JP2007094943A - Specific disease medical information management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a specific disease medical information management system for attaining both protection of privacy of a patient and the convenience in using medical information by medical doctors and a hospital transfer supporting system for finding a transferred hospital easily. <P>SOLUTION: The specific disease information management system provided with a database and a Web server registers in the database a report created per patient for each admission to a medical institution due to a specific disease. In the specific disease medical information management system, the report can be accessed via network from a medical doctor terminal and a patient terminal, while a patient can set, and deprive of, a right of access to his or her own report. In the hospital transfer supporting system, a transferred hospital can be found quickly and easily by receiving entries from destination of hospital transfer by disclosing on the web information other than one by which an individual patient can be specified from the report with respect to the patient who needs to transfer the hospitals. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a specific disease medical information management system and a hospital transfer support system, and more specifically, for example, a medical treatment for a specific disease that is relatively frequently repeated, such as stroke, diabetes, hypertension, and hyperlipidemia, and repeated hospitalization. The present invention relates to an information management system, a hospital transfer support system, and a computer program for causing a computer to realize these systems.

  The so-called lifestyle-related diseases such as stroke, diabetes, hypertension, and hyperlipidemia are often caused by lifestyle-related diseases. Illness often requires re-hospitalization due to worsening or reoccurrence of symptoms. It is. If the hospitalization for re-hospitalization is a medical institution that has been hospitalized before, it is convenient because medical records remain and it is possible to give consistent and appropriate treatment, but the parties have moved A medical institution other than a medical institution that has been hospitalized before may become a new inpatient because the onset of reoccurrence happens to be a remote place. In such a case, if it is possible to refer to a record of medical care and treatment at a medical institution that has been hospitalized before, it is extremely useful for providing appropriate treatment. However, it is rare for different medical institutions to disclose such medical and treatment records for a particular patient, and even if they are disclosed, There are inconveniences that the recording items, the recording methods, and the like are different and the reference is not easy. In fact, there is almost no record of what medicine the patient actually took at home and what state of health he was in from the previous hospitalization to re-hospitalization.

  On the other hand, along with the digitization of medical information, in recent years, many attempts have been made to store medical treatment and treatment records as electronic data and to create a database and share it. For example, in Patent Document 1, a plurality of hospital terminals, a plurality of user terminals, and a database terminal that manages a database of personal medical information are connected to each other via a communication network. There has been proposed a method for sharing personal medical information, which can restrict access to a database of personal medical information managed by the database terminal, including third parties. However, in this sharing method, the personal medical information that has been shared is restricted or permitted for access to the entire medical information about the individual as a unit, and is registered in the database. There is a problem that it is not possible to flexibly deal with such a case that a specific hospital is allowed to access only specific medical information among the medical information, and the privacy of the user who is a patient cannot be appropriately protected. Of course, in this sharing method, medical information about specific diseases that require home treatment or are likely to be readmitted is reasonably shared between doctors and patients. Such an idea is not seen.

  In order to eliminate the drawbacks of the personal medical information sharing method as described above, a management file is attached to each medical data to be shared, and the access rights of members such as patients and doctors are recorded in the management file. Accordingly, a medical data management system that enables access restriction or permission in units of medical data has also been proposed (see Patent Document 2). However, the medical data managed by this medical data management system includes all medical data generated by medical examinations such as doctor comments, prescriptions, clinical laboratory data, radiographs, etc. When the access rights are managed individually, the number of the access rights becomes enormous. In particular, the burden on patients who are not specialists is extremely large, and it is difficult to manage access rights that are practically effective.

Also, among the diseases targeted by the specific disease medical information management system of the present invention, particularly for stroke, etc., a medical institution called an acute hospital is in charge of treatment immediately after the onset, and after that, when the symptoms settle down It is a disease that often follows the course of rehabilitation and long-term medical treatment after being transferred to another medical institution, and is required to be transferred to another medical institution after a certain period of time after being admitted to an acute hospital. So far, regarding the transfer of inpatients, the actual situation is that the doctor in charge or the medical institution to which he / she belongs individually contacts other doctors and medical institutions to inquire about the possibility of transfer. However, in such a method, it takes a lot of labor and time to find a transfer destination, which is a heavy burden on a doctor or a medical institution.
JP 2001-297153 A JP 2004-102863 A

  The present invention has been made to solve the above-mentioned problems of the prior art, and protects patient privacy and medical information by doctors for specific diseases that are relatively frequently repeated or repeated. To provide a specific disease medical information management system that balances the convenience of use, a transfer support system that can easily find a transfer destination, and a computer program for realizing the system on a computer It is a subject.

  The present invention is a specific disease information management system including at least a database and a web server connected to the database at all times or at any time. (A) The database includes at least one medical institution for a specific disease. A report created for each hospitalization of a patient, information on access rights for the report, member information on registered members, and authentication information on authentication of registered members are registered, and (B) the web server A means for providing a doctor's top page to a doctor's terminal that has made a connection request in response to a connection request from the doctor's terminal via a network; and information necessary for authentication input from the doctor's terminal; Means for authenticating a user of the doctor's terminal based on the authentication information registered in the database; A list page of reports to which the user has access rights based on information about access rights registered in the database for the doctor terminal, with or without waiting for a request from the doctor terminal And a means for providing a new report creation button; a means for providing a new report creation page when the new report creation button is selected on the doctor terminal; and a specific existing report from the report list on the doctor terminal. Means for providing a report reference page or a report edit page for all or a part of the report based on information on the access right registered in the database; New registration with a new report registration request or existing report update request from the terminal Means for registering a new report or updated existing report in the database when a report to be updated or a report to be updated is transmitted; the creator of the report and the report for the registered new report; And (C) the web server is a patient who has made a connection request in response to a connection request from the patient terminal via the network. Means for providing a top page for a patient on the terminal for the patient, which is the same as or different from the top page for the doctor; information necessary for authentication input from the terminal for the patient and registered in the database Means for authenticating the user of the patient terminal on the basis of the authentication information present; after the authentication is completed, Means for providing a list page of reports to which the user has access rights to the patient terminal based on information on access rights registered in the database, with or without waiting for a request from the terminal; When a specific report is selected from the report list page in the patient terminal, all items or one item of the selected report is stored in the patient terminal based on the information on the access right registered in the database. Means for providing a report reference page or a report input page for the item of the department; when a report to be updated is transmitted together with a report update request from the patient terminal, the updated report is registered in the database By providing a specific disease medical information management system comprising means for It is intended to solve the serial challenges.

  That is, according to the specific disease medical information management system of the present invention, what is registered in the database is a report created for each hospitalization of one patient to a medical institution due to a specific disease. Since the access right is registered, the doctor or, in some cases, the medical staff can refer to or edit the report to which the access right belongs through the doctor terminal. The person who has access to a particular report is usually assumed to be the doctor who created the report. The doctor can create a new report and register it in the database. Also, depending on the access rights granted, the doctor edits the report that he / she has access rights to and registers in the database. You can update the report. On the other hand, the patient has access to his / her reports, and he / she can view his / her reports through the patient terminal and input data therein to update his / her registered reports. be able to. Data that the patient inputs about his / her report includes medication history, his / her body temperature, blood pressure, pulse, blood sugar level, and the like.

  In a preferred embodiment of the specific disease medical information management system of the present invention, a doctor sets access rights to other doctors or other medical staff for reports that he / she has access rights to, or other doctors or other medical services. The access right set by the staff can be revoked. The access rights that can be set or revoked by the doctor's authority include, for example, the so-called report reference right to view the contents of a specific report, adding new information to the report, The report editing right that can change the information, and the right to set or remove the report reference right or the report editing right for another doctor or medical staff. In some cases, it is possible to set or remove report reference rights or report edit rights for each item or group of items in one report. However, it is desirable that the access right of the doctor who created the report cannot be revoked.

  In another preferred embodiment of the specific disease medical information management system of the present invention, the patient gives access to a specific doctor through a patient terminal or a specific doctor for each report he / she targets. Or revoking access rights already granted to. This way, patients can protect their privacy at their own discretion because they can show their reports to the doctors they need and not the doctors they don't want to see. be able to. However, it is desirable that the access right of the doctor who created the report is not deprived even by the patient of the report.

