JP2008293166A - Consultation management system, portable terminal, consultation management terminal, program and consultation management method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To solve the problem wherein existing independent issue of magnetic cards or IC cards, containing registration information from different medical institutions, makes it necessary to hold a plurality of cards for visiting a plurality of medical institutions at the risk of losing them and at the inconvenience of carrying. <P>SOLUTION: A portable terminal 1 comprises a nonvolatile storage part 105 for storing a plurality of consultation information files 14, each containing registration information including medical institution information, a registration number and a patient's personal information; a consultation information view display means 11 for prompting a medical institution to be selected and displaying the corresponding consultation information file 14; a data transfer means 13 for establishing transfer to a consultation management terminal 2 by serial I/F or short-range communication; and a consultation information reference and updating means 12 for receiving medical institution designation information from the consultation management terminal 2, reading out the consultation information file 14 corresponding to the designated medical institution from the nonvolatile storage part 105, sending it to the consultation management terminal 2, and updating the consultation information file with information from the consultation management terminal 2. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a consultation management system, a portable terminal, a reception management terminal, a program, and a consultation management method, and more particularly, a consultation management system including a portable terminal having examination ticket information of a plurality of medical institutions, the portable terminal, and a terminal of a medical institution. The present invention relates to a program for controlling a portable terminal or a terminal of a medical institution, and a diagnosis management method.

  Conventionally, medical examination cards using paper or magnetic cards have been used in medical institutions. However, paper and magnetic card media are not reusable, have a small recording capacity, and cannot hold medication information associated with medical examinations.

  In view of such circumstances, an electronic prescription system using the following IC card has been proposed. In this electronic prescription system, drug history, prescription, and examination ticket information are recorded on an IC card, and a patient carries the IC card alone or by connecting the IC card to a terminal device such as a mobile phone.

  The doctor terminal and the pharmacy terminal write prescription information and medication explanation information on the IC card, and the medicine intake time notification program of the IC card notifies the medication time through the portable terminal connected to the IC card.

  The information to be notified includes medication type / number of tablets, medication conditions such as before and after meals, and eating information such that the drug effect is reduced when eating and drinking together (see Patent Document 1).

JP 2004-078825 A (pages 1 and 2)

  The above-mentioned conventional electronic prescription system using an IC card can record the medical history and prescription information together with the examination ticket information on the IC card, and can connect this IC card to a personal portable terminal. However, it is not shown that the medical card holds information on medical examination tickets of multiple medical institutions and information related to medical examinations, and the amount of information that can be held in an IC card is limited.

  Therefore, an IC card including medical examination ticket information is issued for each medical institution, and when there are multiple medical institutions, it is necessary to hold a plurality of IC cards, which may be lost or inconvenient to carry. There is a problem that there is.

  The objective of this invention is providing the consultation management system, a portable terminal, a consultation management terminal, a program, and a consultation management method which solve the said subject.

The portable terminal of the present invention is information related to a medical examination for each medical institution, and includes a plurality of pieces of medical examination information including medical institution information, a medical examination ticket number, and medical examination ticket information including personal information of a patient who is a user. A non-volatile storage unit for storing;
Examination information browsing display means for displaying the examination information;
Receiving information specifying a medical institution from a medical examination management terminal, reading out medical examination ticket information corresponding to the medical institution designated by the information from the non-volatile storage unit, and transmitting the information to the medical examination management terminal. Prepare.

The consultation management system of the present invention is a consultation management system comprising the portable terminal and a consultation management terminal of a medical institution,
The consultation management terminal is
Corresponding to the examination ticket number, a medical record database storage that records the patient's personal information and the medical history of the medical institution,
Transfer means for transferring information with the mobile terminal connected by serial interface or short-range communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the information processing apparatus includes a reception processing means for displaying the record, receiving a patient's confirmation response input, and registering the reception date and time in a corresponding block of the medical record database storage.

The medical examination management terminal of the present invention corresponds to the medical examination ticket number, a medical examination record database storage that records the personal information of the patient and the medical examination history at the medical institution,
A transfer means for transferring information with a mobile terminal connected by a serial interface or close range communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the information processing apparatus includes a reception processing means for displaying the record, receiving a patient's confirmation response input, and registering the reception date and time in a corresponding block of the medical record database storage.

The first program of the present invention stores medical examination information containing medical examination information including a medical institution information, a medical examination ticket number, and personal information of a patient who is a user, corresponding to each of a plurality of medical institutions. A portable terminal program having a nonvolatile storage unit,
Displaying the medical institution selection menu, selecting one of a plurality of medical institutions according to the input of the operation key unit for the menu, and displaying the medical information browsing display procedure for displaying the medical institution medical information,
Receiving information specifying a medical institution from the medical examination management terminal, reading out medical examination ticket information corresponding to the medical institution designated by the information from the non-volatile storage unit, and transmitting the information to the medical examination management terminal. Run on a mobile device.

A second program according to the present invention is a computer program having a patient record and a medical record database storage that records a medical history of medical examinations corresponding to a medical examination ticket number, and has a serial interface or a nearby interface. A transfer procedure for transferring information to and from a mobile device connected via distance communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the computer displays the record, receives the patient's confirmation response input, and causes the computer to execute a reception processing procedure for registering the reception date and time in the corresponding block of the medical record database storage.

