JP2008047035A - Medical communication system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical communication system supporting communication between patients and doctors and providing accurate information to the patients. <P>SOLUTION: A patient information acquiring part 102 acquires patient information transmitted from a patient terminal 200. Based on the patient information acquired by the patient information acquiring part 102, an importance level calculating part 106 calculates comment transmission importance indicating the degree as to whether a doctor should treat the patient transmitting the patient information. An information recording part 104 records the patient's ID, the patient information and the comment transmission importance in association with each other. A patient information transmitting part 108 transmits the patient information and the comment transmission importance to a doctor terminal 150 according to a request from an information requesting part 152 to browse the patient information. A comment input from a comment input part 156 of the doctor terminal 150 is transmitted to a comment receiving part 110 and sent via the Internet to the patient terminal 200. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a medical communication system, and more particularly to a system that supports communication between a patient and a doctor.

Conventionally, in a personal health management system provided outside a hospital, a collection unit that collects biopsy data or sample test data, and an abnormal value that indicates an abnormality in the health condition based on the test data collected by the collection unit An apparatus including an abnormal value detecting means to detect and a communication means for notifying the hospital of the detection result in response to detection of an abnormal value by the abnormal value detecting means has been proposed (Patent Document 1). . Patent Document 2 discloses an interactive health management system that performs interactive medical information distribution and support.
JP-A-9-28682 JP 2002-222266 A

  In recent years, “patient-centered medical care” has been regarded as important. In order to realize patient-centered medical care, “communication between patient and doctor” is important. However, the actual situation is that communication between the patient and the doctor is not sufficient due to factors such as “insufficient knowledge about medical care of patients” and “insufficient medical hours”.

  On the other hand, with the spread of the Internet, an increasing number of people collect information on diseases and drugs from the Internet, but the credibility of the information provided on the Internet is not guaranteed, and there is too much information to cause confusion Tend.

  The present invention has been made in view of such circumstances, and an object of the present invention is to provide a medical communication system that supports communication between a patient and a doctor and can provide accurate information to the patient. And

  In order to solve the above problems, a medical communication system according to claim 1 of the present invention includes a patient side terminal, a doctor side terminal, and a medical service providing apparatus capable of communicating with the patient side terminal and the doctor side terminal. The patient side terminal includes patient information input means for inputting patient information including at least information indicating the physical condition of the patient, and patient information transmission means for transmitting the patient information to the medical service providing apparatus. The medical service providing apparatus includes: patient information acquisition means for acquiring patient information from the patient side terminal; and whether a doctor should respond to a patient who has transmitted the patient information based on the patient information. Importance calculating means for calculating the importance indicating the degree of the patient, and in response to a request from the doctor side terminal, the patient information together with the importance. Patient information providing means to provide, comment accepting means for receiving comments from the doctor side terminal for which patient information has been provided by the patient information providing means, and comment transmission for sending the comments to the patient side terminal that is the source of the patient information And the doctor side terminal receives the patient information request means for requesting the medical service providing apparatus to provide the patient information, the patient information and the importance level from the medical service providing apparatus, and the patient Patient information output means for outputting information and the importance level so as to be viewable, and comment input means for inputting a comment for an arbitrary patient who has input the patient information to the medical service providing apparatus. .

  According to the invention which concerns on Claim 1, communication between a patient and a doctor can be promoted. Also, by providing importance calculation means, for example, information on test results such as blood pressure, pulse, body temperature, blood sugar level, body fat percentage, etc., medication use prescribed by doctors, patient's own mood information Based on the above, it is possible to preferentially respond to a comment or the like to a patient who needs to be handled by a doctor.

  The medical communication system according to claim 2 is a medical communication system comprising a patient side terminal and a medical service providing device capable of communicating with the patient side terminal, wherein the patient side terminal is information indicating at least a physical condition of the patient. Patient information input means for inputting patient information including: importance calculation means for calculating importance indicating whether or not a doctor should respond to the patient who has input the patient information based on the patient information; And a patient information transmitting means for transmitting the patient information to the medical service providing apparatus when the importance exceeds a predetermined value, wherein the medical service providing apparatus acquires patient information from the patient side terminal. A patient information acquisition means, a patient information output means for outputting the patient information in a viewable manner, and a comment for the patient who has input the patient information. It characterized in that it comprises a comment input means for power, and a comment transmission means for transmitting the comments to the source of the patient terminal of the patient information.

  According to the second aspect of the invention, communication between the patient and the doctor can be promoted, and the importance calculation means is provided in the patient side terminal, so that the patient only when the comment transmission importance is a predetermined value or more. Since the patient information is transmitted from the side terminal, the communication cost can be minimized.

  According to a third aspect of the present invention, in the medical communication system according to the first or second aspect, the medical service providing apparatus further includes patient information storage means for storing the comment in association with the patient information. .

  According to the invention which concerns on Claim 3, the patient information and the comment which were transmitted in the past can be preserve | saved.

  The invention according to claim 4 is the medical communication system according to claim 3, wherein the patient information storage means stores comments transmitted from a plurality of doctors for each patient, and the doctor side terminal It further comprises an output means for acquiring the transmitted comment from the patient information storage means of the medical service providing apparatus and outputting it in a viewable manner.

