JP2009031973A - Medical check-up data processor - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical check-up information processor for selecting medical check-up items optimal to a medical check-up patient who receives medical check-up. <P>SOLUTION: This medical check-up data processor is provided with: a database server 3 for integrating the past interview results and examination results into a database for recording; a medical check-up system server 2 for storing a program or the like including a medical check-up system program necessary for executing medical check-up; and electronic terminals 5 for performing access to the medical check-up system server 2. When a medical check-up patient applies for medical check-up from the electronic terminal 5, the medical check-up system server 2 reads the past interview items of the medical check-up patient and examination items corresponding the interview items from the database, and develops those medical check-up items associated with a first interview item and a second interview item, and selects the examination items of new medical consultation from the result of the second interview item to the first interview item, and provides those examination items as recommended medical consultation items to the medical check-up patient. Thus, it is possible for the medical check-up patient to confirm or select the examination items of this time medical consultation from the provided recommended medical consultation items. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention accumulates past interview results and examination results obtained through health examinations (checkups), and selects the best checkup item for the examiner from the past interview results and examination results during this checkup. The present invention relates to a medical examination data processing apparatus.

Although a medical checkup and periodic medical checkups are indispensable for living a healthy life now, when a medical checkup undergoes a medical checkup, medical checkup information such as past medical conditions and subjective symptoms of the medical checkup It is necessary to convey accurately to the side of the medical examination facility such as a hospital.
For this reason, at the time of the first medical examination, the health checker himself / herself fills in the questionnaires, such as past illnesses and subjective symptoms, on the medical questionnaire, etc. on which pre-determined medical examination items are described, and the medical examination facility's inquiry information is provided. The method of telling to the side is generally adopted.
However, in this method, the medical staff such as the person in charge of reception and nurses manually inputs the medical examination information reported by the medical examiner into the computer and creates a database of the medical examination information. In addition, there is a problem that human error such as an input error is likely to occur.

In order to improve such a problem, for example, Patent Document 1 proposes an inquiry input system in which a medical staff reduces the trouble of inputting the inquiry information of a medical examiner.
The interrogation input system described in Patent Document 1 is such that a patient who visits a medical institution inputs personal information such as constitution, medical history, medical history, etc. and medical examination information such as symptom and purpose of medical examination using an input device before the medical examination. Information and consultation information are sent to the medical institution server and can be sent to the terminal installed in the examination room. Since the patient himself inputs personal information, the patient's personal information is accurately sent to the doctor. In addition, since it is not necessary for the medical staff to manually input the patient's personal information, it is possible to reduce the work of the medical staff.
JP 2003-323488 A

However, when the questionnaire input system described in Patent Document 1 is applied to a medical examination, there are the following problems.
In many cases, a health checkup of a healthy person is usually performed about once a year, and in the case of the first checkup, first of all, inquiry information such as a past medical condition or subjective symptom is input by an inquiry form input system described in Patent Document 1. The medical examination facility has selected the examination items from the interview information that has been communicated and has created a database of medical examiners. It is necessary to input inquiry information for all items by an inquiry input system for all items.
For this reason, in the method of the said patent document 1 which confirms interview information, such as a past illness and a subjective symptom, with the same inquiry item with respect to all the medical examinees every time, an excessive burden is imposed on a medical examiner.
In addition, the number of items that can be answered by the examiner can be reduced in the interview items that refer to the previous interview result, but the previous interview result is not used in the current examination criteria or a check is missing. There is also a problem that correct medical examination information cannot be obtained from the examiner.
The present invention has been made in view of such circumstances, and an object of the present invention is to provide a medical examination data processing apparatus that selects medical examination items optimal for medical examiners who undergo medical examination.

  The medical examination information processing apparatus of the present invention is a medical examination information processing apparatus that selects a medical examination item most suitable for a medical examiner when receiving a medical examination at a medical examination facility, and displays past inquiry results and examination results. A database server for recording in a database, a medical examination system server storing a program including a medical examination system program necessary for conducting a medical examination, and an electronic terminal for accessing the medical examination system server When a medical examination system server applies for a medical examination from an electronic terminal, it reads the examination items for the medical examiner's past inquiry items and the examination items from the database, and expands them in association with the first inquiry item and the second inquiry item. The examination item to be newly received is selected from the result of the second inquiry item for the first inquiry item, and is displayed on the electronic terminal as the recommended consultation item.