  In another preferable aspect of the specific disease medical information management system of the present invention, the doctor searches for the presence or absence of an existing report for the specific patient based on the patient name, medical institution name, year of hospitalization, and month information. be able to. The above information can be obtained, for example, by listening from the patient himself. Since the specific disease medical information management system of the present invention performs a search when all of the above information has been input, for example, a search based only on a patient name cannot be performed even by a doctor. . In other words, if the patient is this doctor, only a doctor who may disclose the past hospitalization history can hear the above information from the patient himself and search for a past report. By doing so, it is possible to search for a report when necessary, but to avoid that the access right becomes substantially meaningless due to the presence of the search means.

  In another preferred aspect of the specific disease medical information management system of the present invention, an secretariat terminal is provided, and the secretariat terminal manages membership information including registration of new members and deregistration of existing members. Management of authentication information related to the authentication of registered members and statistical processing of reports registered in the database can be performed.

  The present invention further relates to a hospital transfer support system comprising at least a database and a web server connected to the database at all times or at any time. (A) The database includes at least one patient to a medical institution. A report created for each hospitalization, information about access rights for the report, member information about registered members, and authentication information about authentication of registered members are registered. (B) The web server is for doctors Means for providing a doctor's top page to a doctor's terminal that has made a connection request in response to a connection request from the terminal via a network; and information necessary for authentication input from the doctor's terminal and the database Means for authenticating the user of the doctor's terminal based on the registered authentication information; and after completion of the authentication, the doctor's terminal Based on information on access rights registered in the database, a list page of reports to which the user has access rights and a new report creation button are displayed on the doctor terminal, with or without waiting for these requests. Means for providing a new report creation page when a new report creation button is selected on the doctor terminal; and when a specific existing report is selected from the report list on the doctor terminal. Means for providing a report reference page or a report edit page for all or a part of the report based on information on the access right registered in the database; registration of a new report from a doctor terminal A new report or update to be registered along with a request or an update request for an existing report Means for registering a created new report or an updated existing report in the database when a report to be registered is transmitted; as a person having access rights to the creator of the report for the registered new report Means for registering in the database, and (C) using at least one of a new report creation page, a report edit page, and other pages provided by the web server to the doctor terminal, The web server is configured to provide a transfer request page to the doctor terminal when the user of the doctor terminal selects use of the transfer support; from the doctor terminal; When there is a transfer request for a patient for a specific report via the transfer request page, Exclude personally identifiable information, extract only the information necessary to determine whether or not to accept a transfer, and access via the web as a transfer request (receiving side) list page or from the transfer request (receiving side) list page Means for enabling transmission as a possible web page, and (D) at least one page provided to the doctor terminal after the web server completes the authentication of the user of the doctor terminal. Is provided with a transfer request (request side) list button and / or a transfer request (acceptance side) list button, and the web server selects the transfer request (request side) list button by the user of the doctor terminal. At least including information that allows the user of the doctor's terminal to identify the individual patient requesting the transfer and the name of the medical institution that has entered Request side) means for providing a list page to the doctor terminal; and when the user of the doctor terminal selects the transfer request (acceptance side) list button, the doctor terminal receives the transfer request (acceptance side) ) Provide means for providing a list page, (E) and the web server can be accepted from the doctor terminal that has selected the transfer request (receiving side) list button via the transfer request (receiving side) list page A means to receive a request for entry after identifying a patient, and request that the patient be transferred to the hospital transfer, and add information such as the institution's name, etc. ) Means for updating the list page; Means for notifying the user of the doctor terminal that requested the transfer by e-mail, etc .; From the doctor terminal of the user who made the change request On request Means for providing an updated transfer request (requesting side) list page to the teacher terminal; When there is a notification of entry acceptance from the doctor terminal via the updated transfer request (requesting side) list page Means for receiving this; means for notifying the user of the doctor terminal that made the entry by e-mail, etc .; from the doctor terminal of the user who made the entry, Means to receive notification of patient transfer completion; Means to add transfer completion information and update transfer request (requester) list page; Notification of transfer completion Means to notify the user of the doctor terminal who requested the transfer by e-mail, etc .; in response to a request from the doctor terminal of the user who requested the transfer, the transfer to the doctor terminal is accepted. Completion information is added A means for providing a transfer request (requesting party) list page; when there is a request from the doctor terminal to grant access to the report to the user of the doctor terminal who has completed acceptance of the transfer Means to receive and update the information on access rights for the report registered in the database; notify the user of the doctor's terminal who has completed the transfer acceptance by e-mail etc. that the access rights have been granted The above-mentioned problem is solved by providing a hospital transfer support system comprising means for performing, and if necessary, means for creating a copy of the report.

  In other words, according to the hospital transfer support system of the present invention, only the information necessary for determining whether or not to accept a transfer is disclosed with the patient information such as a patient name and a specific address lying down. , You can recruit a transfer destination. The transfer receiving side can examine the disclosed information sufficiently to determine whether the transfer can be accepted and to enter the transfer request. On the other hand, the side requesting the transfer can look at the status of the entry, and if there are a plurality of entries, the optimal transfer destination can be selected from them. Such a hospital transfer support system of the present invention may exist as an independent system, and also exhibits an excellent function as a system integrated with the specific disease medical information management system of the present invention. is there.

  In the specific disease medical information management system and / or hospital transfer support system according to the present invention as described above, the authentication of the user of the doctor terminal requires an ID and, for example, a connection request from the doctor terminal to the system. It is desirable to use a password that is sometimes generated and has an expiration date set and can only be used at the time of connection. The generated password can be transmitted to the user by sending an e-mail to a pre-registered e-mail address of the user of the doctor terminal who has made a connection request. In some cases, instead of sending an e-mail, when there is a connection to a predetermined web page from a mobile phone registered in advance of the user of the doctor terminal who requested the connection, the web page is displayed. You may make it tell by displaying the generated password. In any case, since the expiration date is set for the generated password and it is valid only at the time of connection, it is extremely safe.

  Moreover, this invention solves said subject by providing the computer program which functions a computer and a database as said specific disease medical information management system of this invention, and / or the hospital transfer assistance system of this invention. . By such a computer program, the specific disease medical information management system and hospital transfer support system of the present invention can be realized. The specific disease referred to in the present invention means a disease called so-called lifestyle-related disease, which often repeats recurrence and hospitalization, and typical examples include stroke, diabetes, hypertension, hyperlipidemia and the like. Although not limited to these diseases.

  As described above, the specific disease medical information management system of the present invention uses a report created for each hospitalization of one patient to a medical institution due to a specific disease as a unit of medical information, registration of access rights, a doctor terminal, Since it is provided to the patient terminal, not only patients who are unfamiliar with medical care but unfamiliar with the selection of disclosure / non-disclosure of individual medical data can be handled by doctors familiar with medical treatment. There is an advantage that it is easy, and access right setting and removal can be performed intuitively and rationally. In the specific disease medical information management system of the present invention, a doctor can edit a report that he / she has access to, and the patient can also take his / her medication history, body temperature, blood pressure, pulse, blood sugar level, etc. Since it can be input and viewed by a doctor via a doctor's terminal, it is extremely effective for home treatment after discharge.

  Furthermore, in the specific disease medical information management system of the present invention, although doctors can also set or deprive access rights for other doctors or medical staff for individual reports, the setting or deprivation is in principle. It is performed with the consent of the patient himself, and it is also possible for the patient himself to set or remove access rights through the patient terminal. Therefore, in the specific disease medical information management system of the present invention, the ultimate authority to deprive the access right is the subject patient of the report, and the patient himself / herself does not disclose his / her medical information based on his / her will. Since disclosure can be selected, it is possible to rationally balance medical convenience and patient privacy.

  In addition, according to the hospital transfer support system of the present invention, when there are a plurality of entries, it is extremely easy to determine the transfer destination, which conventionally required a lot of labor and time, by comparing these conditions with each other. And the advantage that it becomes possible to perform appropriately is acquired. Such an advantage is extremely useful particularly in the case of a stroke patient who inevitably needs to be transferred from an acute hospital to a rehabilitation or long-term care facility.

  EXAMPLES Hereinafter, although this invention is explained in full detail based on an Example, of course, this invention is not restricted to the thing of an Example.

