JP2011070248A - Infectious patient action history collection/analysis system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an infectious patient action history collection/analysis system allowing collection/management of action history information of an infectious patient, and allowing a person desiring to know whether contact with the infectious patient is performed to analyze/confirm a contact history without invading privacy of the infectious patient. <P>SOLUTION: An infectious patient action history collection/analysis center 101 includes: a means storing the action history information of the infectious patient as infectious patient action history accumulation information when receiving the action history information of the infectious patient from a public medical institution terminal 107; a means creating visualized action history information based on the infectious patient action history accumulation information; a means sending the visualized action history information back to the public medical institution terminal 107; a means extracting an action history on and after specified time from the action history information, and registering it as an infectious patient action history; and a means or the like comparing the infectious patient action history, action history accumulation information except the patient obtained from a public institution, and action history accumulation information obtained from the public, and verifying overlap of the action history. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention collects and manages behavioral history of patients infected with infections that may have a large-scale epidemic, such as bird flu, and supports active epidemiological surveys for patients with infectious diseases. It is related to an infectious disease patient behavior history collection / analysis system that can analyze and confirm contact history without infringing on the privacy of a patient for an individual or medical institution who wants to confirm whether or not there has been contact.

  In Japan, based on the “Law on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases (New Act on Infectious Diseases)”, with the goal of preventing and spreading infectious diseases and providing accurate information to the public, Infectious disease surveillance system (infectious disease occurrence trend survey system) based on notification of doctors has been strengthened to collect and publish information on infectious diseases, ascertain the occurrence status and trends of infectious diseases, and investigate the causes. In addition, the new Act on Infectious Diseases has provisions for active epidemiological investigations (infectious disease occurrence status, trends and causes investigation), in addition to basic patient information (name, address, age, occupation, etc.) A surveillance system that provides detailed information on patient behavior, lists contacts, uses public transportation and collective facilities, and provides detailed interviews such as date of use, time of use, and place of use. Collected and managed by Since the system data includes personal information, an access right is set for each user to limit users.

  In the infectious disease propagation analysis system and the propagation simulation system described in Patent Document 1, the onset situation information including addresses, action path information, onset time information, and onset information regarding a plurality of infectious disease onset patients is databased. There has been proposed a system that has an onset status storage means that is stored and analyzes map information in association with each other, and identifies an infection transmission place when action paths related to a plurality of affected persons overlap. It is described in the embodiment of the present invention that detailed onset status information regarding the onset of an infectious disease is obtained from a medical institution that is a fixed point observation station.

A system and method for providing / acquiring medical information using a two-way communication network and a computer program described in Patent Document 2 are a system for easily and reliably creating, collecting and storing patient data as statistical information while ensuring confidentiality. Has been proposed.
In the behavior history creation system, behavior history creation device, and behavior history creation method described in Patent Document 3, the position of a moving object is measured as a behavior record, and a time-series behavior including a point name based on this behavior record An action history creation system that automatically creates a history table has been proposed.

Japanese Patent No. 399424 Japanese Patent Laying-Open No. 2005-4790 JP 2003-30375 A

  The detailed information on patient behavior and contact list listing conducted in the active epidemiological survey are mainly conducted through interviews, so there are many parts depending on the patient's memory, and accurate information is available. There is a problem that it cannot be obtained. As a means for grasping detailed information regarding the patient's behavior, it is considered effective to use Patent Document 3 in which time-series position information indicating when and where the patient was located is stored and managed as behavior record information. However, the time-series location information can be used as a reference when listing contacts, but it cannot be used to reliably identify contacts, and it is not easy to identify contacts, especially in public places. The problem remains.

There may be a method of publicly reporting the possibility of contact with the patient by publishing the patient's behavior record information. There is also a problem that the collected action history information of patients cannot be used effectively.
Therefore, the present invention provides action history information in which past actions are recorded when an infectious disease is diagnosed, collects and manages action history information of a plurality of provided patients, and contacts with infectious disease patients. It is an object of the present invention to provide an infectious disease patient behavior history collection / analysis system that can analyze and confirm contact history without infringing on the privacy of an infectious disease patient.

