JP2011039674A - Medical database center system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide various kinds of medical services through the use of a medical database. <P>SOLUTION: The server of a medical database center system includes: a means for storing patient IDs, patient biological information, patient individual information, and patient treatment result information in a database by association; a means for performing access to a screen for a patient on a website in accepting the treatment of the patient, receiving the patient ID and the patient biological information via the screen for the patient, and performing authentication in treatment acceptance with reference to the medical database; a means for extracting treatment acceptance time patient information to be required in accepting the treatment, based on the patient ID, and displaying the information for browsing; a means for performing access to a screen for a doctor on a website in accepting the treatment of the patient, receiving the patient ID and the patient biological information via the screen for the doctor, and performing authentication in the treatment with reference to the medical database; and a means for extracting treatment time patient information to be required in the treatment, based on the patient ID, and displaying the information for browsing. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to a medical database center system for realizing higher-quality and efficient medical care by using a medical database in which various data relating to medical services received by a patient are stored in an integrated manner.

2. Description of the Related Art Conventionally, several systems have been proposed in which patient medical records, drug histories, and the like are accumulated in a database and browsed and used by doctors, pharmacists, and the like as necessary.
In Patent Document 1, medical history information of a patient and doctor information in a wide area are stored in a database of a management device. When a patient wants to search for a doctor, the database is accessed from the patient terminal and searched, and a predetermined doctor is selected. A system is disclosed in which the selection and management device gives the right of access to the medical history information of the patient to the doctor terminal of the selected doctor.
In Patent Document 2, personal information of patients (existing illness information, health insurance card information, drug history information, etc.) is registered in the database of the center, and is usually authenticated by the counselor's identification code and password. On the other hand, a system for providing information to a person and providing personal information without an authentication of a counselor at the time of an emergency call is disclosed.
In Patent Document 3, medical facility information is registered in a database, patient information is transmitted from a moving body such as an ambulance to a center server, patient information and medical facility information are matched, and a medical facility that meets the conditions is selected. A system is disclosed.

Japanese Patent No. 3493847 Japanese Patent No. 2999910 Japanese Patent No. 3665048

  A conventional medical database system is a system that registers patient information, doctor information, hospital information, and the like in a database, and appropriately browses and uses them in a specific situation, and is a comprehensive system that can be applied to various aspects and is efficient. Nothing that can be operated on has yet been presented. In particular, since it is a database that handles the personal information of patients and doctors, identity authentication and security are very important, it is easy for patients to use, and it is required to be able to respond quickly in case of emergency.

  The present invention is an integrated system for providing various medical services using a medical database, and can provide accurate patient information and doctor information quickly within a necessary range while ensuring identity authentication and security. It aims to provide a medical database center system for both patients and doctors.

In order to achieve the above object, the present invention provides the following configurations.
The medical database center system according to the present invention includes one or a plurality of hospital terminals installed in each hospital, a card reader and a biometric information input device connected to each hospital terminal, and issued to each patient and read by the card reader. Medical database center comprising a patient card storing possible patient IDs, a server connected to each hospital terminal via a network, a medical database managed by the server, and a website managed by the server The system, wherein the server includes patient ID and patient biometric information, patient personal information, patient medical record information, examination information, medication information, etc. in all hospitals where the patient has received medical care Means for associating information with each other and storing the information in the medical database; The patient screen of the website is accessed, the patient ID and the patient biometric information read by the card reader and the biometric information input device of the hospital terminal are received via the patient screen, and the medical database is referred to Means for performing authentication at the time of medical care reception, and when authentication at the time of medical care reception is approved, extracts patient information at the time of medical care reception necessary at the time of medical care reception from the patient personal information based on a patient ID, and Means for displaying and browsing on the hospital terminal via the patient screen, and accessing the doctor screen of the website from the hospital terminal at the time of medical treatment of the patient, respectively by the card reader and the biometric information input device of the hospital terminal A hand that receives the read patient ID and patient biometric information via the doctor screen and refers to the medical database for authentication at the time of medical care. When the authentication at the time of the medical care is approved, the patient information at the time of medical care necessary for the medical care is extracted from the patient personal information and the medical care result information based on the patient ID, via the screen for the doctor And a means for displaying and browsing on the hospital terminal.

  The medical database center system further includes a doctor card storing a doctor ID issued to each doctor and readable by the card reader, and the server includes a doctor ID, doctor biometric information, doctor personal information, and a doctor Means for associating and registering all medical treatment history information that has undergone medical treatment in the medical database, and when searching for inter-doctor information by a doctor, the doctor screen of the website is accessed from the hospital terminal, and the hospital terminal Means for receiving the doctor ID and the doctor biometric information read by the card reader and the biometric information input device, respectively, via the doctor screen, referring to the medical database, and performing authentication at the time of inter-doctoral information search; When the authentication at the time of the inter-information search is approved, the corresponding doctor from the medical history information based on the doctor ID Means for extracting interpersonal information and displaying it on the hospital terminal via the doctor screen for browsing; means for accepting an e-mail transmission request to a specific doctor selected from the displayed interdoctoral information; And a means for transmitting an e-mail to the specific doctor in response to an e-mail transmission request to the specific doctor.

