and a communication controller 20 as shown in FIG. Yes.

  The terminal medical institution A is not limited to only one place, but allows a plurality of places, but the terminal equipment 10 includes at least a diagnostic tester 11 such as a test probe for detecting a patient's condition, Computer functions such as a personal computer, operation means 12 such as a keyboard and mouse for operating various devices, data storage means 13 for storing various data, still images, moving images, various data and character information A voice input means 15 such as a microphone for inputting voice, a voice generation means 16 such as a speaker or a receiver connected to the data storage means 13 or the communication network C, and a diagnostic tester 11, data processing means 17 for processing various data sent from precision medical institution B, and medical data and image data Those having a like printout to the printer etc. are preferable.

The supplementary explanation of the diagnostic tester 11 is required to have a function capable of acquiring the minimum necessary diagnosis / test data that can be analyzed by the precision medical institution B.
For example, an ultrasonic probe has a function of converting received data into an electrical signal in addition to an ultrasonic oscillator and a receiver that can transmit ultrasonic waves at a required angle of at least 60 degrees or 45 degrees. is required.
In this case, it does not exclude having a function of processing data only by the terminal equipment 10 and displaying an image on the monitor 14, but it has a minimum function that can be analyzed by the precision medical institution B. The

  As a supplementary explanation of the data storage means 13, various data obtained by the diagnostic tester 11, information on the terminal medical institution A / precision medical institution B / communication network C, patient information, etc. Including the information transmitted to the terminal medical institution A, it includes a hard disk or other storage medium for storing these data.

  As a supplementary explanation of the data processing means 17, the function of processing the data obtained by the diagnostic tester 11 of the terminal medical institution A into communicable information, and all the data that can be received from the precision medical institution B are monitor 14, sound generation Means 16 and data storage means 13 having a processing function for suitable data to be transmitted are applied.

  A supplementary explanation of the communication controller 20 will be described. The communication controller 20 is provided between the terminal equipment 10 and the communication network C and performs transmission and reception capable of communication as being suitable for the type of the communication network C.

  The precision medical institution B is a university hospital or a large-scale medical institution equipped with state-of-the-art medical facilities such as urban areas, and as shown in FIG. A device equipped with equipment and personnel for performing the operation is suitable, and includes a terminal facility 30, a communication controller 40, and an access controller 50.

  The terminal equipment 30 is not only provided with functions equal to or higher than those of the terminal equipment 10 of a plurality of terminal medical institutions A, but also has the latest functions to complement these, and each terminal medical institution A Means, that is, diagnostic tester 11, operation unit 12, data storage unit 13, monitor 14, voice input unit 15, voice generation unit 16, and data processing unit 17. A data storage means 33, a monitor 34, a voice input means 35, a voice generation means 36, and a data processing means 37 are applied.

When there is a support request or transmission data from the terminal medical institution A via the communication network C, the communication controller 40 normally operates the terminal equipment 30 and the data processing means 37 to perform necessary data processing, that is, The medical data is analyzed, analyzed, and imaged using the latest technology.
When there is no data processing margin of the terminal medical institution A due to the fact that the diagnostic tester 31 of the terminal equipment 30 is in operation and the data processing is being executed, etc. (when the data analysis processing function is insufficient) A selection is made as to whether the medical data is temporarily stored in the data storage means 33 or the medical data is processed using the support organization D.
Further, when the medical data is processed in the precision medical institution B, a process of transmitting the result to the terminal medical institution A is executed.

  The communication network (communication means) C is preferably a high-speed communication means within a range obtained between the terminal medical institution A and the precision medical institution B. For example, an optical fiber communication network, a cable or a wired communication network using electrical wiring, At least one of these, preferably two or more, are used in various wireless communication networks including satellite communication, the Internet, and the like.

[Ultrasonic diagnosis and inspection]
Based on FIG. 2, the support situation by the basic structure of FIG. 1 is demonstrated.
Hereinafter, each step will be described separately based on the flowchart.