<System configuration>
FIG. 1 is an overall view of an example of a specific disease medical information management system of the present invention. In FIG. 1, reference numerals 1 and 2 denote a database and a web server constituting the specific disease medical information management system of the present invention, respectively, and exist in the Internet data center 3. The web server 2 is always or occasionally connected to the database 1 to read out information from the database 1 and record information in the database 1, as well as a proxy server 4 having an anti-virus function and an encrypted communication function, It is connected to the Internet network 7 via a firewall 5 and a router 6. In the illustrated example, both the database 1 and the web server 2 exist in the same Internet data center 3, but the database 1 and the web server 2 do not necessarily have to be physically close to each other. For example, it may exist in a remote place or in a different Internet data center and be connected via a network as needed.

  The database 1 includes at least a report generated for each hospitalization of a patient to a medical institution due to a specific disease, which will be described later, information on access rights for the report, name of a registered member, name of a medical institution, mail Member information such as an address and a device-specific number of a mobile phone, and ID information and password, and authentication information related to authentication of a registered member such as biometric authentication information are registered. Although the database 1 is shown as a physically single database in the illustrated example, it may be composed of a plurality of databases, and the plurality of databases are not necessarily physically close to each other. May be. Further, although the web server 2 is also shown as a single server in the illustrated example, the web server 2 may be composed of two or more servers that divide and bear the function. A database server may be used in between.

  8 and 8 are doctor terminals, 9 is a patient terminal, and 10 is a secretariat terminal, both of which are connected to or connectable to the Internet network 7 via a provider (not shown). 11, 11, 11 are mobile phones, which are used by users of the doctor terminals 8, 8 or users of the secretariat terminal, respectively. Is registered in the database 1. Reference numeral 12 denotes a non-contact IC card reader / writer which is provided in the patient terminal 9. Note that the non-contact IC card reader / writer 12 is not required when authentication using an IC card to be described later is not performed. Reference numeral 13 denotes a mobile phone company, and reference numeral 14 denotes a mail server installed in the mobile phone company. Reference numeral 15 denotes an IC card.

<Authentication of doctor terminal user>
FIG. 2 is a diagram showing a flow from when a doctor who is a user of the doctor terminal 8 issues a connection request to the web server 2 constituting the system of the present invention via the Internet network 7 and receives authentication. That is, as shown in FIG. 2, when a doctor inputs a URL of a site that is a doctor portal of the system of the present invention and issues a connection request to the web server 2 from the doctor terminal 8, the web server 2 A top menu page having an ID input window is transmitted to the terminal 8. When the user of the doctor terminal 8 inputs his / her ID and sends back the page, the web server 2 accesses the database 1 and compares it with information on authentication of registered members registered in the database 1. It is confirmed whether or not the assigned ID exists as that of the doctor member, and if it exists, its validity or invalidity is confirmed.

  If the entered ID is confirmed as being a member of a doctor member and is confirmed to be valid, the web server 2 transmits a password input page to the doctor terminal 8 and A password that is used only once for this authentication, that is, a one-time password, is generated, a validity period is set, they are registered in the database 1, and the email address of the doctor member registered in advance is set. Send the generated one-time password by e-mail. The email address of the doctor member registered in advance includes, for example, a mail address of a mobile phone or a personal computer, and this personal computer may be the doctor terminal 8. At this time, the password input page to be transmitted to the doctor terminal 8 indicates that the one-time password is sent to the mobile phone by e-mail or that the e-mail has been sent. You can check the incoming mail on your mobile phone and find out the assigned password. However, when the one-time password is emailed to the mobile phone or the user of the doctor terminal 8 can be notified by other means that the email has been sent, or when the notification is not necessary Needless to say, the password input page does not need to display whether the one-time password is sent by e-mail to the mobile phone or that the e-mail has been sent. The one-time password is received via the mail server 14 of the mobile phone company 13 in FIG. 1 to the mobile phone of the doctor member who is the user of the doctor terminal 8, and the doctor member uses the one-time password used for this authentication. You will get a password.

  Alternatively, instead of sending the generated one-time password by e-mail to the doctor member's mobile phone, the web server 2 has a connection from the mobile phone registered in advance by the doctor member to another web page provided by the web server 2. You can wait for it. When there is a connection from a mobile phone to another web page, the web server 2 queries the database 1 for the device specific number of the mobile phone of the connection source, and this is the mobile phone registered in advance for the doctor member. Check if it is a device-specific number, and if it is confirmed, display the one-time password on the connected web page. I can tell you. Even in this case, a message prompting to obtain a one-time password is displayed on the password input page transmitted to the doctor terminal 8 by connecting to a predetermined URL by a registered mobile phone. desirable.

  When a doctor member who is a user of the doctor terminal 8 obtains a one-time password, inputs it on the password input page and transmits it, the web server 2 stores the transmitted one-time password and its expiration date in a database. When the confirmation is made, the completion of authentication is registered in the database 1 and the authentication completion page and / or menu page is transmitted to the doctor terminal 8.

  The above is the flow from the connection request from the doctor terminal 8 by the doctor member to the authentication, but the authentication method is not necessarily limited to the combination of the ID and the one-time password as described above. Instead of the one-time password, a normal fixed password may be used, biometric authentication such as a fingerprint, a palm vein pattern, and a retina pattern may be used, and the authentication procedure is not necessarily as described above. .

<Creation / editing of reports by doctor terminals>
When the user authentication is completed based on the connection request from the doctor terminal 8 as described above, the user of the doctor terminal 8 can use various services provided by the system of the present invention. . A typical service provided by the system of the present invention is creation, editing, or reference of a report created for each hospitalization of a patient to a medical institution due to a specific disease.

  FIG. 3 is a flowchart showing an example of a procedure for creating or editing a report by a doctor member. After the authentication is completed, the web server 2 provides the doctor terminal 8 with a menu page with options for editing and / or referencing an existing report or creating a new report, for example. From this menu page, a doctor member who is a user of the doctor terminal 8 can select whether to edit and / or refer to an existing report or create a new report. When the user of the doctor terminal 8 selects creation of a new report, the web server 2 provides the doctor report terminal 8 with a new report creation page. When the user of the doctor terminal 8 selects editing and / or referencing of an existing report, the web server 2 stores the information on the access right registered in the database 1 to the doctor terminal 8. Provide a list page of reports that the user has access to. Depending on the access rights possessed by the doctor member who is the user of the doctor terminal 8, both the reference and the edit can be performed for a specific report, but the edit cannot be performed for a specific other report. In some cases, only reference is possible. In such a case, the difference is displayed in a color-coded manner in the report list, or each report is provided with "Edit" and "Reference", and only one of the valid ones is emphasized, or A URL may be embedded on the display side, and the mouse pointer may be changed to display that it is possible to jump to the “edit” or “reference” page.

  If necessary, you can refer to and edit specific items in a report, but you can only refer to other items, or you can refer to only specific items. As described above, it is also possible to set the details of the access right in detail for each item or group of items in the report. In such a case, it is a matter of course that items without reference rights are not displayed on the doctor terminal 8 that requested the reference, and items with reference rights but no editing rights are input. It is good not to accept.

  As another example, instead of providing the menu page as described above, the web server 2 has an access right to the user of the doctor terminal 8 based on information on the access right registered in the database 1. The report list page can be immediately provided to the doctor terminal 8. In this case, it is preferable to provide a new report creation button on the list page of the provided report. When the user of the doctor terminal 8 selects this new report creation button, the web server 2 provides a new report creation page to the doctor terminal 8 as described above. Even in this case, when there is a difference between the report that can be referred to only and the report that can be edited as well as the reference based on the access right that the user of the doctor terminal 8 has. It is desirable to display the difference on the report list page. Also, if the type of access right differs for each item in the report, as in the case described above, the item without reference right is not displayed on the doctor terminal 8 that requested the reference, and the reference right However, it is better not to accept input for items that do not have editing rights.

  When the user of the doctor terminal 8 selects a specific report on the report list page displayed as described above, the web server 2 displays the report reference page or report edit page of the selected report as a doctor. Provided to the service terminal 8. Both the report reference page and the report edit page have a common format, and as input items, for example, basic information such as patient name, date of birth, age, gender, address, height, weight, blood type Information about hospitalization, date of hospitalization, observations at the time of hospitalization, test results at the time of hospitalization, etc., as information about images, such as radiographs, CT images, MRI images, ultrasound images And findings, treatment, type of medication, amount, surgical procedure for surgery, etc. However, the items and information that are input are not limited to these, and each medical information It is not mandatory also be classified as above. In any case, in the specific disease medical information management system of the present invention, since the target medical information is related to the specific disease, the settings of the input items of the report and the settings of the format are compared. There is an advantage that it is easy to create a report in a unified format and register it in the database.