  According to the invention which concerns on Claim 4, when the doctor produces the comment with respect to a patient, the comment transmitted in the past can be referred.

  The invention according to claim 5 is the medical communication system according to claim 4, wherein the output means can output a comment transmitted by another doctor to the patient.

  According to the fifth aspect of the present invention, when a doctor creates a comment for a patient, it is possible to refer to a comment transmitted in the past by another doctor (for example, a doctor in another hospital or medical department). .

  According to a sixth aspect of the present invention, in the medical communication system according to the first or second aspect, the medical service providing apparatus further includes a patient information deleting unit that deletes the patient information of the patient who has transmitted the comment. And

  According to the invention which concerns on Claim 6, the patient information of the patient who became unnecessary after having transmitted the comment can be deleted.

  According to the present invention, communication between a patient and a doctor can be promoted. In addition, by means of importance calculation means, for example, based on information on test results such as blood pressure, pulse, body temperature, blood sugar level, body fat percentage, etc., medication use prescribed by a doctor, information on the patient's own mood, It is possible to respond to a comment or the like in preference to a patient who needs to be handled by a doctor.

  Hereinafter, preferred embodiments of a medical communication system according to the present invention will be described with reference to the accompanying drawings.

[First Embodiment]
FIG. 1 is a diagram schematically showing a medical communication system according to the first embodiment of the present invention. As shown in FIG. 1, a medical communication system 10 includes a medical service providing device (hospital server) 100 and a doctor side terminal 150 (a doctor personal computer (PC) 150a, a mobile phone 150b) installed in a medical institution such as a hospital. ) And patient side terminals 200 (mobile phones 200a and 200c, personal computers 200b) owned by each patient. The medical service providing apparatus 100 and the doctor side terminal 150 are connected to be communicable with each other by, for example, a LAN. The medical service providing apparatus 100 and the patient terminal 200 can communicate with each other via the Internet.

  FIG. 2 is a block diagram showing a main configuration of the medical communication system according to the present embodiment. As shown in FIG. 2, the patient terminal 200 includes a personal computer, a mobile phone, or a personal digital assistant (PDA) owned by the patient, and includes a patient information input unit 202 and a display unit 204.

  The medical service providing apparatus 100 is a server for managing patient information of a patient who is in the installation destination hospital, and includes a patient information acquisition unit 102, an information recording unit 104, an importance calculation unit 106, and a patient information transmission unit 108. , A comment reception unit 110 and a comment transmission unit 112 are provided.

  The doctor side terminal 150 includes a personal computer, a mobile phone (PHS, etc.) or a personal digital assistant (PDA) that can be used by the doctor in the hospital, and includes an information request unit 152, an information display unit 154, and a comment input unit 156. Yes.

  The patient information acquisition unit 102 distributes a patient information input screen, which is a GUI for a patient to input patient information, to the patient side terminal 200 via the Internet. The patient information input unit 202 of the patient terminal 200 is an operation member for inputting patient information, and includes, for example, a pointing device such as a mouse and cursor keys, and character input means such as a keyboard. The patient operates the patient information input unit 202 to start a web browser or an application dedicated for acquiring the input screen to display the patient information input screen, and an identifier (ID and password for authentication) for identifying the patient. ) And patient information indicating his / her physical condition can be input. Here, as a technique for authenticating individual patients, known techniques can be applied. The patient information is, for example, information on test results such as blood pressure, pulse, body temperature, blood sugar level, body fat percentage, etc., medication use prescribed by a doctor, and patient's own mood information.

  The patient information acquisition unit 102 acquires patient information transmitted from the patient side terminal 200. The information recording unit 104 is a storage device such as a hard disk drive, for example, and records patient information acquired from the patient terminal 200.

  Based on the patient information acquired by the patient information acquisition unit 102, the importance level calculation unit 106 calculates a comment transmission importance level indicating the degree to which a doctor should respond to the patient who has transmitted the patient information. A method for calculating the comment transmission importance will be described later. The information recording unit 104 records the patient ID, the patient information, and the comment transmission importance level in association with each other.

  The information request unit 152 of the doctor terminal 150 is a means for requesting the medical service providing apparatus 100 to browse patient information. The patient information transmission unit 108 transmits the patient information and comment transmission importance recorded in the information recording unit 104 to the doctor terminal 150 in response to the patient information browsing request from the information request unit 152. The information display unit 154 displays the received patient information together with the comment transmission importance.

  The information recording unit 104 records the patient ID, patient information, and comment transmission importance in association with a doctor identifier (ID, password), and requests the doctor ID to be input when a patient information browsing request is made. By doing so, each doctor may be able to browse only the patient information of the patient in charge.

  The comment input unit 156 is an operation member for a doctor operating the doctor-side terminal 150 to input a comment for the patient who has transmitted the patient information. For example, the comment input unit 156 is a pointing device such as a mouse or a cursor key, and a character such as a keyboard. Input means are provided. The comment input from the comment input unit 156 is transmitted to the comment receiving unit 110 of the medical service providing apparatus 100. The comment received by the comment receiving unit 110 is transmitted from the comment transmitting unit 112 to the patient terminal 200 via the Internet. The display unit 204 of the patient side terminal 200 displays a doctor's comment transmitted from the medical service providing apparatus 100.

