JP2010198583A - Apparatus, method, program and system for processing medical checkup information - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To make it easy to perform a medical examination by transmitting information stored in a portable recording medium to a medical checkup device so as to be output. <P>SOLUTION: A medical checkup information processing apparatus which can communicate with the portable recording medium in which medical checkup information measured by the medical checkup device is recorded, includes: an acceptance means for accepting the selection of medical checkup items from among a plurality of medical checkup items; an obtaining means for obtaining medical checkup information measured by the medical checkup device from the portable recording medium; and a transmitting means for transmitting the medical checkup information, obtained by the obtaining means, and first medical checkup information, measured by a first medical checkup device corresponding to the medical checkup items accepted by the acceptance means, to the first medical checkup device so as to be output. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a medical examination information processing apparatus, a medical examination information processing method, a program, and a medical examination information processing system, and in particular, a recording medium in which each examinee carries medical examination information measured by various medical examination devices via a terminal. The present invention relates to a medical examination information processing system that records information on medical examinations and collects medical examination information.

Currently, so-called medical check-ups are generally performed in which doctors, nurses, etc. (hereinafter referred to as “measurers”) make business trips to schools, companies, etc. to conduct health checks.
For example, in a conventional business trip medical checkup, the result of the medical checkup (medical checkup information) performed by the measurer was written on a medical checkup sheet (paper). Instead of (paper), a portable recording device such as an IC card is used (for example, see Patent Document 1).
JP-A-11-213061

  However, conventionally, for example, when a medical examination result is output from an electrocardiogram measuring instrument in order to make a diagnosis, other medical examination results (medical examination information), recipient information, and the like cannot be output. For this reason, it has been difficult for a person who conducts a health examination to make an appropriate diagnosis.

  In addition, for example, in order to print the medical examination information of the medical examination subject necessary for performing an appropriate electrocardiogram diagnosis on the paper (medical examination result) output by the medical examination on the electrocardiogram, It was difficult to get medical checkups for the necessary medical checkups before.

  In addition, some medical examination subjects do not require other medical examination results and / or recipient information in order to conduct a medical examination. Conventionally, depending on the medical examination subjects, other medical examination results and / or Or, it was not possible to switch whether to send the information of the examinee to the medical examination device.

  An object of the present invention is to facilitate diagnosis by transmitting information stored in a portable recording medium to a medical examination device so as to output the information.

  The present invention is a medical examination information processing apparatus capable of communicating with a portable recording medium on which medical examination information measured by a medical examination device is recorded, and accepts selection of a medical examination subject from a plurality of medical examination subjects Means, acquisition means for acquiring medical examination information measured by the medical examination device from the portable recording medium, and medical examination information acquired by the acquisition means corresponding to a medical examination subject received by the receiving means The first medical examination information measured by the first medical examination device and transmission means for transmitting the first medical examination information to the first medical examination device for output.

  The present invention relates to a medical examination information processing method in a medical examination information processing apparatus capable of communicating with a portable recording medium on which medical examination information measured by a medical examination device is recorded, and the receiving means of the medical examination information processing apparatus includes A receiving step for accepting selection of a medical examination subject from a plurality of medical examination subjects, and an acquisition unit of the medical examination information processing device acquires medical examination information measured by the medical examination device from the portable recording medium And the transmission means of the medical examination information processing apparatus measures the medical examination information acquired in the acquisition process with the first medical examination device corresponding to the medical examination subject received in the receiving process. And a transmission step of transmitting to the first medical examination device for output.

  The present invention provides a medical examination information processing apparatus capable of communicating with a portable recording medium in which medical examination information measured by a medical examination device is recorded, and a receiving unit that accepts selection of a medical examination subject from a plurality of medical examination subjects The acquisition means for acquiring the medical examination information measured by the medical examination device from the portable recording medium, and the medical examination information acquired by the acquisition means corresponding to the medical examination subject received by the receiving means It is made to function as a transmission means which transmits to the said 1st medical examination device to output with the 1st medical examination information measured with this medical examination equipment.

  ADVANTAGE OF THE INVENTION According to this invention, it becomes possible to make it easy to perform a medical examination by transmitting to the medical examination apparatus in order to output the information memorize | stored in the portable recording medium.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

  First, a medical examination information processing system according to an embodiment of the present invention will be described.

  FIG. 1 is a block diagram showing a system configuration of a medical examination information processing system according to the present embodiment.

  In FIG. 1, 100 is a reception terminal. The reception terminal 100 is a handy terminal or a notebook personal computer, and is provided with a reader / writer 207 (FIG. 2) for the recording medium 160. The receiving terminal 100 can store data in the recording medium 160 or read and acquire data stored in the recording medium 160 via the reader / writer 207.

  The reception terminal 100 is connected to a barcode reader (not shown).

  In the memory 202 (FIG. 2) of the reception terminal 100, for every examinee scheduled to be examined, the examiner ID (identification information for identifying the examinee), medical examination number, name, gender, age, date of birth Patient information such as date is stored.

  Further, in the memory 202 of the reception terminal 100, for every examinee scheduled to be examined, a medical examination subject ID (identification information for identifying the medical examination subject), a medical examination subject scheduled to be examined in the current medical examination, and a medical examination schedule Identification information (flag) (scheduled medical examination schedule information) for identifying medical examination subjects that are not is stored (FIG. 10). The table (FIG. 10) in which the examinee information, the medical examination subject ID, and the medical examination schedule information are stored is referred to as a medical examination table. Here, the health examination subjects are, for example, types (classifications) of health examinations such as height / weight, blood pressure, waist circumference, and visual acuity.

  Further, in the memory 202 (FIG. 2) of the reception terminal 100, past medical examination results (also referred to as medical examination information) of each medical examination subject are stored for every medical examinee scheduled to undergo medical examination (see also medical examination information). FIG. 11).

  A table (FIG. 11) in which past medical examination results of each medical examination subject are stored is referred to as a past medical examination table.

  In addition, the memory 202 (FIG. 2) of the reception terminal 100 stores a conversion program for identifying the barcode read by the barcode reader and converting it into character data, and a reception processing program (FIG. 3) described later. Has been.

  Similar to the reception terminal 100, the management terminal 150 is a handy terminal or a notebook personal computer, and is provided with a reader / writer 207 (FIG. 2) for the recording medium 160. The management terminal 150 can store data in the recording medium 160 via the reader / writer 207, or can read out and acquire data stored in the recording medium 160.

  The memory 202 (FIG. 2) of the management terminal 150 stores a medical examination result file and a collection processing program (FIG. 9) described later.

  The medical examination terminals A (111) to N (129) (medical examination information processing apparatus) are handy terminals or notebook personal computers, and are provided with a reader / writer 207 (FIG. 2) for the recording medium 160. Yes. The medical examination terminal can store data in the recording medium 160 via the reader / writer 207 and can read out and acquire data stored in the recording medium 160.

  In the memory 202 (FIG. 2) of the medical examination terminals A (111) to N (129), a control program for performing the process shown in FIG. 4 and a process for performing the processes shown in FIGS. 5 to 7, 19 and 25 are performed. Program, screen information used in each program (data for displaying the screen shown in FIGS. 17 to 18 on the display 205 and may be included in each program), and menu (FIG. 17) Associated information file (FIGS. 14 to 15) for associating each medical examination subject to be associated with the corresponding processing program, and device setting information (medical examination terminal A (111) of each medical examination device (110 to 128) ) To N (129) setting information) and communication programs (Bluetooth, IrDA, TCP / IP, etc.) used for exchanging data with each medical examination device. A response communication program) is stored. Here, the reason why the association information file is stored is that the processing program is different for each medical examination subject.

  Note that at least a part of each communication program may be included in the operating system program.

  The same program (control program, processing program corresponding to each health examination subject, communication program corresponding to each health examination subject or each health examination device, screen information of screens displayed by these programs, etc. Since the association information file) and the device setting information of all the medical examination devices are stored, all the medical examination terminals can be used in any medical examination subject.

  That is, an arbitrary medical examination terminal can be used for an arbitrary medical examination subject only by selecting one medical examination subject from a plurality of medical examination subjects on the menu screen displayed on the medical examination terminal.

  The medical examination devices A (110) to N (128) are various examination devices such as an X-ray imaging apparatus, a sphygmomanometer, and an electrocardiogram measuring device used for the medical examination, and the medical examination terminals A (111) to N ( 129).

  The medical examination device includes a wireless external interface such as Bluetooth or IrDA or a wired external interface such as a USB, IEEE 1394, or parallel transfer cable in order to enable communication with the medical examination terminal. As described above, since the type of the external interface is often different depending on the company providing the medical examination device, a plurality of communication programs are stored in the memory 202 of the medical examination terminal.

  The recording medium 160 is a portable recording medium (also referred to as a portable recording medium), such as an RF-ID or an IC card. This portable recording medium can store the information shown in FIGS.

  In FIG. 1, when two are connected by the solid line like the medical examination apparatus A110 and the medical examination terminal A111, it has shown that both are connected by the cable (wired). The medical examination device D116 and the medical examination device E117 are connected so as to be communicable with the medical examination terminal D118. Moreover, when two are connected with the broken line like the medical examination apparatus B112 and the medical examination terminal B113, it has shown that both are connected by the radio | wireless or infrared rays. Moreover, when two are not connected like the medical examination apparatus C114 and the medical examination terminal C115, it has shown that both are not connected so that communication is possible. In such a case, the measurer looks at the health check result (test result) measured by the health check device C114, the measurer manually inputs the result to the health check terminal C115, and the health check terminal C115 manually inputs the result. The recorded data is recorded on the recording medium 160.