  In view of the above situation, when the present invention is diagnosed as an infectious disease, the present invention provides behavior history information that records the behavior of the past every moment, collects and manages the behavior history information of a plurality of provided patients, To provide a system for collecting and analyzing the history of behavior of infectious disease patients who want to know whether or not they have been in contact with infectious disease patients without having to violate the privacy of infectious disease patients. And

In order to solve the above problems, the present invention provides the following configurations.
The invention according to claim 1 is a public medical institution terminal installed in a public medical institution, an infectious disease patient behavior history collection / analysis center for collecting and analyzing an infectious disease behavior history, and personal information for managing personal information. An infectious disease patient behavior history collection / analysis system in which a management center and a transportation operation history collection / management center that collects and manages transportation operation history are connected via a communication network,
Public medical institution terminals
When an action history recording device owned by a patient diagnosed with an infectious disease is connected to a public medical institution terminal, an action history recording device identification number and an action history in which the patient's action history is recorded A means of extracting information;
Means for transmitting the extracted action history recording device identification number and action history information to the infection patient action history collection and analysis center;
Referring to the visualized behavior history information received from the Infectious Disease Patient Behavior History Collection and Analysis Center, when the specified time when the possibility of infection to a third party and the use of public transportation are entered And means for transmitting the specified time and public transportation usage status to the Infectious Disease Patient Behavior History Collection and Analysis Center,
Infectious Disease Patient Behavior History Collection and Analysis Center
When receiving an action history recording device identification number and action history information from a public medical institution terminal,
Requesting a decryption key for decrypting the encrypted action history from the personal information management center, and means for decrypting the action history information using the received decryption key;
Means for storing the decrypted action history information in the action history database as infectious disease patient action history accumulation information;
Means for creating action history information visualized based on infectious disease patient action history accumulation information;
Means for returning the visualized action history information to the public medical institution terminal;
Means for extracting an action history after the specified time from the decrypted action history information and registering it in the action history database as an infectious disease patient action history;
Based on the action history information, it is determined whether or not the transportation facility is used, and if it is used, means for transmitting the extracted behavior history information to the transportation operation history collection / management center,
Means for returning the detailed transportation information, which is various information of the used transportation, returned from the transportation operation history collection / management center to the public medical institution terminal;
A means for verifying the overlap of behavior histories by comparing the behavior history of patients with infectious diseases, behavior history accumulation information other than patients obtained from public institutions, and behavior history accumulation information obtained from the general public,
The action history is determined to be overlapped, and if there is an overlap, the action history recording device identification number determined to be overlapped is extracted, and the personal information management center is provided with means for collecting contact information,
The transportation operation history collection / management center collates the action history information sent from the infection patient action history collection / analysis center with the transportation operation history accumulation information, and records the transportation operation history of the transportation with overlapping location information. Means for extracting the device identification number and extracting the transportation detailed information corresponding to the transportation operation history recording device identification number from the transportation operation history recording device information;
An infectious disease patient behavior history collection / analysis system characterized by comprising means for returning the extracted detailed information on transportation means to the infectious disease patient behavior history collection / analysis center.

The invention according to claim 2 is configured such that when the infectious disease patient behavior history collection / analysis center receives infectious disease facility usage information and transportation usage information from a public medical institution terminal, , A means for obtaining location information of the facility and creating action history information;
If there is use of transportation, means to send information on the transportation used to the transportation operation history collection and management center,
A means for adding the received operation history information to the created action history information when receiving the transportation detailed information and the operation history information extracted from the information of the used transportation facility from the transportation operation history collection and management center; ,
The system according to claim 2, further comprising means for registering the created action history information in the action history database as an action history of an infectious disease patient.