[Patient information input process]
Next, in the medical communication system of the present embodiment, processing for inputting / transmitting patient information to the medical service providing apparatus 100 will be described with reference to the flowchart of FIG. First, access is started from the patient side terminal 200 to the patient information input screen provided by the medical service providing apparatus 100 (step S10). As shown in FIG. 4, input items to be input by the patient are displayed on the patient information input screen. When the check box attached to each input item is checked by the patient information input unit 202 and the “input” button is clicked, the screen shifts to an input screen for inputting the selected input item.

  When the input item “test result” is selected on the patient information input screen of FIG. 4, a test result input screen for inputting test results such as a patient's blood pressure, pulse, and body temperature is displayed as shown in FIG. (Step S14). This test result is, for example, measured by a patient at home or a medical facility. When the examination result is input and the “end” button is clicked (step S16), the screen shifts to the patient information input screen of FIG. 4 (step S12).

  When the input item “prescription drug taking status” is selected on the patient information input screen of FIG. 4, as shown in FIG. 6A, a prescription drug taking status input screen for inputting the patient's prescription drug taking status is displayed. It is displayed (step S18). As shown in FIG. 6A, a list of prescription drugs is displayed on the prescription drug administration status input screen, and a check box attached to the name of each prescription drug is checked by the patient information input unit 202. When the “input” button is clicked, as shown in FIG. 6 (b), the screen shifts to an input screen for inputting the administration status of the selected prescription drug (step S 20). Next, as shown in FIG. 6B, when the check box for the time of taking the prescription drug is checked, the amount taken is input, and the “return to list” button is clicked (step S22), Returning to the prescription drug taking status input screen of FIG. 6A (step S12). Then, Step S18 to Step S22 are repeated, and when the “End” button in FIG. 6A or 6B is clicked (Step S24), the screen shifts to the patient information input screen in FIG. 4 (Step S12). .

  When the input item “mood” is selected on the patient information input screen of FIG. 4, as shown in FIG. 7, a mood input screen for inputting the patient's mood at the time of patient information input is displayed (step S26). . Then, as shown in FIG. 7, when the current mood is selected from the mood list (step S28), other items are entered in the free entry field (step S30), and the “end” button is clicked, The screen shifts to the patient information input screen of FIG. 4 (step S12).

  Next, when the “end” button is clicked on the patient information input screen of FIG. 4 (step S32), the patient information input in steps S12 to S30 is transmitted to the medical service providing apparatus 100 (step S34). The medical service providing apparatus 100 records the patient information received from the patient side terminal 200 in the information recording unit 104.

[Comment transmission importance calculation processing]
Next, the comment transmission importance level calculation processing by the importance level calculation unit 106 of the medical service providing apparatus 100 will be described with reference to the flowchart of FIG. This process is executed once to several times a day for each patient registered in the information recording unit 104 of the medical service providing apparatus 100, for example.

  As shown in FIG. 8, the importance level calculation unit 106 reads out patient information received up to the previous day from the information recording unit 104 (step S50), and sets the initial value of the comment transmission importance level to zero.

  Next, it is determined whether or not two weeks have passed since the doctor last transmitted the comment (step S52). If more than two weeks have passed since the doctor last transmitted a comment (Yes in step S52), 2 is added to the comment transmission importance (step S54), and the process proceeds to step S56. On the other hand, if two weeks have not elapsed since the doctor last sent a comment (No in step S52), the process proceeds to step S56.

  Next, it is determined whether patient information is continuously transmitted from each patient (step S56). If the patient information for the previous day has not been acquired (Yes in step S56), 2 is added to the comment transmission importance (step S58), and the process of FIG. On the other hand, when the patient information on the previous day is acquired (No in step S56), the process proceeds to step S60.

  Next, the comment transmission importance is added based on the inspection result of the previous day (steps S60 to S70). First, test result information is acquired from the patient information of the previous day (step S60). In addition, when the test result is not included in the patient information on the previous day, the processing from step S62 to S70 may be skipped. If the value of the previous day test result (blood pressure, pulse, body temperature, etc.) acquired in step S60 exceeds the threshold (Yes in step S62), 5 is added to the comment transmission importance (step S64). ), And proceeds to step S66. On the other hand, when the value of the inspection result on the previous day does not exceed the threshold value (No in step S62), the process proceeds to step S66.

  Next, when there is a test result of one month ago, the test result of one month ago is compared with the test result of the previous day (step S66). If the difference between the inspection result of one month ago and the inspection result of the previous day exceeds the threshold (Yes in Step S68), 5 is added to the comment transmission importance (Step S70), and the process proceeds to Step S72. On the other hand, when the difference between the test result of one month ago and the test result of the previous day exceeds the threshold (No in step S68), the process proceeds to step S72.

  Next, the comment transmission importance is added based on the prescription drug use the day before (steps S72 to S76). First, the prescription drug taking status is acquired from the patient information of the previous day (step S72). In addition, when the patient information on the previous day does not include the prescription drug taking status, the processes in steps S74 and S76 may be skipped. If the medicine is being taken as prescribed on the previous day (Yes in step S74), the process proceeds to step S78. On the other hand, when it is not taken as prescribed (No in step S74), 5 is added to the comment transmission importance (step S76), and the process proceeds to step S78.