  In the specific disease medical information management system of the present invention, the access right for the report of the user of the doctor terminal 8 can be set in detail for each item or for each user's job system. For example, although the user of the doctor terminal 8 is usually a doctor, it is possible to envisage medical staff other than doctors such as nurses, radiologists, and pharmacists as users of the doctor terminal 8, For example, when the user of the doctor terminal 8 is a nurse, even if all items are displayed as reportable items, only vital items such as body temperature and blood pressure can be edited. Can be displayed. In addition, when the user of the doctor terminal 8 is, for example, a radiologist or a pharmacist, setting is made so that only a report with access rights can be referred to, or a radiologist in a report with access rights. Or you may enable it to refer only to the item with which a pharmacist is especially relevant.

  The newly created report is basically the same as the existing report, but the creator of the new report is limited to a doctor. For example, when the authenticated user of the doctor terminal 8 is not a doctor, Selection of a new report and a new report creation button are determined to be invalid by the web server 2. The creator of a new report is usually given unconditional access to the report. That is, when the user of the doctor terminal 8 creates a new report, requests registration thereof, and the web server 2 newly registers the report in the database 1, the information on the access right of the report is The access rights of the report creator are registered.

  In any case, the user of the doctor terminal 8 who edits the selected specific report or creates a new report inputs the basic information described above such as the patient's name, age, date of birth, etc. as necessary. When the input of such basic information is completed or has already been completed, medical information that can be input at that time is appropriately input from the above-described medical information regarding hospitalization, images, treatment, or discharge. Needless to say, it is not possible to input such medical information for a report that is only authorized to view the report. Note that FIG. 3 shows an option “use of transfer support”, which will be described later.

  The above-described report edit page, report reference page, or new report creation page can be provided with a button for exporting the input medical information in the XML format in accordance with established predetermined tag rules. By doing so, it is possible to use the input medical information in other medical information systems, statistical software, and the like.

  As described above, when the basic information and / or medical information necessary for the report is input, the user of the doctor terminal 8 selects the report completion button on the report edit page or the new report creation page. Then, the completion of the editing or new creation of the report is declared, the edited or created report is transmitted to the web server 2, and the update or new registration is requested to the web server 2. The web server 2 receives the report update or new registration request and the transmission of the updated or newly created report, checks the format as necessary, and updates the existing report in the database 1 if there is no problem. Or register a new report in the database 1.

  In the example shown in FIG. 3, the report completion button is selected when the report editing or new creation is temporarily terminated with the possibility of re-editing, and when the patient is discharged from the hospital. It can mean both when the editing is completely completed, and the web server 2 cannot recognize which one, but for example, a report completion button on the report editing page or the new report creation page And the edit end button are distinguished from each other, and the report end button is selected only when the report has been completely edited or created, and the edit end button is selected when there is room or possibility of editing again. Thus, the two may be distinguished. In this case, when the report completion button is selected, the web server 2 desirably disables the subsequent editing of the report.

  In order to give an incentive to the creation of a report, when a report completion button is selected, points may be given to the user of the doctor terminal 8 who has edited or newly created the report. Such points are automatically given to the user by the web server 2 and registered in the database 1.

  As shown in FIG. 3, in the specific disease medical information management system of the present invention, in addition to the above functions, a summary is created and printed based on the created report, or a medical certificate is automatically created in various predetermined formats. A function to create and print automatically is added. The printed summary can be bound in a medical chart at each medical institution, and a medical certificate can be given to the patient or submitted to an insurance company as needed.

<Change of access right from doctor terminal>
In a preferred aspect of the specific disease medical information management system of the present invention, an access right setting button is provided on at least one of the above-described report edit page, report reference page, report new creation page, or report list page. Is provided. If an access right setting button is provided on the report edit page, report reference page, or new report creation page, selecting that access right setting button will cause the edit, reference, or new report to be created. An access right setting request is transmitted to the web server 2. On the other hand, when the access right setting button is provided on the report list page, after selecting the target report in the report list in advance, the access right setting button is selected or the access right setting button is selected. Then, by selecting a target report from the report list, an access right setting request for the selected report is transmitted to the web server 2. Of course, an access right setting button may be provided on other pages other than the above pages. In that case, after selecting the access right setting button, the report list is called and the target is selected from the report list. When a report is selected, an access right setting request for the selected report is transmitted to the web server 2. In any case, when the user of the doctor terminal 8 selects this access right setting button and transmits an access right setting request for a specific report, the web server 2 sets the access right as shown in FIG. The page is provided to the doctor terminal 8.

  As can be seen from the access right setting page shown in FIG. 4, the registration status of the access right regarding the report at that time is displayed under “Authority status”. That is, in the example shown in FIG. 4, it can be seen that one member named “Shimizu” of “Koran” hospital is permitted to access the report. Of course, when there are two or more members who have access rights to the report, the names are displayed. In addition, if there is a history of setting or deprivation of the access right for the report, the history is also displayed together with the name of the member who performed the setting or deprivation as necessary. As a result, the member who sees the “authority status” can know the current status and history of the access right for the report.

  In FIG. 4, there is a box marked “stripped” to the left of the member name “Shimizu” of “Kōnan” hospital. For example, if you check this box and select “Register” in the lower right, The information is transmitted to the web server 2, and the web server 2 registers in the database 1 the access rights for the member “Shimizu” of “Koran” hospital withdrawing access rights. On the other hand, there is a “grant” box on the left side of “registration”. When a member name to which access right is to be given is input and “registration” is selected in this box, the information is transmitted to the web server 2, and the web server 2 inquires of the database 1 about the existence of the inputted member, and if the existence can be confirmed, grants the access right of the inputted member about the report to the database 1.

  Note that the access right setting page shown in FIG. 4 does not display the type of access right to be granted or revoked for the sake of convenience. Right or access rights that allow editing as well as reference, and it is possible to designate grant or removal of access rights for reference or editing for each item or group of items in the report. Typically, only members who have edit access to the report can grant or revoke edit access to other members and only have access to view A member can only grant access to other members or remove access from other members. It is also possible to change the report creator's status for the report to another doctor member. However, it is a matter of course that only the report creator can change the status of the report creator to another doctor member. In these cases, by opening the window from the access right setting page, a list of names of registered doctors and the names of medical institutions to which they belong is displayed, or an initial of the name is entered, It is convenient to display a list of medical staff such as the corresponding doctors when the name of the medical institution to which the user belongs is entered.

  If the access right change request is transmitted from the doctor terminal 8 via the access right setting page in either case of deprivation or grant, the web server 2 sends such a change request to the database 1. sign up. As for such a change in access right made from the doctor terminal 8, the subject patient of the report accesses the web server 2 via the patient terminal and knows the details of the change as will be described later. If there is any inconvenience, the access right can be further changed from the terminal for the patient. By providing such a mechanism, in the system of the present invention, the patient is the user of the doctor terminal 8 while guaranteeing the ultimate authority for granting and depriving the user of access rights for his / her reports. The doctor can be given the freedom to change the access rights for the selected report.

<Report search from doctor terminal>
In another preferred aspect of the specific disease medical information management system of the present invention, at least one of the above-described report edit page, report reference page, report new creation page, report list page, access right setting page, or other page. For example, a report search window as shown in FIG. 5 is provided. The report search window includes a box for inputting the date of hospitalization in the past, a box for inputting the name of a medical institution, and a box for inputting the name of a target patient. When the “Search” button is selected after inputting “”, the information is transmitted to the web server 2, and the web server 2 confirms that all the above items have been input. The database 1 is inquired whether there is a report that satisfies all of these conditions, and the result is provided to the doctor terminal 8 only in the number of the corresponding reports. Therefore, when there is an answer to the search result from the web server 2, even if there is a corresponding report, the user of the doctor terminal 8 only knows the number of the corresponding reports, and the details are as follows. I do not understand. In order to know the details of the corresponding report, it is necessary to ask the patient who is the subject of the report to grant access to the report.