“S1”: The terminal medical institution A of FIG. 1 performs ultrasonic diagnosis / examination of the patient, and operates the diagnostic tester 11 (terminal: ultrasonic inspection apparatus in this case) of the terminal equipment 10.

“S2”: When the support from the precision medical institution B is necessary, the precision medical institution B is accessed using the communication network C.

“S3”: It is determined whether or not the main body (such as the data processing unit 37) of the precision medical institution B can be used in real time.
This determination is normally made based on whether the data processing means 37 is not used or whether processing interruption is possible even during use.
If real-time use is not possible, i.e., "no", the process proceeds to "S4". If available, i.e., "yes", the process proceeds to "S8".

“S4”: When not available, whether to wait for the order is selected. When not waiting for the order, that is, when it is “no”, the process proceeds to “S5” to wait for the order. That is, in the case of “yes”, the process proceeds to “S6”.

“S5” When the support of the precision medical institution B is interrupted and the diagnosis / inspection at a level requiring the support is stopped, the diagnosis / inspection is postponed.

“S6”: When waiting for the turn, the user waits for the contact from the precision medical institution B.

“S7”: When contact is received from the precision medical institution B, an alarm (sound generation means 16) is activated. In “S3”, it is determined again whether real-time use is possible. If “yes”, the process proceeds to “S8”.

“S8”: The operation of the diagnostic tester 11 (test probe) is confirmed. When the diagnostic tester 11 is inoperative, that is, “no”, the diagnostic tester 11 is reactivated, and when it is activated, that is, “yes”. If it is, the process proceeds to “S9”.

“S9”: The diagnostic tester 11 is operated to start diagnosis / examination of the patient.

“S10”: It is determined whether or not main body side support (analysis by precision medical institution B, etc.) is necessary from images obtained by diagnosis / examination. If support is necessary, that is, “yes”. In such a case, the process proceeds to S11, and if a result that does not require support is obtained, that is, if “no”, the process proceeds to S13.

“S11”: Support by the precision medical institution B includes not only analysis of the transmitted medical data but also voice by a specialist.

“S12”: It is determined whether or not to end the support. If “yes”, the process proceeds to “S13”, and if “no”, the process proceeds to “S11” and the support continues. Is done.

“S13”: It is determined whether or not the diagnosis / examination at the terminal medical institution A is completed. If “yes”, the process proceeds to “S14”, and if “no”, the diagnosis / examination is performed. And the determination is made.

“S14”: With the completion of diagnosis / examination, medical data and the like are stored.

With the “S15” data storage, a series of ultrasonic inspection processes is completed.

FIG. 3 shows a second embodiment of the medical institution support network system.
The precision medical institution B, the communication network C, and the support institution D have the same configuration as that of the first embodiment shown in FIG. 1, but the patient is used as the diagnostic tester 11 disposed in the terminal equipment 10 of the terminal medical institution A. An endoscope 11a for inserting into the body of the body, grasping the internal situation and performing processing such as cutting / removing in some cases, and a suction bottle 11b for sucking blood, washing liquid, etc. using vacuum pressure A device provided with inspection assisting means 11c for assisting operations and operations with these instruments is applied.
Other portions and functions are the same as those in FIG.

  Even in the diagnostic tester 11 in this case, the functions of the diagnostic tester 11 are kept to the minimum necessary, and images and the like are transmitted to the precision medical institution B, in addition to video analysis, the endoscope 11a and suction It is also possible to receive support related to the operation of the bottle 11b.

FIG. 4 shows a third embodiment of the medical institution support network system.
The precision medical institution B, the communication network C, and the support institution D have the same configuration as the embodiment in FIG.
An electroencephalogram test terminal is applied as the diagnostic tester 11 arranged in the terminal equipment 10 of the terminal medical institution A.
The diagnostic tester 11 includes a plurality of electrodes 11d that are attached to a patient's examination site, a connector 11e for connecting each electrode 11d, and a light emitting unit 11f that generates pulsed light as necessary. These assisting operations are performed by the inspection assisting means 11c.
Other portions and functions are the same as those in FIG.