  Next, the comment transmission importance is added based on the mood information acquired from the patient information on the previous day (steps S78 to S86). First, mood information is acquired from the patient information of the previous day (step S78). If the patient information on the previous day does not include prescription drug mood information, the processing from step S80 to S86 may be skipped. If the previous day's mood information is complaining (Yes in step S80), the mood information for the past two days is referred to (step S82). If 3 days of complaints have been complained consecutively (Yes in step S84), 3 is added to the comment transmission importance (step S86), and the process proceeds to step S88. On the other hand, if no complaint has been made in the mood information of the previous day (No in step S80), and if no complaint has been reported for three consecutive days (No in step S84), the process proceeds to step S88.

  Next, when there is no transmission of the one week test result up to the previous day (Yes in Step S88), 1 is added to the comment transmission importance (Step S90). If there is no transmission of prescription drug use status for one week until the previous day (Yes in step S92), 1 is added to the comment transmission importance (step S94). If there is no one-week mood transmission up to the previous day (Yes in step S96), 1 is added to the comment transmission importance (step S98).

[Comment sending process]
Next, processing for transmitting a comment based on the comment transmission importance calculated in the processing of FIG. 8 will be described with reference to the flowchart of FIG. First, when browsing of patient information is requested from the information request unit 152 of the doctor terminal 150 (step S100), the patient information transmission unit 108 reads the patient ID and comment transmission importance of the patient in the information recording unit 104. (Step S102) and output to the doctor side terminal 150. Then, as shown in FIG. 10, the patient IDs output from the medical service providing apparatus 100 are displayed in a list on the information display unit 154 of the doctor terminal 150 in descending order of the importance of comment transmission (step S104). For patient information whose comment transmission importance is equal to or higher than a predetermined value (for example, 5 points) (Yes in step S106), for example, an alert display in which the character color of patient information or the like is changed is performed as shown in FIG. (Step S108).

  Next, when the comment input unit 156 of the doctor-side terminal 150 detects that any patient ID is selected from the patient IDs displayed as a list on the information display unit 154 (step S110), the medical service is provided. Details of the patient information in the information recording unit 104 are read out by the patient information transmission unit 108 of the apparatus 100, and are output and displayed on the doctor side terminal 150 (step S112).

  Next, when a comment for the patient is input and transmitted from the comment input unit 156 of the doctor terminal 150 (step S114), the comment is transmitted to the patient terminal 200 via the medical service providing apparatus 100, The display unit 204 allows browsing. At the time of creating a comment, the doctor-side terminal 150 can appropriately browse past comments and past patient information. Further, the comment and the transmission history (comment transmission date and time, the number of transmissions) are associated with the patient ID and stored in the information recording unit 104 of the medical service providing apparatus 100 (step S116), and the comment is transmitted. The comment transmission importance of the patient is cleared (step S118).

  According to this embodiment, communication between a patient and a doctor can be promoted. In addition, since the importance level calculation unit 106 is provided, for example, information on test results such as blood pressure, pulse, body temperature, blood sugar level, body fat percentage, taking medicine prescribed by a doctor, patient's own mood Based on the information, a comment or the like can be preferentially given to a patient who needs to be handled by a doctor.

[Second Embodiment]
FIG. 11 is a diagram schematically showing a medical communication system according to the second embodiment of the present invention. As shown in FIG. 11, the medical communication system 10 includes a medical service providing device (hospital server) 100 and a doctor-side terminal 150 (doctor's personal computer 150a, mobile phone 150b) installed in a medical institution such as a hospital, It includes a patient terminal 200 (mobile phone 200a, personal computer 200b) owned by the patient. The medical service providing apparatus 100 and the doctor side terminal 150 are connected to be communicable with each other by, for example, a LAN. The medical service providing apparatus 100 and the patient terminal 200 can communicate with each other via the Internet. As shown in FIG. 11, an application dedicated to inputting patient information (dedicated application) is installed in the patient terminal 200.

  FIG. 12 is a block diagram showing the main configuration of the medical communication system according to this embodiment. As shown in FIG. 12, the patient terminal 200 includes a patient information input unit 202, a display unit 204, a patient information recording unit 206, an importance calculation unit 208, and a patient information transmission unit 210. On the other hand, the medical service providing apparatus 100 includes a patient information acquisition unit 102, an information recording unit 104, a patient information transmission unit 108, a comment reception unit 110, and a comment transmission unit 112. The doctor terminal 150 includes an information request unit 152. , An information display unit 154 and a comment input unit 156 are provided.

  The patient information input unit 202 of the patient terminal 200 is an operation member for inputting patient information, and includes, for example, a pointing device such as a mouse and cursor keys, and character input means such as a keyboard. The patient operates the patient information input unit 202 to activate a patient information input application to display a patient information input screen, and can input patient information indicating his / her physical condition. The patient information recording unit 206 records the patient information input from the patient information input unit 202.