  Information on past hospitalizations can be obtained, for example, by listening from the patient himself. The report search window as described above is useful, for example, for searching past hospitalization records based on the memory of new inpatients. It is. Since the system of the present invention performs a search when all the above-mentioned information specified by the report search window is input via the report search window, for example, a search based only on the patient name is performed by a doctor. I can't do it. For this reason, even if a new inpatient has previously been admitted to another medical institution, if he / she does not want to reveal it to the doctor in charge of the medical institution, he / she tells the past hospitalization date and the name of the medical institution. Without it, you can protect your privacy. By doing in this way, in the system of the present invention, it is possible to search for reports when necessary, but to avoid that the access right becomes substantially meaningless due to the presence of search means. it can.

<User terminal user authentication and services provided>
FIG. 6 is a diagram showing an overview of the authentication of the user of the patient terminal and the service provided to the patient terminal from the system of the present invention after the authentication. As shown in FIG. 6, when the user of the patient terminal 9 inputs the URL of the site serving as the patient portal of the system of the present invention and issues a connection request to the web server 2, the web server 2 9 transmits a top menu page having an ID input window. In this case, the URL of the site serving as the portal for the patient may be the same as the URL of the portal for the doctor, but it is preferable to provide a portal site for the patient separately from the URL for the doctor. By providing a portal for patients and a portal for doctors separately, each portal has a selected user, a patient suffering from a specific disease or a doctor engaged in the treatment of a specific disease. As a result, the advantage of increasing the value of each portal site as an advertising space can be obtained.

  When the user of the patient terminal 9 inputs his / her ID and sends back the page, the web server 2 accesses the database 1 and compares it with information relating to the authentication of the registered member registered in the database 1. It is confirmed whether or not the identified ID exists as that of the patient member, and if it exists, whether it is valid or invalid. When the input ID is confirmed as the patient member and its existence is confirmed as valid, the web server 2 reads the contactless IC card reader provided in the patient terminal 9. The writer 12 is brought close to a predetermined IC card 15 previously registered in a database such as an Edy card, for example, and the number recorded on the IC card is urged to be transmitted to the web server 2. When the transmitted IC card number matches the IC card number of the patient already registered in the database 1, the web server 2 registers the authentication completion in the database 1, and the authentication completion page and / Or A menu page is transmitted to the patient terminal 9.

  The authentication method described above is merely an example, and an authentication method using a one-time password may be used for authentication of the user of the patient terminal 9 as in the case of authentication of the user of the doctor terminal 8. Authentication using a normal ID number and a fixed password or biometric authentication may be used. Needless to say, when the IC card authentication method is not used, the patient terminal 9 need not be equipped with the non-contact IC card reader / writer 12.

  When the authentication is completed as described above, the web server 2 provides a menu page to the patient terminal 9, and the menu page includes, for example, “report reference”, “information input”, There are options such as “change access rights”. When the patient who is the user of the patient terminal 9 selects the reference of the report, the web server 2 has the access right based on the information about the access right registered in the database 1. A report, that is, a list page of reports about the patient is provided to the patient terminal 9. Alternatively, instead of providing a menu page, a list page of reports to which the patient has access right is immediately provided to the patient terminal 9 after the authentication is completed without waiting for a request from the patient terminal 9. Anyway. In that case, it is desirable to provide an information input button and an access right change button on the report list page.

  A patient who is a user of the patient terminal 9 can refer to the report by selecting the report to be referred to from the provided report list. In this case, the patient himself / herself can deprive himself / herself of the reference authority for a specific item in his / her report such as a doctor's findings and register it in the database 1 in advance. This ensures that the patient has the right to not see items that they do not want to see in the report.

  When the patient who is the user of the patient terminal 9 selects “input information” from the menu page or selects an information input button without selecting a specific report from the report list page, the web server 2 When a list page of reports to which the patient has access is provided to the patient terminal 9 and a report on which the patient wishes to input information is selected on the list page of the provided reports, the web server 2 Then, an information input page for the selected report is provided to the patient terminal 9. When a patient who is a user of the patient terminal 9 selects a specific report from the report list page and selects an information input button, the web server 2 displays an information input page for the selected report. Is provided to the patient terminal 9.

  When the patient inputs data such as medication history, meal content, body temperature, blood pressure, pulse, blood glucose level on the information input page for a specific report on the day or the previous day, and selects the input completion button The content is transmitted to the web server 2, and the web server 2 updates the report registered in the database 1 based on the transmitted content. On the other hand, on the condition that doctors have access rights, the updated report can be viewed through his / her doctor terminal 8, and the health status and treatment of the patient being treated at home The condition can be closely monitored and the patient can be given appropriate advice and, where necessary, instructions on the type of medication or changes in dosage.

  When the patient who is the user of the patient terminal 9 selects “change access right” from the menu page or selects the change access right button without selecting a specific report from the report list page, the web server 2 When a list page of reports to which the patient has access rights is provided to the patient terminal 9 and a report for which the patient desires to change access rights is selected on the list page of the provided reports, the web page is displayed. The server 2 provides the patient terminal 9 with an access right change page for the selected report. When the patient who is the user of the patient terminal 9 selects a specific report from the report list page and selects the access right change button, the web server 2 accesses the access right for the selected report. The change page is provided to the patient terminal 9.

  The access right change page provided to the patient terminal 9 is basically the same as the access right setting page provided to the doctor terminal 8 shown in FIG. In this access right change page, the contents of the access right currently set for the report are displayed together with the history of access right setting or deprivation so far, so that the patient who is the user of the patient terminal 9 If there is any inconvenience regarding the access right that has already been set or revoked after confirming its contents, the access right granted to a specific doctor, etc. on this page may be revoked, The access right for the report can be changed by granting the access right to the report or the like. However, deprivation of access rights for the doctor who created the report is prohibited.

  In the above cases, by opening the window further from the access right change page, a list of registered doctors' names and the names of medical institutions to which they belong is displayed. It is convenient to display a list of medical staff such as the corresponding doctor when inputting or the name of the medical institution to which the user belongs.

  The information about the changed access right is transmitted to the web server 2 by selecting the “Register” button on the access right change page. When the web server 2 is requested to grant the access right, After confirming the existence of a member who has been granted access rights, and if there is a request for the removal of access rights, confirm that the member whose access rights are to be removed is not the doctor who created the report. Above, the information regarding the access right registered in the database 1 is updated.

<Secretariat terminal>
The specific disease medical information management system according to the present invention includes a secretariat terminal 10 that is connected to the web server 2 and / or the database 1 as needed, either directly or via a network, as means for appropriately managing the database 1 and the web server 2. It is preferable. The secretariat terminal 10 is operated by a secretary who manages the system and is connected to the web server 2 and / or the database 1 to manage member information including at least new member registration and existing member deregistration. Means for performing authentication, means for managing authentication information relating to authentication of registered members, and means for statistically processing reports registered in the database. Therefore, registration of new members, registration in the database 1, or deregistration of registered members by withdrawal are performed via the secretariat terminal 10. The secretariat (not shown) assigns an ID to the member when registering the new member, registers it in the database 1 via the secretariat terminal 10, and also the mobile phone number owned by the member and the device unique number, Furthermore, new registration, change, suspension, etc. of a mail address such as a mobile mail address, Internet mail, IC card number, etc. are accepted and registered in the database 1 through the secretariat terminal 10 as appropriate.

  Further, the secretariat terminal 10 includes statistical processing means inside itself or in the web server 2, and searches a large number of reports registered in the database 1 using specific items as keys to list them. It has a means for requesting rearrangement or accumulation, and can perform statistical processing regarding specific diseases across different medical institutions. In addition, it has a function to comprehensively manage a list of medical institutions to which a member belongs or does not belong, information on drug names related to a specific disease, information on the drug, and various techniques used for treatment of a specific disease. Can have both. In addition, regarding the export of medical information in the XML format provided to each doctor's terminal 8, management of established XML tags, setting of new tags, etc. are performed, and they are registered in the database 1 as necessary. The server 2 is also provided with means for encouraging the well-known thorough understanding of the established XML tag.