  Even in the case of performing an electroencephalogram, the functions of the diagnostic tester 11 are kept to the minimum necessary, and images and the like are transmitted to the precision medical institution B. In addition to video analysis, the diagnostic tester 11 is operated. Support can also be received.

FIG. 5 shows a fourth embodiment of the medical institution support network system.
As the diagnostic tester 11 arranged in the terminal equipment 10 of the terminal medical institution A, those not taken up in the first to third embodiments, for example, “radiation”, “electricity”, “magnetism”, “ultrasound”, “light”, “ion” Various sensors using “pressure”, “video”, “sound”, and the like, and probes using other sensors are included.
In addition, as an auxiliary function of the communication controllers 20 and 40, when the communication network C uses an optical fiber, in order to optimize data transmission among the terminal medical institution A, the precision medical institution B, and the communication network C, AD Conversion means (analog / digital conversion means) 20a and 40a and photoelectric conversion means 20b and 40b are arranged.

FIG. 6 shows a fifth embodiment of the medical institution support network system.
The terminal equipment 10 in the terminal medical institution A includes an ultrasonic echo terminal m, an ultrasonic echo terminal n, an endoscope (upper) terminal o, an internal terminal, which are the minimum necessary and a plurality of selected terminals (probe portions, etc.) An endoscope (lower) terminal p, an electroencephalogram terminal q, an electrocardiogram terminal r, an MRI / MRA terminal s, an X-ray CT terminal t, a blood test terminal u, and a protein diagnostic terminal v are arranged.

  In addition to the functions described so far, the terminal equipment 10 is provided with a switching connector 18 for appropriately switching the terminals m to v and connecting them to the communication network C to transmit medical data and the like.

  Further, the precision medical institution B and the support institution D on the main body side perform data processing of each terminal m to v corresponding to the terminal equipment 10 and also perform data processing of the terminal of the precision medical institution itself. Ultrasound echo body M, ultrasound echo echo body N, endoscope (upper) body O, endoscope (lower) body P, brain waveform body Q, electrocardiogram body R, MRI / MRA body S, X-ray CT body T, blood test body U, and protein diagnosis body V are arranged.

  As shown in FIG. 6, examples of support that may be suitable for the precision medical institution B and the support institution D include manufacturers of medical devices and computers, university hospitals, inspection companies, and the like.

FIG. 7 shows a flowchart showing a plurality of processing states at the time of diagnosis / inspection of a medical institution.
Hereinafter, each step will be described separately based on the flowchart.

“S21”: Start diagnosis / examination at the terminal medical institution.

“S22”: Access to a precision medical institution using a communication network.

“S23”: It is determined whether or not the precision medical institution can be used in real time.
When real-time use is possible, that is, “yes”, the process proceeds to “S8” shown in FIG. 2, and the subsequent processing is performed. When real-time use is not possible, that is, “no”, “S24” is performed. ”.

“S24”: It is determined whether or not to wait for the turn of assistance from the precision medical institution. If the turn is waited, that is, “yes”, the process proceeds to “S6” shown in FIG. When the process is performed and no waiting for the order is performed, that is, in the case of “no 亅”, the process proceeds to “S25 亅.

“S25”: It is determined whether or not to perform diagnosis / inspection using the terminal without the support of the precision medical institution. If “yes”, the process proceeds to “S26”, and “no” ”, The process proceeds to“ S34 ”to interrupt or end the diagnosis.

“S26”: Diagnosis and inspection are performed using the terminal.

“S27”: It is determined whether or not real-time use of the precision medical institution becomes possible during use of the terminal or when it is terminated.
If the real-time use is possible, that is, “yes”, the process proceeds to “S8” shown in FIG. 2, and the subsequent processing is performed. If real-time use is not possible, that is, “no”, “S28” is performed. ”.

“S28”: The medical data obtained at the terminal is transmitted to the support organization via the communication network.

“S29”: It is determined whether or not a support organization that backs up a precision medical institution is used instead (or can be used).
When it is not used, that is, when it is “no”, the process proceeds to S30, and when it is used, that is, when it is “yes”, the process proceeds to S32.