The medical examination management method of the present invention is a medical examination management method using a computer having a medical record database storage that records personal information of a patient and a medical examination history at the medical institution corresponding to a medical examination ticket number,
A transfer procedure for transferring information to and from a mobile terminal connected via a serial interface or close range communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the procedure includes displaying a record, receiving a patient's confirmation response input, and registering a reception date and time in a corresponding block of the medical record database storage.

  ADVANTAGE OF THE INVENTION According to this invention, each medical examination ticket of a some medical institution can be managed centrally with one portable terminal. In other words, the use of a mobile terminal increases the recording capacity and allows information to be updated many times. Conventionally, a medical examination using a paper, magnetic card, or IC card, and created for each patient at each medical institution. Ticket information can be collectively managed with one mobile terminal.

  Therefore, there is no need to hold and manage a plurality of examination ticket media, which is convenient. Moreover, by providing the portable terminal with a display unit and other medical information browsing / displaying means, the patient can easily check the content of the medical ticket information.

  Next, the best mode for carrying out the present invention will be described in detail with reference to the drawings. The present invention centrally manages medical examination ticket information and medication data issued by each medical institution for each patient using a portable terminal.

  FIG. 1 is a block diagram of a portable terminal 1 according to the first embodiment of the present invention. The portable terminal 1 of the present invention includes a diagnosis information browsing display means 11, a diagnosis information reference / update means 12, and a data transfer means 13, and a plurality of medical institution diagnosis information files 14-1 to 14 in an internal nonvolatile storage unit 105. 14-5 and file management information 15 are included.

The ABC clinic examination information file 14-1, the DEF dental examination information file 14-2,..., And the GHI clinic examination information file 14-5, as shown in FIG. Includes consultation information.
As shown in FIG. 4, the file management information 15 in the nonvolatile storage unit 105 includes the name of the folder in which the examination information files 14-1 to 14-5 are bundled and the update date and time of each examination information file 14-1 to 14-5. Is recorded.

  The examination information browsing / display unit 11 displays a menu for displaying the examination information file 14 on the display unit 103 of the mobile terminal 1 and displays the examination information of the medical institution selected on the menu screen.

  The medical examination information reference and update means 12 is connected to the medical management consultation management terminal 2 through the data transfer means 13 and transfers the contents of the medical medical examination information file 14 designated as requested by the medical management management terminal 2. In the state connected to the consultation management terminal 2, the instruction and update data from the consultation management terminal 2 are received, and the medication information and the appointment reservation information in the examination information file 14 of the medical institution designated by the instruction are updated.

  The data transfer means 13 includes an external I / F unit 106 connected to the examination management terminal 2 by a serial I / F (serial interface) such as USB, a driver program for controlling the external I / F unit 106, and an execution means for the driver program.

  FIG. 2 is a diagram illustrating a hardware configuration of the mobile terminal 1. The mobile terminal 1 is a device that operates under program control, and includes a CPU 101, a display unit 103, an operation key unit 102, a RAM unit 104, a nonvolatile storage unit 105, an external I / F unit 106, and the like connected thereto. A bus 108 connected to the CPU 101 and a battery 107 that supplies these power sources are included.

  The display unit 103 is a liquid crystal display 1031 and its controller, and the nonvolatile storage unit 105 is a flash memory or a compact fixed magnetic disk. The external I / F unit 106 is a serial I / F unit such as a USB.

  Each means of the examination information browsing display means 11, the examination information reference and update means 12, and the data transfer means 13 is realized by control according to the procedure of the program corresponding to each means. The program is stored in the nonvolatile storage unit 105, read out to the RAM unit 104, and executed by the CPU 101.

  FIG. 3 shows diagnosis information files 14-1 to 14-5 from “ABC Clinic (Internal Medicine) .txt”, “DEF Dentistry (Dental) .txt” and other “GHI Clinic.txt” under the folder “Diagnostic Information”. It is the figure which showed a mode that it stored. FIG. 4 is a diagram showing an example of the contents of the file management information 15.

  Here, for example, in the ABC clinic (internal medicine) examination information file 14-1, as shown in FIG. 5, three types of information such as examination ticket information, medication information, and appointment reservation information are stored.

  As medical ticket information, an item value of ABC clinic (internal medicine) is stored for an item of medical institution, and further, item names and item values such as medical institution telephone numbers, medical hours, and non-working days are stored.

  Each item name and item value of the examination ticket number, patient name, date of birth, gender, insurance card category, and application category are stored.

  The prescription date, medical institution name, medicine or drug name, and quantity are stored as the medication information, and the appointment date and time is stored as the consultation reservation information.

  Next, the operation of the mobile terminal 1 according to the first embodiment will be described with reference to the drawings. The user can refer to the contents of the medical information file by operating the displayed operation menu screen and each key of the operation key unit 102.

  FIG. 6 shows an example of a menu screen displayed in the display area 2001 of the liquid crystal display 1031 and an overview screen of the ABC clinic displayed in the display area 2002, and also shows a configuration of operation keys.

  As operation keys, a menu key 1021, an upward movement key 1022, a downward movement key 1023, and an enter key 1024 are provided.

  The operation of the examination information browsing display means 11 will be described according to the flowchart shown in FIG. When pressing of the menu key 1021 is detected (step A1), the name of the medical institution is displayed in each line of the display area 2001 (in the example of the present embodiment, the name of the medical institution information file 14 of each medical institution is the name of the medical institution). Since the previous value of the tab position (line) is saved at a predetermined address in the RAM section 104, it is read and set as the tab position, and the tab display (tab position (line)) is displayed. The background color of the character is displayed in a specific color) (step A2).

