JP2009205456A - Unit and method for health and disease management support, and medical network system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To maintain motivation to continue daily health and disease management of a patient by a more effective method than ever. <P>SOLUTION: A data center provides a health and disease management support service for supporting health and disease management executed by the patient. A resembling data retrieval screen 51 is displayed on a client terminal of the patient having accessed the data center. In the resembling data retrieval screen 51, an inspection data input by the patient is displayed on a display unit 54. By use of the input inspection data as a retrieval condition, the client terminal issues an inspection data retrieval request, resembling the inspection data, to the data center. The data center extracts the inspection data of other patients, resembling the retrieval condition, from an inspection data DB, and distributes course data including a course after the resembling portion to the client terminal. The course data are displayed in a display area 53. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a health disease management support apparatus and method for supporting health disease management of a patient, and a medical network system.

  Treatment and prevention of chronic diseases represented by lifestyle-related diseases such as diabetes include daily diet and exercise according to doctor's guidance, and daily use of patients related to health and diseases such as appropriate use of prescribed drugs. Continuous self-management (hereinafter referred to as health disease management) is important. In order to support the management of such health disorders for patients, they receive test data (blood glucose level, cholesterol, etc.) sent by patients from their homes, and provide information on the patient's health status and medical condition based on the test data online. Are known (see, for example, Patent Documents 1 to 3).

  In the health disease management support systems described in Patent Literature 1 and Patent Literature 2, the current health condition of the patient is analyzed by analyzing the examination data received from the patient using a statistical method based on the accumulated examination data. And / or pathological assessment results (eg, the patient's health status or pathological trends, such as whether the patient's disease is on the way to recovery, worsening, or is healthy) .

  Further, in the health disease management support system described in Patent Document 3, the difference between the test data and the prediction data is provided as an evaluation result of the current health condition and medical condition of the patient. Predictive data is data that is predicted to be obtained when a patient performs health disease management in accordance with a doctor's guidance.

These services are useful and effective in maintaining motivation to continue routine health care management by patients.
JP-T-2002-512712 JP 2002-132952 A Japanese Patent Laid-Open No. 2002-183212

  However, there are various ways of interpreting the evaluation results, and there are patients who maintain motivation by encouraging good evaluation results and taking bad evaluation results as commandments, but they are alert and unsustainable with good evaluation results. Some patients cannot maintain their motivation with methods that provide evaluation results, such as patients who fall into trouble or patients who give up and fail because of bad evaluation results. Therefore, a more effective method has been sought for maintaining motivation to continue the management of patients' health diseases.

  The present invention has been made in view of such a background, and an object thereof is to maintain motivation to continue daily health disease management of a patient by a method more effective than before.

  In order to solve the above problems, the health disease management support device of the present invention is a health disease management support device that supports health disease management performed by a patient. Data accumulation means for accumulating on a patient-by-patient basis, and progress data of other patients similar to the course of the target patient currently performing the health disease management and progressing from the target patient from the data storage means Searching means for searching, and output means for outputting the searched progress data as a search result are provided.

  The progress data output as the search result preferably includes a similar part similar to the process of the target patient and a process after the similar part.

  The output unit is preferably a distribution unit that distributes the search result to the client terminal of the target patient through a network.

  The medical test result preferably includes a result of a medical test performed on a chronic disease including a lifestyle-related disease.

  It is preferable that the progress data includes instruction data representing contents instructed by a doctor for the target patient.

  Evaluation means for evaluating the medical condition of the target patient based on the medical examination result, and notification means for notifying the target patient of a message prompting medical care according to the evaluation result of the evaluation means preferable. The message preferably includes an address of a medical appointment site.

  The health disease management support method of the present invention is a health disease management support method for supporting health disease management performed by a patient, and stores progress data recording a medical test result and a medical condition of the patient in a data storage means on a patient basis. And a search step for searching the data storage means for the progress data of other patients that are similar to the progress of the target patient who is currently conducting the health disease management and that have progressed more than the target patient. And an output step of outputting the searched progress data as a search result.

  The medical network system of the present invention includes a medical center system including a data center computer system and a client terminal of a target patient who is connected to the computer system through a network and uses a health disease management support service provided by the data center. In the network system, the computer system includes data storage means for storing progress data in which a patient's medical examination result and progress related to a medical condition are recorded in units of patients, and the progress of the target patient currently performing the health disease management. And a search unit that searches the data storage unit for the progress data of other patients whose progress has progressed from the target patient, and a distribution unit that distributes the searched progress data to the client terminal as a search result And characterized by comprising

  It is preferable that the computer system obtains a medical test result of the target patient through the client terminal of the target patient and a client terminal of a medical facility where the target patient consulted and stores the result in the data storage unit.