The invention according to claim 3 is a public medical institution terminal installed in a public medical institution, an infectious disease patient behavior history collection / analysis center for collecting and analyzing an infectious disease behavior history, and personal information for managing personal information. An infectious disease patient behavior history collection / analysis system connected to the management center via a communication network,
Public medical institution terminals
When an action history recording apparatus owned by a non-infected person is connected to a public medical institution terminal, means for extracting an action history recording apparatus identification number and action history information from the action history recording apparatus;
Means for transmitting the behavior history recording device identification number and behavior history information of the extracted non-infective patient to the infection patient behavior history collection and analysis center;
A means of returning a password and personal contact based on a password request from the Infectious Disease Patient Behavior History Collection and Analysis Center;
A means for receiving behavior history information visualized from the Infectious Disease Patient Behavior History Collection and Analysis Center,
Infectious Disease Patient Behavior History Collection and Analysis Center
When receiving a behavior history of a non-infectious disease patient from a public medical institution terminal, a means for requesting personal information from the personal information management center,
A means for determining whether or not an authentication password is registered in the personal information received from the personal information management center, and in the case of no registration, means for requesting a password from a public medical institution terminal;
Means for sending the password and personal contact returned from the public medical institution terminal to the personal information management center,
A means of sending public medical institution contact information to the Personal Information Management Center;
Using the decryption key included in the personal information received from the Personal Information Management Center, the encrypted location information of the action history information is decrypted, and the decrypted action history information other than the patient obtained from the public institution Means for storing in the action history database as action history accumulation information;
Means for searching for infectious disease patient behavior history and evaluating overlap with decrypted behavior history information;
If it is determined that there is an overlap in the action history, a means for creating action history that may be contacted with an infectious disease patient as visualized action history information;
An infectious disease patient behavior history collection / analysis system characterized by comprising means for returning visualized behavior history information to a public medical institution terminal.

The invention according to claim 4 includes: an individual terminal operated by an individual; an infectious disease patient behavior history collection / analysis center that collects and analyzes an action history of an infectious disease patient; and a personal information management center that manages personal information. Infectious disease patient behavior history collection / analysis system connected through a communication network,
Personal terminals
When the personal behavior history recording device is connected, means for extracting the behavior history recording device identification number and the personal behavior history information from the behavior history recording device;
Means for transmitting the extracted action history recording device identification number and action history information to the infectious disease patient action history collection and analysis center,
Infectious Disease Patient Behavior History Collection and Analysis Center
When receiving an action history recording device identification number and action history information from a personal terminal, means for requesting personal information from the personal information management center;
When receiving personal information from the personal information management center, it is determined whether or not an authentication password is registered in the personal information management means, and if there is registration, means for requesting the personal terminal to input the authentication password;
When the authentication password input to the personal terminal is returned, a means for comparing the returned authentication password with the authentication password received from the personal information management center,
If the authentication password matches, the decrypted location information of the action history information is decrypted using the decryption key included in the personal information, and registered after the authentication password registration time from the decrypted action history information Means for storing only the location information that has been stored in the behavior history database as behavior history accumulation information obtained from the general public,
Means for searching for an infectious disease patient behavior history stored in the behavior history database and evaluating an overlap with the decrypted behavior history information;
When it is determined that there is an overlap of action histories, a means for creating as visualized action history information;
An infectious disease patient behavior history collection / analysis system characterized by comprising means for returning visualized behavior history information to a personal terminal.

The invention according to claim 5 is characterized in that the infection patient behavior history collection and analysis center is
If the authentication password is not registered in the personal information received from the Personal Information Management Center, or if the authentication password collected from the Personal Information Management Center does not match the authentication password returned from the personal terminal Means for requesting a new password registration;
Means for receiving the authentication password and personal contact from the personal terminal, and transmitting the authentication password and personal contact to the personal information management center;
Upon receiving the authentication password and the personal contact setting completion from the personal information management center, a means for returning to the personal terminal that the behavior information after the present time can be referred,
Means for decrypting the encrypted location information of the action history information using the decryption key received from the personal information management center;
Means for searching for an infectious disease patient behavior history stored in the behavior history database and evaluating an overlap with the decrypted behavior history information;
5. An infectious disease patient behavior history collection according to claim 4, further comprising means for transmitting to a personal terminal that there is a possibility of contact with an infectious disease patient when it is determined that there is an overlap in behavior history.・ Provide an analysis system.