  Based on the patient information input from the patient information input unit 202, the importance level calculation unit 208 calculates a comment transmission importance level indicating the degree to which a doctor should respond to the patient who has transmitted the patient information. A method for calculating the comment transmission importance will be described later.

  The patient information transmission unit 210 transmits patient information to the medical service providing apparatus 100 when the comment transmission importance calculated by the importance calculation unit 208 is a predetermined value or more (for example, 5 points or more). The patient information transmission unit 210 may transmit the patient information recorded in the patient information recording unit 206 from a newer for a predetermined period (for example, the latest one week or one month). . Further, patient information recorded after the patient information previously transmitted to the medical service providing apparatus 100 may be transmitted collectively.

  The patient information acquisition unit 102 acquires patient information transmitted from the patient side terminal 200. The information recording unit 104 is a storage device such as a hard disk drive, for example, and records patient information acquired from the patient terminal 200.

  The information request unit 152 of the doctor terminal 150 is a means for requesting the medical service providing apparatus 100 to browse patient information. The patient information transmission unit 108 transmits the patient information and comment transmission importance recorded in the information recording unit 104 to the doctor terminal 150 in response to the patient information browsing request from the information request unit 152. The information display unit 154 displays the received patient information together with the comment transmission importance.

  The information recording unit 104 records the patient ID, patient information, and comment transmission importance in association with a doctor identifier (ID, password), and requests the doctor ID to be input when a patient information browsing request is made. By doing so, each doctor may be able to browse only the patient information of the patient in charge.

  The comment input unit 156 is an operation member for a doctor operating the doctor-side terminal 150 to input a comment for the patient who has transmitted the patient information. For example, the comment input unit 156 is a pointing device such as a mouse or a cursor key, and a character such as a keyboard. Input means are provided. The comment input from the comment input unit 156 is transmitted to the comment receiving unit 110 of the medical service providing apparatus 100. The comment received by the comment receiving unit 110 is transmitted from the comment transmitting unit 112 to the patient terminal 200 via the Internet. The display unit 204 of the patient side terminal 200 displays a doctor's comment transmitted from the medical service providing apparatus 100.

[Patient information input process]
Next, a process of inputting / transmitting patient information in the patient terminal 200 will be described with reference to the flowchart of FIG. First, when an application dedicated to patient information input is activated by the patient information input unit 202, a patient information input screen is displayed on the display unit 204 of the patient side terminal 200 (step S120). The configuration of the patient information input screen is the same as that shown in FIG.

  When the input item “test result” is selected on the patient information input screen, a test result input screen for inputting test results such as the blood pressure, pulse, and body temperature of the patient is displayed (step S122). This test result is, for example, measured by a patient at home or a medical facility. When the test result is input and an instruction to end the input of the test result is input (step S124), the process proceeds to the patient information input screen of step S120.

  When the input item “prescription drug taking status” is selected on the patient information input screen, a prescription drug taking status input screen for inputting the patient's prescription drug taking status is displayed (step S126). A list of prescription drugs is displayed on the prescription drug use status input screen, and when the name of the prescription drug in the prescription drug list is selected by the patient information input unit 202, the prescription drug use status is input. Shifts to an input screen (step S128). Next, when the prescription drug taking time and the amount taken are input and an instruction to return to the prescription drug list is input (step S130), the prescription drug taking status input screen of step S120 is returned. Then, Steps S126 to S130 are repeated, and when an instruction to finish inputting the prescription drug administration status is input (Step S132), the process proceeds to the patient information input screen of Step S120.

  When the input item “mood” is selected on the patient information input screen, a mood input screen for inputting the patient's mood at the time of patient information input is displayed (step S134). Then, when the current mood is selected from the mood list on the mood input screen (step S136), other items are input in the free entry field (step S138), and the mood input end instruction is input. The process proceeds to the patient information input screen in S120.

  Next, when the “end” button is clicked on the patient information input screen (step S140), the patient information input in steps S120 to S138 is output to the importance calculation unit 208 and also to the patient information recording unit 206. The process is completed after recording.

[Comment transmission importance calculation processing]
Next, the comment transmission importance level calculation processing by the importance level calculation unit 208 of the patient terminal 200 will be described with reference to the flowchart of FIG. This process is performed every time patient information is input. First, when patient information is input by the process of FIG. 13, the importance calculation unit 208 sets the initial value of the comment transmission importance to zero, and two weeks or more have passed since the doctor last transmitted the comment. It is determined whether or not (step S150). If more than two weeks have passed since the doctor last transmitted a comment (Yes in step S150), 2 is added to the comment transmission importance (step S152), and the process proceeds to step S154. On the other hand, if two weeks have not passed since the doctor last sent a comment (No in step S150), the process proceeds to step S154.

  Next, it is determined whether patient information is continuously input (step S154). If patient information has not been input for three days or more (Yes in step S154), 2 is added to the comment transmission importance (step S156), and the processing in FIG. 14 is terminated. On the other hand, if patient information has been input within two days (No in step S154), the process proceeds to step S158.