  The computer system further includes an evaluation unit that evaluates a medical condition based on a medical examination result of the target patient, and a notification unit that notifies the target patient of a message prompting medical care according to the evaluation result of the evaluation unit. It is preferable to provide. The message preferably includes an address of a medical appointment site.

  It is preferable that the computer system distributes to the medical facility application information for the medical reservation addressed to the medical facility transmitted by the client terminal of the target patient accessing the medical reservation site.

  In the present invention, based on the progress of the test result input by the patient, the progress data of other patients who have followed the progress similar to the progress of the patient are output including the subsequent progress. It is possible to provide specific information that shows the outcome of treatment and prevention of diseases, such as whether the disease recovers after a long course or how the state of health deteriorates. The motivation for continuing health disease management can be maintained by a method different from the conventional method.

  A medical network system 10 shown in FIG. 1 includes a computer system of a data center 11 and computer systems of medical facilities of a hospital 12 and a clinic 13 connected to the computer system by a communication network. The hospital 12 is, for example, a relatively large-scale medical facility among local medical facilities, and possesses advanced medical examination equipment (modality) such as CT (Computed Tomography) apparatus and MRI (Magnetic Resonance Imaging) apparatus, It is a medical laboratory that accepts inspection requests from external medical facilities. The clinic 13 is an example of a relatively small medical facility that does not have such a modality and entrusts a medical examination to the hospital 12. The hospital 12 accepts an examination request from the clinic 13 via the data center 11 and accepts a medical examination.

  The computer system of the data center 11 is communicably connected to client terminals 16, 17, and 18 constituting the computer systems of the hospital 12, the clinic 13, and the patient 14 via a WAN (Wide Area Network) 19. In response to requests from the client terminals 16, 17 and 18, application services such as a medical appointment support service and a health disease management support service are provided. The patient 14 is a target patient who uses the application service of the data center 11, and includes an affected person suffering from a disease and being treated, and an unaffected person being prevented from the disease.

  For example, a browser (software) compatible with HTTP (Hypertext Transfer Protocol) is installed in each of the client terminals 16, 17, and 18 and communicates with the computer system of the data center 11 through the browser to receive application services. .

  The medical appointment support service accepts the examination application information for the commissioned examination from the clinic 13 to the hospital 12 and the appointment application information for the examination including the examination and the examination for each of the hospital 12 and the clinic 13 from the patient 14. This service relays online to the hospital 12 of

  In the medical reservation support service, schedule data corresponding to the reservation acceptance frame of the hospital 12 is distributed to the client terminal 17 of the clinic 13 and the client terminal 18 of the patient 14, and the reservation application received from each client terminal 17, 18. Distribute information to the hospital 12. The schedule data distributed to the client terminals 17 and 18 are displayed on the client terminals 17 and 18 in, for example, a calendar format. The clinic 13 and the patient 14 confirm the availability from the displayed schedule, and transmit reservation application information addressed to the requested hospital 12 from the client terminals 17 and 18 to the data center 11. The data center 11 distributes the received reservation application information to the client terminal 16 of the hospital 12.

The health disease management support service is a service that supports the health disease management of the patient 14.
The disease targeted for treatment or prevention of the patient 14 is, for example, a chronic disease represented by lifestyle-related diseases such as diabetes. For example, the patient 14 is instructed by a doctor to perform health disease management using the portable inspection device 21 at home, and performs the inspection using the portable inspection device 21 at home.

  The health disease management support service uses test data representing test results of tests performed by the patient 14 using the portable test device 21 and test data representing test results received by the patient 14 at the hospital 12 or the clinic 13. The data storage service stored in the data center 11 and the data that distributes the progress of other patients who have followed the progress of the test results of the patient 14 out of the test data collected and accumulated from a plurality of patients Consists of distribution services.

  The examination data obtained by the portable examination device 21 is uploaded to the data center 11 through the client terminal 18 of the patient 14, and the examination data obtained at the hospital 12 or the clinic 13 is sent to the data center through the client terminals 16 and 17. 11 is uploaded.

  The test data is test data related to specimen tests such as blood tests and urine tests, and physiological function tests such as blood pressure and pulse. The portable testing device 21 is a simple testing device for performing blood tests for measuring blood sugar levels and cholesterol, urine tests for measuring urine sugar, and blood pressure and pulse measurements.