  According to the infectious disease patient behavior history collection / analysis system of the present invention, an individual who owns an action history recording apparatus that records momentary position information as behavior history information is diagnosed as having an infection. Support the active epidemiological survey conducted by public medical institutions by analyzing the action history information recorded in the action history recording device and visualizing such as mapping on a map or making an action list Can do.

  In addition, by comparing behavior history information other than infectious disease patients notified from public medical institutions or individuals with behavior history information of the infectious disease patients, and evaluating the overlap of behavior with infectious disease patients, infectious disease patients It is possible to know the possibility of contact with the patient at an early stage, and to provide a system that leads to the spread of infectious diseases or early detection of infectious diseases.

  Furthermore, in the case of access from a personal terminal, the authentication password is registered even if the authentication password managed by the personal information management center has already been registered and matches the authentication password entered from the personal terminal. By providing information to the personal terminal only for the action history after the registered time, even if the authentication password matches, information about the action history before the registration time when the authentication password is registered is Since it is not provided to the personal terminal, privacy such as personal action history can be protected.

It is the schematic which shows the whole structure of the infection patient action log | history collection / analysis system of this invention. It is a functional block diagram which shows roughly the internal structure of the action history recording device of this invention. It is the schematic which illustrates the data structure memorize | stored in the action history information of the action history recording device of this invention. It is the schematic which illustrates the data structure memorize | stored in the action history recording device information managed in the personal information management center of this invention. It is a functional block diagram which shows roughly the internal structure of the transport system operation log | history recording apparatus of this invention. It is the schematic which illustrates the data structure memorize | stored in the operation history information of the transport system operation history recording device of this invention. It is the schematic which illustrates the data structure recorded on the infectious disease patient action history accumulation | storage information of the action history database of this invention. It is the schematic which illustrates the data structure recorded on action history information other than the patient acquired from the public organization of the action history database of this invention. It is the schematic which illustrates the data structure recorded on the action history storage information obtained from the general of the action history database of this invention. It is the schematic which illustrates the data structure recorded on the infection patient action history of the action history database of this invention. It is the schematic which illustrates the data structure recorded on the transportation operation log | history accumulation information of the transportation system operation history database of this invention. It is the schematic which illustrates the data structure recorded on the transportation system operation history recording device information of the transportation system operation history database of this invention. In the infectious disease patient behavior history collection / analysis system of the present invention, a sequence showing an operation of registering behavior history information of an infectious disease patient diagnosed as an infectious disease from an infectious disease patient behavior history collection / analysis center from a public medical institution terminal FIG. In the infectious disease patient behavior history collection / analysis system of the present invention, in the case where the infectious disease patient does not own the behavior history recording device, the behavior history information is created based on the information obtained in the active epidemiological survey. FIG. 11 is a sequence diagram showing an operation of registering in the infection patient behavior history collection / analysis center. In the infectious disease patient behavior history collection / analysis system of the present invention, a sequence showing an operation of registering behavior history information of a person who has not been diagnosed with an infectious disease from a public medical institution terminal to the infectious disease patient behavior history collection / analysis center FIG. It is a sequence diagram which shows the operation | movement which registers an individual's action history information in an infectious disease patient action history collection and analysis center from an individual terminal in the infection patient action history collection / analysis system of this invention. In the infectious disease patient action history collection / analysis system of the present invention, when the personal action history information is registered in the infectious disease patient action history collection / analysis center from the personal terminal, the authentication password is not registered or the authentication password is incorrect. It is a sequence diagram which shows operation | movement in the case.

Hereinafter, embodiments of the present invention will be described with reference to the drawings showing examples.
The infectious disease patient action history collection / analysis center, personal terminal, public medical institution terminal, personal information management center, transportation operation history collection / management center, action history recording device and transportation operation history recording device are computers. Each of the above means is a means realized by reading and executing a necessary computer program by a CPU of a computer, and flowcharts thereof are shown in FIGS.