  In the medical database center system, a doctor card that is issued to each doctor and stores a doctor ID that can be read by the card reader, an ambulance terminal installed in each ambulance, and a card reader connected to each ambulance terminal The ambulance terminal further sends an e-mail requesting a search for the patient personal information and the medical treatment result information to the hospital terminal of the transport destination hospital together with the patient ID read by the card reader of the ambulance terminal. The server includes a means for associating the doctor ID and doctor biometric information, the doctor personal information, and all the medical history information performed by the doctor with the medical database in association with each other, At the time of emergency transport, the ambulance terminal accesses the emergency screen of the website, and the card reader of the ambulance terminal Means for receiving emergency information indicating the patient's condition together with the patient ID read, means for storing the received patient ID and emergency information in association with each other in the medical database, and during the emergency transport of the patient, the transport The emergency screen of the website is accessed from the hospital terminal of the previous hospital, and is included in the e-mail from the ambulance terminal together with the doctor ID and doctor biometric information read by the card reader and biometric information input device of the hospital terminal, respectively. Means for receiving emergency patient ID via the emergency screen and referring to the medical database for authentication at the time of emergency, and the patient ID based on the patient ID when the emergency authentication is approved From the personal information, the medical treatment result information, and the emergency information, emergency patient information necessary for emergency is extracted, and the emergency screen is used. And having a means for viewing is displayed on the hospital terminal Te.

  The medical database center system further includes a doctor card storing a doctor ID issued to each doctor and readable by the card reader, and the server registers a hospital ID and hospital information in association with each other in the medical database. Means for associating doctor ID and doctor biometric information, doctor personal information, and all medical treatment history information performed by the doctor in association with the medical database; The patient terminal of the website is accessed from the hospital terminal, and the patient ID and patient biometric information read by the card reader and biometric information input device of the hospital terminal are received via the patient screen, Means for performing authentication when browsing hospital / doctor information with reference to a medical database; If the authentication at the time is approved, the relevant hospital / doctor information is extracted from the hospital information and the medical history information, and displayed on the hospital terminal via the patient screen for browsing. Means for accepting an e-mail transmission request for a transfer to a specific doctor selected based on the displayed hospital / doctor information or a second opinion, and according to the e-mail transmission request to the specific doctor, Means for transmitting an e-mail to a doctor, and when the patient information is viewed by the specific doctor regarding the patient who requested the transfer or second opinion, the doctor screen of the website is accessed from the hospital terminal, and the card of the hospital terminal The doctor ID and the doctor biometric information read by the reader and the biometric information input device are received via the doctor screen, and the medical A means for performing authentication when browsing the patient information by the specific doctor with reference to the database, and the patient personal information and medical care based on the patient ID when the authentication when browsing the patient information by the specific doctor is approved Means for extracting patient information at the time of medical treatment necessary from the result information and displaying the information on the hospital terminal via the doctor screen for browsing.

  In the medical database center system according to the present invention, a patient has a patient card storing a patient ID. By reading this patient card with the card reader of the hospital terminal and reading the patient's biometric information with the biometric information input device of the hospital terminal, it is possible to reliably authenticate the patient. Since the patient information stored in the patient card is only the patient ID, there is no possibility of leakage of the patient's personal information even in the case of theft or loss. In addition, since personal authentication is performed in combination with biometric information, spoofing can be prevented and security can be ensured.

  In the case of a hospital terminal installed at a hospital reception, by accessing the patient screen on the website, only the information required at the time of receiving a medical treatment can be extracted from the patient information stored in the medical database and viewed. And In the case of a hospital terminal installed in the hospital's examination room (ie for doctors), access to the doctor screen on the website is necessary for medical treatment from the patient information stored in the medical database. Only useful information can be extracted and browsed. Thus, appropriate patient information can be automatically extracted and browsed depending on which screen of the website of the center server is accessed.

  The doctor also has a doctor card that stores the doctor ID. By reading this doctor card with the card reader of the hospital terminal and reading the biometric information of the doctor with the biometric information input device of the hospital terminal, the identity authentication of the doctor can be reliably performed. Since the doctor information stored in the doctor card is only the doctor ID, there is no possibility that the personal information of the doctor will be leaked even in the case of theft or loss. In addition, since personal authentication is performed in combination with biometric information, spoofing can be prevented and security can be ensured. Furthermore, for example, by accessing a doctor screen on a website from a hospital terminal installed in a hospital examination room (that is, for a doctor), doctor information among doctor information stored in a medical database is stored between doctors. Information necessary for information exchange is extracted and can be browsed. A specific doctor can be selected on the basis of the browsed information, and the server can be immediately requested to send an e-mail, thereby enabling rapid information exchange.

  In the case of an emergency, the patient ID is read from the patient card by the card reader of the ambulance terminal, the emergency screen of the website is accessed, the patient ID and the patient emergency information are transmitted to the server, and Then, an e-mail requesting browsing of patient information and emergency information in the medical database is sent together with the patient ID. The doctor requests and browses the patient information and emergency information from the hospital terminal to the server together with the doctor authentication information and the patient ID. In the case of emergency, it is possible to respond quickly by omitting the biometric information authentication of the patient. Further, by notifying both the doctor and the server of the patient ID, it is possible to prevent information errors.