  The WAN 19 is a wide area communication network such as a wide area IP (Internet Protocol) network, a public telephone network, and a dedicated line. The WAN 19 that connects the data center 11 to each of the hospital 12 and the clinic 13 is, for example, on a shared network such as an IP network or the Internet provided by a telecommunications carrier in consideration of the balance between information security and communication cost. A VPN (Virtual Private Network) that virtually constructs a dedicated line is used. As the WAN 19 that connects the client terminal 18 of the patient 14 and the data center 11, for example, the Internet is used.

  The computer system of the data center 11 includes an application server 22, a center DB server 23, and a router 24. The router 24 is a transfer device that exchanges data between different networks such as a LAN (Local Area Network) 25 and a WAN 19 in the data center 11, and includes a LAN port connected to the LAN 25 and a WAN port connected to the WAN 19. Yes. The application server 22 and the center DB server 23 are connected to the LAN port of the router 24.

  The application server 22 is a server that accepts access from the client terminals 16, 17, and 18 and provides a medical reservation support service and a health disease management support service. In the application server 22, a medical appointment site serving as a window for providing a medical appointment support service and a health disease management site serving as a window for providing a health disease management support service are established. Access from the client terminals 16, 17 and 18 is accepted through the site.

  The center DB server 23 is configured, for example, by installing a DBMS (Data Base Management System) that is software for managing a DB (Data Base) based on a computer such as a workstation or a personal computer. In the storage unit of the center DB server 23, a hospital information DB 26, a patient basic information DB 27, and an examination data DB 28 are constructed. In response to a request from the application server 22, the center DB server 23 performs processing such as updating, searching, and reading data in the DBs 26, 27, and 28.

  As shown in FIG. 2, the hospital information DB 26 stores information on the hospital 12 and the clinic 13 for each medical facility. The information related to the hospital 12 and the clinic 13 includes basic information such as the hospital ID, the name of the hospital, the clinical department established at the hospital, and the specialty field (the field of medical care that the hospital is good at). Further, the hospital 12 that accepts the reservation includes schedule data for reservation reception and reservation application information. The application server 22 accesses the hospital information DB 26 to read and update schedule data and write received reservation application information.

  As shown in FIG. 3, in the patient basic information DB 27, basic information of a plurality of patients including the patient 14 using the health disease management support service is stored in units of patients. The basic patient information includes information such as patient name, date of birth, age, sex, height, and weight at the time of registration.

  The examination data DB 28 stores an examination data file for each patient using the health disease management support service. The examination data DB 28 stores a medical condition data file and a guidance data file that constitute progress data together with the examination data file. The examination data file, the medical condition data file, and the guidance data file are stored in association with each other by the patient ID. Progress data is the process of treatment and prevention of the patient's disease, such as how the patient has recovered from the disease and how the patient has progressed in health and disease. And a specific record for each patient showing the consequences.

  The inspection data file is a file that stores inspection data, and includes a plurality of records generated in units of inspection dates. Each record has fields corresponding to a plurality of inspection items, and a measurement value and a determination result, which are inspection results of each inspection item, are recorded in each field. One record includes, for example, blood glucose test results such as blood test results, measurement values such as neutral fat and cholesterol, urine glucose test results (negative or positive) test results, physiological functions Test data representing the test results of each test item, such as blood pressure, which is the test result of the test, and BMI (Body Mass Index), which is an index representing the degree of obesity obtained from the height and weight, are recorded. Since the inspection data is recorded in the inspection data file in units of inspection dates, the progress of the inspection results can be grasped by displaying the inspection data of each inspection date in a time series.

  The medical condition data file is a file in which medical condition data is stored, and medical condition data relating to a medical condition in which a patient is diagnosed in the hospital 12 or the clinic 13 is recorded. Information such as the onset of diabetes and the onset of diabetic retinopathy, which is a complication of diabetes, is recorded in the medical condition data. This medical condition data also includes information indicating the outcome of treatment or prevention, such as whether the patient has been cured or has died.

  The instruction data file is a file that stores instruction data, and in the hospital 12 or the clinic 13, instruction data for the patient by the doctor such as a diet therapy that the patient received from the doctor is recorded. Regarding medical condition data and guidance data, a record is generated for each visit date on which a medical examination is received, and the generated records are sequentially recorded in each file. Since the medical condition data and the instruction data are recorded in the medical condition data file and the guidance data file, respectively, the progress of the medical condition and the guidance process can be grasped by displaying them in a list.