“S30”: The medical data is temporarily stored in the data storage means (see FIG. 1 etc.) of the terminal medical institution.

“S31”: It is determined whether or not the standby state has been resolved and the support of the precision medical institution has become possible. If “no”, the determination is repeated, and when the state becomes available, that is, “ If yes, the process proceeds to S32.

“S32”: Necessary processing is performed on the medical data of the terminal medical institution at the precision medical institution and the support institution.

“S33”: The medical data processing result is transmitted to the terminal medical institution via the communication network, and the result is displayed as necessary.

“S34”: The process is ended when sufficient explanation is given to the patient.

FIG. 8 shows a flowchart of a maintenance method of the terminal (terminal equipment) in the terminal medical institution.
The terminal equipment of the terminal medical institution becomes the latest diagnosis and inspection technology by receiving the data processing of the data processing means 37 (see FIG. 1 etc.) of the precision medical institution, but its maintenance depends on the precision medical institution. Can perform remote maintenance.
Hereinafter, each step will be described separately based on the flowchart.

“S41”: In a terminal medical institution, a target terminal (diagnostic tester) or the like is operated to perform maintenance.

“S42”: Access to a precision medical institution and transmit medical data.

“S43”: Medical data is received at a precision medical institution.

“S44”: Maintenance is started upon receipt of medical data.

“S45”: Confirm that the terminal equipment is operating normally by analyzing medical data from the terminal medical institution, etc., and if necessary, check the diagnosis / inspection method and the operation and operating status of the terminal equipment. Give instructions from a medical institution.

“S46”: The terminal medical institution operates and operates the terminal equipment based on the instructed contents.

“S47”: It is selected whether or not to end maintenance after confirming that the terminal equipment of the terminal medical institution is normal.
If the process cannot be completed, i.e., "no", the process proceeds to S45. If the maintenance is completed, i.e., "yes", the process proceeds to S48.

“S48”: Maintenance is completed by cooperation between the main body side of the precision medical institution and the terminal equipment (terminal side) of the terminal medical institution.

FIGS. 9 to 12 show a coping method when a failure occurs in a precision medical institution.
When a failure occurs in the precision medical institution B or when repairs are made, the support institution D and the mobile terminal E are used to reduce interruption of state-of-the-art medical care.

As shown in FIG. 9, the precision medical institution B has a main body terminal switching connection that forms part of the communication controller 40 (described in FIG. 1 and the like) between the diagnostic tester 31 and the main body side (device main body) Z. A container 40c is arranged.
The support terminal D and the mobile terminal E are connected to the main body terminal switching connector 40c by a communication network such as an electric cable or an optical fiber, and the diagnostic tester 31 and the main body side Z are usually connected by an electric cable. Connected.
The main body side Z has functions such as the operation means 32, data storage means 33, monitor 34, voice input means 35, voice generation means 36, and data processing means 37 described in FIG.

  The support organization D is a medical device manufacturer or the like, and has functions such as an operation unit 32, a monitor 34, and a data processing unit 37 shown in FIG.

  The mobile terminal E is equipped with a diagnostic tester 31 originally provided in the precision medical institution B, or at least a diagnostic tester 61 having a function of the diagnostic tester 11 of the terminal equipment 10, and in FIG. It can be moved by mounting the diagnostic tester 61 on the vehicle 62.

  FIG. 9 shows that the mobile terminal E moves to the precision medical institution B and waits when there is a failure in the precision medical institution B, or the like, while the diagnostic tester 31 or the main body side Z is normal. It shows the situation for testing whether or not there is.

  As shown by a solid line arrow in FIG. 9, whether or not an abnormality has occurred is tested using the diagnostic tester 31 and the main body side Z. When abnormality is recognized, it determines with either the diagnostic tester 31 or the main body side Z having failed.