  FIG. 2 is a block diagram showing a hardware configuration of various terminals (reception terminal, each medical examination terminal, and management terminal) in FIG.

  In FIG. 2, a CPU 201, a memory 202, a ROM 203, a communication adapter 204, a display 205, a keyboard 206, and a reader / writer 207 are connected to each other via a system bus 200.

  The system bus 200 means, for example, a PCI bus, AGP bus, memory bus, or the like. In FIG. 2, various interfaces such as a chip for connecting between buses, a keyboard interface, and a display interface are omitted.

  The CPU 201 performs various operations such as four arithmetic operations and comparison operations, and controls hardware and software. The memory 202 stores an application program (including screen information for screen display) for executing a part corresponding to a step of processing executed by the operating system and each terminal shown below, and various data and files described above. In this embodiment, the memory 202 uses a nonvolatile memory.

  Each terminal further includes a hard disk (not shown) or a so-called silicon disk composed of a large-capacity flash memory, and stores operating system programs and application programs on the hard disk and silicon disk. A form in which each program is read from the silicon disk into the memory 202 and executed is also possible.

  The ROM 203 stores a so-called BIOS that manages input / output to / from a hard disk or the like in cooperation with the operating system.

  The communication adapter 204 communicates with the outside via a communication line (not shown) in cooperation with an operating system communication program controlled by the CPU 201.

  A display 205 (display unit) displays a screen and also serves as a touch panel, and a keyboard 206 is used for inputting various instructions and numerical values.

  The reader / writer 207 is for reading data from the recording medium 160 and conversely writing data to the recording medium 160. Note that the reading / writing method is a contact type in which the recording medium 160 is inserted / contacted with the reader / writer 207, or the recording medium 160 and the reader / writer 207 do not need to be in contact with each other for data reading / writing. It does not matter whether it is a contact type. Further, a reader / writer 207 that can store / update data corresponding to the type of the recording medium 160 is used.

  Next, functions provided in the medical examination terminal (medical examination information processing apparatus) in FIG. 1 will be described.

  FIG. 26 is a block diagram illustrating a configuration of functions included in the medical examination terminal (medical examination information processing apparatus) in FIG. 1.

  26, the medical examination terminal includes a storage unit 2601 that stores identification information for identifying a medical examination subject, a first reception unit 2602 that accepts selection of a medical examination subject from a plurality of medical examination subjects, and a medical examination. A second reception unit 2603 that receives the medical examination information measured by the device from the medical examination device, and an identification information acquisition unit 2604 that acquires the identification information of the medical examination subject received by the first reception unit 2602 from the storage unit 2601. A reading unit 2605 that reads past medical examination information associated with the identification information acquired by the identification information acquisition unit 2604 from the portable recording medium, past medical examination information read by the reading unit 2605, and the second reception. A display control unit 2606 that displays the medical examination information received by the unit 2603 on the same screen, a transmission unit 2607 that transmits the medical examination information received by the second reception unit 2603 to the portable recording medium, and a second Based on the medical examination information received by the reception unit 2603 and the first threshold, the first warning unit 2608 that warns of abnormality of the medical examination device, the medical examination information received by the second reception unit 2603, and the second A second warning unit 2609 that warns the illness of the examinee based on the threshold value, past medical examination information read by the reading unit 2605, medical examination information received by the second reception unit 2603, and a third And a third warning unit 2610 that warns of the suspicion of the patient's illness based on the threshold value.

  Next, the reception process executed by the reception terminal in FIG. 1 will be described.

  FIG. 3 is a flowchart showing a procedure of reception processing executed by the reception terminal in FIG. This process is realized by the CPU 201 of the reception terminal 100 reading and executing the reception process program stored in the memory 202.

  In FIG. 3, first, the CPU 201 of the reception terminal 100 displays a reception input screen as shown in FIG. 16 on the display 205 of the reception terminal 100 (step S301).

  Then, when the CPU 201 of the reception terminal 100 receives an instruction to read the examinee information by pressing the examinee information read button 167 on the reception input screen by the user of the reception terminal 100 (step S302), the CPU 201 of the reception terminal 100 The examinee information of all examinees stored in the memory 202 is read (step S303).

  Then, when an instruction to read the consultation form is issued by pressing the examination form scan 165 button on the reception input screen shown in FIG. 16 (step S304), the CPU 201 of the reception terminal 100 is connected to the reception terminal 100 so as to be communicable. A bar code (a kind of questionnaire for each subject to fill in subjective symptoms) set on the scanner (not shown) and written on the consultation sheet brought by the patient is scanned and read.

  Then, the CPU 201 of the reception terminal 100 converts the read barcode into a examinee ID by a conversion program and stores it in the memory 202 of the reception terminal 100 (step S305).

  Next, the CPU 201 of the reception terminal 100 determines whether or not the examinee ID converted in step S305 is included in the examinee information read in step S303 (step S306).

  If the CPU 201 of the reception terminal 100 determines that the visitor ID converted in step S305 is not included in the visitor information read in step S303 (NO in step S306), an error message is received from the reception terminal 100. Is displayed on the display 205 (step S307). Thereafter, a reception input screen (FIG. 16) is displayed, and the process returns to step S304.

  On the other hand, if it is determined that the examinee ID converted in step S305 is included in the examinee information read in step S303 (YES in step S306), the medical examination table (FIG. 10) and the past medical examination From the table (FIG. 11), retrieve the examinee information, the examination subject ID, the examination schedule information, and the past examination information (health examination result) of each examination subject corresponding to the examiner ID. And read (step S308).

  Then, the CPU 201 of the reception terminal 100 stores the read patient information, the health examination subject ID, the health examination schedule information, and the past health examination information (health examination result) of each health examination subject in the portable recording medium 160. Transmission is performed so as to be stored (step S309), and this process is terminated. FIG. 13 is an example of data recorded on the portable recording medium 160 in this way.

  Here, the tables of FIGS. 10, 11, and 13 will be described.

  First, the table of FIG. 10 will be described.

  FIG. 10 is an example of a medical examination table stored in the memory 202 of the reception terminal 100.

  In the medical examination table, the medical examiner ID, the name of the medical examinee corresponding to the medical examiner ID, information on the medical examinee such as gender, and whether or not a medical examination is scheduled for this medical examination for each medical examination subject. The identification information shown (“○” is stored as identification information for medical examination subjects scheduled to be examined and “×” is stored as identification information for medical examination subjects not scheduled to be examined) is stored for all scheduled medical examination subjects. Has been.

  Further, a medical examination subject ID is stored for each medical examination subject as identification information for identifying the medical examination subject. In the example of FIG. 10, the health examination subject ID “A” indicates the health examination subject “height measurement”, and the health examination subject ID “B” indicates the health examination subject “weight measurement”.

  Looking at the data with the examinee ID “1”, the name is “Tanaka”. In this medical examination, “height measurement”, “weight measurement”, “blood pressure measurement (up / down)”, “abdominal circumference” It can be seen that “measurement” must be performed.

  Next, the table of FIG. 11 will be described.

  FIG. 11 is an example of a past medical examination table stored in the memory 202 of the reception terminal 100.

  In the past medical examination table, the medical examiner ID and the previous (previous) medical examination results of each medical examination subject of the medical examinee corresponding to the medical examiner ID are stored for all scheduled examinees.

  The past medical examination table also stores identification information for identifying a medical examination subject for each medical examination subject as in the medical examination table.

  Here, looking at the data of the examinee ID “1” in FIG. 11, the past medical examination result of Mr. Tanaka (name) is “height” is 170 cm, “weight” is 50 kg, “blood pressure (upper) ) ”Is 250 mHg,“ blood pressure (lower) ”is 50 mHg,“ abdominal circumference ”is 80 cm,“ visual acuity (right) ”is 1.5, and“ visual acuity (left) ”is 1.5.

  Next, the table of FIG. 13 will be described.

  FIG. 13 is an example of a table stored in the portable recording medium 160 from the reception terminal 100 in step S309 in FIG. 3, and shows past patient information, all medical examination subject IDs, and past medical examination subject IDs. Health checkup results (health checkup information) and health checkup schedule information. Note that the table in FIG. 8 is an example in the case where information on medical examination subjects that are not scheduled to be examined is not stored in the portable recording medium 160.

  In the example of FIG. 13, the name of the examinee ID “1” is “Tanaka”, and the gender is male. In addition, an identifier “○” (scheduled medical examination information) indicating that a medical examination subject is scheduled to receive a medical examination is associated with a medical examination subject ID “A” indicating “height measurement”. . Then, “170 cm”, which is a past (previous) medical examination result, is stored in association with the medical examination subject ID “A” indicating “height measurement”.

  Similarly, the health check subject “weight measurement” is associated with the health check subject ID “B”, and an identifier “○” (schedule for health check-up) indicating that the medical check-up is scheduled for this check-up is stored. . Then, “50 Kg”, which is a past (previous) medical examination result, is stored in association with the medical examination subject ID “B” indicating “weight measurement”.

  In addition, an identifier “×” (scheduled medical checkup schedule information) indicating that the health checkup subject is not scheduled to receive this medical checkup is associated with the health checkup subject ID “F” indicating “visual acuity measurement (right eye)”. Has been. The medical examination subject ID “F” indicating “visual acuity measurement (right eye)” is associated with “1.5”, which is the past (previous) medical examination result.