  Further, when browsing the hospital / doctor information by a patient, the patient screen on the website can be accessed from the hospital terminal by the personal authentication based on the patient ID and the patient biometric information, and the hospital for the transfer or second opinion can be searched and browsed. It is also possible to select a doctor based on the browsed information and immediately request the server to send an e-mail. The doctor accesses the doctor screen of the website, and transmits the identity authentication based on the doctor ID and the doctor biometric information together with the patient ID included in the requested e-mail. The server extracts only the information necessary at the time of medical care from the patient information stored in the medical database and enables browsing. Thus, the patient can quickly find an appropriate hospital for the transfer or second opinion, and the doctor can also obtain patient information smoothly.

1 is a schematic overall configuration diagram of a medical database center system according to the present invention. It is a registration related database that stores information registered in advance in the operation of this system. It is a patient medical care related database in which contents of patient medical care, examination, medication, and the like are accumulated as a history. It is a doctor medical treatment related database in which doctor medical treatment contents are accumulated as a history. (a) is a schematic configuration diagram of a doctor card, (b) is a schematic configuration diagram of a patient card. It is the figure which showed roughly the example of a screen structure of the medical DB website which a server constructs | assembles. (A) is a screen for patients, (b) is a screen for doctors, and (c) is a screen for emergency. It is a flowchart which shows the patient information provision flow at the time of medical treatment reception. It is a flowchart which shows the patient information browsing flow at the time of medical treatment. It is a flowchart which shows the information browsing flow between doctors. It is a flowchart which shows the patient information browsing flow at the time of emergency (the first half). It is a flowchart which shows the patient information browsing flow (second half) at the time of emergency. It is a hospital / doctor information browsing flow by a patient. This is a hospital / doctor search / confirmation flow for a transfer / second opinion.

Hereinafter, embodiments of the present invention will be described with reference to the drawings showing examples.
FIG. 1 is a schematic overall configuration diagram of a medical database center system according to the present invention.
A medical database center server (hereinafter simply referred to as a “server”) 11 that is responsible for the main functions of the system is implemented by an appropriate computer, and programs for realizing the functions of the system are introduced, and the programs are read into the memory. When executed by the CPU, it functions as a server. The data processing unit schematically shows a program execution function by the CPU, and includes a database processing unit 11a, a website processing unit 11b, and a mail processing unit 11c as main processing functions. The medical database 12 stores various information related to the present system, and is controlled by the database processing unit 11a. The medical DB website 13 is accessed from an external terminal via the network 9 in this system, and includes each web screen prepared according to the type of the external terminal, and is controlled by the website processing unit 11b. The mail processing unit 11c performs an email transmission process when an email transmission request is made from one external terminal to another external terminal. A communication interface (not shown) has a connection function with the network 9, and thereby transmits information to and from each external terminal.

  The hospital 2 is each hospital in a predetermined target area that participates in the present system, and it is preferable that the entire country is the target area. Each hospital is provided with one or a plurality of hospital terminals 21 corresponding to this system, and a card reader 22 and a biological information input device 23 are connected to each hospital terminal 21. The card reader 22 has a non-contact card reading / writing function, at least a reading function. The biological information input device 23 is not limited to the type of biological information, and any known system can be used. For example, biometric information authentication systems for fingerprints, palm prints, veins, irises, and the like are known. When a plurality of hospital terminals 21 are installed, the roles may be divided such as a hospital terminal for reception and a hospital terminal for doctors. For example, the reception hospital terminal can access only the patient screen of the medical DB website 13, and the doctor hospital terminal 21 can access the patient screen and the doctor screen of the medical DB website 13. The access right may be set as such. Each hospital terminal 21 has a communication function for connecting to browser software and the network 9. It also has an e-mail transmission / reception function. Further, a display device for displaying information downloaded from the server, an input device for operation, a printing device for outputting the downloaded information, a storage device for storing the downloaded information, and the like are appropriately provided (the following The same applies to the terminals 31 and 41).

  The ambulance terminal 31 installed in the ambulance 3 is connected to a card reader 32 similar to the card reader 22 described above. A biological information input device is not installed. The ambulance terminal 31 also has a communication function for connecting to the browser software and the network 9, and the communication function is a wireless communication function. It also has an e-mail transmission / reception function.

  The patient terminal 41 installed in the patient home 4 may be a general personal computer. Or a portable terminal may be sufficient. It has a communication function for connecting to the browser software and the network 9 that can access the patient screen of the medical DB website 13. It also has an e-mail transmission / reception function.

  The doctor card 5 and the patient card 6 are possessed by a doctor and a patient, respectively, and are preferably non-contact IC cards. For example, a FeliCa (registered trademark) card or a Type A Mifare (registered trademark) card of ISO / IEC14443. Note that this system can be implemented even with contact IC cards other than non-contact IC cards, magnetic cards, and the like, but in terms of security, non-contact IC cards are suitable, and among them, FeliCa (registered trademark) ) The card is most preferable in terms of security.

  The financial institution / credit card company 7 shows that when a card card or credit card function is added to the doctor card 5 and the patient card 6, information can be transmitted via the servers of these companies and the respective networks. ing. Combined with this system, it is possible to pay medical expenses automatically.

  The various institutions 8 are public, semi-public or private institutions, organizations, or companies that provide various information to the medical database 13 of this system, view them in reverse, or provide technical support. Etc. for each server.