  As shown in FIG. 4, the application server 22 is based on a computer such as a workstation or a personal computer, and server application software such as an operating system, a support program 38 for providing a medical appointment support service and a health disease management support service. Configured by installing software.

  The application server 22 includes a CPU 31, a memory 32, an HDD (Hard Disk Drive) 33, a LAN port 34, and a console 36, which are connected via a data bus 37. The console 36 includes a display and input devices such as a keyboard and a mouse, and is used for managing and setting the application server 22. The HDD 33 stores various programs such as an operating system executed by the CPU 31 and a support program 38.

  The memory 32 is a work memory for the CPU 31 to execute processing. The CPU 31 centrally controls each unit of the application server 22 by loading a program stored in the HDD 33 into the memory 32 and executing processing according to the program. The LAN port 34 is a network interface that performs transmission control with the LAN 25.

  The CPU 31 functions as a request receiving unit 31a, a storage processing unit 31b, and a search processing unit 31c by executing the support program 38.

  As illustrated in FIG. 5, the request receiving unit 31 a receives data transmission requests from the client terminals 16 and 17 of the hospital 12 and the clinic 13 and the client terminal 18 of the patient 14, and then receives the client terminals 16, 17, and 18. Receive data uploaded from. From the client terminals 16, 17, examination data, medical condition data, and guidance data of the patient 14 who has been consulted are uploaded. From the client terminal 18, the examination data performed by the patient 14 using the portable examination device 21 is uploaded.

  When the data is uploaded, the request receiving unit 31a instructs the storage processing unit 31b to perform data storage processing. The storage processing unit 31b accesses the center DB server 23 based on the storage command from the request receiving unit 31a, and stores the data to be stored in the inspection data DB 28. Thus, examination data, medical condition data, and guidance data of the patient 14 are stored in the data center 11.

  Further, the request receiving unit 31a receives the examination data of the patient 14 from the client terminal 18 of the patient 14 as a search condition, and follows a course similar to the course of the examination result. A search request for inspection data (similar data) is accepted. When receiving the search request, the request receiving unit 31a instructs the search processing unit 31c to execute a search process corresponding to the search request.

  As a method for the request receiving unit 31a to accept inspection data as a search condition, inspection data uploaded from the client terminal 18 and unregistered in the inspection data DB 28 may be accepted as a search condition, or already registered in the inspection data DB 28. When the already-examined inspection data is used as a search condition, only the inspection data designation information used as the search condition may be received from the client terminal 18 and received as the search condition without receiving the inspection data upload. .

  The search processing unit 31c accesses the center DB server 23 based on the search command from the request receiving unit 31a, and is similar to the progress of the test result of the patient 14 from the test data already stored in the test data DB 28. The similar data search process is executed. In the search process, for example, for the examination item specified as the search condition, the examination data of the patient 14 and the accumulated examination data are compared to retrieve similar data. For example, when the designated test item is a blood glucose level, the measured values of the blood glucose level are compared with each other.

  As a method for comparing examination data, for example, examination data of a patient 14 specified as a search condition includes a data series composed of a plurality of measurement values measured at a predetermined interval (for example, one month interval). In this case, a data series of measurement values measured at approximately the same interval as the data series of the examination data of the patient 14 is extracted from the examination data of other patients and used as a comparison target.

  The data series comparison method is based on the data series, calculates a straight line or curve expression representing the transition of the measured value over time, and compares the calculated formulas to obtain a similarity or is included in the data series This is performed by using a well-known statistical method in which individual measured values are compared with each other and a similarity is obtained based on whether or not the difference between the two values is within a reference range.

  Moreover, when a plurality of test items are included in the test data and there are a plurality of data series to be compared (for example, when comparing data series of each test result of blood glucose level, neutral fat and cholesterol) Calculates the similarity based on the comparison results of the respective data series, and extracts the inspection data whose total value of the similarity is equal to or greater than the reference value as similar data. For example, when the sum of the similarity of the blood sugar level data series and the similarity of neutral fat is equal to or greater than a reference value, the test data is determined to be similar data.

  The similar data is read from the inspection data DB 28 including not only the similar portion of the compared data series but also the portion representing the progress of the inspection result after the similar portion. The search processing unit 31c reads out the medical condition data and instruction data corresponding to the read out similar data from the examination data DB 28, sorts the records of each data in time series using the examination date and the examination date as keys, and obtains the examination data. Then, the progress data integrating the medical condition data and the guidance data is generated.