FIG. 10 shows a situation where a test is performed to determine whether or not the diagnostic tester 31 has an abnormality.
As indicated by the solid line arrow, the main body side Z and the mobile terminal E are connected via the main body terminal switching connector 40c, and it is confirmed whether or not this combination operates normally.
If there is no abnormality in this combination and any abnormality is found in either the diagnostic tester 31 or the main body side Z, it is assumed that there is an abnormality in the diagnostic tester 31 and the patient is Diagnosis and inspection can be performed by guiding the mobile terminal E.
In this diagnosis / inspection, diagnosis / inspection is performed by the diagnostic inspector 61 as shown by the white arrow while utilizing the state-of-the-art main body side Z.

FIG. 11 shows a situation in which it is tested whether or not the main body side Z is abnormal.
When an abnormality has occurred under normal conditions in which the diagnostic tester 31 and the main body side Z are connected, the diagnostic tester 31 is considered suspicious, and a diagnosis / inspection is performed using the mobile terminal E. As shown by a solid line arrow in FIG. 11, when an abnormality is recognized even after switching to the mobile terminal E, it is determined that there is an abnormality in the main body side Z as shown by a white arrow in FIG. The backup shown in FIG. 12 is performed.

FIG. 12 shows the backup status of the main body side Z of the precision medical institution B.
When the main body side Z is out of order, the degree of the failure is the data processing unit 37 and the like, and the operation unit 32, the data storage unit 33, the monitor 34, the voice input unit 35, the voice generation unit 36, and the communication controller 40. If normal, the diagnosis / inspection is performed using the support organization D and the diagnostic tester 31 as shown by the solid line and the white arrow in FIG.・ Inspection can be performed.
Even in this diagnosis and examination, the state-of-the-art medical level is basically not impaired.

FIG. 13 shows the maintenance status of the diagnostic tester 31 by the support organization D.
When it is clear that the failure is caused by the main body side Z, as shown by solid arrows and white arrows without using the mobile terminal E shown in FIGS. 9 to 12, Diagnosis / inspection can be performed using the support organization D and the diagnostic tester 31.
After repairing, exchanging, and inspecting the abnormal part on the main body side Z and returning it to normal, the diagnostic tester 31 and the main body side Z are connected and tested, as shown by the dashed arrows. If it is recognized that there is no difference from the case where the institution D is used and the state is restored to the normal state, the support institution D may be disconnected and returned to the diagnosis / inspection state by the precision medical institution B alone.

(1) In the near future, even if there are improvements in the medical equipment of precision medical institutions and improvements in automatic diagnosis technology using computers for medical information in a database, etc. It is possible to provide state-of-the-art medical care.
(2) Even when the performance of the diagnostic tester is improved, it is possible to suppress the capital investment of the terminal medical institution and continue to support the precision medical institution.
(3) It can also be applied to medical assistance in the event of an emergency in ambulances, ambulance helicopters, other transportation systems, or public facilities due to changes in medical systems and laws.

It is a block diagram which shows the basic composition of Example 1 of the assistance network system of the medical institution in this invention. It is a flowchart which shows the assistance condition by the basic composition of FIG. It is a block diagram which shows Example 2 of the assistance network system of a medical institution. It is a block diagram which shows Example 3 of the assistance network system of a medical institution. It is a block diagram which shows Example 4 of the assistance network system of a medical institution. It is a block diagram which shows Example 5 of the assistance network system of a medical institution. It is a flowchart which shows the multiple processing status at the time of the diagnosis and test | inspection of a medical institution. It is a flowchart of the maintenance method of the terminal (terminal equipment) in a terminal medical institution. It is a block diagram which shows the utilization condition of the mobile terminal at the time of abnormality occurrence of a precision medical institution. It is a block diagram which shows the test condition of the presence or absence of abnormality of a diagnostic test device in FIG. FIG. 10 is a block diagram illustrating a test status of whether there is an abnormality on the main body side in FIG. 9. FIG. 10 is a block diagram illustrating a backup state on the main body side in FIG. 9. It is a block diagram which shows the maintenance condition of the diagnostic tester by a support organization in FIG.