  2 to 4 are diagrams schematically showing configuration examples of individual databases stored in the medical database 13 of FIG. These individual databases form a relational database as a whole and are linked via common data items.

FIG. 2 shows a registration-related database that stores information registered in advance in the operation of this system.
The hospital registration information database 201 includes data items indicating the location, contact information, and characteristics of the hospital, such as “hospital ID”, “name”, “address”, and “medical subject” uniquely assigned to each hospital.
The doctor registration information database 202 is set in the “doctor ID” uniquely assigned to each doctor, the password “PIN”, the “biological information code” linked to the biometric data, the “name”, and the doctor's hospital terminal. Data items indicating the doctor's contact information and characteristics as a doctor, such as “e-mail address”, “hospital ID” of the hospital to which the doctor belongs, and “medical subject”.
The patient registration information database 203 is set to “patient ID” uniquely assigned to each patient, “PIN” as a password, “biological information code” linked to biometric information data, “name”, patient home terminal, and the like. In addition to “E-mail address”, “Personal insurance number” related to payment of medical expenses such as “Birth date”, “Gender”, etc., which is general personal information, “Blood type”, which is usually fixed medical information, etc. ”And“ payment account number ”.
The biometric information database 204 stores the biometric information of the patient and the biometric information data of the doctor itself, and is composed of a biometric information data file including a uniquely assigned “biological information code” and image information.

FIG. 3 is a patient medical care related database in which the contents are accumulated as a history every time a patient receives medical care, examination, medication, and the like.
The medical record information database 301 records the contents when a patient receives medical care at a hospital. This corresponds to so-called electronic medical record data. The data items include “patient ID”, “medical date”, “hospital ID”, “medical subject”, “doctor ID”, “medical chart number”, “medical chart contents”, and the like.
The contents of the examination information database 302 are recorded when a patient undergoes an examination at a hospital or the like. When there are examination images in addition to “patient ID”, “examination date”, “hospital ID”, “medical subject”, “doctor ID”, “examination name”, “examination result”, etc. The “inspection image data” file is also stored.
The contents of the medication information database 303 are recorded when a patient is prescribed by a doctor at a hospital. The data items include “patient ID”, “prescription date”, “hospital ID”, “clinical subject”, “doctor ID”, “prescription content”, and the like.
In the ambulance information database 304, the condition determined in the ambulance for the patient being transported by the ambulance is recorded. The data items include “patient ID”, “carrying date”, “injury and illness”, and the like.
The medical cost information database 305 records the medical cost of the patient generated by medical treatment, examination, medication, and the like. Based on this, the medical cost for the patient is calculated. Data items include “patient ID”, “use date”, “hospital ID”, “medical subject”, “medical fee”, and the like.

FIG. 4 is a doctor medical treatment related database in which the contents are accumulated as a history every time a doctor performs medical care.
Data items of the medical history information database 401 include “doctor ID”, “medical date”, “medical subject”, “injury name”, “medical content”, and the like. Since it is burdensome for the doctor himself to input every medical treatment, when the medical record information database 301 in FIG. 3 is acquired as the processing of the database processing unit of the server, only necessary information is extracted from the medical record information database 301 in FIG. It may be created automatically. For example, personal information for identifying a patient is unnecessary and is omitted, and only information related to injury and illness is extracted.

  5A is a schematic configuration diagram of the doctor card 5, and FIG. 5B is a schematic configuration diagram of the patient card 6. Both are non-contact type IC cards. As shown to (A), the doctor card | curd 5 has the antenna 53 which transmits / receives the electromagnetic waves from a card reader. The carrier wave of the electromagnetic wave from the card reader is for supplying power to the card, and the power generation circuit 54 rectifies the electromagnetic wave received by the antenna 53, converts it to DC power, and supplies it to the control unit 51. As a result, the control unit 51 is activated. The receiving unit 55 demodulates the electromagnetic wave received by the antenna 53 and sends it to the control unit 51. Based on the command received from the control unit 51, the transmission unit 56 modulates the carrier wave and drives the antenna 53. The storage unit 52 stores a control program and an application program. In the data area, a doctor ID is stored. The same applies to the patient card 6 in (B), and the patient ID is stored in the data area. When a bank card function and a credit card function are added to the patient card 6, those application programs are stored and necessary data is stored. In the operation of this system, only the doctor ID or the patient ID is sufficient as the personal information of the doctor or patient stored in the doctor card or the patient card. Therefore, leakage of personal information can be prevented even when these cards are stolen or lost.

FIG. 6 is a diagram schematically showing a screen configuration example of the medical DB website 13 constructed by the server. These screens can be displayed on the display device of each terminal equipped with browser software.
FIG. 6A shows a patient screen. The main functions linked to the patient screen are “providing patient information at the time of medical reception” and “browsing hospital / doctor information”, and a selection button for calling each function is displayed. Authentication data required when using these functions is a patient ID and patient biometric information.
“Providing patient information at the time of medical reception” is a function for acquiring patient information necessary for reception from a medical database when receiving a patient who has visited the hospital for medical care. Access rights to this function are always set for each hospital terminal. “Browsing of hospital / doctor information” is a function for a patient to search for a hospital or doctor that meets his / her needs, and this function is followed by a function for searching a hospital for a transfer or second opinion. Also included. The access right to the “browse hospital / doctor information” function may be set in any hospital terminal. Also, the access right to the “browse hospital / doctor information” function may be set on the patient terminal. In that case, since there is usually no biometric reader, authentication is performed only with the patient ID and the patient PIN. To do.