  Even if the progress data has a similar part to the examination data of the patient 14, it does not make sense as the progress data unless the progress after the similar part has progressed to some extent as compared with the examination data of the patient 14. That is, if the recording of the progress of the similar portion is extremely short, such as the recording of the progress after the similar portion is only for one day, it is not effective as the progress data. For this reason, the search processing unit 31c selects progress data having a record of progress after the similar part for a predetermined period (for example, one month, three months, half a year, one or more years) from the progress data having the similar part. Sort out.

  In addition, when the number of extracted similar data is greater than the prescribed number that is predetermined as the upper limit value of the number of similar data to be distributed, the search processing unit 31c reads the patient 14 as the search request source from the patient basic information DB 27. Information such as age, height, and gender is read out as a narrowing condition, and based on the narrowing condition, similar data extracted according to the search condition is narrowed down. For example, when the patient 14 is a man in his 40s, the similar data of a man in his 40s is selected from the extracted similar data.

  Thus, the historical data having similar data is narrowed down, and the selected similar data is transferred to the request receiving unit 31a as a processing result. In this example, the similar data is extracted from the inspection data DB 28 based on the search condition and then narrowed down. However, after narrowing down and defining the search target range, the similar data may be extracted. Good.

  In addition, when there are a plurality of pieces of progress data, the search processing unit 31c delivers the list data to the request receiving unit 31a as a processing result. Then, when a request for the progress data designated from the list data is received from the request receiving unit 31a, the designated progress data is generated and transferred to the request receiving unit 31a.

  The request receiving unit 31a performs a process of deleting personal information that leads to patient identification such as a patient ID, a patient name, and a contact address from the progress data received from the search processing unit 31c, and uses the processed progress data as a search result. It transmits to the client terminal 18.

  A data registration screen 41 shown in FIG. 6 is an example of a GUI (Graphical User Interface) for inspection data registration displayed on the client terminal 18. When the client terminal 18 accesses the health disease management support site of the application server 22 through the browser and inputs the user ID of the patient 14 and logs in, a Web page for generating the data registration screen 41 is distributed. The client terminal 18 analyzes the source code of the received web page with a browser and generates and displays a data registration screen 41. As is well known, the Web page is page data in which source code is described in a markup language such as XML (Extensible Markup Language) corresponding to WWW (World Wide Web).

  The data registration screen 41 is provided with an input area 42 for inputting inspection data and a display area 43 for displaying registered inspection data. In the input area 42, the patient ID and patient name of the logged-in patient 14 are displayed at the top, and below the input area 44 for inputting examination data for each examination item, and the input box 45 for entering the examination date. A transmission button 46 for giving an instruction to transmit the input data is provided. The input unit 44 is configured such that a plurality of pages can be switched by a tab 44a, and an input box 44b for inputting measurement values of items such as blood glucose level, neutral fat, and cholesterol is provided on the sample test page. Another page is provided with an input box (not shown) for inputting blood pressure and BMI measurement values.

  The display area 43 is provided with a display unit 47 for displaying inspection data registered in the data center 11 and a transition button 48 for shifting to the similar data search screen 51 (see FIG. 7) below the display unit 47. It has been. The display unit 47 displays the inspection results in time series for each inspection item. When medical condition data and guidance data are registered in addition to the examination data, these data are also sorted based on the date of consultation and inserted into the display unit 47. When instruction data is inserted, for example, a detail button 49 is displayed, and when the detail button 49 is clicked, the contents of the instruction data are displayed.

  A similar data search screen 51 shown in FIG. 7 is an example of a GUI (Graphical User Interface) for similar data search, and is distributed from the application server 22 in the form of a Web page in the same manner as the data registration screen 41. The similar data search screen 51 is provided with a search condition specifying area 52 for specifying a search condition for searching for similar data, and a progress data display area 53 for displaying progress data as a search result.

  In the search condition designation area 52, a comparison data display unit 54 for displaying a data series (comparison data) designated as a search condition among registered examination data of the patient 14, and a comparison range and comparison items are designated. Are designated buttons 55, 56, a search execution button 57, and an end button 58.

  The comparison data display unit 54 displays the comparison data sorted in time series in the same manner as the display unit 47 of the data registration screen 41.

  The designation button 55 is a button for designating comparison data. When the designation button 55 is clicked, for example, a range designation window (not shown) is displayed. In the range designation window, the number of cases to be used as comparison data, the date range, etc. are input to designate the range of comparison data. In the case of specifying by the number of cases, among the registered inspection data, the inspection data before the number of cases input retroactively from the latest inspection date is specified as the comparison data for search. In the case of designating by date, for example, the comparison range is designated by a method such as past months from the input point of time or a method of specifying and specifying the start and end periods. FIG. 7 shows a state in which the data series for a total of three cases including the latest date is designated as comparison data, and the designated comparison data is displayed on the comparison data display unit 54.