  When it is detected that the upward movement key 1022 or the downward movement key 1023 is pressed (step A3), the tab position (row) is updated, and the tab display is also updated (step A4). When the pressing of the enter key 1024 is detected (step A5), if the display content of the line indicated by the tab position (line) is the name of the medical institution (step A6), the corresponding examination information file 14 is read, the name of the medical institution, the examination The ticket number, “details” button and consultation reservation information are displayed in the display area 2002, and if there is medication data, a “prescription” button is displayed (step A7).

  Here, when the tab position (line) in step A2 is set to the first line, the up key 1022 or the down key 1023 is not operated and the enter key 1024 is pressed, the ABC clinic's examination information file 14- 1 is read out and the outline display of FIG. 6 is performed.

  When the process of step A7 is performed, the process returns to step A3. When the user operates the downward movement key 1023 several times, the process from the process of step A3 to the determination process of step A5 is repeatedly performed, and the tab position (line) indicates the line displaying the “detail” button. It becomes the value shown.

  In this state, pressing of the enter key 1024 is detected (step A5), and since the tab position (row) display is the “detail” button (step A6), the separation is on the “detail” button side (step A8). Are displayed in the display area 2002, and the tab position is automatically set to the “summary” button (step A9).

  Thereafter, the process returns to step A3, and since the user does not operate the upward movement key 1022 or the downward movement key 1023, the determination of NO is made in this step, the pressing of the determination key 1024 is detected (step A5), and the tab position (line ) Is a “Summary” button (Step A6), the original summary information is displayed in the display area 2002, and the tab position is also returned to the “Details” button (Step A11).

  Thereafter, the process proceeds to step A3, and the downward movement key 1023 is operated. When the enter key 1024 is operated, the tab position display is determined to be a “prescription” button (step A6), and the separation is a “prescription” button. (Step A8), the medication information and the “Summary” button are displayed in the display area 2002, and the tab position is set to this button (Step A10).

  After the determination at step A3 on the NO side, pressing of the enter key 1024 is detected (step A5), the tab position is displayed for the “summary” button (step A6), and the original summary information is displayed in the display area 2002. The position is also returned to the “with prescription” button (step A11).

  Thereafter, the examination information browsing / display unit 11 proceeds to step A3. However, if all the information is displayed, the operation is terminated because the user does not perform any key operation.

  The detailed operation description of the medical information reference and update unit 12 of the portable terminal 1 will be omitted here because it will be described in the operation description of the second embodiment described later.

  In the above example, the file name of the medical examination information file 14 is the name of the medical institution, but the list of the medical examination information file 14 corresponding to the name of the medical institution (including the department name) storing the medical examination information file 14 is nonvolatile. There is also a method of holding in the sex storage unit 105.

  The mobile terminal 1 is not limited to a dedicated mobile terminal, and may be configured by mounting the program of the components shown in FIG. 1 on a mobile phone with an external I / F.

  According to the portable terminal 1 of the present embodiment, each examination ticket of a plurality of medical institutions can be centrally managed by one portable terminal 1. In other words, the use of a mobile terminal increases the recording capacity and allows information to be updated many times. Conventionally, a medical examination using a paper, magnetic card, or IC card, and created for each patient at each medical institution. Ticket information can be collectively managed with one mobile terminal. Therefore, there is no need to hold and manage a plurality of examination ticket media, which is convenient.

  In addition, by providing the portable terminal 1 with the display unit 103 and other examination information browsing / display means 11, the patient can easily check the contents of the examination ticket information.

  Next, a consultation management system according to the second embodiment of the present invention will be described. FIG. 8 is a block diagram showing the configuration of the consultation management system of the present invention.

The medical examination management system of the present invention includes a portable terminal 1, a medical examination terminal 2 that is provided in a medical institution and can be connected to the portable terminal 1, and a doctor terminal 3 that is communicatively connected to the portable terminal 1 via a LAN 1000 (Local Area Network).
The consultation management terminal 2 includes a data transfer unit 21, a process selection unit 22, a reception processing unit 23, a reservation / portable information update unit 24, a DB reference / update unit 25, and a communication unit 26.
Further, a consultation record DB storage 27 (a consultation record database), a medication DB storage 28 (a medication data database), and a consultation reservation management DB storage 29 (a consultation reservation management database) are stored on the auxiliary storage device 204.

  The data transfer unit 21 includes an external I / F unit 206 that connects the portable terminal 1 with a serial I / F such as a USB, a driver program that controls the external I / F unit 206, and an execution unit for the driver program. The process selection means 22 is activated when the portable terminal 1 is connected to the external I / F unit 206, reads the examination ticket information of the own medical institution of the portable terminal 1, and is associated with the examination ticket number. The processing state is acquired from the medical record DB storage 27 and the like, and the reception processing unit 23 / reservation and portable information update unit 24 are activated according to the processing state of null / medical treatment completed.

  The reception processing unit 23 performs a reception process for medical examination and medical care using the medical ticket information of the own medical institution acquired from the mobile terminal 1 brought by the user (patient), and also applies medication to the mobile terminal 1 by other medical institutions. If data is recorded, it is read and stored in the medication DB storage 28.

The DB reference and update means 25 (database reference and update means) receives a DB reference request from the doctor terminal 3 through the communication means 26 and the communication means 32, and the designated diagnosis in the diagnosis record DB storage 27 and the medication DB storage 28 is performed. The ticket number correspondence information is read and returned.
Also, the DB update request and data are received from the doctor terminal 3, and the block corresponding to the designated examination ticket number in the consultation record DB storage 27 and the medication DB storage 28 is updated.