FIG. 6B is a doctor screen. The main functions linked to the doctor screen are “browsing patient information during medical treatment”, “exchange of information between doctors”, “browsing patient information during emergency”, and “browsing patient information during hospital transfer”. A selection button to call is displayed. Authentication data required when using the function of “browsing patient information at the time of medical care” is a patient ID and patient biometric information. Authentication data required when using other functions is a doctor ID and doctor biometric information. Access rights to these functions are always set for hospital terminals for doctors.
“Browsing patient information at the time of medical care” is a function for acquiring patient information necessary for a patient to receive medical care from a medical database. “Inter-doctoral information exchange” is a function for exchanging information between doctors. “Browsing emergency patient information” is a function for acquiring emergency patient information in response to a request from an ambulance terminal during an emergency. “Browsing patient information at hospital transfer” is a function for obtaining patient information (corresponding to patient information at the time of medical care) when a hospital transfer or second opinion is requested.

  FIG. 6C shows an emergency screen accessed from an ambulance terminal. The main function linked to the emergency screen is “transmission of emergency patient information”, and a selection button for calling this function is displayed. The authentication data required when using this function is only the patient ID. This is a function for transmitting emergency information indicating the condition of a patient being transported by an ambulance to a medical database.

With reference to FIGS. 7 to 12, an example of a processing flow of each function included in the present system is schematically shown. The reference numerals in FIG. 1 are referred to as necessary.
FIG. 7 is a flowchart showing a patient information browsing flow at the time of medical reception.
The patient who visited the hospital for medical care accesses the patient screen of the medical DB website 13 from the hospital terminal 21 installed at the reception (step 701). The server 11 requests a patient ID and patient biometric information (step 702). The patient ID is read from the patient card 6 by the card reader 22, and the patient biometric information is read by the biometric information input device 23 and transmitted to the server 11 (step 703). The server 11 refers to the patient registration information DB and the biometric information DB, authenticates the patient ID and the patient biometric information, and prompts the next step if authenticated (step 704).

  Subsequently, patient information at the time of medical reception including data items necessary at the time of medical reception is requested from the hospital terminal 21 (step 705). The data items necessary at the time of receiving a medical treatment include, for example, basic personal information (name, gender, age) of the patient, a payment related insurance number, a payment account number, and the like. In addition, necessary information in the medical record information, examination information, and medication information is included to obtain information such as the patient's past medical condition, but patient information at the time of receiving medical treatment is based on patient information acquired by the doctor during actual medical treatment. May be concise information. Necessary data items are set in advance, but can be added / deleted. In response to this request, the server 11 refers to the patient registration DB, the medical record information DB, the examination information DB, and / or the medication information DB based on the patient ID, extracts the corresponding information, and displays the patient information at the time of medical reception. (Step 706).

  The patient information at the time of receiving a medical treatment displayed on the hospital terminal 21 is browsed (step 707). The displayed patient information at the time of receiving a medical treatment is stored in a hospital-installed storage device as necessary (step 708) and used for patient information management in the hospital.

FIG. 8 is a flowchart showing a patient information browsing flow at the time of medical care.
The patient who has completed the reception will see a doctor. At that time, in order to view patient information necessary for medical treatment by a doctor, the patient's screen of the medical DB website 13 can be accessed from the doctor's hospital terminal 21 (step 801). The server 11 requests a patient ID and patient biometric information (step 802). What should be noted here is that even the doctor's hospital terminal 21 performs authentication based on the patient ID and patient biometric information. This is to ensure the security of the patient personal information. The patient ID is read from the patient card 6 by the card reader 22, and the patient biometric information is read by the biometric information input device 23 and transmitted to the server 11 (step 803). The server 11 refers to the patient registration information DB and the biometric information DB, authenticates the patient ID and the patient biometric information, and prompts the next step if authenticated (step 804).

  Subsequently, patient information at the time of medical treatment including data items necessary at the time of medical care is requested from the hospital terminal 21 (step 805). The data items necessary at the time of medical treatment are mainly information on the sickness and physical condition of the patient such as past medical condition, and include information necessary for the doctor's examination among the past medical record information, examination information, and medication information. Necessary data items are set in advance, but can be added / deleted. In addition, the patient information and the data item at the time of receiving the medical care may overlap. In response to this request, the server 11 refers to the patient registration DB, the medical record information DB, the examination information DB, and / or the medication information DB based on the patient ID, extracts the corresponding information, and displays the patient information at the time of medical treatment ( Step 806).

  The patient information at the time of medical care displayed on the hospital terminal 21 is browsed (step 807). The displayed patient information at the time of medical care is stored in a storage device installed in a hospital as necessary (step 808) and used for patient information management of the hospital and the doctor.