Explanation of symbols

A ... Terminal medical institution, B ... Precision medical institution, C ... Communication network, D ... Supporting institution, E ... Mobile terminal, 10 ... Terminal equipment, 11 ... Diagnostic tester, 11a ... Endoscope, 11b ... Suction bottle, 11c ... Examination auxiliary means, 11d... Electrode, 11e... Connector, 11f .. Light emitting means, 12 .. Operation means, 13... Data storage means, 14. Means, 18 ... switching connector, 20 ... communication controller, 20a ... AD conversion means (analog / digital conversion means), 20b ... photoelectric conversion means, 30 ... terminal equipment, 31 ... diagnostic tester, 32 ... operation means, 33 ... Data storage means, 34 ... monitor, 35 ... sound input means, 36 ... sound generation means, 37 ... data processing means, 40 ... communication controller, 40a ... AD conversion means (analog / digital conversion) Stage), 40b ... photoelectric conversion means, 40c ... main body terminal switching connector, 50 ... access controller, 61 ... diagnostic tester, 62 ... vehicle, m ... ultrasonic echo terminal, n ... ultrasonic echocardiographic terminal, o ... within Endoscope (upper) terminal, p ... Endoscope (lower) terminal, q ... EEG waveform terminal, r ... ECG terminal, s ... MRI / MRA terminal, t ... X-ray CT terminal, u ... Blood test terminal, v ... Protein diagnostic terminal, M ... ultrasound echo body, N ... ultrasound echocardiogram body, O ... endoscope (upper) body, P ... endoscope (lower) body, Q ... brain waveform body, R ... electrocardiogram body, S ... MRI / MRA main body, T ... X-ray CT main body, U ... blood test main body, V ... protein diagnosis main body, Z ... main body side (device main body).

Claims (10)

A support method for a medical institution that provides the latest medical technology to a terminal medical institution, and the terminal medical institution (A) is provided with terminal equipment (10) having a minimum necessary diagnostic tester (11) The patient is diagnosed / inspected at the terminal equipment at the terminal medical institution, and the diagnosis / inspection data of the terminal equipment is transmitted to the precision medical institution (B) via the communication network (C), and the data analysis is performed at the precision medical institution. A medical institution support method characterized by providing diagnosis and examination to a patient of a terminal medical institution by processing and transmitting the processing result to the terminal medical institution via a communication network. The data analysis processing is performed by transferring diagnosis / test data to another support organization (D) equivalent to the precision medical institution when the data analysis processing function of the precision medical institution (B) is lowered. The medical institution support method described. A support network of a medical institution that provides the latest medical technology to the terminal medical institution, the terminal equipment (10) having a diagnostic tester (11) disposed at the minimum necessary in the terminal medical institution (A); A communication network (C) for transmitting diagnosis / inspection data of terminal equipment, and a precision medical institution (B) for performing data analysis processing on the transmitted diagnosis / inspection data and transmitting the processing results to the terminal medical institution via the communication network Supporting network for medical institutions. 4. The medical institution support network according to claim 3, wherein a support institution (D) having a function equivalent to the data processing / analysis function of the precision medical institution (B) is connected to the communication network (C). . 5. The medical institution support network according to claim 3, wherein a mobile terminal (E) having a function equivalent to that of the terminal medical institution (A) is arranged in the precision medical institution (B). 6. The medical institution support network according to claim 3, 4 or 5, wherein the terminal medical institutions (A) are distributed at a plurality of locations. Connected to a terminal medical institution (A), a diagnostic tester (11) for detecting the patient's condition, data processing means (17) for data processing connected to the diagnostic tester, and a communication network (C) The medical institution support network according to claim 3, 4, 5 or 6, further comprising a communication controller (20) for transmission. 8. The medical institution according to claim 3, 4, 5, 6, or 7, wherein the terminal medical institution (A) is provided with a monitor (14) for images / videos transmitted from the precision medical institution (B). Support network. The precision medical institution (B) is equipped with a communication controller (20) having a function of distributing transmission support destinations as needed by receiving transmission data from the communication network (C). The medical institution support network according to 4, 5, 6, 7 or 8. 9. The precision medical institution (B) is provided with an access controller (50) that operates when receiving transmission data and starts data processing, according to claim 3, 4, 5, 6, 7, 8, or 9. A medical institution support network according to 9.

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