With the above configuration, when receiving a medical checkup, the items to be checked this time are automatically selected from the past checkup results on the checkup system server side, and the checkup person confirms only necessary tests from the automatically selected recommended checkup items However, the burden on the health checker can be greatly reduced compared to the conventional method of checking medical information such as past symptoms and subjective symptoms using the same questioning items every time. Can do.
In addition, since the results of the medical examinations received this time are added to the past medical examination results and made into a database, the results of this inquiry will be used together with the past medical examination results as the basis for the next medical examination. Correct medical examination information can be obtained from the medical examiner every time.

  The medical examination information processing apparatus of the present invention provides a recommended examination item to the examiner by displaying the recommended examination item on the display means of the electronic terminal, and a new inquiry item from the recommended examination item selected by the examiner. Can be expanded.

  With the above configuration, doctors who are in charge of medical checkup can accurately grasp the subjective symptoms of the medical checkup from the results of the medical checkup, so that they can give more accurate advice on lifestyle habits and detect diseases early. Is possible.

  The medical examination information processing apparatus according to the present invention repeats the selection process of the examination item to be newly received from the result of the second inquiry item with respect to the first inquiry item for all of the preset inquiry items, thereby providing a new inquiry item. Is displayed on an electronic terminal operated by a medical examiner as personal inquiry form together with personal information.

  With the above configuration, the medical examiner can acquire detailed subjective symptoms and lifestyle habits for each medical examiner simply by inputting necessary items into the personal questionnaire displayed on the display means of the electronic terminal. .

  According to the medical examination information processing apparatus of the present invention, the medical examiner only has to confirm or select only the necessary examinations from the automatically selected recommended medical examination items, so that it is the same every time for the conventional medical examiner. Compared with the method of confirming interview information such as past symptoms and subjective symptoms in the interview items, the burden on the health checker can be greatly reduced.

Embodiments of the present invention will be described in detail with reference to the drawings.
1 is an overall schematic configuration diagram of a medical examination information processing apparatus, FIGS. 2 to 6 are explanatory diagrams showing the contents of various tables stored in a database server constituting the system, and FIGS. 7 to 10 are diagrams of an electronic terminal. FIG. 11 is an explanatory diagram showing a setting screen displayed on the display means, and FIG. 11 is a flowchart showing the operation of the medical examination data processing apparatus.
In FIG. 1, reference numeral 1 denotes a medical examination facility such as a hospital that conducts a medical examination. In this medical examination facility 1, a medical examination system server 2, a database server 3, and an external connection system 4 are installed. It is connected to a plurality of electronic terminals (medical examination clients) 5 installed in a medical examination room (not shown) for performing a medical examination or the like via a network 6, and data necessary for the medical examination is stored in the network 6. A printer 7 for printing out is also connected.
The medical examination system server 2 stores a program including a medical examination system program necessary for conducting a medical examination, and the database server 3 includes an inquiry setting table 10 shown in FIG. The medical examination association table 11 shown, the past examination result setting table 12 shown in FIG. 4, the new medical examination table 13 shown in FIG. 5, the recommended consultation items 14 shown in FIG.

The external connection system 4 is composed of a sample inspection means for measuring, for example, the body weight, height, blood pressure, electrocardiogram, etc., and a physiological inspection means for inspecting blood, urine, etc. (none of which are shown). The specimen data and physiological data obtained by these examination means are sent to the database server 3 via the network 6 and are recorded in predetermined items of the setting tables shown in FIGS.
A personal computer or the like is used for the electronic terminal 5 connected to the medical examination system server 2 or the database server 3 via the network 6. The electronic terminal 5 is installed in the medical examination facility 1, for example, in a reception room, an examination room, a waiting room, or the like. In addition to being able to be operated by a receptionist or a doctor, the medical examiner himself can input personal information or select medical examination items via communication means such as the Internet using the electronic terminal 5 installed at home. It is like that.

  In the inquiry setting table 10 shown in FIG. 2, an examination number column 10a and an inquiry column 10b are set. For example, an examination column 10b corresponding to the examination number 1001 set in the examination number column 10a has “headache”, examination The interview column 10b corresponding to the number 1002 is “stomach irritated”, the interview column 10b corresponding to the examination number 1003 is “constipated”, and the inquiry column 10b corresponding to the examination number 2001 is “within one year” "I performed a brain test", "I often drink headache sedatives" in the interview column 10b corresponding to the examination number 2002, and "I performed an endoscopy within one year" in the interview column 10b corresponding to the examination number 2003 " Subjective symptoms such as are assigned.