  The reservation and portable information update unit 24 is activated by the process selection unit 22 when the portable terminal 1 of the user (patient) who has completed the examination or medical treatment is connected. Reservation and portable information update means 24 is a user (patient) who needs to continue medical care, refers to the consultation reservation management DB storage 29, displays the date and time when there is a vacancy, obtains appointment reservation information for the next and subsequent visits The reservation management DB storage 29 is updated. In addition, the current medication data and consultation reservation information are transmitted to the portable terminal 1 to instruct to update the examination information file 14 of the portable terminal 1.

  The medical record DB storage 27 stores medical records for each user (patient), is uniquely managed based on the medical card number of the user (patient), and stores the reception history up to now. The medication DB storage 28 stores medication data for each user (patient), and manages the medication data prescribed by the doctor based on the examination ticket number of the user (patient). The appointment reservation management DB storage 29 is a DB for managing appointment appointments in the medical institution, and the examination time zone information for each day up to a predetermined date of the medical institution and the user (patient) whose appointment is confirmed. The examination ticket number is registered in association with the booked date and time zone.

  The doctor terminal 3 includes a consultation management DB reference / update unit 31 and a communication unit 32. The consultation management DB reference and update means 31 designates the examination ticket number when the examination ticket number of the patient to be examined or treated is set, and receives the corresponding information in the examination record DB memory 27 and the medication DB memory 28. 2 is requested to DB reference and update means 25, and the corresponding information is received and displayed.

  When a doctor or the like inputs a diagnosis, a medical result, and a prescription through the input device 202, these data and an update instruction are transmitted to the DB reference and update means 25.

  The data transfer means 21, process selection means 22, acceptance processing means 23, reservation and portable information update means 24, DB reference and update means 25 are realized by control according to their corresponding program procedures. In addition, the consultation management DB reference and update means 31 of the doctor terminal 3 is also realized by controlling a program corresponding thereto.

  FIG. 9 is a block diagram showing the hardware configuration of the consultation management terminal 2 and the doctor terminal 3. The consultation management terminal 2 is a computer that operates under program control, and includes a control unit 201 including a CPU and a main memory, an input device 202, a display device 203, an auxiliary storage device 204, a communication unit 205, and an external I / F unit such as a USB. 206.

  The doctor terminal 3 is a computer that operates under program control, and includes a control unit 301 including a CPU and a main memory, an input device 302, a display device 303, an auxiliary storage device 304, and a communication unit 305.

  FIG. 10 is a diagram showing an example of the contents of the consultation record DB storage 27. The medical record DB storage 27 is a DB that records the patient's personal information and medical history at the medical institution corresponding to each medical ticket number. Each record of the visit history includes the date of visit, the department, and the result (continuation / completion of medical treatment).

  In this embodiment, the processing status column is included for convenience, but this may be another record. For example, the processing state may be managed in the RAM unit 104 corresponding to the patient's examination ticket number on the day, and the processing selection means 22 may refer to this.

  FIG. 11 is a diagram showing an example of the contents of the medication DB storage 28. The medication DB storage 28 is a database that records a medication history of a patient at a medical institution including other medical institution corresponding to each examination ticket number, and manages and holds an update date and time. Each record of medication history includes prescription date, medical institution, drug information, and quantity.

  FIG. 12 is a diagram showing an example of the contents of the consultation reservation management DB storage 29. In the appointment reservation management DB storage 29, the examination time zone information for each day until a predetermined date of the medical institution and the examination ticket number of the user (patient) whose appointment is confirmed are linked to the appointment date and time zone. Registered.

Next, the operation of the consultation management system of the present invention will be described with reference to the drawings. The operation of the consultation management system will be described with reference to FIG. 8 and the flowcharts of FIGS.
First, processing when a patient receives medical examination at a medical institution will be described. The user (patient) connects the external I / Fs of the portable terminal 1 and the consultation management terminal 2 that he / she brought in the medical institution. Note that the name of the medical institution, the examination ticket information, and the medication information are registered in the portable terminal 1 (step B1).

  The data transfer means 21 of the consultation management terminal 2 detects the connection, recognizes the partner, and activates the process selection means 22 (step B2). The process selection means 22 requests the examination ticket information by designating the medical institution name to the examination information reference and update means 12 of the portable terminal 1 through the data transfer means 21 (step B3).

  The examination information reference and update means 12 reads the examination ticket information in the examination information file 14 of the designated medical institution, and transmits it as a response (step B4). The process selection means 22 receives the response information, searches the examination record DB storage 27 using the examination ticket number of the examination ticket information as a key, and activates the reception processing means 23 if the status value of the corresponding block is null. Also pass the ticket information (step B5).

  The reception processing means 23 reads the patient personal information, the last consultation date, and the consultation subject of the block corresponding to the consultation ticket number in the consultation record DB memory 27 (step B6). If the patient personal information in the received medical ticket information matches the read patient personal information and there is a corresponding medical record, the medical record, the read personal information, and a reception execution instruction (button) are displayed (step B7). ). The reception processing means 23 receives the execution instruction and adds the current date and time to the diagnosis record DB storage 27 (step B8).

  Next, the update information 12 is requested from the examination information reference and update means 12 for the update date and time information of the file containing the medication data of another medical institution (step B9). The examination information reference and update means 12 reads the file management information 15 and transmits the update date and time information of the examination information file 14 of other medical institutions as a response (step B10).