  As described above, in step S309, the examinee with the examinee ID obtained by extracting the record of only the examinee ID converted in step S305 from the medical examination table (FIG. 10) and the past medical examination table (FIG. 11). Information, medical examination subject IDs, past medical examination results (medical examination information) and medical examination schedule information for each medical examination subject ID are recorded in the portable recording medium 160.

  If the controller is built in the recording medium 160, the controller of the recording medium 160 writes (stores) the data transmitted in step S309 in a storage unit (not shown) of the recording medium 160.

  FIG. 12 shows an example of a table stored in the portable recording medium 160. The current medical examination subject ID is the same as the medical examination subject ID stored in FIG. Identification information for identifying medical examination subjects that have already been examined in the example of FIG. 12 (“◯” in the example of FIG. 12) and identification information for identifying medical examination subjects that have not yet been examined in the current medical examination (“× in the example of FIG. 12) )), Identification information ("-" in the example of FIG. 12) for identifying a medical examination subject that must be revisited at a later date in this medical examination, and a medical examination again on the same day in this medical examination The identification information ("*" in the example of FIG. 12) for identifying the medical examination subject that should receive the medical examination is stored. These identification information will be collectively referred to as medical examination progress information.

  In addition, the medical examination result obtained from the medical examination device that has already undergone the medical examination can be stored for each medical examination subject.

  When the data transmitted in step S309 is stored in a storage unit (not shown) of the recording medium 160, each medical examination subject ID shown in FIG. 12 is stored, and health examination progress information and health information corresponding to each medical examination subject ID are stored. A storage area for storing the diagnosis results is secured.

  Next, the control process which each medical examination terminal in FIG. 1 performs is demonstrated.

  FIG. 4 is a flowchart showing a procedure of control processing executed by each medical examination terminal in FIG. This process is realized by the CPU 201 of each medical examination terminal (medical examination terminals A (111) to N (129)) reading and executing a control program stored in the memory 202. Moreover, although the control process which the medical examination terminal A111 performs below is demonstrated, the same process is performed also in another medical examination terminal.

  In FIG. 4, first, when the medical examination terminal A111 is turned on and the medical examination terminal A111 is activated, the CPU 201 of the medical examination terminal A111 displays the medical examination system menu as shown in FIG. 17 on the display 205 as an initial menu screen. It is displayed (step S401). Specifically, the CPU 201 reads an association information file as shown in FIG. 14 from the memory 202, and menu information (menu number, menu name (medical examination subject), etc.) in the read association information file. Based on the above, control is performed to display the medical examination system menu shown in FIG.

  FIG. 14 shows an example of an association information file. As shown in FIG. , Menu name (medical examination subject), name of processing program to be executed when menu (medical examination subject) is selected, device information file name that records the setting information of the medical examination device of the selected medical examination subject, selected It includes information such as the health examination subject ID corresponding to the health examination subject.

  FIG. 17 is an example of an initial menu screen of the medical examination terminal. When various setting buttons 172 on the initial menu screen in FIG. 17 are pressed, a submenu (not shown) is displayed. Then, by inputting and editing in the displayed submenu, various communication procedures such as Bluetooth and IrDA can be set and a new medical device setting file can be read. Data is stored in the memory 202.

  Returning to FIG. 4, any one of buttons “1. Visual acuity test” to “11. Simple cancer test” in the medical examination system menu shown in FIG. 17 which is a touch button for starting the program of each medical examination subject (for example, When the “10. Height / Weight” button) is pressed and a menu is selected by pressing the selection button 174 (step S402), the second threshold value corresponding to the program of the selected menu ( 23) and a third threshold value (FIG. 24) are acquired (step S403). At this time, the health examination subject ID corresponding to the selected menu (health examination subject) is acquired from the association information file of FIG.

  That is, the CPU 201 selects any one of the medical examination menus from a plurality of medical examination menus (for example, “1. Vision test” to “11. Cancer simple examination”) displayed on the display 205. Accept that. And CPU201 acquires the 2nd threshold value and the 3rd threshold value corresponding to the medical examination menu selected by the user.

  Here, the second threshold value is a value for determining whether or not the patient is clearly ill from the measurement value (data) acquired from the medical examination device. That is, it is possible to determine whether or not the patient is ill by comparing the measured value with the second threshold value. In addition, the third threshold value is calculated by calculating the difference between the measured value (data) acquired from the medical examination device this time and the measured value at the previous measurement, and the health condition deteriorates from the calculated difference. It is a value for determining whether or not. In other words, it is possible to determine whether or not the health condition has deteriorated by comparing the difference with the third threshold value. FIG. 23 and FIG. 24 are data showing the second threshold value and the third threshold value in all the medical examination subjects, respectively. If the menu selected in step S402 is “height / weight” (menu No. is “10”), the program name “prohighwe” corresponding to the “height / weight” is executed (FIG. 14). Then, from the second threshold value (FIG. 23) and the third threshold value (FIG. 24) in all the medical examination subjects, only the second threshold value and the third threshold value corresponding to the medical examination subject “height / weight” are obtained. get.

  Next, the CPU 201 of the medical examination terminal A111 stores a plurality of menu numbers corresponding to the menus selected in the association information file stored in the memory 202 as shown in FIG. It is determined whether (1-1 and 1-2) exist (step S404). FIG. 15 is another example of the association information file.

  As a result of the determination in step S404, a plurality of menu Nos. Is present (YES in step S404), that is, for example, the menu No. If the branch number is attached, the device name is read from the device information file name corresponding to the plurality of device information files and displayed on the screen (not shown) (step S405), and one of the plurality is selected by touch. Then (step S406), the process proceeds to step S407.

  As a result of the determination in step S404, a plurality of menu Nos. Is not present (NO in step S404), the process proceeds directly to step S407.

  In step S407, the selected menu No. (And device), the menu No. selected in the association information file shown in FIG. Is read into the work area of the memory 202. For example, when the association information file has the contents shown in FIG. 14 and “10. Height / weight” is selected, the CPU 201 of the medical examination terminal A111 responds with the device information file name “fasighwei” and the corresponding information. The processing program name “prohigwei” is read.

  In step S408, the device information file having the read device information file name is read. Here, the device information file is information set for each device. For example, setting information necessary for communication with each device, and a measurable data range for each device (shown in FIG. 22). The first threshold table is set for each device).

  Next, in step S409, the first threshold value table corresponding to the menu selected in step S402 and corresponding to the device selected in step S406 among all preset health checkup subjects is the first threshold value table. Obtained from (FIG. 22) (step S409). Specifically, when “height / weight” is selected in step S402 from the first threshold table (FIG. 22) corresponding to the device selected in step S406, “upper limit: 250” is set as the first threshold. , Lower limit: 0 ”only.

  Next, the CPU 201 of the medical examination terminal A111 executes the program having the program name read in step S407 (step S410), displays a processing program screen on the display 205 (step S411), and ends this processing.

  In step S410 in this process, when “sight” is selected in step S402, the processing program name “proyesght” is executed. In step S411, a screen for measuring eyesight as shown in FIG. To do. FIG. 18 is an example of a processing program screen of the medical examination terminal.

  According to the control process of FIG. 4, the process program corresponding to the menu selected by the operator is executed, and the process in the desired medical examination subject can be executed.

  Next, medical examination information processing executed by the medical examination information processing system according to the present embodiment will be described.

  FIG. 5 is a sequence diagram showing a procedure of medical examination information processing executed by the medical examination information processing system according to the present embodiment. Note that steps S501 and S502, steps S504 to S511, and steps S517 to S522 in FIG. 5 are performed by the CPU 201 of each medical examination terminal reading and executing the medical examination subject processing program stored in the memory 202. Realized. Steps S512 to S516 are realized by the CPU 201 of each medical examination device reading and executing a program stored in the memory 202.

  Hereinafter, it demonstrates as what is performed by medical examination terminal A111 and medical examination apparatus A110. In the following, a case where the “1. sight test” button 171 is pressed in the medical examination system menu shown in FIG. 17 and the visual measurement screen shown in FIG. 18 is displayed on the display 205 of the medical examination terminal A111 will be described. To do. In this process, since transmission of examination data is started by an operation on the side of the medical examination device (step S514 described later), there is no data reception button on the screen of FIG.

  In FIG. 5, first, the CPU 201 of the medical examination terminal A111 determines that the card (recording medium 160) is held over (touched) by the reader / writer 207 of the medical examination terminal A111 (step S501).

  When determining that the recording medium 160 has been touched by the reader / writer 207, the CPU 201 of the medical examination terminal A111 corresponds to the medical examination subject ID acquired in step S403 with respect to the recording medium 160 via the reader / writer 207. The previous medical examination result (medical examination information), the medical examination schedule information, and the medical examination progress information are read (steps S502 and S503). Specifically, the CPU 201 of the medical examination terminal A111 first transmits the medical examination subject ID acquired in step S403 to the recording medium 160, and the previous medical examination result (health examination) corresponding to the medical examination subject ID. Information), a checkup schedule information and a checkup progress information are requested to the recording medium 160 (step S502). Then, the CPU 201 of the medical examination terminal A111, from the recording medium 160, examinee information, previous medical examination results (medical examination information) corresponding to the medical examination subject ID, examination schedule information, and examination progress information. Are read (step S503). Here, the health examination subject ID corresponding to the health examination subject selected in step S402 is read from the association information file shown in FIG. 14 or FIG. 15, and linked to the health examination subject ID stored in FIG. Get the previous health checkup result.