  After the medical treatment, a doctor or the like (including a person in charge of examination and dispensing) inputs new medical record information, examination information, and medication information (medical treatment result information) to the hospital terminal 21 and transmits it to the server 11 (step 809). When the server 11 receives new patient information transmitted after medical treatment, the server 11 stores additional data in the medical record information DB, examination information DB, and medication information DB, respectively (step 810). These added patient information is also medical history information of the doctor. When a doctor inputs medical history information separately from patient information, there are many overlapping data items and a heavy burden. Therefore, it is preferable that the server 11 automatically creates doctor's medical history information based on new medical record information, examination information, and medication information. The automatically created medical history information is stored as additional data in the medical history DB (step 811).

FIG. 9 is a flowchart showing an inter-doctoral information browsing flow.
In the medical database, a doctor registration information DB and a medical history information DB are constructed. Each doctor can acquire necessary information by browsing these DBs. First, the doctor accesses the doctor screen on the medical DB website 13 from the first hospital terminal (hospital terminal A) 21 for doctors (step 901). The server 11 requests a doctor ID and doctor biometric information (step 902). In this case, since the information is exchanged only between doctors, the authentication data is a doctor ID and doctor biometric information. The doctor ID is read from the doctor card 5 by the card reader 22, the doctor biometric information is read by the biometric information input device 23, and transmitted to the server 11 (step 903). The server 11 refers to the doctor registration information DB and the biometric information DB, authenticates the doctor ID and the doctor biometric information, and prompts the next step if the authentication is successful (step 904).

  Subsequently, the necessary information between doctors is requested from the first hospital terminal 21 (step 905). At this time, keywords for extracting appropriate information may be set as appropriate. The keyword may be designated in advance or arbitrary. The server 11 refers to the doctor registration DB and the medical history information DB based on the keyword, extracts relevant information, and displays it as inter-doctor information (step 906).

  The inter-doctoral information displayed on the first hospital terminal 21 is browsed, and the displayed patient information at the time of medical care is stored in a hospital-installed storage device as necessary (step 907).

  To directly obtain the opinion of a specific doctor included in the inter-doctor information, the server 11 is requested to send an e-mail to the second hospital terminal (hospital terminal B) 21 used by the specific doctor. (Step 908). When requesting, attach the email text. The server 11 transmits an e-mail to the second hospital terminal 21 (909). The server 11 mediates so that two doctors can start information exchange smoothly. After that, it is out of the scope of this system that two doctors exchange information without going through this system.

10A and 10B are flowcharts showing a patient information browsing flow at the time of emergency.
FIG. 10A shows the first half of the flow. When an ambulance transports a patient, first, the patient's condition is temporarily determined in the ambulance and patient emergency information is obtained. Thereafter, the patient ID is read from the patient card 6 by the card reader 32 of the ambulance terminal 31. At the time of emergency, promptness is required, and reading of biological information may be difficult depending on the patient's condition, so patient biological information is not used. Subsequently, when the transfer destination hospital is determined, an e-mail is transmitted to the hospital terminal 21 (preferably, the hospital terminal 21 for the doctor who is scheduled to be in charge) (step 1001). It is assumed that the ambulance terminal 31 stores in advance the e-mail address information of the hospital terminal 21 of the transfer destination hospital. This e-mail includes the read patient ID, and is a content for requesting the delivery destination hospital or a doctor in charge to acquire patient information necessary for treatment of the patient from the medical database.

  Subsequently, the ambulance terminal 31 accesses the emergency screen of the medical DB website 13 (step 1002). The server 11 requests only the patient ID (step 1003). The ambulance terminal 31 transmits the emergency information together with the read patient ID to the server 11 (step 1004). The server 11 confirms that the received patient ID is a valid patient ID existing in the patient registration information DB, and stores the patient ID and the emergency information in the emergency information DB.

  On the other hand, the hospital terminal 21 of the destination hospital receives an email requesting a search for patient information from the ambulance terminal 31 (step 1006).

FIG. 10B is the latter half of the flow following FIG. 10A.
The emergency screen of the medical DB website 13 is accessed from the hospital terminal 21 (step 1007). The emergency screen in this case is slightly different from that for the ambulance terminal of FIG. 6C, and a button linked to the “browsing emergency patient information” function is displayed. The server 11 requests a doctor ID, doctor biometric information, and patient ID (step 1008). In this case, because of urgency, the patient ID is requested from the beginning without waiting for the doctor's authentication. The doctor ID is read from the doctor card 5 by the card reader 22, and the doctor biometric information is read by the biometric information input device 23 and transmitted to the server 11 (step 1009). The server 11 acquires the patient ID and refers to the doctor registration information DB and the biometric information DB to authenticate the doctor ID and the doctor biometric information (step 1010). In this case, since it is clear that the requested information is emergency patient information, the server 11 subsequently performs patient registration information DB, medical record information DB, examination information DB, medication information DB based on the patient ID, With reference to the emergency information DB, the corresponding information is extracted, and the patient information at the time of emergency is displayed (step 1011). As for the patient information at the time of emergency, the emergency information transmitted from the ambulance terminal is indispensable, and at least information according to the patient information at the time of medical care is extracted from other DBs. You may include the basic basic personal information of the patient. Data items to be extracted are set in advance, but can be added / deleted.

  The patient information at the time of emergency displayed on the hospital terminal 21 is browsed (step 1012). The displayed emergency patient information is stored in a hospital-installed storage device as necessary (step 1013).