3 includes an examination number column 11a, a first inquiry item (hereinafter referred to as a parent inquiry item) column 11b, an answer number column 11c, an examination number column 11d, a second inquiry item (hereinafter referred to as a child inquiry). Item 11) column 11e is set, for example, the parental inquiry item column 11b corresponding to the examination number 1001 set in the examination number column 11a is assigned "headache", and the number of answers is assigned to the answer number column 11c. For example, “1” is recorded, “Stomach is unpleasant” is assigned to the parent inquiry item column 11b corresponding to the examination number 1002, and “1” of the number of answers is recorded in the answer number column 11c. “Become constipated” is assigned to the parent inquiry item column 11b corresponding to the number 1003, and “2”, for example, of the number of responses is recorded in the response number column 11c.
In addition, the child examination item column 11e corresponding to the examination number 2001 set in the examination number column 11d indicates that “the brain examination was performed within one year”, while the child examination item column 11e corresponding to the examination number 2002 indicates “headache. The child's inquiry item column 11e corresponding to the examination number 2003 is assigned a subjective symptom such as “I performed an endoscopic examination within one year”.

In the past examination result setting table 12 shown in FIG. 4, an examination number column 12a, an inquiry (parent and child inquiry item) column 12b, a previous consultation column 12c, a determination column 12d, and a recommended item column 12e are set. “Stomach is uncomfortable” is assigned to the parent and child inquiry item column 12b corresponding to the examination number 1002 set in the examination number column 12a, and “stomach X-ray” is assigned to the previous examination column 12c, for example. If it is recorded, the determination result “5” is set in the determination column 12d, and “stomach endoscopy” in the recommended examination item column 12e for determination 5 is set in the recommended item column 12e.
Similarly, for example, if “constipation is high” is assigned to the inquiry item field 12b of the parent and child of the examination number 1003, and “fecal occult blood” is recorded in the previous examination field 12c, the determination is made in the determination field 13d. As a result, “3” is set, and in the recommended item column 12e, “lower endoscope” is set in the recommended examination item column 11e for the determination 3.

  In the new medical examination table 13 shown in FIG. 5, a medical examiner number field 13a, a medical examiner field 13b, a previous relevant medical examination field 13c, and an answer number field 13d are set and are set in the medical examiner field 13a. A health checker is assigned to each health checker number. For example, “Hitachi Taro” of health checker number 0000000001 records “headache” in the corresponding questioning column 13c, and the number of responses in the answering number column 13d. “3” is recorded.

Further, in the recommended consultation item table 14 shown in FIG. 6, a medical examiner number column 14a, a medical examiner name column 14b, a previous medical examination item column 14c, and a previous determination column 14d are set. For example, “Taro Hitachi” with the health checker number “0000000002” set to “Brain Dock” is recorded in the consultation item column 14c received last time, and “3” is recorded in the previous determination column 14d.
FIG. 7 shows an additional examination item setting screen 16 displayed on the display means 2a of the examination system server 2 when the examination system server 2 executes the examination system program. Has a child inquiry related setting item 16a and a recommended item setting item 16b. For example, a cancel button 16c that can be canceled if set incorrectly is displayed at the lower right.

  FIG. 8 shows a child inquiry related setting screen 17 displayed on the display means 2a of the medical examination system server 2 when the medical examination system server 2 executes the medical examination system program. The examination number column 17a and the parent inquiry The item column 17b, the child inquiry item column 17c, and the number of times column 17d are displayed. For example, “I have headache” is displayed in the parent inquiry item column 17b corresponding to the examination number 1001 set in the examination number column 17a. In the parent inquiry item column 17b corresponding to the examination number 1002, “become constipated” is displayed, and in the child inquiry item column 17c, the test result performed on the parent inquiry item is, for example, “brain within one year. “Number” 17 is displayed in the number of times column 17d, and a registration button 17e, an add button 17f, and a cancel button 17g are displayed at the bottom of the screen. Te, so that the medical personnel such as a doctor to register the contents of the parent interview items and child interview item, can be carried out operations such as add or cancel.

  FIG. 9 shows a recommended item setting screen 18 displayed on the display means 2a of the medical examination system server 2 when the medical examination system server 2 executes the medical examination system program. The column 18b, the previous consultation item column 18c and the determination column 18d, and the current consultation recommendation column 18e are displayed. For example, the parental consultation item column 18b corresponding to the examination number 1001 set in the examination number field 18a displays “headache. Is displayed in the parent medical examination item column 18b corresponding to the examination number 1002, and "I am constipated" is displayed in the parent medical examination item column 18b corresponding to the examination number 1003. For example, “3” is displayed in the determination column 18d corresponding to the “brain dock” displayed in the previous consultation item column 18c, and “brain dock” is displayed in the current consultation recommended item column 18e. And a registration button 18f, an add button 18g, and a cancel button 18h are displayed at the bottom of the screen, respectively, and a medical worker such as a doctor registers the contents of the parent inquiry item and the child inquiry item, Operations such as addition or cancellation can be performed.