  Next, the CPU 201 of the medical examination terminal A111 determines whether or not the examinee information (examinee ID, gender, name, etc.) has been acquired from the recording medium 160 in step S503 (step S504), and examinee ID, gender, If it is determined that any one of the names could not be acquired (NO in step S504), an error message (warning screen) is displayed (step S505), the process returns to step S501, and the recording medium 160 is again stored. Wait for reading.

  In addition, when the CPU 201 of the medical examination terminal A111 determines that all the medical examiner information (the medical examiner ID, sex, and name) has been acquired (YES in step S504), the acquired medical examination patient information is used as the medical examination terminal A111. Is displayed on the display 205 (step S506). An example of the display screen is shown in FIG. The examinee ID is displayed in the “ID” portion of the display screen of FIG. 18, and the name of the examinee is displayed in the “name” portion. The sex is displayed to the right of the examinee ID.

  Next, a medical examination status display process of FIG. 6 described later is executed to display the medical examination status (step S507).

  Next, the CPU 201 of the medical examination terminal A111 determines whether or not the previous medical examination result corresponding to the medical examination subject ID acquired in step S403, which is stored in the recording medium 106, has been acquired (step S508). . If it is determined that it has been acquired (YES in step S508), the acquired previous checkup result of the checkup subject is displayed on the display 205 (display unit) of the checkup terminal A111 (step S510).

  On the other hand, if it cannot be obtained (NO in step S508), the past medical examination information display process of FIG. 7 described later is executed (step S509).

  Then, the past medical examination result is displayed (step S510), the examination data from the medical examination device A110 (the examination result at this medical examination) is waiting to be received (step S511), and the examination data is received from the medical examination device. If reception is detected, the process proceeds to step S517.

  On the other hand, the medical examination device A110 performs measurement of measurement data (height and weight measurement) (step S512), and after the measurement is completed, a transmission button (not shown) displayed on the display unit of the medical examination device A110. Is recognized by the measurer (step S513), the medical examination device A110 transmits the examination data to the medical examination terminal A111 (step S514).

  When the medical examination device A110 finishes transmitting the examination data normally (step S511), the examination data is stored in a storage area in the memory (not shown) of the medical examination device A110 (step S516), and Control is performed so that the latest inspection data (inspection data for display and transmission) in the work area is cleared and the next measurement start is awaited.

  If the transmission of the examination data is not normally completed in step S514, the medical examination device A110 retransmits the examination data until a time-out occurs. If the time-out occurs, the medical examination device A110 displays ( An error message (warning screen) is displayed on (not shown).

  Next, when the CPU 201 of the medical examination terminal A111 receives (acquires) the examination data (medical examination result) transmitted from the medical examination device A110, the CPU 201 executes a warning process of FIG. 25 described later (step S517).

  Next, the CPU 201 of the medical examination terminal A111 stores the examination data (medical examination result) received from the medical examination device A110 in the work area in the memory 202 of the medical examination terminal A111 (step S518), and the display of the medical examination terminal A111. The medical examination result is displayed in 205 (step S519). In the example of FIG. 18, in the case of the naked eye in the visual acuity test, the left and right visual acuities are displayed as “1.2” as the current test result. Further, as the previous test result, it is displayed that the left and right eyesights are “1.5” respectively. Further, on the screen of FIG. 18, a midway button and a non-target button are displayed.

  Next, the CPU 201 of the medical examination terminal A111 performs a re-examination status display process of FIG. 19 described later to display the medical examination status (step S520).

  Next, when the registration button is pressed on the screen of FIG. 19 (step S521), the CPU 201 of the medical examination terminal A111 determines that the intermediate button is pressed in step S1901 in the process of FIG. 19 described later (step S1901). YES), the data “* (re-checkup must be re-checked on the day) in the check-up subject ID (check-up subject) acquired in step S403. Identification information) ”(checkup progress information) and the checkup result acquired from the checkup device A110 in step S514 are set as data to be recorded in the recording medium 160, and match the checkup subject ID acquired in step S403. In order to store the data in association with the medical examination subject ID (in FIG. 12) stored in the recording medium 160, And it transmits to the medium 160 (step S522).

  Here, when a medical examination result cannot be acquired from the medical examination device A110 in step S514, only the health examination progress information (*) indicating that a reexamination must be performed during the day in step S522 is included in the health examination. The data is transmitted to the recording medium 160 so as to be associated with the diagnosis subject ID and stored in the recording medium 160.

  When the registration button is pressed on the screen of FIG. 19 (step S521), the CPU 201 of the medical examination terminal A111 determines that the non-target button is pressed in step S1903 in the process of FIG. YES in S1903), data indicating that the medical examination subject ID (medical examination subject) acquired in step S403 must be re-examined at a later date “-(indicates that re-examination must be performed later) (Identification information) ”(checkup progress information) and the checkup result acquired from the checkup device A110 in step S514 are set as data to be recorded in the recording medium 160 and coincide with the checkup subject ID acquired in step S403. In order to store the data in association with the medical examination subject ID (in FIG. 12) stored in the recording medium 160, the recording medium It sends 160 (step S522).

  Here, if the medical examination result cannot be obtained from the medical examination device A110 in step S514, only the medical examination progress information (-) indicating that the medical examination should be re-examined at a later date in step S522. In order to be associated with the subject ID and stored in the recording medium 160, the information is transmitted to the recording medium 160.

  Further, when the CPU 201 of the medical examination terminal A111 determines that the intermediate button and the non-target button are not pressed in the process of FIG. 19 described later when the registration button is pressed on the screen of FIG. 19 (step S521) ( NO in step S1903), data “○ (has already undergone a medical examination) indicating that the medical examination result obtained from the medical examination device A110 in step S514 and the medical examination subject ID (medical examination subject) obtained in step S403 have been received. (Identification information indicating that) ”(checkup progress information) is stored in association with the checkup subject ID (of FIG. 12) stored in the recording medium 106 that matches the checkup subject ID acquired in step S403. In order to do so, the data is transmitted to the recording medium 160 (step S522).

  Next, when the controller of the recording medium 160 receives the data via the reader / writer 207 of the medical examination terminal A111, it writes the medical examination result or / and the medical examination progress information in the recording unit in the recording medium 160 (recording). (Step S523).

  As described above, the examination data (checkup result) (for example, height / weight, BMI value, suitability determination value) of the examinee is recorded on the recording medium 160 carried by the examinee.

  Further, a reader / writer (not shown) is further provided on the side of the medical examination device A110, and the reader / writer of the medical examination device A110 detects the touch of the recording medium 160, and the reader / writer of the medical examination device A110 records the recording medium. 160, request information of the examinee, and the reader / writer transmits the examinee information and the examination data received from the recording medium 160 from the examination device A110 to the examination terminal A111, and the examination terminal A111 receives the examination. It is also possible to perform a process of receiving the person information and the examination data, matching them with the examinee information, and storing the examination data in the memory 202.

  Further, the BMI value and the suitability determination value may be calculated at a step (not shown) on the medical examination device A110 side and transmitted to the medical examination terminal A111 together with the examination data.

  FIG. 6 is a flowchart showing the procedure of the medical examination status display process in step S507 in FIG.

  In FIG. 6, first, the CPU 201 of the medical examination terminal A <b> 111 reads the medical examination schedule information (“◯” in FIG. 13), which is read in step S <b> 503, and indicates that the medical examination is planned to be received at this medical examination. It is determined whether or not there is a medical examination subject (step S601), and a shaded display is performed on the medical examination subject that is determined to have medical examination schedule information indicating that it is scheduled to be examined (see FIG. 5). 18, Step S602).

  Next, the CPU 201 of the medical examination terminal A111 has the medical examination progress information (“◯” in FIG. 12) read in step S503 indicating that the medical examination has been completed for each medical examination subject ID (medical examination subject). It is determined whether or not (step S603), and “◯” is displayed on the display 205 of the medical examination terminal A111 for the medical examination subject determined to have the medical examination progress information indicating that the medical examination has been completed (FIG. 18). Step S604).

  Next, the CPU 201 of the medical examination terminal A111 determines the current medical examination subject from the program activated by the menu selected in step S402 in FIG. 4 (step S605), and for the determined current medical examination subject. Is displayed on the display 205 of the medical examination terminal A111 (FIG. 18, step S606).

  Next, the CPU 201 of the medical examination terminal A111 reads the medical examination progress information ("-" in FIG. 12), which is read in step S503, and indicates that the medical examination must be performed at a later date. It is determined whether or not there is a subject (step S607), and “-” is given to a health check subject that is determined to have health checkup progress information indicating that it is necessary to re-check later. The information is displayed on the display 205 of the diagnosis terminal A111 (FIG. 18, step S608).

  Subsequently, the CPU 201 of the medical examination terminal A111 reads the medical examination progress information (“*” in FIG. 12), which is read in step S503 and indicates that the medical examination must be performed again during the day, for each medical examination subject ID (health It is determined whether there is a medical examination subject) (step S609), and “*” is given to a medical examination subject that is determined to have medical examination progress information indicating that re-examination must be performed during the day. Is displayed on the display 205 of the medical examination terminal A111 (FIG. 18, step S610).