  If there is the medical examination information file 14 of another medical institution updated within a predetermined period, the reception processing means 23 acquires the updated date and time of the block corresponding to the medical examination ticket number in the medication DB storage 28, and the updated medical examination information file All the corresponding medication data after the 14 update date and time is requested to the examination information reference and update means 12 (step B11). The medical examination information reference and update means 12 responds and sends medication data after the designated date and time of the requested medical examination information file 14 (step B12).

  The reception processing means 23 sorts the received data as necessary, adds the data to the corresponding block of the medication DB storage 28, and updates the update date and time (step B13). The state of the corresponding block in the consultation record DB storage 27 is updated to the reception process completed (step B14). Thereafter, the patient disconnects the portable terminal 1 and the consultation management terminal 2 and waits for a diagnosis.

The consultation management DB reference and update unit 31 of the doctor terminal 3 designates the consultation ticket number and requests the DB reference and update unit 25 of the consultation management terminal 2 for the previous consultation record and medication data (step B15).
The DB reference and update means 25 reads and returns the consultation record and medication data from the consultation record DB storage 27 and medication DB storage 28, respectively (step B16).

  The consultation management DB reference and update unit 31 of the doctor terminal 3 displays the received consultation record and medication data (step B17). The doctor can also refer to this information and make a medical examination. For example, a prescription can be determined in consideration of taking a medicine that is being taken or a medicine that has been taken recently. In addition, you may ask a patient whether it actually took about the medication history currently displayed.

  The consultation management DB reference and update means 31 prompts the doctor to input medication data and diagnosis result continuation / completion of medical treatment (step B18). Upon receiving a registration instruction (operation of the button on the input screen, etc.), the medical examination ticket number is designated, and medication data and registration of continuation / completion are instructed to the DB reference and update means 25 of the medical examination management terminal 2 (step B19).

  The DB reference and update unit 25 adds the medical continuation / completion in association with the last consultation date of the corresponding block in the consultation record DB storage 27, and updates the state to medical treatment (step B20).

  The DB reference / update means 25 adds the date, the name of the medical institution (including the subject name) and the prescription data (drug name, amount) to the corresponding block of the medication DB storage 28 (step B21).

  The user (patient) who has completed the examination and medical treatment connects the external I / Fs of the portable terminal 1 and the examination management terminal 2 again (step B22). The data transfer means 21 of the consultation management terminal 2 detects the connection, recognizes the other party, and activates the process selection means 22 (step B23).

  The process selection means 22 designates a medical institution name to the examination information reference and update means 12 of the portable terminal 1 and requests examination ticket information (step B24). The medical examination reference information and update means 12 sends the medical institution medical examination ticket information designated as a response (step B25), and the process selection means 22 that has received the response information searches the medical examination record DB storage 27 using the medical examination ticket number as a key. Then, when it is recognized that the status value of the corresponding block is already medicalized, the reservation and portable information updating means 24 is activated and the medical examination ticket information is also passed (step B26).

  The reservation and portable information updating means 24 acquires the last visit date, the subject and the result from the block corresponding to the examination ticket number from the examination record DB storage 27 and displays them. In addition, if the acquired medical examination result is medical treatment continuation, a reservation request (button) is also displayed (step B27). When a reservation request is received, the consultation reservation management DB storage 29 is read out, and a reservation available date and time is extracted and displayed together with a reservation execution instruction button (step B28).

  In response to the reservation execution instruction, the examination ticket number is registered in the corresponding entry of the appointment designated date and time in the examination appointment management DB storage 29 (step B29). The consultation reservation information, the current medication data, these recording instructions, and the name of the medical institution are transmitted to the examination information reference and update means 12 of the portable terminal 1 (step B30).

  The examination information reference and update unit 12 records the reservation information and the current medication data in the examination information file 14 of the designated medical institution, updates the update date and time, and responds that the update is complete (step B31). The reservation and portable information update means 24 of the consultation management terminal 2 receives the response information and updates the state of the corresponding block in the consultation record DB storage 27 to null (step B32). Thereafter, the patient separates the portable terminal 1 and the consultation management terminal 2 from each other.

  As the process selection means 22, when the portable terminal 1 is connected, the display device 203 displays the reception process before the examination, the reservation after the examination and the update of the portable information, and selects the process by the selection input. Also good.

  The connection between the portable terminal 1 and the examination management terminal 2 may be IR communication (infrared communication) at a close distance instead of the serial I / F. In this case, the external I / F unit 106 and the external I / F unit 206 are I / F units compatible with IR communication.

  In addition, in the file management information 15 of the portable terminal 1, the appointment and portable information update unit 24 of the medical care management terminal 2 of each medical institution first creates the examination information file 14 in the portable terminal 1, referring to the examination information of the portable terminal 1 and When the updating unit 12 is instructed, a password for writing the examination information file 14 is also designated, and the examination information reference and updating unit 12 keeps it in the file management information 15.

  Then, when the examination information file 14 is updated after the next time, the reservation and portable information update means 24 of the examination management terminal 2 presents the password, and the password received by the portable terminal 1 is held in the file management information 15. There is an embodiment in which writing of the examination information file 14 is permitted if the password corresponding to the examination information file 14 is matched.

  This prevents the examination information file 14 from being erroneously written based on an instruction from the consultation management terminal 2 of another medical institution that does not correspond.