  FIG. 10 shows a personal inquiry table screen 19 displayed on the display means 5a of the electronic terminal 5 operated by the medical examiner. The medical examiner name column 19a, gender column 19b, date of birth column 19c, age column 19d, a reception date column 19e, a consultation number column 19f, and a new inquiry information run 19g are displayed. The gender column 19b corresponding to the name of the medical examiner displayed in the medical examiner name column 19a indicates the gender. The date of birth is displayed in the date column 19c, the age is displayed in the age column 19d, the consultation date is displayed in the reception date column 19e, the consultation number is displayed in the consultation number column 19f, and the new inquiry information run 19g is input. The recommended consultation items selected by the inquiry information are displayed, and a registration button 19h and a cancel button 19i are displayed at the bottom of the screen, respectively. Operations such as registering or canceling information It is able to perform.

Next, the operation of the medical examination data processing apparatus will be described with reference to the flowchart shown in FIG.
As a method for selecting a medical checkup item and a medical checkup item that the medical checkup should receive a medical checkup, a medical checkup who has received a medical checkup at the medical checkup facility 1 in the past from the electronic terminal 5 at home A method of accessing the medical examination system server 1 via communication means such as the Internet, and a method in which a medical examiner goes to the medical examination facility 1 to offer reception and a person in charge of the operation operates the electronic terminal 5 There is a method in which a doctor or nurse who conducts a medical examination operates the electronic terminal 5, and when a medical examination is performed for the first time, the medical examiner goes to the medical examination facility 1 and asks for reception. A method of operating the terminal 5 is applied.
If a medical examiner who has received a medical examination at the same medical examination facility 1 in the past applies for medical examination using the Internet, or if the medical examiner goes to the medical examination facility and is installed in the medical examination facility In the case of applying for a medical examination from the electronic terminal 5, the medical examiner registered in advance in the medical examination system server 2 of the medical examination facility 1 by operating the electronic terminal 5 in step S1 of the flowchart shown in FIG. Enter your ID and password, and make a reservation and receive a medical examination.

If the logon to the medical examination system server 2 is successful, the medical examination system server 2 completes reception of the medical examiner in step S2, and proceeds to step S3, where the data is stored in the database based on the medical examiner ID of the medical examiner After extracting the previous inquiry result stored in the server 3, the process proceeds to step S4 to extract the previous examination result of the examiner.
Then, the extracted result of the previous interview is used as a parent inquiry item, and the result of the previous inspection is expanded as a child inquiry item in the table shown in FIG. 3 to collate them. In step S6, the parent inquiry item is displayed, and in step S7, the child inquiry item is displayed. In step S8, both are associated with each other in FIG.
That is, when the parent interview item column 11b “headache” indicating the interview result at the previous interview is recorded and the number of times is recorded in the frequency column 11c, what kind of examination was performed on the parent interview item The examination result is expanded as a child inquiry item, and a process for associating the parent inquiry item with the child inquiry item is performed. The contents of the process are displayed on the display means 2a of the medical examination system server 2 as shown in FIG.

Thereafter, the process proceeds to step S9, where the medical examination system server 2 performs setting processing of recommended items to be examined this time from the table associating the inquiry results with the examination results shown in FIG. Is displayed on the display means 2a as shown in FIG.
For example, if “stomach irritated” was replied at the previous medical examination, “stomach X-ray” was examined as the examination, and the result was recorded as “5” as the priority in the judgment column. The diagnosis system server 2 determines that the examination of the stomach endoscope is necessary from “5” in the determination column 12d of the past examination result setting table shown in FIG. 4, and “Stomach endoscope” is selected as a recommended item in the recommended item column 12e. ”Is selected.
Thereafter, the process proceeds to step S10, where it is determined whether or not the recommended items are selected in the same manner for the other inquiry items. If so, the process returns to step S6 to repeat the above processing, thereby determining the determination items. Necessary examination is determined according to the priority of 12d, for example, when “constipation is high” is recorded in the inquiry item column 12b, “fecal occult blood” is recorded in the previous consultation item column 12c, and the determination is recorded as “3” In the recommended item column 12e, “lower endoscope” is selected as a recommended item.