  The designation button 56 is a button for designating an inspection item (comparison item) to be compared when searching for similar data among a plurality of inspection items included in the inspection data. When the designation button 56 is clicked, for example, a comparison item designation window (not shown) is displayed. In the comparison item designation window, for example, check boxes corresponding to each examination item such as blood glucose level, neutral fat, and cholesterol are provided, and the checked examination item is designated as a comparison item. As a comparison item designation method, a disease name such as diabetes, hyperlipidemia, or hypertension may be input to designate a test item corresponding to the disease name.

  The search execution button 57 is a button for instructing execution of a search. When the search execution button 57 is clicked, a search request for a specified search condition is issued, and the issued search request is sent from the client terminal 18 to the application server. 22 is transmitted. The end button 58 is a button for ending the search for similar data. When the end button 58 is clicked, the data registration screen 41 is restored.

  The progress data display area 53 is provided with a display unit 61 for displaying progress data including similar data and corresponding medical condition data and instruction data, and a list display button 62. The list display button 62 is a button for displaying a list (not shown) of a plurality of pieces of progress data extracted. The progress data selected from the list is displayed on the display unit 61. In the progress data distributed from the data center 11, personal information is deleted so that the patient is not specified. Therefore, in the progress data display area 53, the patient name of the progress data is made anonymous or hidden.

  The display unit 61 displays test data, medical condition data, and guidance data in chronological order in the same manner as the comparison data display unit 54. The display part 61 is divided into a similar part display part 61a and a progress part display part 61b. The similar part display part 61a is compared with comparison data specified as a search condition and is determined to have a similar process. Is displayed. The progress portion display portion 61b displays a progress portion indicating the progress after the similar portion displayed on the similar portion display portion 61a. In this example, the disease state display field of the progress part display portion 61b displays that the patient has developed diabetes and then has developed retinopathy, which is a complication of diabetes. The progress data is a specific record of the health disease management of a patient who has a course similar to that of the patient 14. The progress part displayed on the progress part display part 61b indicates the fact that a certain patient has followed, which suggests the outcome expected from the course of the current test result for the patient 14. Is.

  Hereinafter, the operation of the above configuration will be described with reference to the flowchart shown in FIG. For example, the patient 14 receives medical treatment at the hospital 12 for the prevention and treatment of lifestyle-related diseases. When the patient 14 wishes to use the health disease management support service, the hospital 12 that the patient 14 has visited uploads the examination data, medical condition data, and guidance data of the patient 14 from the client terminal 16 to the application server 22. . In addition, the patient 14 performs health disease management such as eating habits and exercise practice according to the doctor's guidance, and performs an examination using the portable examination device 21. Inspection data obtained by the portable inspection device 21 is uploaded from the client terminal 18 to the application server 22. The application server 22 stores the received data in the examination data DB 28 for each patient. By repeating such processing, each data is accumulated in the inspection data DB 28.

  The patient 14 accesses the application server 22 through the client terminal 18 and displays the similar data search screen 51 when searching for similar data that has followed a similar process with his / her examination data. When the search condition is designated by the patient 14 on the similar data search screen 51 and the search execution button 57 is clicked, the client terminal 18 issues a similar data search request to the application server 22.

  The application server 22 receives a search request at the request receiving unit 31a and causes the search processing unit 31c to execute a search process. The search processing unit 31c accesses the center DB server 23, searches for similar data from the inspection data DB 28, and returns the processing result to the request receiving unit 31a. The request reception unit 31a distributes the extracted similar data and the progress data obtained by integrating the corresponding medical condition data and guidance data to the client terminal 18 as a search result. In the client terminal 18, the received progress data is displayed on the similar data search screen 51.

  Since the progress data includes a similar part that has followed a course similar to the test result of the patient 14 and a course after the similar part, if the course after the similar part is poor (such as disease or death), The patient 14 can be made aware of the risks related to the health condition and medical condition, and can be motivated to continue the health disease management. Thereby, the approach to the health disease management of the patient 14 is promoted.

  Moreover, since the progress data is a record of a specific health disease management of a patient, unlike the evaluation result of the test data of the patient 14, the patient 14 is made to recognize the danger specifically, and the patient 14 There is also an effect of encouraging the sense of crisis. In addition, since the method of providing the progress data is completely different from the conventional method of providing the evaluation result, the content of the information provided to the patient 14 is completely different. In addition, if the progress after the similar portion is good, the patient 14 is also encouraged.