  Next, the comment transmission importance is added based on the examination result acquired from the patient information (steps S158 to S168). First, test result information is acquired from today's patient information input from the patient information input unit 202 (step S158). In addition, when the test result is not included in today's patient information, the processing of steps S160 to S168 may be skipped. If the value of the test result (blood pressure, pulse, body temperature, etc.) acquired in step S158 exceeds the threshold (Yes in step S160), 5 is added to the comment transmission importance (step S162), The process proceeds to step S164. On the other hand, when the value of the inspection result on the previous day does not exceed the threshold value (No in step S160), the process proceeds to step S164.

  Next, when there is an inspection result of one month ago, the inspection result acquired in step S158 is compared with the inspection result of one month ago (step S164). If the difference between the test result acquired in step S158 and the test result of one month ago exceeds the threshold (Yes in step S166), 5 is added to the comment transmission importance (step S168), and the process proceeds to step S170. move on. On the other hand, when the difference between the test result acquired in step S158 and the test result of one month ago exceeds the threshold (No in step S166), the process proceeds to step S170.

  Next, the comment transmission importance is added based on the prescription drug taking status acquired from the patient information (steps S170 to S174). First, the prescription drug taking status is acquired from the patient information input from the patient information input unit 202 (step S170). Note that if the patient information does not include the prescription drug taking status, the processing of steps 172 and S174 may be skipped. Next, when the patient is taking as prescribed (Yes in step S172), the process proceeds to step S176. On the other hand, when the dose is not taken as prescribed (No in step S172), 5 is added to the comment transmission importance (step S174), and the process proceeds to step S176.

  Next, the comment transmission importance is added based on the mood information acquired from the patient information (steps S176 to S184). First, mood information is acquired from today's patient information (step S176). If today's patient information does not include prescription drug mood information, steps S178 to S184 may be skipped. If the information on today's mood is complaining (Yes in Step S178), the mood information for the past two days is referred to (Step S180). If 3 days of complaints have been filed continuously (Yes in step S182), 3 is added to the comment transmission importance (step S184), and the process proceeds to step S186. On the other hand, if there is no complaint in today's mood information (No in step S178) and if no complaint has been reported for three consecutive days (No in step S182), the process proceeds to step S186.

  Next, when there is no input of a one-week examination result up to today (Yes in Step S186), 1 is added to the comment transmission importance (Step S188). If there is no transmission of prescription drug use status for one week up to the previous day (Yes in step S190), 1 is added to the comment transmission importance (step S192). If there is no one-week mood transmission up to the previous day (Yes in step S194), 1 is added to the comment transmission importance (step S196).

  Next, when the total comment transmission importance level is 5 points or more (Yes in step S198), the patient information accumulated in the patient information recording unit 206 includes the total value of comment transmission importance levels and the medical service providing apparatus 100. (Step S200) and stored in the information recording unit 104 of the medical service providing apparatus 100. At the time of transmitting patient information, a patient ID unique to the patient is transmitted to the medical service providing apparatus 100, and the transmission of the patient information is performed after the transmission source patient is specified by a known authentication technique.

[Comment sending process]
Next, processing for transmitting a comment based on the comment transmission importance calculated in the processing of FIG. 14 will be described with reference to the flowchart of FIG. First, when browsing of patient information is requested from the information requesting unit 152 of the doctor-side terminal 150, the patient information transmitting unit 108 of the medical service providing apparatus 100 causes the patient ID and comment transmission importance of the patient in the information recording unit 104. Is output to the doctor-side terminal 150, and a list of patient IDs is displayed on the information display unit 154 of the doctor-side terminal 150 in descending order of the importance of comment transmission (step S210). For patient information having a comment transmission importance level of 5 or more, for example, an alert display in which the character color of patient information or the like is changed is performed.

  Next, when the comment input unit 156 of the doctor-side terminal 150 detects that any patient ID is selected from the patient IDs displayed as a list on the information display unit 154 (step S212), the medical service is provided. Details of the patient information in the information recording unit 104 are read out by the patient information transmission unit 108 of the apparatus 100, and are output and displayed on the doctor side terminal 150 (step S214).

  Next, when a comment for the patient is input and transmitted from the comment input unit 156 of the doctor-side terminal 150 (step S216), the comment is transmitted to the patient-side terminal 200 via the medical service providing apparatus 100, The display unit 204 allows browsing. At the time of creating a comment, the doctor-side terminal 150 can appropriately browse past comments and past patient information. When the transmission of the comment is completed (step S216), the patient information of the patient whose comment is transmitted is deleted from the information recording unit 104 of the medical service providing apparatus 100 (step S218).

  According to the present embodiment, communication between the patient and the doctor can be promoted, and the importance calculation unit 208 is provided in the patient terminal 200, so that the patient side only when the comment transmission importance is greater than or equal to a predetermined value. Since patient information is transmitted from the terminal 200, communication costs can be minimized.

[Third Embodiment]
FIG. 16 is a diagram schematically showing a medical communication system according to the third embodiment of the present invention, and FIG. 17 is a block diagram thereof. As shown in FIG. 16, the medical communication system 10 includes a medical service providing device (medical service server) 100, a doctor side terminal 150 (doctor's personal computer 150a, mobile phone 150b), and a patient side terminal owned by each patient. 200 (mobile phone 200a, personal computer 200b). The medical service providing apparatus 100, the doctor side terminal 150, and the patient side terminal 200 are communicably connected via the Internet.