FIGS. 1-17 is a figure which illustrates one Embodiment of the infection patient action log | history collection / analysis system of this invention, In these figures, the part which attached | subjected the same code | symbol represents the same thing, and is fundamental. The configuration and operation are the same.
FIG. 1 is a schematic diagram showing an overall configuration of an infection patient behavior history collection / analysis system according to an embodiment of the present invention.
In FIG. 1, the infectious disease patient behavior history collection / analysis system of the present embodiment includes a behavior history recording device 104 that records a personal behavior history, and behavior history recording device information 106 that is personal information related to the behavior history recording device 104. From the personal information management center 105 that manages the traffic, the transportation operation history recording device 109 that records the transportation history of transportation, the management of transportation information related to the transportation operation history recording device 109, and the transportation operation history recording device 109 Active transportation history collection / management center 110 that manages and collects the obtained operation history as the transportation operation history database 111, action history of infectious disease patients is collected and mapped on a map, action list creation, etc. Provide information to support epidemiological surveys, and contact by comparing behavioral history between infected and non-infected persons It consists of infectious diseases patient behavior history collection and analysis center 101 Metropolitan to perform the analysis.
The personal information management center 105, the transportation operation history collection / management center 110, and the infectious disease patient behavior history collection / analysis center 101 are connected to each other via a communication network 112.
The action history recording device 104 can communicate with the personal terminal 103 or the public medical institution terminal 107, and the personal terminal 103 and the public medical institution terminal 107 are also connected to the communication network 112 so as to be communicable.
The transportation operation history recording device 109 can communicate with the transportation terminal 108, and the transportation terminal 108 is also communicatively connected to the communication network 112.

Infectious disease patient behavior history collection / analysis center 101 stores information such as behavior history of infectious disease patients and behavior history of non-infected persons as behavior history database 102.
In FIG. 1, the transportation history of transportation is often collected and owned by the operators operating the transportation, so the transportation history recording device 109 and the transportation history collection / The management center 110 and the transportation operation history database 111 are not necessarily essential components.

FIG. 2 is a functional block diagram schematically showing the internal configuration of the behavior history recording apparatus 104, which is a component of the infection patient behavior history collection / analysis system of FIG.
In FIG. 2, the action history recording device 104 is assigned an action history recording device identification number 206 for identifying each device and an encryption key 207 used to encrypt and store the action history, and measures the position. A position measuring unit 201 that measures time, a time measuring unit 202 that measures time, an action history managing unit 203 that manages action history information 204, an input / output unit 208 that is an input / output interface with an external terminal, and a recording device control unit 205. The position measuring unit 201 is configured using a global positioning system (GPS system), a position information acquisition system using a mobile phone base station, or a PHS base station, which is a conventional technology. The position is acquired as north latitude / east longitude. The time measuring unit 202 receives the standard radio wave and automatically corrects the error. Since there are cases where the standard radio wave cannot be received, the time of most of the action history recording devices 104 can be made coincident with that of all the action history recording devices 104. Thereby, the comparison accuracy at the time of comparing the action history information acquired by the plurality of action history recording devices 104 can be improved. In the recording device control unit 205, for example, at the time of 1 second at 00 seconds per minute, the position measurement unit 201 measures the current position, and records the measurement time and measurement position in the action history information 204 via the action history management unit 203. Take control.

FIG. 3 is a schematic diagram illustrating a data structure stored in the action history information 204 of the action history recording device 104 shown in FIG.
In FIG. 3, the position information 302 associates the position information (northern latitude / east longitude) measured by the position measuring unit 201 of the action history recording apparatus 104 with the measurement time 301 as information encrypted by the encryption key 207. Stored. Although the latent institution varies depending on the type of infectious disease, in the case of bird flu, it is desirable that action history information for at least about 10 days is accumulated. For this reason, at a minimum
60 (location information / time) * 24 (hour) * 10 (day) = 14,400 (position information)
This data has a recording capacity capable of storing a certain amount of position information and is cyclically overwritten.