  Further, the secretariat terminal 10 is connected to the web server 2 and / or the database 1 and is basically given as basic information about access rights, for example, according to the classification of doctors, nurses, radiologists, pharmacists, patients, etc. It also has means for setting and managing the types of access rights that are registered. Note that the flow from the connection request to the web server 2 from the secretariat terminal 10 to the completion of authentication is the same as the flow from the connection request to the web server 2 from the doctor terminal 8 to the completion of authentication. .

<Hospital transfer support system>
The specific disease medical information management system of the present invention described above can include a hospital transfer support system. The hospital transfer support system is a system that supports the work of finding out the recipient when an inpatient is transferred to another medical institution. Situations that require hospital transfer include, for example, hospital transfer to a local medical institution due to a sudden onset on a trip, transfer to a medical institution in the vicinity of the original residence area, or stroke Although it suddenly develops, it is necessary to be hospitalized in a medical institution called an acute hospital immediately after the onset, but when the symptoms settle down, it is necessary to transfer to another medical institution for rehabilitation or long-term treatment. There are cases. The hospital transfer support system of the present invention is effective for making it easy and simple to find the destination of the transfer regardless of the type of disease of the target patient.

  Hereinafter, the hospital transfer support system of the present invention will be described based on an example included in the specific disease medical information management system of the present invention. However, the hospital transfer support system of the present invention is included in the specific disease medical information management system of the present invention. It is not only useful as a transfer function related to a specific disease, but is also useful when it is necessary to transfer hospitals for various causes in general medical institutions. Is.

  In the specific disease medical information management system of the present invention, in order to use the hospital transfer support system, “use of hospital transfer support” may be selected in FIG. 3 described above. In FIG. 3, the option of “use of transfer support” is on the edit, reference or new creation page for the specific report. Therefore, when “use of transfer support” is selected in this state, the web server 2 is selected. For example, it is determined that it is “use of transfer support” for a specific report, and a transfer request page for the specific report as shown in FIG.

  The page provided with the option of “use of transfer support” is not limited to an edit, reference, or newly created page for a specific report, but other pages that the web server 2 provides to the doctor terminal 8 after the authentication is completed. Any one or two or more can be provided. However, if “use of transfer support” is selected without specifying the target report, the web server 2 provides the report terminal page and the like together with the transfer request page to the doctor terminal 8 as a window, for example, You can prompt the user to specify the target report. When the user of the doctor terminal 8 selects and designates a target report, windows such as a report list page may be deleted.

  The flow from the hospital transfer request to the hospital transfer completion in the hospital transfer support system of the present invention proceeds, for example, as shown in FIG. That is, in the medical institution requesting the transfer, as a premise, it is necessary to create a report of the patient to be transferred via the doctor terminal 8. In the report, the name, sex, age, date of birth, address, etc. of the patient are described as basic information, and of course, the type of disease is also described. Next, prior to making a transfer request via the transfer request page as shown in FIG. 7, for example, paralysis is important in determining whether the hospital receiving hospital can accept the patient. Therefore, it is necessary to input medical information such as a disorder type recognized by the patient, such as swallowing, breathing, and cognition, and an index value of a daily activity level called a Barthel Index (BI) of the patient. If such medical information already exists in the report, that is fine, but if any of them has not yet been entered, it is necessary. The input may be performed from a transfer request page, or may be performed from a report edit page or a new report creation page. The inputted medical information is naturally medical information of the report. When necessary application information is input, an application date is input, and an application button (not shown) is selected, the information is transmitted to the web server 2 as a transfer request.

  When there is a transfer request from the requesting doctor's terminal 8, the web server 2 receives the request and confirms whether or not the necessary items for the transfer request are input, and then reports the report. Excludes information that can identify the individual patient from the medical information entered in, extracts only the information necessary for the receiving side to determine whether or not to accept the transfer, and requests a transfer via the web. (Receiving side) A means for enabling transmission as a list page is provided. If there is a lot of information necessary for the accepting side to decide whether or not to accept the transfer, and it does not fit in the transfer request (accepting side) list page or its prescribed column, the web server 2 will determine whether the accepting side can accept the transfer. The information processing apparatus further includes means for enabling transmission of all or a part of the information necessary for the determination as a web page accessible from the transfer request (receiving side) list page. The information necessary for the accepting side to determine whether or not to accept the transfer is, for example, the above-mentioned disorder types recognized by the patient, such as paralysis, swallowing, breathing, cognition, etc. Regarding basic information, although it is gender, age, approximate address area, etc., if necessary, the receiving side judges whether or not to accept the transfer for all information other than information that can identify the individual patient included in the report It is good to make it necessary information.

  The web server 2 extracts information necessary for determining whether or not to accept the transfer from the patient's report, along with information from other reports extracted based on other transfer requests, via the web. As a request (accepting side) list page and, if necessary, as a web page accessible from the transfer request (accepting side) list page, it is set in a transmittable state. Information from other reports extracted based on other transfer requests includes information extracted from other reports based on other transfer request requests from the same doctor terminal 8 or different doctor terminals 8. . Based on the request from the doctor terminal 8 on the transfer acceptance candidate side, the web server 2 displays the information necessary for determining whether or not to accept the transfer on the receiving side on the transfer request (receiving side) list page or the transfer request (receiving side). It is provided as a web page accessible from the list page to the requested doctor terminal 8. Information constituting the web page accessible from the transfer request (accepting side) list page or the transfer request (accepting side) list page is extracted from each report and can be transmitted as a file in the web server 2 or the database 1 It may exist, and each time it transmits in response to a request from the doctor terminal 8 on the transfer acceptance candidate side, it is in a transmittable state by extracting necessary information from the corresponding report each time. Also good.

  On the other hand, in the medical institution on the transfer acceptance candidate side, the transfer request (acceptance side) is selected by appropriately connecting to the system of the present invention via the doctor terminal 8 and selecting the transfer request (acceptance side) list button. You can see the list page. The transfer request (accepting side) list button may be on at least one page provided to the doctor terminal 8 by the web server 2 after the user authentication is completed. In the medical institution on the transfer acceptance candidate side, from the transfer request (acceptance side) list page, the patients who can be accepted are classified as the type and degree of disability type, address area, gender, age, disease type, BI. Depending on the value, etc., and in some cases, for example, based on other information provided as a web page accessible from the transfer request (accepting side) list page, select an acceptable patient and select the patient Check the check box for, or enter the hospitalization date for the patient, and select the “Register” button, for example, to send an entry request to the web server 2. The web server 2 can determine that it is an entry request based on the transmitted information.

  The web server 2 that has received the entry request adds entry information such as the name of the medical institution and / or the name of the doctor, the hospitalization date, etc. to the report of the patient, and the same doctor or the same medical institution has already made a transfer request. Report of other patients who have been registered, and entry information that does not follow them, together with the entry information, transfer request (requesting) list page and transfer request (receiving) list via the web The transfer request (request side) list page is updated by making it possible to transmit as a web page accessible from the page.

  Upon receiving the entry request from the doctor terminal 8 of the medical institution on the accepting candidate side, the web server 2 updates the transfer request (request side) list page as described above and indicates that the entry has been made. The user of the doctor terminal 8 that has made the request is notified by, for example, a mobile mail or an e-mail. In this way, the web server 2 automatically notifies the fact when there is an entry by e-mail or the like, so that the medical institution doctor who made the transfer request can know the fact of the entry without delay. Guaranteed.

  A doctor who is informed that an entry has been made by e-mail notification or the like connects to the system of the present invention via the doctor terminal 8 and selects a transfer request (request side) list button to request a transfer request (request). Side) By looking at the list page, it is possible to know the specific contents of the entry such as the name of the medical institution and / or the name of the doctor who made the acceptance and the date of acceptance. The transfer request (request side) list button may be on at least one page provided to the doctor terminal 8 by the web server 2 after the user authentication is completed.

  The doctor at the medical institution who requested the transfer sees the transfer request (requesting) list page, knows the specific contents of the entry, considers the conditions such as the medical institution and doctor who entered, the hospitalization date, Furthermore, when there are a plurality of entries, each condition is compared and examined, and a receiving doctor and / or medical institution is determined. The decision can be made, for example, on the transfer request (request side) list page, and one of the entries shown on the list page can be selected and the decision button can be selected. When the doctor on the medical institution side who requested the transfer request determines the doctor on the receiving side and / or the medical institution and transmits the determination to the web server 2 via, for example, the transfer request (request side) list page, the web server 2 fills in the transfer request (accepting side) list page, updates the transfer request (accepting side) list page, and decides as the transfer receiving address for the doctor and / or medical institution determined as the receiving address Notify you by e-mail. As a result, the determined doctor and / or medical institution knows that the transfer destination has been determined, and if necessary, connects to the system of the present invention via the doctor terminal 8 and receives a transfer request (reception side). ) You can confirm this by looking at the list page.