  After the patient is transferred to the transfer destination hospital and the treatment is completed, the doctor in charge transmits medical record information, examination information, and medication information data related to the treatment to the server 11 from the hospital terminal 21 for the doctor. Upon receiving new patient information transmitted after the treatment, the server 11 stores additional data in the medical record information DB, examination information DB, and medication information DB, respectively (step 1014). These added patient information simultaneously becomes new medical history information of the doctor. Also in this case, it is preferable that the server 11 automatically creates medical history information of a doctor based on new medical record information, examination information, and medication information. The automatically created medical history information is stored as additional data in the medical history DB (step 1016).

FIG. 11 is a hospital / doctor information browsing flow by the patient.
The patient can use the medical database to search for a hospital or doctor to receive a medical examination, a hospital or doctor to be transferred to, or a hospital or doctor to obtain a second opinion.
The patient screen of the medical DB website 13 is accessed from a predetermined hospital terminal 21 installed in the hospital (step 1101). The server 11 requests a patient ID and patient biometric information (step 1102). The patient ID is read from the patient card 6 by the card reader 22, and the patient biometric information is read by the biometric information input device 23 and transmitted to the server 11 (step 1103). The server 11 refers to the patient registration information DB and the biometric information DB, authenticates the patient ID and the patient biometric information, and prompts the next step if authenticated (step 1104).

  Subsequently, an appropriate keyword for searching for a hospital or a doctor is input from the hospital terminal 21, and hospital information and doctor information are requested (step 1105). The keyword may be designated in advance or arbitrary. The server 11 refers to the hospital registration information DB, doctor registration DB, and medical history information DB based on the keyword, extracts the corresponding information, and displays the hospital information and doctor information (step 906).

  The hospital information and doctor information displayed on the hospital terminal 21 are browsed (step 1107). This hospital / doctor information browsing can also be performed from the patient terminal 41 at home. In that case, normally, since a biometric information input device is not provided, if a patient ID and a patient PIN are input and authenticated by the server 11, search browsing is possible.

FIG. 12 shows a hospital / doctor search / confirmation flow for a transfer destination / second opinion.
The medical database can be used when a patient moves or wants to find a hospital to move to near the destination, or to obtain a second opinion.
First, the same steps 1001 to 1007 as the hospital / doctor information browsing flow of FIG. 11 are executed from the first hospital terminal (hospital terminal A) 21 to browse the corresponding hospital information and doctor information (step 1201).

  Subsequently, the hospital or doctor for the transfer destination or the second opinion is selected from the displayed information. A referral letter, a reservation, and a patient information transfer request to the second hospital terminal (hospital terminal B) 21 used by the selected hospital or doctor are transmitted to the server 11 (step 1202). The server 11 transmits a letter of introduction and reservation to the doctor of the second hospital terminal 21 and a request for transferring patient information by e-mail (step 1203). This e-mail includes the patient ID. The server 11 acquires the patient ID at the start of step 1201.

  The second hospital terminal 21 receives the e-mail from the server 11 (step 1204). When receiving the request, the doctor selected for the transfer destination or the second opinion accesses the doctor screen of the medical DB website 13 from the second hospital terminal 21 (step 1205). The server 11 requests a doctor ID and doctor biometric information (step 1206). The doctor ID is read from the doctor card 5 by the card reader 22, and the doctor biometric information is read by the biometric information input device 23 and transmitted to the server 11 (step 1207). The server 11 refers to the doctor registration information DB and the biometric information DB, authenticates the doctor ID and the doctor biometric information, and if it is authenticated, prompts the next step (step 1208).

  Subsequently, the second hospital terminal 21 requests the server 11 for patient information at the time of medical reception and patient information at the time of medical care together with the patient ID included in the requested e-mail (step 1209). By acquiring patient information at the time of receiving a medical treatment, it is possible to simplify the medical treatment reception process when the patient visits the hospital. However, if at least patient information at the time of medical care can be acquired, a doctor for a transfer destination or a second opinion can also make sufficient preparations. Based on the patient ID, the server 11 refers to the patient registration information DB, the medical record information DB, the examination information DB, and the medication information DB, extracts the corresponding information, and displays the patient information at the time of medical reception and the patient information at the time of medical treatment. (Step 1210).

  The patient information at the time of medical care reception and the patient information at the time of medical care displayed on the second hospital terminal 21 are browsed, and the displayed patient information is stored in a storage device installed in the hospital as necessary (step) 1211).

DESCRIPTION OF SYMBOLS 1 Medical database center 11 Medical DB center server 11a Database processing part 11b Website processing part 11c Mail processing part 12 Medical database (DB)
13 Medical DB Website 2 Hospital 21 Hospital Terminal 22 Card Reader 23 Biometric Information Input Device 3 Ambulance 31 Ambulance Terminal 32 Card Reader 4 Patient Home 41 Patient Terminal 5 Doctor Card 6 Patient Card 7 Financial Institution / Credit Card Company 8 Various Organizations 9 network

Claims (4)