When the processing from step S6 to step S9 is repeated for all of the preset interview items, the process proceeds to step S11 to determine a new interview item, and a medical checkup as shown in FIG. Display on the display means 5a of the electronic terminal 5 operated by the user.
When a medical examiner who receives the current medical checkup selects a medical checkup item to be received this time from the recommended medical checkup items displayed on the display means 5a of the electronic terminal 5 in step S12, a new medical checkup item corresponding to the selected recommended medical checkup is displayed. In step S13, the current inquiry item is input as new inquiry information from the electronic terminal 5 in step S13.
As a result, a new inquiry item to ask the medical examiner can be developed from the past medical examination result and the examination result, so that the symptoms and lifestyle can be accurately conveyed to the examination facility 1 side for each individual medical examiner.

After operating the electronic terminal 5 to complete the appointment and pre-examination of the medical examination, the medical examiner goes to the medical examination facility 1 on the day of the medical examination reserved in advance and receives the actual medical examination in step S14. Therefore, when accepting a health checkup, the items to receive this time's health check are automatically selected on the health check system server 2 side based on the results of the previous check-up, and the check-up person confirms only necessary tests from the automatically selected recommended items. However, the burden on the health checker can be greatly reduced compared to the conventional method of checking medical information such as past symptoms and subjective symptoms using the same questioning items every time. Can do.
In addition, the results of the medical examinations we have received this time are added to the past medical examination results and compiled into a database.
Since the result of the current inquiry is used as a reference for the next checkup together with the result of the previous checkup, correct checkup information can be surely obtained from the checkup for each checkup.

  In the above-described embodiment, the medical examiner operates the electronic terminal 5 of the home or the medical examination facility 1 to make a reservation for the medical examination, but the medical examiner who went to the medical examination facility 1 is the medical examiner. Since the same operation is performed when the reception person operates the electronic terminal 5 by applying to the reception, or when the doctor or nurse in charge of the medical examination operates the electronic terminal 5, the description thereof is omitted.

1 is an overall schematic configuration diagram of a medical examination information processing apparatus according to an embodiment of the present invention. It is a figure which shows the inquiry setting table stored in the database server which comprises the medical examination information processing apparatus which becomes embodiment of this invention. It is a figure which shows the inquiry correlation table stored in the database server which comprises the medical examination information processing apparatus which becomes embodiment of this invention. It is a figure which shows the past test result setting table stored in the database server which comprises the medical examination information processing apparatus which becomes embodiment of this invention. It is a figure which shows the new inquiry table stored in the database server which comprises the medical examination information processing apparatus which becomes embodiment of this invention. It is a figure which shows the recommended consultation item setting table stored in the database server which comprises the medical examination information processing apparatus which becomes embodiment of this invention. It is a display screen which shows the example of a display in the additional consultation item process of the medical examination information processing apparatus which becomes embodiment of this invention. It is a display screen which shows the example of a display in the additional consultation item process of the medical examination information processing apparatus which becomes embodiment of this invention. It is a display screen which shows the example of a display in the recommended item setting process of the medical examination information processing apparatus which becomes embodiment of this invention. It is a display screen which shows the example of a display in the personal inquiry form process of the medical examination information processing equipment which becomes embodiment of this invention. It is a flowchart which shows the effect | action of the medical examination information processing apparatus which becomes embodiment of this invention.

1 medical examination facility 2 medical examination system server 2a display means 3 database server 4 external connection system 5 electronic terminal 5a display means 6 network

Claims (3)

  A medical examination information processing apparatus for selecting a medical examination item most suitable for a medical examiner when taking a medical examination at a medical examination facility, comprising a database server that records and records past inquiry results and examination results as a database, A medical examination system server storing a program including a medical examination system program necessary for conducting a medical examination, and an electronic terminal for accessing the medical examination system server, wherein the medical examination system server is the electronic device When applying for a medical examination from a terminal, the examination items for the medical examination person's past examination items and the examination items are read from the database and expanded in association with the first inquiry item and the second inquiry item. An examination item to be newly received is selected from the result of the second inquiry item for the other inquiry item, and is displayed on the electronic terminal as a recommended consultation item. Examination information processing apparatus.   By displaying the recommended consultation items on the display means of the electronic terminal, the recommended examination items are provided to the examiner so that new inquiry items can be developed from the recommended examination items selected by the examiner. The medical examination information processing apparatus according to claim 1.   A new inquiry item is determined by repeating the selection process of the examination item to be newly received from the result of the second inquiry item with respect to the first inquiry item for all of the preset inquiry items, and used as an individual inquiry sheet The medical examination information processing apparatus according to claim 1 or 2, wherein the medical information is displayed on the electronic terminal operated by a medical examiner together with personal information.

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