  According to the medical examination status display process of FIG. 6, the medical examination subjects that the examinee has to receive are shaded, the medical examination subjects that have already undergone the examination are indicated by “○”, and the current medical examination subjects are displayed. Since it is displayed as “表示”, the examinee or the measurer can be made aware of the items that the examinee should have in the future. In addition, if there is a medical examination subject that needs to be examined again during the day due to a failure of the medical examination equipment or the physical condition of the medical examinee, by displaying “*” on the medical examination subject, , It is possible to grasp which medical examination subjects should be examined during the day. In addition, if there is a medical examination subject that needs to be reexamined at a later date, "-" is displayed in the relevant medical examination subject, which medical examination subject is given to the measurer or examinee. Can help you know if you need to see you later.

  In the medical examination status display process of FIG. 6, shaded, “○”, “◎”, “*” and “-” are displayed, but any display can be used as long as each medical examination subject can be identified. Good. Specifically, a medical examination subject that must be examined may be displayed in yellow, and a current medical examination subject may be displayed in light red.

  FIG. 7 is a flowchart showing a procedure of past medical examination information display processing in step S509 in FIG.

  FIG. 7 shows that even when a portable recording medium having a storage capacity that is too small to store the data shown in FIGS. 12 and 13 is used, it is necessary to compare the current medical examination result with the past medical examination result. In a predetermined medical examination subject, a mechanism for displaying a current medical examination result and a past medical examination result is shown. Specifically, the past medical examination table shown in FIG. 11 is stored in the memory of the medical examination terminal, and the medical examination terminal displays the past medical examination result corresponding to the examinee ID acquired in step S503. From the past medical examination table stored in And it is the process which displays the present medical examination result acquired from the medical examination apparatus in step S514, and the said past medical examination result on the display of a medical examination terminal.

  In FIG. 7, first, the CPU 201 of the medical examination terminal A111 uses the medical examiner ID (recipient identification information) acquired in step S503 as a key for past medical examination results stored in the memory 202 of the medical examination terminal A111 (FIG. 7). 11) is retrieved (step S701), and the past medical examination result corresponding to the examinee ID is read from the memory and obtained (step S702).

  Here, as past medical examination results, only data (past medical examination results) corresponding to the menu (medical examination subject ID) selected in step S402 in FIG. 4 is read and acquired. That is, for example, if the menu selected in step S402 is “height / weight” and the examiner ID received in step S503 is “1”, the examiner ID shown in FIG. Only “160” with the diagnosis subject “height / weight” is read from the memory and acquired.

  And the acquired medical examination result is displayed on the display 205 of medical examination terminal A111 as a past medical examination result (FIG. 18, step S703), and this process is complete | finished.

  According to the past medical examination information display processing of FIG. 7, even when a portable recording medium with a small storage capacity is used, a predetermined medical examination subject that requires comparison between the current medical examination result and the past medical examination result is used. In addition, it is possible to display the current medical examination result and the past medical examination result, and at the time of the medical examination, the medical examiner or the measurer can grasp whether or not the medical condition of the medical examiner should be careful. .

  FIG. 25 is a flowchart showing the procedure of the warning process in step S517 in FIG.

  In FIG. 25, first, it is determined whether or not the received examination data (checkup result) is within the range of the first threshold acquired in step S409 of FIG. 4 (step S801), and is not within the range of the first threshold. If so (NO in step S801), a warning screen warning that an error has occurred in the medical examination device A110 is displayed on the display 205 (step S802).

  If the result of determination in step S801 is within the first threshold range (YES in step S801), whether or not the test data (checkup result) exceeds the second threshold acquired in step S403 of FIG. Is determined (step S803), and when the second threshold is exceeded (YES in step S803), a warning screen to warn of illness is displayed on the display 205 (step S804).

  If it is determined in step S803 that the second threshold value is not exceeded (NO in step S803), it is determined whether or not past medical examination results have been acquired in step S702 of FIG. 7 (step S805).

  As a result of the determination in step S805, when a past medical examination result is acquired (YES in step S805), a difference between the current examination data (health medical examination result) and the past medical examination result is calculated (step S805). S806), it is determined whether or not the calculated value (difference) exceeds the third threshold acquired in step S403 of FIG. 4 (step S807), and if it exceeds the third threshold (YES in step S807) ), A warning screen for warning that there is a suspicion of illness is displayed on the display 205 (step S808).

  After displaying the warning screen in step S802, if the result of the determination in step S805 is that the past medical examination result has not been acquired (NO in step S805), the result of the determination in step S807 is that the third threshold is not exceeded (NO in step S807), and after displaying a warning screen in step S808, the process is terminated.

  According to the warning process in FIG. 25, when the examined data (checkup result) exceeds the second threshold (YES in step S803), a warning screen warning that there is a disease is displayed on the display 205 ( Step S804) When the difference between the current examination data (checkup result) and the previous checkup result exceeds the third threshold (YES in Step S807), a warning screen that warns that there is a suspicion of disease is displayed. Since the information is displayed on the display 205 (step S808), it is possible for the examiner or the measurer to grasp whether or not the health condition of the examinee is to be noted at the time of the consultation. Furthermore, when the received examination data (checkup result) is not within the first threshold range (NO in step S801), a warning screen that warns that an error has occurred in the checkup device A110 is displayed on the display 205. In step S802, even if the measurement value acquired from the medical examination device is an abnormal value that is not within the range measurable by the medical examination device, such an abnormal value is portable as the measurement value. Can be prevented from being recorded.

  FIG. 19 is a flowchart showing the procedure of the re-examination status display process in step S520 in FIG.

  In FIG. 19, first, the CPU 201 of the medical examination process terminal A111 determines whether or not a halfway button is pressed on the screen of FIG. 19 (step S1901). The intermediate button on the screen of FIG. 19 is pressed when it is determined that reexamination is necessary during the day due to the physical condition of the examinee.

  As a result of the determination in step S1901, if an intermediate button is pressed (YES in step S1901), “*” is displayed in the current medical examination item (step S1902), and this process is terminated.

  If the result of the determination in step S1901 is that the intermediate button is not pressed (NO in step S1901), it is determined whether or not the non-target button is pressed in the screen of FIG. 19 (step S1903). It should be noted that the non-target button on the screen of FIG. 19 is pressed when it is determined that reexamination is necessary at a later date.

  As a result of the determination in step S1903, when the non-target button is pressed (YES in step S1903), “-” is displayed in the current medical examination item (step S1904), and this process ends.

  As a result of the determination in step S1903, when the non-target button is not pressed (NO in step S1903), this process is ended as it is.

  Next, the collection process executed by the management terminal in FIG. 1 will be described.

  FIG. 9 is a flowchart showing the procedure of the collection process executed by the management terminal in FIG. This process corresponds to a process realized by the CPU 201 of the management terminal 150 reading and executing a program stored in the memory 202 (that is, executed under the control of the CPU 201 of the management terminal 150). . Prior to the start of the medical checkup, the medical checkup table (FIG. 10) is read from the outside by means such as a USB memory and stored in the memory 202 of the management terminal 150. Moreover, the said medical examination table (FIG. 10) is the medical examination schedule information of all the persons who are scheduled to undergo medical examination, and records the results of each medical examination for each medical examination subject.

  In FIG. 9, first, the CPU 201 of the management terminal 150 determines an operation on the display 205 (also serving as a touch panel) and the reader / writer 207, and the card (recording medium 160) is touched on the reader / writer 207 of the management terminal 150. Then (step S901), the CPU 201 of the management terminal 150 uses the reader / writer 207 to store the information about the examinees recorded on the recording medium 160 and all the health check results (FIG. 12). A reading request is transmitted (step S902). The controller of the recording medium 160 that has received the read request transmits the examinee information and the health check result (FIG. 12) to the reader / writer 207 of the management terminal 150.

  Next, the CPU 201 of the management terminal 150 acquires from the storage medium 160 the information on the examinees for one person and the medical examination results of all the medical examination subjects (FIG. 12) via the reader / writer 207 of the management terminal 150 (step S903). Then, it is stored in the work area of the memory 202 of the management terminal 150 (step S904).

  Next, the CPU 201 of the management terminal 150 collates the health checkup table (FIG. 10) stored in the memory 202 with the health check result for one person (step S905). Specifically, the record having the examinee ID in the medical examination table that matches the examinee ID acquired from the recording medium 160 is searched and specified.

  Next, for each medical examination subject of the specified record, it is determined whether or not there is a medical examination subject that has not been examined despite having to be examined (step S906). Specifically, corresponding to the medical examination subject acquired from the recording medium 160 in step S903 with respect to the medical examination subject in which the identification information (“◯”) scheduled to be examined is stored in the record specified in step S905. It is determined whether or not there is identification information (“×”) indicating that no medical examination has been performed or identification information (“*”) indicating that a medical examination must be received during the day as a health check result.

  As a result of the determination in step S906, when there is identification information ("x") indicating that the patient has not been examined or identification information ("*") indicating that the patient must be examined during the day (YES in step S906), An error message is displayed on the display 205 of the management terminal 150 (step S916), and identification information (“×”) indicating that the patient has not received a medical check or identification information (“*”) indicating that a medical check must be received during the day. If there is no (NO in step S906), the process proceeds to step S907.