One or a plurality of hospital terminals installed in each hospital, a card reader and a biometric information input device connected to each hospital terminal, and a patient card that stores patient IDs issued to each patient and readable by the card reader And a medical database center system comprising a server connected to each hospital terminal via a network, a medical database managed by the server, and a website managed by the server,
The server is
The medical database by associating patient ID and patient biometric information, patient personal information, and patient medical result information including medical record information, examination information, and medication information of the patient in all hospitals where the patient has received medical care Means for storing in,
The patient screen of the website is accessed from the hospital terminal at the time of patient medical treatment reception, and the patient ID and patient biometric information read by the card reader and the biometric information input device of the hospital terminal via the patient screen, respectively. Means for receiving and referring to the medical database for authentication at the time of medical reception;
When the authentication at the time of receiving the medical care is approved, the patient information at the time of receiving the medical care necessary for receiving the medical care is extracted from the patient personal information based on the patient ID, and the patient terminal is connected to the hospital terminal via the patient screen. Means for displaying and browsing;
At the time of patient care, the doctor screen of the website is accessed from the hospital terminal, and the patient ID and patient biometric information read by the card reader and the biometric information input device of the hospital terminal are transmitted via the doctor screen. Means for receiving and authenticating at the time of medical care with reference to the medical database;
When authentication at the time of medical care is approved, patient information at the time of medical care necessary for medical care is extracted from the patient personal information and the medical care result information based on a patient ID, and the hospital via the doctor screen A medical database center system comprising means for displaying and browsing on a terminal. In the medical database center system, the medical database center system further includes a doctor card that stores a doctor ID issued to each doctor and readable by the card reader,
The server
Means for associating the doctor ID and the doctor biometric information, the doctor personal information, and all the medical history information that the doctor performed medical care in association with the medical database;
When searching for inter-doctor information by a doctor, the doctor screen of the website is accessed from the hospital terminal, and the doctor ID and doctor biometric information respectively read by the card reader and biometric information input device of the hospital terminal are displayed on the doctor screen. Means for performing authentication during inter-doctoral information search with reference to the medical database;
When authentication during the inter-doctoral information search is approved, corresponding inter-doctoral information is extracted from the medical history information based on the doctor ID, and displayed on the hospital terminal via the doctor screen for viewing. Means to
Means for accepting an e-mail transmission request to a specific doctor selected from the displayed inter-doctor information;
The medical database center system according to claim 1, further comprising means for transmitting an e-mail to the specific doctor in response to an e-mail transmission request to the specific doctor. In the medical database center system, a doctor card that is issued to each doctor and stores a doctor ID that can be read by the card reader, an ambulance terminal installed in each ambulance, and a card reader connected to each ambulance terminal In addition,
The ambulance terminal transmits means for requesting a search for the patient personal information and the medical treatment result information to the hospital terminal of the transport destination hospital together with the patient ID read by the card reader of the ambulance terminal. Have
The server
Means for associating the doctor ID and the doctor biometric information, the doctor personal information, and all the medical history information that the doctor performed medical care in association with the medical database;
Means for receiving emergency information indicating the patient's condition together with the patient ID read by the card reader of the ambulance terminal, accessed to the emergency screen of the website from the ambulance terminal during the patient's emergency transport;
Means for storing the received patient ID and emergency information in association with each other in the medical database;
At the time of emergency transport of a patient, the ambulance is accessed together with a doctor ID and biomedical information read by a card reader and biometric information input device of the hospital terminal accessed from the hospital terminal of the transport destination hospital. Means for receiving the patient ID contained in the e-mail from the terminal via the emergency screen, referring to the medical database, and performing authentication at the time of emergency;
When the emergency authentication is approved, the emergency patient information necessary for emergency is extracted from the patient personal information, the medical treatment result information, and the emergency information based on the patient ID, and the emergency screen is used. 2. The medical database center system according to claim 1, further comprising means for displaying and browsing on the hospital terminal via In the medical database center system, the medical database center system further includes a doctor card that stores a doctor ID issued to each doctor and readable by the card reader,
The server
Means for registering the hospital ID and hospital information in association with each other in the medical database;
Means for associating the doctor ID and the doctor biometric information, the doctor personal information, and all the medical history information that the doctor performed medical care in association with the medical database;
At the time of browsing hospital / doctor information by a patient, the patient terminal on the website is accessed from the hospital terminal and the patient ID and patient biometric information read by the card reader and biometric information input device of the hospital terminal are used for the patient. Means for receiving via a screen and performing authentication at the time of browsing hospital / doctor information with reference to the medical database;
When authentication at the time of browsing the hospital / doctor information is approved, the corresponding hospital / doctor information is extracted from the hospital information and the medical history information, and displayed on the hospital terminal via the patient screen. Means for browsing;
Means for accepting an e-mail transmission request for a transfer or a second opinion to a specific doctor selected based on the displayed hospital / doctor information;
Means for transmitting an e-mail to the specific doctor in response to an e-mail transmission request to the specific doctor;
At the time of patient information browsing by the specific doctor regarding the patient who requested the transfer or second opinion, the doctor screen of the website is accessed from the hospital terminal and read by the card reader and the biometric information input device of the hospital terminal, respectively. Means for receiving the doctor ID and the doctor biometric information via the doctor screen, authenticating the patient information by the specific doctor with reference to the medical database;
Patient information at the time of medical care necessary at the time of medical treatment at the transfer or second opinion from the patient personal information and medical care result information based on the patient ID when authentication at the time of patient information browsing by the specific doctor is approved The medical database center system according to claim 1, further comprising: means for extracting and displaying the extracted information on the hospital terminal via the doctor screen.

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