  Further, since not only the progress after the similar portion but also the similar portion is displayed in the progress data display area 53, the patient 14 can easily compare with the progress of his / her examination result. Moreover, since the credibility of the progress after the similar part is increased by displaying the similar part, the psychological effect given to the patient 14 is great.

  In addition, since the progress data includes guidance data, the patient 14 compares his / her guidance content with the guidance content of other patients, and checks and reviews his / her health disease management. Is possible.

  In the above-described embodiment, the example in which both the similar part and the process after the similar part are displayed in the progress data display area has been described. However, only the process after the similar part may be displayed.

  In the above embodiment, the example has been described in which the progress data of other patients including similar data similar to the test data of the target patient is distributed. However, in addition to the distribution of the progress data, the application server 22 stores the test data of the target patient. Analysis may be performed to evaluate the inspection result, and the evaluation result may be distributed. For example, the CPU 31 of the application server 22 examines whether or not a medical condition is recorded in the progress data of other patients retrieved based on the examination data of the patient 14, and the medical condition is recorded. If so, it is determined that there is a predicted disease. As in this example, according to the method of evaluating by the presence or absence of the recording of the medical condition in the progress data, the test data can be easily evaluated without using a complicated statistical method.

  As a method for evaluating inspection data, as a method other than this example, for example, a statistical method similar to the method described in Patent Documents 1 and 2 may be used. With such a statistical method, it is possible to make a complicated determination such as whether or not the inspection data shows an abnormal value and whether or not the inspection data has reached a target inspection result for each predetermined period.

  In addition, as shown in FIG. 9, the test data is evaluated, and the test results are evaluated such that there is a risk of disease on an unaffected person, or the disease state of the diseased person being treated tends to deteriorate. When it is determined that there is a problem, a message for prompting medical examination may be distributed. For example, when the request reception unit 31a receives the inspection data, the message is notified to the client terminal 18 that is the transmission source of the inspection data, and is displayed on the data registration screen 41 or the like. Of course, the mail address of the transmission source may be read from the patient basic information DB 27 and a message may be notified to the mail address in the mail format.

  The message includes, for example, a test result evaluation result, an examination result being inferior in progress, and a medical examination site address and a medical reception frame availability, such as a message 63 shown in FIG. Contains content. Since the application server 22 also provides a medical reservation service, for example, the address of the medical reservation site in the application server 22 is used as the address of the medical reservation site. Further, the availability of the medical care reception frame is acquired from the schedule data in the hospital information DB 26 by the application server 22 accessing the center DB server 23.

  As the address of the medical reservation site, instead of introducing the address of the medical reservation site in the data center 11, the address of the reservation site established by each of the hospital 12 and the clinic 13 may be introduced.

  If there is a predicted disease based on the evaluation of the test data, an appropriate hospital 12 corresponding to the disease may be introduced through the message 63. In this case, the CPU 31 of the application server 22 checks the basic information in the hospital information DB 26, compares the specialty field included in the basic information with the predicted disease name, and the hospital where the specialty field and the disease name match. 12 is extracted. Then, the extracted name of the hospital 12 and its reserved vacancy status are distributed through the message 63.

  In the above embodiment, lifestyle-related diseases have been described as examples of diseases, but the present invention is also applicable to test data for diseases other than lifestyle-related diseases.

  In the above embodiment, the example has been described in which the data center provides the health disease management support service. However, the hospital or clinic may provide the health disease management support service. In this case, a computer system that provides a health disease management support service such as an application server is configured by a computer system in a hospital or clinic.

  Further, when the health disease management support apparatus of the present invention is realized by a computer system in a hospital or clinic, it may not be in the form of an online service that distributes progress data via a network. For example, a terminal device that constitutes a health disease management support device is placed in a waiting room of a hospital or clinic, etc., and this terminal device reads test data from a storage medium brought by the patient and outputs the search result to the display of the terminal device. Such a service form may be used.

  In the above embodiment, the health disease management support apparatus of the present invention has been described as an example realized by a computer system including an application server and a center DB server. However, the health disease management support apparatus may be realized by a single server. The configuration of the computer system can be changed as appropriate, for example, by realizing it with three or more servers. In addition, if the data center computer system allows real-time online access to the hospital computer system via the WAN, the health disease management support device can be configured from the examination data DB constructed in the hospital computer system and the data center application server. A part of the health disease management support apparatus may be distributed and arranged on the network.