  When the transfer destination is determined as described above, the doctor who requested the transfer explains to the patient about the transfer destination, and if necessary, interviews the patient and the medical institution or doctor who receives the transfer. As a result of the interview, if the medical institution or doctor who receives the transfer finally decides to accept, the medical institution or doctor connects to this system via the doctor terminal 8 and receives, for example, a transfer request (acceptance) Side) On the list page, the fact that the transfer is finally completed is input and transmitted to the web server 2. Based on the transmitted information, the web server 2 determines that it is a notification of the completion of hospital transfer acceptance, fills it in the hospital transfer request (request side) list page, and requests the hospital transfer (request). Side) Update the list page and notify the requesting medical institution or doctor by e-mail or the like that the receiving side medical institution or doctor has finally received a notification of acceptance completion.

  The requesting medical institution or doctor who has received notification that the final acceptance has been received by e-mail or the like connects to this system via the doctor terminal 8 and lists the transfer request (requesting party). You can check the fact on the page. In addition, a medical institution or doctor who has confirmed the fact becomes a target by checking the corresponding box on the transfer request (request side) list page and transmitting or selecting the corresponding button, for example. The web server 2 is instructed to grant the access right for the patient report to the receiving medical institution or doctor. Upon receiving the instruction, the web server 2 updates the information regarding the access right registered in the database 1, creates a copy of the report as necessary, and provides it to the medical institution or doctor on the hospital transfer side. When the transfer request procedure is completed in this way, points may be given to the doctor on the transfer request side and / or the transfer receiving side in order to give an incentive to the use of this system. Points are automatically given by the web server 2 and registered in the database 1.

  In addition, the web server 2 has been given access right to the doctor on the hospital transfer side for the report on the patient transferred to the hospital, and therefore, the patient report can be referred to in its entirety including information for identifying the individual. This is notified to the medical institution or doctor on the transfer side by e-mail or the like. Thereafter, the doctor on the hospital transfer side can refer to the patient's report from his / her doctor terminal 8 as appropriate, and can also create a new report based on a copy of the report provided from the web server 2. Can be created.

  As described above, the transfer support system of the present invention in the state included in the specific disease medical information management system of the present invention has been described. Clearly, it is not effective and is useful in all cases where a transfer from one medical institution to another is required, regardless of the type of disease.

  The specific disease medical information management system of the present invention and the transfer support system of the present invention as described above are realized by a computer program that causes a computer and a database serving as a server to function as a specific disease medical information management system or a transfer support system. Such a computer program is extremely useful, and even if no specific program list is disclosed, what kind of program is the above-mentioned specific disease medical information management system of the present invention and the transfer of the present invention. It is obvious to those skilled in the art from the description of the support system.

  As described above, the medical information management system for specific diseases of the present invention is suitable for patients suffering from diseases called lifestyle-related diseases that have a high possibility of recurrence, transfer, and readmission even if the medical institution or doctor changes. It is a useful means of facilitating continuous and consistent treatment while maintaining the necessary self-privacy, and also an effective auxiliary means of home care. In addition, for medical personnel such as doctors who are involved in the treatment of specific diseases, there is a great advantage that a database in a common format for patients suffering from specific diseases can be used. Furthermore, according to the hospital transfer support system of the invention or the specific disease medical information management system of the present invention that includes the system, the number of transfer hospital recipients that conventionally had to be disclosed individually and searched for in a short time It can be found with a great deal of effort and is extremely useful for medical personnel such as doctors and patients, and there is a tremendous improvement in the convenience provided to the medical industry.

It is a whole block diagram of an example of the specific disease medical information management system of this invention. It is a figure which shows the flow from the connection request | requirement from a terminal for doctors to the completion of authentication. It is a flowchart which shows an example of the procedure of preparation or editing of the report by a doctor terminal. It is a figure which shows an example of an access right setting page. It is a figure which shows an example of a report search window. It is a figure which shows the outline of the service provided to the patient terminal from the system of this invention after authentication of the user of the patient terminal and authentication. It is a figure which shows an example of a transfer request page. It is a figure which shows the flow from the hospital transfer request to the hospital transfer completion in the hospital transfer support system of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Database 2 Web server 3 Internet data center 4 Proxy server 5 Firewall 6 Router 7 Internet network 8 Doctor's terminal 9 Patient's terminal 10 Secretariat terminal 11 Mobile phone 12 Non-contact IC card reader / writer 13 Mobile phone company 14 Mail server 15 IC card

Claims (10)