  Next, the CPU 201 of the management terminal 150 displays an inspection result and determination result screen (FIG. 20) as shown in FIG. 20 on the display 205 of the management terminal 150 (step S907). FIG. 20 is an example of a collection processing program screen of the management terminal 150. The CPU 201 of the management terminal 150 displays the examinee ID, name 210, gender and age based on the received visitor information on the screen of FIG. 20, and has not yet examined or passed or examined based on the determination result of step S906. Shows the category of completed, accepted, later consultation (must visit later) or same day (must visit during the day). Note that the screen shown in FIG. 20 indicates that the blood test result 212 has not been received, the hearing test result 211 has been received, and the like.

  Returning to FIG. 9, the CPU 201 of the management terminal 150 detects the touch of each button (list print button 213, display switching button 214, print button 215, registration button 216) on the screen of FIG. It is determined whether or not the switching button 214 has been pressed (touched) (step S908). When the display switching button 214 has been pressed (YES in step S908), the CPU 201 of the management terminal 150 displays the initial screen of FIG. When displayed on the display 205, the display is switched to the medical examination data detail display screen of FIG. 21, and when the medical examination data detail display screen of FIG. 21 is displayed, the display is switched to the initial screen of FIG. In step S909, the process returns to step S908.

  If the result of determination in step S908 is that the display switching button 214 has not been pressed (NO in step S908), it is determined whether or not the print button 215 has been pressed (touched) (step S910), and the print button 215 has been pressed. If so (YES in step S910), the CPU 201 of the management terminal 150 prints a list of personal results for the examinee based on the examinee information and examination results stored in the memory 202 (step S911), and the process proceeds to step S908. Return to.

  If the result of determination in step S910 is that the print button 215 is not pressed (NO in step S910), it is determined whether or not the registration button 216 has been pressed (touched) (step S912), and if the registration button 216 is not pressed (NO in step S912), the process returns to step S908.

  As a result of the determination in step S912, when the registration button 216 is pressed (YES in step S212), the CPU 201 of the management terminal 150 determines whether there is an inspection omission based on the inspection omission determination result of each inspection data in step S906. It is determined whether there is reception or other abnormal data (step S913), and if there is omission of inspection, unaccepted, or other abnormal data (YES in step S913), the CPU 201 of the management terminal 150 controls the management terminal 150. A warning sound is output from a speaker (not shown), and the name, name and name of a medical examination subject that has an examination failure, unaccepted, or other abnormal data on the display 205 of the management terminal 150, and the relevant medical examination subject again. A message prompting to go is displayed (step S914), and the process proceeds to step S915.

If the result of determination in step S913 is that there is no examination omission, no acceptance, or other abnormal data (NO in step S913), the CPU 201 of the management terminal 150 records the health check result and passage record for one person in the health check result file. Data is stored (step S915), and this process is terminated.
In the collection process of FIG. 9, if there is omission of inspection, unaccepted, or other abnormal data in the medical examination result file, the CPU 201 of the management terminal 150 sets the medical examination incomplete flag in the memory 202 of the management terminal 150. You may comprise so that it may turn on and memorize | store.

  According to the control process of FIG. 4, the process program corresponding to the menu selected by the operator is executed, and the process in the desired medical examination subject can be executed. FIG. 5 illustrates the case where the “1. Vision test” button 171 is pressed in the medical examination system menu shown in FIG. 17, but here, for example, the “17. ECG / abdominal circumference” button is displayed in the medical examination system menu. A case where the button is pressed will be described.

  The medical examination information processing executed by the medical examination information processing system according to the present embodiment will be described below with reference to FIGS.

FIG. 26 and FIG. 27 are sequence diagrams illustrating a procedure of medical examination information processing executed by the medical examination information processing system according to the present embodiment.
Note that steps S2601 and S2602, steps S2604 to S2620, and steps S2701 to S2711 in FIGS. 26 and 27 are processes of a medical examination subject (electrocardiogram / abdominal circumference) stored in the memory 202 by the CPU 201 of each medical examination terminal. This is realized by reading and executing the program.
Steps S2621 and S2622 are realized by the CPU 201 of each medical examination device reading and executing a program stored in the memory 202.

  Hereinafter, description will be made assuming that the medical examination terminal D118, the medical examination device D116, and the medical examination device E117 are executed.

  In the following, when the “17. ECG / abdominal circumference” button is pressed in the medical examination system menu shown in FIG. 17, the electrocardiogram / abdominal circumference measurement screen shown in FIG. 28 is displayed on the display 205 of the medical examination terminal D118. Will be described.

  In FIG. 26, first, the CPU 201 of the medical examination terminal D118 determines that the card (recording medium 160) is held over (touched) by the reader / writer 207 of the medical examination terminal D118 (step S2601).

  When determining that the recording medium 160 has been touched by the reader / writer 207, the CPU 201 of the medical examination terminal D118 corresponds to the medical examination subject ID acquired in step S403 with respect to the recording medium 160 via the reader / writer 207. The process of reading the previous health examination result (health examination information), health examination schedule information, health examination progress information, and current health examination result (health examination information) is performed (steps S2602, 2603).

  Specifically, the CPU 201 of the medical examination terminal D118 first transmits the medical examination subject ID acquired in step S403 to the recording medium 160, and the previous medical examination result (medical examination information corresponding to the medical examination subject ID). ), Health examination schedule information, health examination progress information, and health examination result (health examination information) received this time are requested to the recording medium 160 (step S2602).

  Then, the CPU 201 of the medical examination terminal D118, from the recording medium 160, examinees information, previous medical examination results (medical examination information) corresponding to the medical examination subject ID, examination schedule information, and examination progress information. And the health examination result (health examination information) received this time is read (step S2603).

  Here, the health examination subject ID corresponding to the health examination subject selected in step S402 is read from the association information file shown in FIG. 14 or FIG. 15, and linked to the health examination subject ID stored in FIG. Get the previous health checkup result. Here, since the electrocardiogram and the abdominal circumference are selected, the previous medical examination result of the electrocardiogram and the abdominal circumference is acquired.

  In step S2602 and step S2603, the medical examination results (medical examination information) of other medical examination subjects received in this medical examination are acquired from the portable recording medium. Although the medical examination information of all the medical examination subjects who have received this time may be acquired, only the medical examination information of a predetermined medical examination subject corresponding to the medical examination subject may be acquired. For example, only “height”, “weight”, and “blood pressure (upper: lower)” necessary for examining the measured electrocardiogram may be acquired as the health check result. In this case, which medical examination subject to obtain the medical examination information is stored in advance in the medical examination terminal, and the medical examination subject to be acquired is set corresponding to the medical examination subject selected in FIG. Yes.

  Next, the CPU 201 of the medical examination terminal D118 determines whether or not the examinee information (examinee ID, gender, name, etc.) has been acquired from the recording medium 160 in step S2604 (step S2604), and examinee ID, gender, If it is determined that any one of the names could not be acquired (NO in step S2604), an error message (warning screen) is displayed (step S2605), the process returns to step S2601, and the recording medium 160 is stored again. Wait for reading.

  In addition, when the CPU 201 of the medical examination terminal D118 determines that all the medical examiner information (the medical examiner ID, gender, and name) has been acquired (YES in step S2604), an electrocardiogram is obtained from the medical examination progress information acquired in S2603. It is determined whether or not a medical checkup has been received (has been received) (step S2606).

  That is, it is determined whether or not the health examination progress information of the electrocardiogram whose health examination subject ID is “N” is “◯” (has been examined). When it is determined that the health examination progress information of the electrocardiogram is “◯” (has been examined) (step S2606: YES), the fact that the examination has been completed is displayed on the display 205 of the medical examination terminal D118 (step S2607). On the other hand, if it is determined that the ECG health checkup progress information is "-" (re-visited at a later date), "*" (re-visited on the day), or "x" (unrecognized) ( Step S2606: NO), the process proceeds to step S2608.

  In step S2608, it is determined from the medical examination schedule information acquired in step S2603 whether or not an electrocardiogram is scheduled to be examined. That is, it is determined in step S2603 whether the electrocardiogram checkup schedule information acquired from the portable recording medium is “◯” (scheduled visit) or “×” (not scheduled to be visited).

  If it is determined that the electrocardiogram checkup schedule information is “◯” (schedule for checkup) (step S2608: YES), the electrocardiogram / abdominal circumference screen shown in FIG. 28 is displayed on the display 205 of the checkup terminal D118. It is displayed (step S2612). On the other hand, when it is determined that the medical examination schedule information of the electrocardiogram is “×” (no medical examination is scheduled) (step S2608: NO), an instruction reception screen for unscheduled medical examination not shown is displayed on the medical examination terminal. This is displayed on the display 205 of D118 (step S2609). Here, the instruction reception screen for an unscheduled consultation is a screen for receiving an instruction as to whether or not to receive an electrocardiogram according to the request of the examinee, although an ECG consultation is not scheduled. In other words, if an ECG visit is not scheduled but the examinee wants to receive an ECG, he / she can receive an ECG by pressing a check button (not shown) displayed on the screen for receiving an unplanned consultation. be able to.

  In step S2610, it is determined whether or not a consultation button (not shown) displayed on the unscheduled consultation instruction reception screen has been pressed, and if it has been pressed, the process proceeds to step S2612. On the other hand, when an unscheduled non-examination button indicating that no consultation is to be displayed is displayed on the unscheduled consultation instruction reception screen (step S2610: NO), the process proceeds to step S2611.

  In step S2611, when a non-checkup button is pressed (step S2610: NO) or after performing the process of step S2607, a check completed flag (identification information) indicating that a checkup has been completed for a medical examination subject of an electrocardiogram is set. Then, the process proceeds to step S2612.