FIG. 4 is a schematic diagram illustrating a data structure recorded in the action history recording device information 106 managed by the personal information management center 105, which is a component of the infection patient action history collection / analysis system of FIG. .
In FIG. 4, the action history recording device information 106 includes an encryption key 207 for decrypting the position information 302 of the action history information 204 and a decryption for each action history recording device identification number 206 assigned to the action history recording device 104. A decryption key 401 used for encryption, an authentication password 402 used to identify the owner, an authentication password registration time (year / month / day / hour / minute) 403 for storing the time when the authentication password 402 was registered, Personal contact information 404 and public medical institution contact information 405.

  The action history recording device 104 starts creating the action history information 204 when the power is turned on. A configuration in which an individual who owns the action history recording apparatus 104 refers to the action history information 204 is guarded with encryption and an authentication password in order to prevent leakage of personal information when the action history recording apparatus 104 is lost. I'm taking it. Therefore, by registering the authentication password 402 and the personal contact 404 in the action history recording device information 106 of the personal information management center 105 before turning on the power, the action from the personal terminal 103 operated by the individual is performed. The history information 204 can be referred to. For this reason, since the reference to the action history before registering the authentication password 402, that is, before the authentication password registration time (year / month / day / hour / minute) 403, cannot be specified as the original owner, A configuration that cannot be referenced. On the other hand, all the action history information 204 stored in the action history recording device 104 is only in the case of a reference from a public institution terminal in an environment where an individual can be identified by facing an individual such as the public medical institution terminal 107. Is allowed to refer to. Thereby, leakage of action history information due to loss of the action history recording device 104 or the like can be prevented. Whether access is from the public medical institution terminal 107 can be easily realized by terminal authentication or user authentication which is a conventional technique.

FIG. 5 is a functional block diagram schematically showing the internal configuration of the transportation operation history recording device 109, which is a component of the infectious disease patient behavior history collection / analysis system of FIG.
In FIG. 5, the transportation operation history recording device 109 includes a transportation operation history recording device identification number 504 for identifying individual devices, a position measuring unit 201 for measuring a position, a time measuring unit 202 for measuring time, An operation history management unit 501 that manages the operation history information 502, an input / output unit 208 that is an input / output interface with an external terminal, and a recording device control unit 503 are configured. The position measurement unit 201, the time measurement unit 202, and the input / output unit 208 are the same components as the action history recording device 104. By making the time measuring unit 202 the same component, the times of the action history recording device 104 and the transportation operation history recording device 109 can be matched. Thereby, the comparison accuracy at the time of comparing the action history information acquired by the action history recording device 104 and the operation history information acquired by the transportation operation history recording device 109 can be improved.
In this embodiment, a configuration is described in which communication is performed with the transportation operation history recording device 109 via the transportation terminal 108, but a configuration in which communication means is incorporated in the transportation operation history recording device 109 is also possible. good.

FIG. 6 is a schematic diagram illustrating a data structure stored in the operation history information 502 of the transportation operation history recording device 109 shown in FIG.
In FIG. 6, position information 602 stores position information (northern latitude / east longitude) measured by the position measurement unit 201 of the transportation operation history recording device 109 in association with the measurement time 601. It is mainly used to identify the transportation system by comparing the action history of the infectious disease patient and the operation history of the transportation system when it becomes clear that the infectious disease patient has used the transportation system. Alternatively, it is desirable to notify the transportation operation history collection / management center via the transportation terminal 108 at a relatively short cycle such as one day. For this reason, it is about one day of information
60 (location information / time) * 24 (hour) * 1 (day) = 1,440 (location information)
This data has a recording capacity capable of storing a certain amount of position information and is cyclically overwritten.

  FIG. 7 shows an infectious disease patient as one component of the behavior history database 102 managed by the infectious disease patient behavior history collection / analysis center 101, which is a component of the infectious disease patient behavior history collection / analysis system of FIG. It is the schematic which illustrates the data structure recorded on the action history storage information 701. Action history information 204 stored in the action history recording device 104 owned by a patient diagnosed with an infectious disease is stored in association with the action history recording device identification number 206.