  As shown in FIG. 17, the patient terminal 200 includes a personal computer, a mobile phone, or a personal digital assistant (PDA) owned by the patient, and includes a patient information input unit 202 and a display unit 204. The medical service providing apparatus 100 is a server for managing patient information of a patient, and includes a patient information acquisition unit 102, an information recording unit 104, an importance calculation unit 106, a patient information transmission unit 108, a comment reception unit 110, and a comment transmission. The unit 112 is provided. The medical service providing apparatus collectively manages patient information of patients who have a plurality of hospitals, departments, and doctors. The doctor side terminal 150 includes a personal computer, a mobile phone (PHS, etc.) or a personal digital assistant (PDA) that can be used by the doctor in the hospital, and includes an information request unit 152, an information display unit 154, and a comment input unit 156. Yes.

  The patient information acquisition unit 102 distributes a patient information input screen, which is a GUI for a patient to input patient information, to the patient side terminal 200 via the Internet. The patient information input unit 202 of the patient terminal 200 is an operation member for inputting patient information, and includes, for example, a pointing device such as a mouse and cursor keys, and character input means such as a keyboard. The patient operates the patient information input unit 202 to start a web browser or an application dedicated for acquiring the input screen to display the patient information input screen, and an identifier (ID and password for authentication) for identifying the patient. ) And patient information indicating his / her physical condition can be input. The patient information input process is the same as in the flowchart of FIG.

  The patient information acquisition unit 102 acquires patient information transmitted from the patient side terminal 200. The information recording unit 104 is a storage device such as a hard disk drive, for example, and records patient information acquired from the patient terminal 200.

  Based on the patient information acquired by the patient information acquisition unit 102, the importance level calculation unit 106 calculates a comment transmission importance level indicating the degree to which a doctor should respond to the patient who has transmitted the patient information. The comment transmission importance calculation processing is the same as that in the flowchart of FIG. The information recording unit 104 records the patient ID, the patient information, and the comment transmission importance level in association with each other.

  The information request unit 152 of the doctor terminal 150 is a means for requesting the medical service providing apparatus 100 to browse patient information. The patient information transmission unit 108 transmits the patient information and comment transmission importance recorded in the information recording unit 104 to the doctor terminal 150 in response to the patient information browsing request from the information request unit 152. The information display unit 154 displays the received patient information together with the comment transmission importance.

  The information recording unit 104 records the patient ID, patient information, and comment transmission importance in association with a doctor identifier (ID, password), and requests the doctor ID to be input when a patient information browsing request is made. By doing so, each doctor may be able to browse only the patient information of the patient in charge.

  The comment input unit 156 is an operation member for a doctor operating the doctor-side terminal 150 to input a comment for the patient who has transmitted the patient information. For example, the comment input unit 156 is a pointing device such as a mouse or a cursor key, and a character such as a keyboard. Input means are provided. The comment input from the comment input unit 156 is transmitted to the comment receiving unit 110 of the medical service providing apparatus 100. The comment received by the comment receiving unit 110 is transmitted from the comment transmitting unit 112 to the patient terminal 200 via the Internet. The display unit 204 of the patient side terminal 200 displays a doctor's comment transmitted from the medical service providing apparatus 100.

  FIG. 18 is a diagram schematically illustrating a data structure in the information recording unit 104 of the medical service providing apparatus 100. In the information recording unit 104, a patient ID for identifying a patient, patient information, a doctor ID of a doctor in charge, and a comment from each doctor in charge are stored in association with each other. Each doctor can view the patient information of the patient he / she is in charge of and the comments of each doctor in charge (including those other than himself / herself) with respect to the patient through the doctor-side terminal 150.

  FIG. 19 is a flowchart showing the flow of comment transmission processing according to the present embodiment. First, when browsing of patient information is requested from the information requesting unit 152 of the doctor-side terminal 150 (step S220), the patient information transmitting unit 108 uses the patient information based on the doctor ID input by the doctor who requested the patient information. The patient ID and comment transmission importance of the patient are read out from the information recording unit 104 in charge of the doctor who requested this (step S222) and output to the doctor-side terminal 150. Then, the patient IDs output from the medical service providing apparatus 100 are displayed in a list on the information display unit 154 of the doctor-side terminal 150 in descending order of importance of comment transmission (step S224). For patient information whose comment transmission importance is equal to or higher than a predetermined value (for example, 5 points) (Yes in step S226), for example, an alert display in which the character color of the patient information or the like is changed is performed (step S228).

  Next, when the comment input unit 156 of the doctor-side terminal 150 detects that any patient ID is selected from the patient IDs displayed in the list on the information display unit 154 (step S230), the medical service is provided. The patient information transmission unit 108 of the apparatus 100 reads the details of the patient information in the information recording unit 104, and outputs and displays the details on the doctor terminal 150 (step S232).

  Next, when a comment to the patient is input and transmitted from the comment input unit 156 of the doctor terminal 150 (step S234), the comment is transmitted to the patient terminal 200 via the medical service providing apparatus 100, The display unit 204 allows browsing. At the time of creating a comment, the doctor-side terminal 150 can appropriately browse comments sent in the past, comments sent by other doctors, and past patient information. Further, the comment and the transmission history (comment transmission date and time, the number of transmissions) are associated with the patient ID and stored in the information recording unit 104 of the medical service providing apparatus 100 (step S236), and the comment is transmitted. The comment transmission importance of the patient is cleared (step S238).