  In step S2612, as described above, the electrocardiogram / abdominal circumference medical examination screen shown in FIG. 28 is displayed on the display 205 of the medical examination terminal D118.

  Next, the examinee information acquired in step S2603 is displayed on the display 205 of the medical examination terminal D118 (step S2613). An example of the display screen is shown in FIG. The examinee ID is displayed in the “ID” portion of the display screen of FIG. 28, and the name of the examinee is displayed in the “name” portion. The sex is displayed to the right of the examinee ID.

  Next, the above-described medical examination status display process of FIG. 6 is executed to display the medical examination status (step S2614). In FIG. 5, the process is executed using the health examination schedule information and the health examination progress information acquired in step S503. However, in step S2614, the process is performed using the health examination schedule information and the health examination progress information acquired in step S2603. Do.

  Next, the CPU 201 of the medical examination terminal D118 determines whether or not the previous medical examination result corresponding to the medical examination subject ID acquired in step S403 and stored in the recording medium 106 has been acquired (step S2615). ). If it is determined that it has been acquired (YES in step S2615), the acquired previous medical examination result of the medical examination subject is displayed on the display 205 (display unit) of the medical examination terminal D118 (step S2617).

  On the other hand, if it cannot be obtained (NO in step S2615), the above-described past medical examination information display process of FIG. 7 is executed (step S2616).

  Then, past medical examination results are displayed (step S2617), and input of examination data (examination result at this medical examination: medical examination information) from the medical examination device D116 is awaiting reception (step S2618).

  On the other hand, the medical examination device A110 performs measurement of test data (for example, measurement of abdominal circumference) (step S2621), and after the measurement is completed, a transmission button (not shown) displayed on the display unit of the medical examination device D116 is displayed. When recognizing that it was pressed by the measurer (step S2622), the medical examination device D116 transmits examination data (medical examination information as a medical examination result) to the medical examination terminal D118 (step S2623).

  When the medical examination device D116 has successfully transmitted the examination data, the medical examination device D116 stores the examination data in a storage area in a memory (not shown) of the medical examination device D116 and the latest examination data in the work area of the memory. Control is performed to clear (display and transmission inspection data) and wait for the start of the next measurement.

  If the examination data transmission does not end normally in step S2623, the medical examination device D116 resends the examination data until a time-out occurs. If the time-out occurs, the medical examination device D116 displays the display ( An error message (warning screen) is displayed on (not shown).

  Next, when the CPU 201 of the medical examination terminal D118 receives (acquires) the examination data (medical examination result) transmitted from the medical examination device D116 (step S2619), the above-described warning process of FIG. 25 is executed (step S2620). .

  Next, processing subsequent to the sequence diagram of FIG. 26 will be described with reference to the sequence diagram of FIG.

  That is, after performing the process of step S2620 shown in FIG. 26, the medical examination terminal executes the process of step S2701 shown in FIG. In addition, although the medical examination apparatus shown in FIG. 26 was demonstrated with the abdominal circumference measuring device, the medical examination apparatus shown in FIG. 27 is demonstrated with an electrocardiogram measuring device (medical examination apparatus E117).

The CPU 201 of the medical examination terminal D118 stores the examination data (medical examination result) received from the medical examination device D118 in the work area in the memory 202 of the medical examination terminal D118 (step 2701), and the display 205 of the medical examination terminal D118. The medical examination result is displayed (step S2702). In the example of FIG. 28, the abdominal circumference is “75.5 (cm)”.
In the screen of FIG. 28, a midway button and a non-target button are displayed.

  Next, the CPU 201 of the medical examination terminal D118 executes the above-described re-examination status display process of FIG. 19 to display the medical examination status (step S2703).

  Then, after displaying the medical examination status in S2703, control is performed so that the registration button on the medical examination screen in FIG. 28 can be pressed (selected) (step S2704).

  If the measurement button is pressed by the measurer (step S2705: YES), it is determined whether or not the consultation completed flag in step S2611 is set (step S2706). If it is determined that the medical examination completed flag is set (step S2706: YES), the medical examination information (examination data) input in step S2619 and the medical examination indicating that the abdominal circumference has been examined. The progress information (“◯”) is transmitted to be recorded on the portable recording medium (step S2711).

  On the other hand, if it is determined that the medical examination completed flag has not been set (step S2706: NO), the medical examination result (health check) of the other medical examination subjects that have been examined this time to be transmitted to the medical examination device E117 that measures the electrocardiogram. It is determined whether or not all (diagnosis information) has been acquired (step S2707).

  Specifically, the health of the other medical examination subjects that have been examined this time should be sent to the medical examination device corresponding to the processing program corresponding to the menu (medical examination subject) selected by the operator in the memory 202 of the mobile terminal. Medical examination results (medical examination information) (for example, FIG. 29) are stored, and in step S2603 and step S2619, medical examination information of all medical examination subjects to be transmitted to the stored medical examination equipment E117 can be acquired. It is determined whether or not.

  FIG. 29 is a table showing the medical examination results (medical examination information) of other medical examination subjects who have received this time to be transmitted to the medical examination apparatus corresponding to the medical examination apparatus.

  That is, although it is not necessary to transmit the medical examination result (medical examination information) of the other medical examination subjects that have been received this time to the medical examination device A, "," Height "," weight ", and" blood pressure (upper) "medical checkup results must be transmitted.

  Next, when it is determined in steps S2603 and S2619 that the medical examination information of all the medical examination subjects to be transmitted to the medical examination device E117 has not been acquired (step S2707: NO), a warning such as an error screen is displayed. A screen is displayed, and the process proceeds to step S2709.

  On the other hand, if it is determined in step S2707 that the medical examination information of all the medical examination subjects to be transmitted to the medical examination device E117 has been acquired (step S2707: YES), the examinee information acquired in step S2603 in step S2709. Then, the medical examination information of other medical examination subjects to be transmitted to the medical examination device is transmitted (step S2709).

  Here, among the medical examination results (medical examination information) of other medical examination subjects that have been received this time that are stored in the memory 202 of the portable terminal and should be transmitted to the medical examination equipment, the medical examination equipment A (abdominal circumference) Inspection data is included.

  At this time, the medical examination device E117 is in a state of waiting for reception of the medical examiner information and the medical examination information from the mobile terminal (step S2712), and the medical examiner information acquired in step S2603 from the mobile terminal and the medical examination device. When receiving the medical examination information of other medical examination subjects to be transmitted to the mobile phone, the recipient information and the medical examination information are stored in the memory of the medical examination device (step S2713), and the medical examination device E117 (electrocardiogram) Inspection data is measured (step S2714).

  The medical examination device E117 transmits the examination data measured in step S2715 to the medical examination terminal (step S2701). Then, data including the examination data measured in step S2715, the recipient information stored in step S2713, and the medical examination information of other medical examination subjects is output. Here, “output” indicates output from the display or printer provided in the medical examination device E117 as video or paper.

When the CPU 201 of the mobile terminal receives (acquires) the medical examination information measured in step S2714 from the medical examination device E117,
The medical examination information (examination data) input in step S2619, the medical examination progress information (“◯”) indicating that the medical examination subject of the medical examination apparatus A (abdominal circumference) has been examined, and measurement in step S2714 The medical examination information and the medical examination progress information (“◯”) indicating that the medical examination subject of the medical examination device E117 electrocardiogram has been received are transmitted to be recorded in the portable recording medium (step S2710).

  Next, when the controller of the recording medium 160 receives the data via the reader / writer 207 of the medical examination terminal D118, it writes the received medical examination result and / or health examination progress information in the recording unit in the recording medium 160. (Record) (step S2717).

  As described above, the test data (checkup result) (for example, checkup information on the abdominal circumference, checkup information on the electrocardiogram) and checkup progress information are recorded on the recording medium 160 carried by the checkout person. Become.

  In the above-described embodiment, the display 205 has been described as a display with a touch panel. However, the display 205 may be a normal display, and a pointing device such as a mouse may be provided to perform input.

  Further, the configuration and contents of the various data described above are not limited to this, and may be configured with various configurations and contents according to applications and purposes.

  Further, the present invention can take the form of, for example, a system, apparatus, method, program, or recording medium, and can be applied to a system composed of a plurality of devices. The present invention may be applied to an apparatus composed of one device.

  As described above, the medical examination terminal shown in FIG. 1 stores in the memory 202 the associated information file shown in FIGS. 14 and 15, interface settings with each medical examination device, each processing program, and each medical examination device. Is stored at least. Then, the CPU 202 of the medical examination terminal reads out the setting information of the medical examination device and the processing program from the memory 202 and executes them in accordance with the selection of any of the medical examination menus shown in FIG.

  In addition, the management terminal 150 stores medical examination information (including the format of each medical examination data and passage record data of each medical examination subject) in the memory 202. Further, the CPU 201 of the management terminal 150 reads the examinee ID and the medical examination data from the recording medium 160, determines whether there is a test omission based on the format and the medical examination data, and determines that there is an omission. In this case, it is determined based on the above format whether or not the medical examination data of the medical examination subject determined to be omission is necessary (FIG. 9).

  Further, the CPU 201 of the medical examination terminal stores setting information for each medical examination device for each medical examination subject in the memory 202, and the processing program (FIG. 5) is selected when each menu is selected. One is selected from a plurality of medical examination devices in the medical examination subject, setting information associated with the selected medical examination device is read, and processing is executed.