  In the above embodiment, the medical network system of the present invention has been described in the form of a computer system of a medical facility and a computer system of a data center. However, the medical network system of the present invention is applied to various forms. It is possible. For example, there may be a medical network system in which a single hospital has a plurality of bases and a plurality of computer systems at each base are connected by a network. Alternatively, a medical network system in which computer systems of a plurality of hospitals are connected via a network may be used. In this case, one of the hospitals becomes a data center and plays a host role. In any of the above cases, the network connecting the computer systems may be a WAN or a LAN.

  As shown in the above embodiment, the present invention naturally extends to a program form and further to a storage medium for storing the program.

It is a block diagram which shows the outline of a medical network system. It is explanatory drawing of hospital information DB. It is explanatory drawing of patient basic information DB and test | inspection data DB. It is a schematic block diagram of an application server. It is explanatory drawing of a data storage process and a data search process. It is explanatory drawing of a data registration screen. It is explanatory drawing of a similar data search screen. It is a flowchart which shows the flow of a health disease management support service. It is a flowchart in the case of evaluating a test result and notifying a message. It is explanatory drawing of the content of a message.

Explanation of symbols

10 Medical Network System 11 Data Center 12 Hospital 13 Clinic 14 Patient 16 Client Terminal (Hospital)
17 Client terminal (clinic)
18 Client terminal (patient)
19 WAN
22 Application server 23 Center DB server 26 Hospital information DB
27 Patient Basic Information DB
28 Inspection data DB
31 CPU
31a request reception unit 31b storage processing unit 31c search processing unit 38 support program 41 data registration screen 51 similar data search screen 61 message

Claims (13)

In the health disease management support device that supports the health disease management performed by the patient,
Data accumulating means for accumulating, in patient units, progress data recording the progress of the medical test result and medical condition of the patient;
Search means for searching from the data storage means the progress data of other patients that are similar to the progress of the target patient who is currently conducting the health disease management and that has progressed more than the target patient;
A health disease management support apparatus comprising: output means for outputting the searched progress data as a search result.   The health disease management support apparatus according to claim 1, wherein the progress data output as the search result includes a similar part similar to the process of the target patient and a process after the similar part.   The health disease management support apparatus according to claim 1, wherein the output unit is a distribution unit that distributes the search result to a client terminal of the target patient through a network.   The health disease management support apparatus according to any one of claims 1 to 3, wherein the medical test result includes a result of a medical test performed on a chronic disease including a lifestyle-related disease.   The health disease management support apparatus according to any one of claims 1 to 4, wherein the progress data includes guidance data representing content taught by a doctor to the target patient. Evaluation means for evaluating the medical condition of the target patient based on the medical test result;
The health disease management support apparatus according to any one of claims 1 to 5, further comprising notification means for notifying the target patient of a message prompting medical care in accordance with an evaluation result of the evaluation means.   The health disease management support apparatus according to claim 6, wherein the message includes an address of a medical reservation site. In a health disease management support method for supporting health disease management performed by a patient,
A data accumulation step for accumulating in the data accumulating means on a patient basis the progress data that records the progress of the medical test result and medical condition of the patient,
A search step for searching from the data storage means the progress data of other patients that are similar to the progress of the target patient who is currently conducting the health disease management and that has progressed more than the target patient;
A health disease management support method comprising: an output step of outputting the searched progress data as a search result. In a medical network system comprising a computer system of a data center and a client terminal of a target patient who is connected to the computer system through a network and is communicable and uses a health disease management support service provided by the data center,
The computer system includes:
Data accumulating means for accumulating, in patient units, progress data recording the progress of the medical test result and medical condition of the patient;
Search means for searching the data storage means for the progress data of other patients that are similar to the progress of the target patient who is currently conducting the health disease management and that have progressed more than the target patient;
A medical network system comprising: a delivery unit that delivers the retrieved progress data to the client terminal as a search result.   The computer system acquires a medical test result of the target patient through the client terminal of the target patient and a client terminal of a medical facility where the target patient consulted, and stores the medical test result in the data storage unit. 9. The medical network system according to 9. The computer system further includes an evaluation unit that evaluates a medical condition based on a medical test result of the target patient.
11. The medical network system according to claim 10, further comprising notification means for notifying the target patient of a message prompting medical care according to the evaluation result of the evaluation means.   12. The medical network system according to claim 11, wherein the message includes an address of a medical appointment site.   13. The medical system according to claim 12, wherein the computer system distributes to the medical facility application information for the medical reservation addressed to the medical facility transmitted by the client terminal of the target patient accessing the medical reservation site. Network system.

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