  According to the present embodiment, it is possible to collectively manage patient information of patients who are in a plurality of hospitals or clinical departments. Thereby, since the medical history of other medical departments, the prescription of a medicine, etc. can be referred, comprehensive advice can be given to a patient from a doctor.

The figure which shows typically the medical communication system which concerns on the 1st Embodiment of this invention. The block diagram which shows the main structures of the medical communication system which concerns on the 1st Embodiment of this invention. The flowchart which shows the process which inputs and transmits patient information with respect to the medical service provision apparatus 100 Example of patient information input screen Configuration example of inspection result input screen Configuration example of prescription drug use status input screen Example of mood input screen The flowchart which shows the calculation process of the comment transmission importance by the importance calculation part 106 of the medical service provision apparatus 100 The flowchart which shows the process which transmits a comment based on comment transmission importance Configuration example of patient information list display screen The figure which shows typically the medical communication system which concerns on the 2nd Embodiment of this invention. The figure which shows the main structures of the medical communication system which concerns on the 2nd Embodiment of this invention. The flowchart which shows the process which inputs and transmits patient information in the patient side terminal 200 The flowchart which shows the calculation process of the comment transmission importance by the importance calculation part 208 of the patient side terminal 200 The flowchart which shows the process which transmits a comment based on comment transmission importance The figure which shows typically the medical communication system which concerns on the 3rd Embodiment of this invention. The figure which shows the main structures of the medical communication system which concerns on the 3rd Embodiment of this invention. The figure which shows typically the data structure in the information recording part 104 of the medical service provision apparatus 100 The flowchart which shows the flow of the comment transmission process which concerns on this embodiment

Explanation of symbols

  DESCRIPTION OF SYMBOLS 10 ... Medical communication system, 100 ... Medical service provision apparatus, 102 ... Patient information acquisition part, 104 ... Information recording part, 106 ... Importance calculation part, 108 ... Patient information transmission part, 110 ... Comment reception part, 112 ... Comment transmission 150, doctor side terminal, 152 ... information requesting unit, 154 ... information display unit, 156 ... comment input unit, 200 ... patient side terminal, 202 ... patient information input unit, 204 ... display unit, 206 ... patient information recording unit 208 ... Importance calculation unit 210 ... Patient information transmission unit

Claims (6)

A medical communication system comprising a patient side terminal, a doctor side terminal, and a medical service providing device capable of communicating with the patient side terminal and the doctor side terminal,
The patient side terminal
Patient information input means for inputting patient information including at least information indicating the physical condition of the patient;
Patient information transmitting means for transmitting the patient information to the medical service providing device,
The medical service providing apparatus includes:
Patient information acquisition means for acquiring patient information from the patient side terminal;
Based on the patient information, importance calculating means for calculating the importance indicating whether or not a doctor should respond to the patient who transmitted the patient information;
In response to a request from the doctor side terminal, patient information providing means for providing the patient information together with the importance,
Comment accepting means for accepting comments from the doctor side terminal provided with patient information by the patient information providing means;
Comment transmitting means for transmitting the comment to the patient terminal of the patient information transmission source,
The doctor side terminal
Patient information requesting means for requesting the medical service providing apparatus to provide the patient information;
Patient information output means for receiving the patient information and the importance level from the medical service providing apparatus, and outputting the patient information and the importance level so as to be viewable;
Comment input means for inputting a comment for any patient who has input the patient information to the medical service providing device;
A medical communication system characterized by comprising: A medical communication system comprising a patient side terminal and a medical service providing apparatus capable of communicating with the patient side terminal,
The patient side terminal
Patient information input means for inputting patient information including at least information indicating the physical condition of the patient;
Based on the patient information, importance calculating means for calculating the importance indicating the degree of whether a doctor should respond to the patient who has input the patient information;
Patient information transmitting means for transmitting the patient information to the medical service providing apparatus when the importance level exceeds a predetermined value;
The medical service providing apparatus includes:
Patient information acquisition means for acquiring patient information from the patient side terminal;
Patient information output means for outputting the patient information in a viewable manner;
Comment input means for inputting a comment for the patient who has input the patient information;
Comment sending means for sending the comment to the patient side terminal of the patient information sending source;
A medical communication system characterized by comprising:   The medical communication system according to claim 1, wherein the medical service providing apparatus further includes a patient information storage unit that stores the comment in association with the patient information. The patient information storage means stores comments transmitted from a plurality of doctors for each patient,
The medical communication system according to claim 3, wherein the doctor side terminal further includes an output unit that obtains a comment transmitted in the past from a patient information storage unit of the medical service providing apparatus and outputs the comment so that the comment can be viewed.   The medical communication system according to claim 4, wherein the output unit is capable of outputting a comment transmitted by another doctor to the patient.   The medical communication system according to claim 1, wherein the medical service providing apparatus further includes patient information deleting means for deleting patient information of a patient who has transmitted the comment.

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