  With the above configuration, a plurality of processing programs are stored in the memory 202 of the medical examination terminal, the setting of a predetermined medical examination device is read according to the menu selection, and the corresponding processing program is executed by the CPU 201 of the medical examination terminal. Thus, it is possible to provide a mechanism that can flexibly cope with various types of current medical examination devices and various external interfaces and can significantly reduce the number of preparation steps at the time of the medical examination.

  In addition, it provides a mechanism that does not cause an inspection omission because it judges whether there is an omission at the end of the inspection and displays a warning on the screen.

  In addition, a system is provided that allows the user to grasp where the inspection must be performed during the inspection.

  In addition, we will provide a mechanism that can respond quickly to the malfunction of medical examination equipment and terminals.

  Although not particularly illustrated, a recording medium (storage medium) that stores various programs and data that can be read by the apparatus according to the present invention includes information for managing a group of programs stored in the recording medium, such as version information, The creator and the like are also stored, and information depending on the OS on the program reading side, for example, an icon for identifying and displaying the program may be stored.

  Further, data depending on various programs is also managed in the directory. In addition, when a program or data to be installed is compressed, a program to be decompressed may be stored.

  The functions shown in the flowcharts and screens in this embodiment may be performed by a host computer by a program installed from the outside. In this case, the present invention can be applied even when an information group including a program is supplied to the output device from a recording medium (not shown) such as a CD-ROM, a flash memory, or an FD, or from an external recording medium via a network. Applicable.

  As described above, a recording medium in which a program code of software that realizes the functions of the above-described embodiments is recorded is supplied to the system or apparatus, and the computer (or CPU or MPU) of the system or apparatus stores the recording medium in the recording medium. It goes without saying that the object of the present invention can also be achieved by reading and executing the programmed program code.

  In this case, the program code itself read from the recording medium realizes the novel function of the present invention, and the recording medium storing the program code constitutes the present invention.

  As a recording medium for supplying the program code, for example, a flexible disk, hard disk, optical disk, magneto-optical disk, CD-ROM, CD-R, DVD-ROM, magnetic tape, nonvolatile memory card, ROM, EEPROM, A silicon disk or the like can be used.

  Further, by executing the program code read by the computer, not only the functions of the above-described embodiments are realized, but also an OS (operating system) operating on the computer based on the instruction of the program code, etc. However, it is needless to say that a case where the function of the above-described embodiment is realized by performing part or all of the actual processing and the processing is included.

  Furthermore, after the program code read from the recording medium is written in a memory provided in a function expansion board inserted in the computer or a function expansion unit connected to the computer, the function expansion is performed based on the instruction of the program code. It goes without saying that the CPU or the like provided in the board or the function expansion unit performs part or all of the actual processing, and the functions of the above-described embodiments are realized by the processing.

  Further, the present invention may be applied to a system composed of a plurality of devices or an apparatus composed of a single device. Needless to say, the present invention can be applied to a case where the present invention is achieved by supplying a program to a system or apparatus. In this case, by reading a recording medium storing a program represented by software for achieving the present invention into the system or apparatus, the system or apparatus can enjoy the effects of the present invention.

  Furthermore, by downloading a program represented by software for achieving the present invention from a server, database, etc. on a network using a communication program and reading it, the system or apparatus can enjoy the effects of the present invention. It becomes.

It is a block diagram which shows the system configuration | structure of the medical examination information processing system which concerns on embodiment of this invention. It is a block diagram which shows the hardware constitutions of the various terminals (reception terminal, each medical examination terminal, management terminal) in FIG. It is a flowchart which shows the procedure of the reception process which the reception terminal in FIG. 1 performs. It is a flowchart which shows the procedure of the control process which each medical examination terminal in FIG. 1 performs. It is a sequence diagram which shows the procedure of the medical examination information processing which the medical examination information processing system which concerns on this Embodiment performs. It is a flowchart which shows the procedure of the medical examination status display process of step S507 in FIG. It is a flowchart which shows the procedure of the past medical examination information display process of step S509 in FIG. It is an example of the table memorize | stored in a portable recording medium from the reception terminal by step S309 in FIG. It is a flowchart which shows the procedure of the collection | recovery process which the management terminal in FIG. 1 performs. It is an example of the medical examination table memorize | stored in memory of the reception terminal. It is an example of the past medical examination table memorize | stored in memory of the reception terminal. It is an example of the table memorize | stored in a portable recording medium. It is an example of the table memorize | stored in the portable recording medium from the reception terminal by step S309 in FIG. It is an example of an associated information file. It is another example of an associated information file. It is an example of the reception input screen of a reception terminal. It is an example of the initial menu screen of a medical examination terminal. It is an example of the processing program screen of a medical examination terminal. It is a flowchart which shows the procedure of the reexamination medical condition display process of step S520 in FIG. It is an example of the collection process program screen of a management terminal. It is an example of the medical examination data details display screen of a management terminal. 6 is a table for explaining an example of a first threshold acquired in step S409 in FIG. 6 is a table for explaining an example of a second threshold acquired in step S403 of FIG. 6 is a table for explaining an example of a third threshold acquired in step S403 of FIG. It is a flowchart which shows the procedure of the warning process of step S517 in FIG. It is a sequence diagram which shows the procedure of the medical examination information processing which the medical examination information processing system which concerns on this Embodiment performs. It is a sequence diagram which shows the procedure of the medical examination information processing which the medical examination information processing system which concerns on this Embodiment performs. It is an example of the processing program screen of a medical examination terminal. It is an example of the table which shows the other medical examination subject received this time which should be transmitted to the said medical examination apparatus corresponding to the medical examination apparatus memorize | stored in the medical examination terminal.

100 Reception terminal 110 Medical examination device A
111 medical examination terminal A
150 Management terminal 160 Recording medium (portable recording medium)
201 CPU
202 Memory 205 Display 207 Reader / Writer

Claims (9)

A medical examination information processing apparatus capable of communicating with a portable recording medium on which medical examination information measured by a medical examination device is recorded,
A reception means for accepting selection of a medical examination subject from a plurality of medical examination subjects;
Acquisition means for acquiring medical examination information measured by the medical examination device from the portable recording medium;
The first medical examination device to output the medical examination information acquired by the acquisition unit and the first medical examination information measured by the first medical examination device corresponding to the medical examination subject received by the receiving unit. A transmission means for transmitting to
A medical examination information processing apparatus comprising: Input means for inputting second medical examination information measured by a second medical examination device corresponding to the medical examination subject accepted by the accepting means;
Further comprising
The transmission means further includes a first medical examination device corresponding to the medical examination subject received by the receiving means after the second medical examination information is inputted by the input means. The medical examination information processing apparatus according to claim 1, wherein the medical examination information processing apparatus is transmitted to the medical examination information. Recording transmission means for transmitting the second medical examination information input by the input means so as to be stored in the portable recording medium;
The medical examination information processing apparatus according to claim 1, further comprising: Medical examination information receiving means for receiving input of first medical examination information measured by the first medical examination device;
Further comprising
4. The medical examination information processing according to claim 3, wherein the record transmitting means further transmits the first medical examination information received by the medical examination information accepting means so as to be stored in the portable recording medium. apparatus. Corresponding to a medical examination subject, a storage unit for storing a program for executing the transmission unit, or a program for executing the medical examination information reception unit without executing the transmission unit;
Determining means for determining whether to execute the processing by the transmitting means by executing the program corresponding to the medical examination subject received by the receiving means, stored in the storage means;
The medical examination information processing apparatus according to claim 4, further comprising: The obtaining means further obtains examinee information for identifying a examinee,
The medical examination according to any one of claims 1 to 5, wherein the transmission means further transmits the information on the medical examinee acquired by the acquisition means to the first medical examination device. Information processing device. A medical examination information processing method in a medical examination information processing apparatus capable of communicating with a portable recording medium in which medical examination information measured by a medical examination device is recorded,
The accepting step of the medical examination information processing apparatus accepts a selection of a medical examination subject from a plurality of medical examination subjects;
The acquisition unit of the medical examination information processing apparatus acquires the medical examination information measured by the medical examination device from the portable recording medium;
The first medical examination information measured by the first medical examination device corresponding to the medical examination subject received by the receiving process by the transmitting means of the medical examination information processing apparatus, with the medical examination information acquired in the acquiring process. And a transmission step of transmitting to the first medical examination device to output,
A medical examination information processing method comprising: A medical examination information processing apparatus capable of communicating with a portable recording medium in which medical examination information measured by a medical examination device is recorded.
A reception means for accepting selection of a medical examination subject from a plurality of medical examination subjects;
Acquisition means for acquiring medical examination information measured by the medical examination device from the portable recording medium;
The first medical examination device to output the medical examination information acquired by the acquisition unit and the first medical examination information measured by the first medical examination device corresponding to the medical examination subject received by the receiving unit. A program characterized by functioning as a transmission means for transmitting to a computer. A medical examination information processing system comprising a medical examination information processing apparatus capable of communicating with a portable recording medium on which medical examination information measured by a medical examination device is recorded,
The medical examination information processing apparatus includes:
A reception means for accepting selection of a medical examination subject from a plurality of medical examination subjects;
Acquisition means for acquiring medical examination information measured by the medical examination device from the portable recording medium;
The first medical examination device to output the medical examination information acquired by the acquisition unit and the first medical examination information measured by the first medical examination device corresponding to the medical examination subject received by the receiving unit. A transmission means for transmitting to
A medical examination information processing system comprising:

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