  8 is a component of the action history database 102 managed by the infection patient action history collection / analysis center 101, which is a component of the infection patient action history collection / analysis system of FIG. It is the schematic which illustrates the data structure recorded on action history information 801 other than the acquired patient. Action history information 204 stored in the action history recording device 104 owned by a non-infected person who has been diagnosed as an infectious disease at a public medical institution and has not been diagnosed as an infectious disease is an action history recording device identification number. 206 is stored in association with 206.

  9 is a component of the action history database 102 managed by the infection patient action history collection / analysis center 101, which is a component of the infection patient action history collection / analysis system of FIG. It is the schematic which illustrates the data structure recorded on the action log | history accumulation | storage information 901 performed. The action history information 204 received from the personal terminal 103 without going through the public medical institution is stored in association with the action history recording device identification number 206.

  FIG. 10 shows an infectious disease patient as one component of the behavior history database 102 managed by the infectious disease patient behavior history collection / analysis center 101, which is a component of the infectious disease patient behavior history collection / analysis system of FIG. 6 is a schematic diagram illustrating a data structure recorded in an action history 1001. FIG. From the action history information 204 of the infectious disease patient, action history information after the time when the possibility of infection to a third party occurs is cut out and stored in the infectious disease patient action history 1001.

  11 is a component of the transportation operation history database 111 managed by the transportation operation history collection / management center 110, which is a component of the infection patient behavior history collection / analysis system of FIG. It is the schematic which illustrates the data structure recorded on the operation log accumulation information 1101. The operation history information 502 received from the transportation terminal 108 is stored in association with the transportation operation history recording device identification number 504.

12 is a component of the transportation operation history database 111 managed by the transportation operation history collection / management center 110, which is a component of the infectious disease patient behavior history collection / analysis system of FIG. It is the schematic which illustrates the data structure recorded on the operation history recording device information 1201.
In FIG. 12, transportation operation history recording device information 1201 includes transportation type (train, bus, taxi, etc.) for each transportation operation history recording device identification number 504 assigned to the transportation operation history recording device 109. It is composed of detailed information 1202 on transportation such as an operator, transportation specific information (route information, vehicle number, etc.), and contact information.

Next, the operation of the infectious disease patient behavior history collection / analysis system of the present embodiment will be described with reference to FIGS.
FIG. 13 shows the behavior history information of an infectious disease patient diagnosed as an infectious disease at a public medical institution in the infectious disease patient behavior history collection / analysis system of the present invention. FIG. 10 is a sequence diagram showing an operation of registering in the analysis center 101.
In FIG. 13, when an infectious disease is diagnosed in a public medical institution, the behavior history recording device 104 owned by the patient is connected to the public medical institution terminal 107 (step 1301), and the behavior history recording device identification number 206 and the behavior are recorded. The history information 204 is extracted from the action history recording device 104 (step 1302). The action history (action history recording device identification number 206 and action history information 204) of the infectious disease patient extracted in step 1302 is reported (transmitted) to the infectious disease patient action history collection / analysis center 101 (step 1303). The infection patient action history collection / analysis center 101 requests the personal information management center 105 for a decryption key 401 for decrypting the encrypted action history (step 1303). The personal information management center 105 searches the action history recording device information 106 with the action history recording device number 206 (step 1305), extracts the decryption key 401 (step 1306), and returns the decryption key 401 (step 1306). 1307).

  The infectious disease patient action history collection / analysis center 101 uses the decryption key 401 to decrypt the encrypted position information 302 of the action history information 204 (step 1308). Stored in the infectious disease patient behavior history accumulation information 701 (step 1309). Next, visualized action history information such as mapping to map data, action history list, etc. is created using conventional technology (step 1310), and the visualized action history information is returned to the public medical institution terminal 107. (Step 1311). The public medical institution terminal 107 conducts an active epidemiological survey with reference to the visualized action history information, identifies a contactor or confirms the state of use of transportation (step 1312), and the third The time (year / month / day / minute) at which a person is likely to be infected is identified from a conventional pathological survey and an active epidemiological survey (step 1313). The specified time (year / month / day / minute) and the state of use of public transportation are reported (transmitted) to the infectious disease patient behavior history collection / analysis center 101 (step 1314).