  According to the consultation management system of the second embodiment, each medical examination ticket of a plurality of medical institutions can be centrally managed by a single mobile terminal 1, and each medical institution can individually manage paper, magnetic cards, IC cards, etc. Since the examination ticket information is not written and issued to the medium, the examination ticket issuance cost of the medical institution can be suppressed. In addition, one mobile terminal 1 is reused, leading to resource saving.

  Next, the medication data prescribed by a plurality of medical institutions can be centrally managed by the portable terminal 1, so that accurate information can be shared with the medical institutions, and the transmission error of the medication data prescribed by the medical institutions to the doctor can be eliminated. it can.

It is a block diagram of portable terminal 1 which is a 1st embodiment of the present invention. It is the figure which showed the hardware constitutions of the portable terminal 1 of this invention. It is the figure which showed the file structural example of the examination information in the portable terminal 1 of this invention. It is the figure which showed the example of the content of the file management information 15 regarding the examination information file 14 in the portable terminal 1 of this invention. It is the figure which showed the example of the content of the medical examination information file 14-1 of ABC clinic (internal medicine) in the portable terminal 1 of this invention. It is the figure which showed the example of the screen of the examination information browsing display in the portable terminal 1 of this invention, and showed the structure of the operation key. It is a flowchart explaining operation | movement of the examination information browsing display means 11 of the portable terminal 1 of the 1st Embodiment of this invention. It is the block diagram which showed the structure of the consultation management system which is the 2nd Embodiment of this invention. It is the block diagram which showed the hardware constitutions of the consultation management terminal 2 and the doctor terminal 3 of the consultation management system of this invention. It is the figure which showed the example of the content of the consultation record DB memory | storage 27 of the consultation management system of this invention. It is the figure which showed the example of the content of the medication DB memory | storage 28 of the consultation management system of this invention. It is the figure which showed the example of the content of the consultation reservation management DB memory | storage 29 of the consultation management system of this invention. It is the flowchart which showed operation | movement of the consultation management system of this invention. It is the flowchart which showed operation | movement of the consultation management system of this invention. It is the flowchart which showed operation | movement of the consultation management system of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Mobile terminal 11 Examination information browsing display means 12 Examination information reference and update means 13 Data transfer means 14 Examination information file 15 File management information 101 CPU
DESCRIPTION OF SYMBOLS 102 Operation key part 1021 Menu key 1022 Upward movement key 1023 Downward movement key 1024 Determination key 103 Display part 1031 Liquid crystal display 104 RAM part 105 Nonvolatile memory | storage part 106 External I / F part 107 Battery 108 Bus 2 Examination management terminal 21 Data transfer means DESCRIPTION OF SYMBOLS 22 Process selection means 23 Reception processing means 24 Portable information update means 25 DB reference and update means 26 Communication means 27 Examination record DB memory 28 Medication DB memory 29 Consultation reservation management DB memory 201 Control part 202 Input device 203 Display apparatus 204 Auxiliary memory device DESCRIPTION OF SYMBOLS 205 Communication part 206 External I / F part 3 Doctor terminal 31 Consultation management DB reference and update means 32 Communication means 301 Control part 302 Input device 303 Display apparatus 304 Auxiliary storage device 305 Communication part 1000 LAN
2001 Display area 2002 Display area

Claims (18)