  A specific disease information management system comprising at least a database and a web server connected to the database at all times or at any time. A report created for each report, information about access rights for the report, member information about registered members, and authentication information about authentication of registered members, and (B) the web server is a terminal for doctors Means for providing a doctor's top page to a doctor's terminal that has made a connection request in response to a connection request via a network from; Means for authenticating the user of the doctor's terminal based on the authentication information provided; after the authentication is completed, Based on the information on the access right registered in the database on the doctor's terminal, with or without waiting for a request from the end, a list page of reports that the user has access right and a new report creation button A means for providing a new report creation page when a new report creation button is selected on the doctor terminal; a case where a specific existing report is selected from the report list on the doctor terminal Includes means for providing a report reference page or a report editing page for all or a part of the report based on information on the access right registered in the database; A new report or report to be registered along with a registration request or a request to update an existing report Means for registering a new report created or an updated existing report in the database when a report to be renewed is transmitted; the creator of the report and the target patient of the report for the registered new report And (C) further, the web server is connected to the patient terminal that has made a connection request in response to a connection request from the patient terminal via the network. Means for providing a top page for a patient which is the same as or different from the top page for a doctor; information required for authentication input from the patient terminal and authentication information registered in the database Means for authenticating the user of the patient terminal on the basis of; and after the authentication is completed, a request from the patient terminal Means for providing a list page of reports to which the user has access rights to the patient terminal based on information on access rights registered in the database, with or without waiting; When a specific report is selected from the report list page in FIG. 4, based on the information on the access right registered in the database, all or some items of the selected report are stored in the patient terminal. Means for providing a report reference page or a report input page; and means for registering an updated report in the database when a report to be updated is transmitted together with a report update request from the patient terminal. The specific disease medical information management system.   An access right setting button is provided on at least one of a report list page, a new report creation page, a report reference page, and a report edit page, which the web server has access to the doctor terminal. The web server is used when a user of a doctor terminal selects an access right setting button after selecting any report from a list page of reports having access right, or a new report creation page, see report When the access right setting button on the page or the report edit page is selected, the access right setting page for the selected or selected report is displayed, and information on the access right registered for the report at that time is necessary. Access to the report depending on Means provided to the doctor's terminal together with the history information of the change; identification of the registered member who sets or deprives the access right from the doctor terminal via the access right setting page, and in some cases, setting or depriving Means for receiving when there is a request to change access rights, including specifying the scope of access rights to be checked; means for querying and confirming the presence of the specified registered members as necessary; 2. The specific disease medical information management system according to claim 1, further comprising: a unit that updates information related to the access right registered in the database based on the received access right change request for the report.   An access right setting button is provided on at least one of a report list page, a report reference page, and a report input page having access rights that the web server provides to the patient terminal, and the web server When the user of the patient terminal selects an access right setting button after selecting one of the reports from the list page of the report having access right, or the access right setting button on the report reference page or the input page. When selected, access right setting page for the selected or selected report, information on the access right registered for the report at that time, and change the access right setting for the report if necessary Means for providing the patient terminal together with the history information of the patient; An access right change request including specifying a registered member to set or revoke access rights and, in some cases, specifying a range of access rights to set or revoke, is made from the user terminal via the access right setting page. Means for receiving this information; means for confirming the existence of the specified registered member by referring to the database as necessary; registered in the database based on the received access right change request The specific disease medical information management system according to claim 1, further comprising means for updating information on the access right.   The specific disease medical information according to claim 2 or 3, further comprising means for not updating information on the access right registered in the database when the registered member whose access right is to be deprived is the creator of the report. Management system.   At least one of a report list page, a new report creation page, a report reference page, a report edit page, an access right setting page, and other pages having access rights that the web server provides to the doctor terminal, A report search window is provided, and when the web server has entered at least all of the year of hospitalization, month of hospitalization, medical institution name, and patient name through the report search window, all of them are stored in the database. 5. A means for inquiring whether or not there is a report satisfying the above condition; and a means for providing only the number of the corresponding report to the doctor terminal if it exists. The specific disease medical information management system described in Crab.   (A) At least one of a new report creation page, a report reference page, an edit page, and other pages provided by the web server to the doctor's terminal is provided with an option for using transfer support, The web server includes means for providing a transfer request page to the doctor terminal when the user of the doctor terminal selects the use of the transfer support; and from the doctor terminal via the transfer request page When there is a request for a transfer about a patient in the report, information that can identify the individual patient is excluded from the report, and only the information necessary to determine whether or not to accept the transfer is extracted, and the transfer request (acceptance) is received via the web. Side) with a means to enable transmission as a list page or as a web page accessible from the transfer request (acceptance side) list page (B) After the web server completes the authentication of the user of the doctor terminal, at least one page provided to the doctor terminal includes a transfer request (request side) list button and / or a transfer request. (Receiving side) list button is provided, and when the user of the doctor terminal selects the transfer request (request side) list button, the user of the doctor terminal requests a transfer request. A means for providing a doctor's terminal with a transfer request (requesting party) list page including at least information that can identify an individual patient who is performing and information such as the name of a medical institution that has been entered; When the transfer request (receiving side) list button is selected, the doctor terminal is provided with means for providing the transfer request (receiving side) list page, (C), and the web server includes a transfer request ( A means for receiving an entry request from a doctor's terminal that has selected an entry side list button through a transfer request (accepting side) list page and receiving an entry request; A means for updating the transfer request (requesting side) list page by adding information such as the institution name and the like that there was an entry in the patient's transfer request; and the doctor who made the transfer request that there was an entry A means for notifying the user of the terminal for use of e-mail, etc .; in response to a request from the terminal for the doctor of the user who made the request for transfer, a list of transfer request (requester) lists updated on the terminal for the doctor A means for providing; a means for receiving an entry acceptance notification from the doctor terminal via the updated transfer request (request side) list page; and a message indicating that the entry has been accepted. Make the entry Means for notifying the user of the doctor terminal by e-mail, etc .; means for receiving the notification of completion of transfer of the patient from the doctor terminal of the user who made the entry; A means for updating the transfer request (requester) list page with the completion information; and notifying the user of the doctor's terminal that made the transfer request notification by e-mail etc. Means for providing a transfer request (requesting party) list page in which transfer completion information is added to the doctor terminal in response to a request from the doctor terminal of the user who has requested the transfer; ; When there is a request for granting access to the report from the doctor terminal to the user of the doctor terminal who has completed acceptance of the transfer, this report is received and registered in the database Means for updating information on access rights; Means for notifying users of doctor terminals who have completed the hospital transfer by e-mail, etc .; Copy of the report as necessary The specific disease medical information management system according to claim 1, further comprising:   The secretariat terminal is connected to the web server and / or the database directly or via a network, and the secretariat terminal manages at least member information including registration of new members and cancellation of registration of existing members. The specific disease medical information management according to any one of claims 1 to 6, further comprising: means for managing authentication information relating to authentication of a registered member; and means for statistically processing a report registered in the database. system.   A hospital transfer support system including at least a database and a web server connected to the database at all times or at any time. (A) The database is created at least for each hospitalization of a patient at a medical institution. A report, information on access rights for the report, member information on registered members, and authentication information on authentication of registered members are registered. (B) The web server is connected via a network from a doctor terminal. Means for providing a doctor's top page to a doctor terminal that has made a connection request in response to all connection requests; information necessary for authentication input from the doctor terminal and authentication information registered in the database And means for authenticating the user of the doctor terminal based on the above; after completion of the authentication, waiting for a request from the doctor terminal Means for providing the doctor terminal with a list page of reports and a new report creation button to which the user has access rights based on information on access rights registered in the database, without waiting. Means for providing a new report creation page when a new report creation button is selected at the doctor terminal; and when a specific existing report is selected from the report list at the doctor terminal, A means for providing a report reference page or a report edit page for all or a part of the report based on information on the registered access right; a request for registering a new report from a doctor terminal or an existing report A report to be newly registered or a report to be updated and registered together with the update request Means for registering a created new report or an updated existing report in the database when the report is sent; and registering the creator of the report in the database as an authorized person for the registered new report (C) Further, at least one of a new report creation page, a report edit page, and other pages provided by the web server to the doctor's terminal is provided with an option for using transfer support. The web server includes means for providing a transfer request page to the doctor terminal when a user of the doctor terminal selects use of the transfer support; and the transfer request page from the doctor terminal. When there is a request for transfer of a patient for a specific report, information that can identify the individual patient from the report. Web page that can be accessed from the transfer request (receiving side) list page or from the transfer request (receiving side) list page via the web, extracting only the information necessary for determining whether to accept the transfer. And (D) at least any one page provided to the doctor terminal after the web server completes the authentication of the user of the doctor terminal. (Request side) list button and / or transfer request (acceptance side) list button is provided, and when the user of the doctor terminal selects the transfer request (request side) list button, Transfer request (requester) list page that includes at least information that can identify the individual patient requesting the transfer by the user of the doctor's terminal and the name of the medical institution that has entered. And providing the doctor request terminal with the transfer request (acceptance side) list page when the user of the doctor terminal selects the transfer request (acceptance side) list button. (E) and the web server identifies an acceptable patient via the transfer request (acceptance side) list page from the doctor terminal having selected the transfer request (acceptance side) list button. Above, the means to receive the entry request when there is a request; the information that the entry was in the patient's transfer request and the information such as the name of the institution is added to the transfer request (requester) list page Means for updating; means for notifying the doctor terminal user who made the change request by e-mail, etc .; according to a request from the doctor terminal of the user who made the change request , Update the doctor's terminal Means for providing the requested transfer request (request side) list page; means for receiving an entry acceptance notice from the doctor terminal via the updated transfer request (request side) list page And means for notifying the doctor terminal user who made the entry by e-mail that the entry has been accepted; and completing the transfer acceptance of the patient from the doctor terminal of the user who made the entry Means for receiving the notification when there is a notification; means for adding the information on completion of transfer acceptance and updating the transfer request (request side) list page; and requesting the transfer to be notified of completion of transfer acceptance A means for notifying the user of the doctor terminal who performed the e-mail, etc .; in response to a request from the doctor terminal of the user who requested the transfer, information on the completion of the hospital transfer is added to the doctor terminal Requested transfer (Relying side) Means for providing a list page; receiving a request from the doctor terminal for granting access to the report to the user of the doctor terminal who has completed acceptance of the transfer, the database Means for updating information on the access right for the report registered in the mail; means for notifying the user of the doctor terminal who has completed the transfer acceptance by e-mail or the like that the access right has been granted; A hospital transfer support system comprising means for making a copy of the report as necessary.   The means for authenticating the user of the doctor terminal based on the information necessary for authentication input from the doctor terminal and the authentication information registered in the database receives the ID input from the doctor terminal. Means for confirming the existence and validity / invalidity of the ID based on the authentication information registered in the database; when the existence and validity of the ID are confirmed, a password is stored in the doctor terminal. Means for providing an input screen; means for generating a password for the user of the doctor terminal, setting an expiration date thereof, and registering them in the database; and a database of the user of the doctor terminal in advance Send the generated password to the e-mail address registered in the e-mail, or the mobile phone registered in advance in the database of the user of the doctor terminal Means for displaying a password generated on the web page when a connection is made to a predetermined web page from the story; means for receiving the password entered from the doctor's terminal; received password and its expiration date Based on the information registered in the database, and when it is confirmed that the received password exists and is within the expiration date, the user authentication of the doctor terminal is completed. The medical information management system for specific diseases according to any one of claims 1 to 7, or the hospital transfer support system according to claim 8, further comprising means for registering the information in the database.   A computer program causing a computer and a database to function as the specific disease medical information management system or hospital transfer support system according to any one of claims 1 to 9.

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