Non-volatile storage unit for storing a plurality of pieces of examination information including information on medical examinations including medical institution information, medical examination ticket numbers, and personal information of patients who are users. ,
Examination information browsing display means for displaying the examination information;
Receiving information specifying a medical institution from a medical examination management terminal, reading out medical examination ticket information corresponding to the medical institution designated by the information from the non-volatile storage unit, and transmitting the information to the medical examination management terminal. A portable terminal characterized by comprising. The nonvolatile storage unit also stores medication information prescribed by each medical institution, and the examination information browsing display means displays medication information,
The examination information reference means transmits the medication information to the examination management terminal in addition to the corresponding examination ticket information,
2. The portable terminal according to claim 1, further comprising: a medical examination information updating unit for adding medication information received from the medical examination management terminal to the stored medication information. The consultation information includes consultation reservation information,
The medical examination information update means stores medical examination reservation information received from the medical examination management terminal as part of medical examination information corresponding to a medical institution designated by the medical examination management terminal,
2. The portable terminal according to claim 1, wherein the examination information browsing display means displays consultation reservation information. A consultation management system comprising the portable terminal according to claim 1 and a consultation management terminal of a medical institution,
The consultation management terminal is
Corresponding to the examination ticket number, a medical record database storage that records the patient's personal information and the medical history of the medical institution,
Transfer means for transferring information with the mobile terminal connected by serial interface or short-range communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the reception management means includes a reception processing means for displaying the record, receiving a patient's confirmation response input, and registering the reception date and time in a corresponding block of the reception record database storage. system. A medical examination management system comprising the portable terminal according to claim 2, a medical examination consultation management terminal, and a doctor terminal connected to the medical examination management terminal,
The consultation management terminal is
Corresponding to the examination ticket number, a medical record database storage that records the patient's personal information and the medical history of the medical institution,
Corresponding to the medical examination ticket number, a medication database storage that records medication history at medical institutions including other medical institutions of patients,
Transfer means for transferring information with the mobile terminal connected by serial interface or short-range communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the record is displayed, the patient's confirmation response input is received, the reception date and time is registered in the corresponding block of the consultation record database storage, and the medication information acquired from the portable terminal is stored in the medication database storage Receiving processing means for storing
Based on the reference request from the doctor terminal, a medical record corresponding to the designated medical ticket number, and a means for reading the medical record from the medical record database storage and medication database storage, respectively, and transmitting to the doctor terminal;
Based on the update request from the doctor terminal, means for registering the examination result information and the medication information received from the doctor terminal in the block corresponding to the examination ticket number designated in the examination record database storage and the medication database storage, respectively;
When the portable terminal is connected by a serial interface or short-range communication, the medical institution is designated, the corresponding examination ticket information is acquired from the portable terminal, the current medication information and the update instruction of the patient corresponding to the examination ticket number, And a portable information updating means for transmitting the information to the portable terminal. A medical care management system comprising the mobile terminal according to claim 3, a medical care medical examination management terminal, and a doctor terminal connected to the medical examination management terminal,
The consultation management terminal is
Corresponding to the medical examination ticket number, the patient's personal information and the medical record database storage that records the medical history of the medical institution,
Corresponding to the examination ticket number, a medication database storage that records the history of medication information at medical institutions including other medical institutions of patients,
Consultation appointment management database storage in which the examination time zone information up to a predetermined date of the medical institution and the examination ticket number of the reservation confirmed patient linked to the examination time zone are registered,
Transfer means for transferring information with the mobile terminal connected by serial interface or short-range communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the record is displayed, the patient's confirmation response operation input is received, the reception date and time is registered in the corresponding block of the consultation record database storage, and the medication information acquired from the portable terminal is stored in the medication database storage Receiving processing means for storing
Based on the reference request of the doctor terminal, a medical record corresponding to the designated medical ticket number, and a means for reading the medical record from the medical record database storage and the medical record database, respectively, and transmitting to the doctor terminal;
Based on the update request of the doctor terminal, means for registering the examination result information and the medication information received from the doctor terminal in the block corresponding to the designated examination ticket number in the examination record database storage and the medication database storage, respectively;
When the mobile terminal is connected via a serial interface or close range communication, a medical institution is designated and the corresponding medical examination ticket information is acquired from the mobile terminal, and the patient's current medical examination record corresponding to the medical examination ticket number indicates that medical examination is to be continued. If so, in response to a response input to the reservation request display, the consultation appointment management database storage is referred to, the date and time when the examination is available is extracted and displayed, and the selected appointment date and confirmation instruction input is received and the examination appointment management database is received. Reservation means for registering the examination ticket number in association with the date and time of storage;
A medical examination management system comprising: portable information update means for transmitting the current medication information of the patient, the medical examination reservation information, and an update instruction to the mobile terminal. Corresponding to the examination ticket number, a medical record database storage that records the patient's personal information and the medical history of the medical institution,
A transfer means for transferring information with a mobile terminal connected by a serial interface or close range communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the reception management means includes a reception processing means for displaying the record, receiving a patient's confirmation response input, and registering the reception date and time in a corresponding block of the reception record database storage. Terminal. Corresponding to the examination ticket number, it has a medication database storage that records medication history at medical institutions including other medical institutions of patients,
In addition to registering the reception date and time, the reception processing means stores the medication information acquired from the portable terminal in the medication database storage,
Further, based on a reference request from a doctor terminal connected in communication, means for reading a medical record corresponding to a designated medical examination ticket number and a medication history from the medical record database storage and medication database storage, respectively, and transmitting them to the medical doctor terminal When,
Based on the update request from the doctor terminal, means for registering the examination result information and the medication information received from the doctor terminal in the block corresponding to the examination ticket number designated in the examination record database storage and the medication database storage, respectively;
When the portable terminal is connected by a serial interface or short-range communication, the medical institution is designated, the corresponding examination ticket information is acquired from the portable terminal, the current medication information and the update instruction of the patient corresponding to the examination ticket number, The medical examination management terminal according to claim 7, further comprising portable information updating means for transmitting a message to the portable terminal. Consultation appointment management database storage in which the examination time zone information up to a predetermined date of the medical institution and the examination ticket number of the reservation confirmed patient linked to the examination time zone are registered,
When the mobile terminal is connected via a serial interface or close range communication, a medical institution is designated and the corresponding medical examination ticket information is acquired from the mobile terminal, and the patient's current medical examination record corresponding to the medical examination ticket number indicates that medical examination is to be continued. If so, in response to a response input to the reservation request display, the consultation appointment management database storage is referred to, the date and time when the examination is available is extracted and displayed, and the selected appointment date and confirmation instruction input is received and the examination appointment management database is received. Reservation means for registering the examination ticket number linked to the date and time of storage,
9. The examination management terminal according to claim 8, wherein the portable information update unit transmits the examination reservation information to the portable terminal. A portable terminal having a non-volatile storage unit that stores medical information including medical institution information, medical examination ticket number, and medical examination information including patient's personal information corresponding to each of a plurality of medical institutions. A program,
Displaying the medical institution selection menu, selecting one of a plurality of medical institutions according to the input of the operation key unit for the menu, and displaying the medical information browsing display procedure for displaying the medical institution medical information,
Receiving information specifying a medical institution from the medical examination management terminal, reading out medical examination ticket information corresponding to the medical institution designated by the information from the non-volatile storage unit, and transmitting the information to the medical examination management terminal. ,
A program for causing a mobile terminal to execute the program. The nonvolatile storage unit also stores medication information prescribed by each medical institution,
The examination information browsing display procedure for displaying the medication information of the selected medical institution,
In addition to the corresponding examination ticket information, the medication information is also transmitted to the examination management terminal, the examination information reference procedure,
The program of Claim 10 for making a portable terminal perform the diagnostic information update procedure which adds the medication information received from the said consultation management terminal to the said memorize | stored medication information. The consultation information includes consultation reservation information,
One of the examination information corresponding to the medical institution that the examination management terminal designates the examination information browsing display procedure for displaying the examination appointment information of the selected medical institution and the examination reservation information received from the examination management terminal. The program according to claim 11 for causing a portable terminal to execute the examination information update procedure stored as a part. Corresponding to the medical examination ticket number, a computer program having personal information of a patient and a medical record database storing the medical history of the medical institution, which is connected to a portable terminal connected via a serial interface or close range communication A transfer procedure for transferring,
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, a program for displaying the record, receiving a patient's confirmation response input, and causing the computer to execute a reception processing procedure for registering a reception date and time in a corresponding block of the medical record database storage. A computer program having a medical record database storing a medical record including a medical record including a medical record of a patient corresponding to a medical ticket number, and a medical record including a medical record corresponding to a medical ticket number,
The transfer procedure;
In addition to the registration of the reception date and time, the reception processing procedure for storing the medication information acquired from the portable terminal in the medication database storage,
A database reference procedure for reading a medical record corresponding to a designated medical ticket number and a medication history from the medical record database storage and medication database storage and transmitting them to the medical device terminal based on a reference request from a doctor terminal connected via communication When,
Database update procedure for registering the examination result information and the medication information received from the doctor terminal based on the update request from the doctor terminal in the block corresponding to the designated examination ticket number in the examination record database storage and the medication database storage, respectively. When,
When the portable terminal is connected by a serial interface or short-range communication, the medical institution is designated, the corresponding examination ticket information is acquired from the portable terminal, the current medication information and the update instruction of the patient corresponding to the examination ticket number, The program of Claim 13 for making a computer perform the portable information update procedure which transmits this to the said portable terminal. Medical examination reservation in which the medical record database storage, the medication database storage, medical examination time zone information up to a predetermined date ahead of a medical institution, and a medical examination ticket number of a reservation confirmed patient linked to the medical examination time zone are registered. A computer program having a management database storage,
The transfer procedure;
The reception processing procedure;
The database reference procedure;
The database update procedure;
When the portable terminal is connected by wired or short-range communication, a medical institution is designated and corresponding examination ticket information is acquired from the portable terminal, and the patient's current examination record corresponding to the examination ticket number indicates that medical examination is to be continued. If so, in response to a response input to the reservation request display, the consultation appointment management database storage is referenced to extract and display the date and time when the examination can be performed, and the selected appointment date and confirmation instruction input are received to receive the appointment reservation management database storage. A reservation procedure for registering the examination ticket number in association with the date and time of
The program of Claim 14 for making a computer perform the said portable information update procedure made to transmit the said consultation reservation information to the said portable terminal. Corresponding to a medical examination ticket number, a medical examination management method using a computer having a personal information of a patient and a medical examination record database storing a medical examination history at the medical institution,
A transfer procedure for transferring information to and from a mobile terminal connected via a serial interface or close range communication;
Specify the medical institution, obtain the corresponding medical examination ticket information from the mobile terminal, search the medical record database storage by the medical examination ticket number, there is a corresponding record, the personal information in the recording and the individual in the medical examination ticket information If the information matches, the reception management procedure includes displaying the record, receiving a patient's confirmation response, and registering the reception date and time in the corresponding block of the reception record database storage Method. A medical examination management method using a computer having a medical record database storing a medical record including a medical record of a medical institution including other medical institutions corresponding to a medical examination ticket number, and a medical record database.
The transfer procedure;
In addition to the registration of the reception date and time, the reception processing procedure for storing the medication information acquired from the portable terminal in the medication database storage,
A database reference procedure for reading a medical record corresponding to a designated medical ticket number and a medication history from the medical record database storage and medication database storage and transmitting them to the medical device terminal based on a reference request from a doctor terminal connected via communication When,
Database update procedure for registering the examination result information and the medication information received from the doctor terminal based on the update request from the doctor terminal in the block corresponding to the designated examination ticket number in the examination record database storage and the medication database storage, respectively. When,
When the portable terminal is connected by a serial interface or short-range communication, the medical institution is designated, the corresponding examination ticket information is acquired from the portable terminal, the current medication information and the update instruction of the patient corresponding to the examination ticket number, The medical examination management method according to claim 16, further comprising a portable information update procedure for transmitting a message to the portable terminal. Medical examination reservation in which the medical record database storage, the medication database storage, medical examination time zone information up to a predetermined date ahead of a medical institution, and a medical examination ticket number of a reservation confirmed patient linked to the medical examination time zone are registered. A medical examination management method using a computer having a management database storage,
The transfer procedure;
The reception processing procedure;
The database reference procedure;
The database update procedure;
When the mobile terminal is connected via a serial interface or close range communication, a medical institution is designated and the corresponding medical examination ticket information is acquired from the mobile terminal, and the patient's current medical examination record corresponding to the medical examination ticket number indicates that medical examination is to be continued. If so, in response to a response input to the reservation request display, the consultation appointment management database storage is referred to, the date and time when the examination is available is extracted and displayed, and the selected appointment date and confirmation instruction input is received and the examination appointment management database is received. Reservation procedure for registering the examination ticket number in association with the date and time of storage;
18. The examination management method according to claim 17, further comprising: the portable information update procedure for transmitting the consultation reservation information to the portable terminal.

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