  The infectious disease patient behavior history collection / analysis center 101 extracts the behavior history after “time” specified by the public medical institution from the behavior history information 204 decrypted in step 1308, and the infectious disease patient behavior history 1001. (Step 1315). Next, it is determined whether or not the transportation facility is used (step 1316). When the transportation facility is used, the behavior history information extracted in step 1315 is notified to the transportation facility history / management center 110 (step 1317). The transportation operation history collection / management center 110 collates the notified action history information with the transportation operation history accumulation information 1101 and extracts the transportation operation history recording device identification number 504 of the transportation where the position information overlaps ( Step 1318), from the transportation operation history recording device information 1201, the detailed transportation information 1202 corresponding to the transportation operation history recording device identification number 504 (transportation type, operator, transportation identification information, contact information) is extracted. (Step 1319), the extracted detailed transportation information 1202, that is, various information on the used transportation is returned (Step 1320).

  The infectious disease patient behavior history collection / analysis center 101 returns the various information of the used transportation system returned from the transportation operation history collection / management center 110 to the public medical institution terminal 107 (step 1321). At the public medical institution terminal 107, an active epidemiological investigation is continued based on various types of information on the used transportation (step 1322), but the infectious disease patient behavior history from the infectious disease patient behavior history collection / analysis center 101 is used. In response to the notification of registration completion (step 1323), the connection of the action history recording device 104 is released (step 1323).

  In the infectious disease patient behavior history collection / analysis center 101, the information registered in the infectious disease patient behavior history 1001 in step 1315, the behavior history accumulation information 801 other than the patient obtained from a public institution, and the behavior history accumulation obtained from the general public. The information 901 is compared to verify the overlap of action histories (step 1325). The action history overlap is determined (step 1326). If there is an overlap, the action history recording device identification number 206 determined to be overlapped is extracted (step 1327), and the contact information (personal) is sent to the personal information management center 105. Information) is collected (step 1328). In the personal information management center 105, the action history recording device information 106 is searched with the action history recording device identification number 206 (step 1329), and the personal contact 404 and public medical institution contact 405 are extracted (step 1330). The contact 404 and the public medical institution contact 405 are returned (step 1331). The infectious disease patient behavior history collection / analysis center 101 notifies (transmits) that the possibility of contact with the infectious disease patient has been found to the collected personal contact 404 or public medical institution contact 405 (step 1332). .

FIG. 14 is a case where the infectious disease patient does not own the behavior history recording device 104 in the infectious disease behavior history collection / analysis system of the present invention, and the behavior history based on the information obtained by the active epidemiological survey. It is a sequence diagram which shows the operation | movement which produces information and registers with the infection patient action history collection and analysis center 101. FIG.
In FIG. 14, when a patient diagnosed with an infectious disease in a public medical institution does not possess the action history recording device 104, the public medical institution conducts an active epidemiological survey and identifies the action history of the infectious disease patient. (Step 1401), facility usage information (date, time, facility name, address, etc.), transportation usage information (date, time, transportation name, used vehicle / seat, usage route, etc.) Notify the analysis center 101 (step 1402). The Infectious Disease Patient Behavior History Collection / Analysis Center 101 obtains the location information (north latitude, east longitude) of the facility from the facility name or address of the facility used by the conventional technology, and creates the behavior history information 204 (however, the location information 302 is not necessary) (step 1403).

  Next, the branch is made depending on whether or not the transportation facility is used (step 1404). When the transportation facility is used, information on the transportation facility used is notified to the transportation operation history collection / management center 110 (step 1405). The transportation operation history collection / management center 110 stores transportation operation history recording device information 1201 based on the notified transportation usage information (date, time, transportation name, vehicle / seat, route, etc.). By searching, the relevant transportation operation history recording device identification number 504 and the transportation detailed information 1202 are extracted (step 1406), and further, the transportation operation history storage information is extracted with the extracted transportation operation history recording device identification number 504. 1101 is searched, operation history information 502 of the corresponding device is extracted (step 1407), and transportation detailed information 1202 and operation history information 502 are returned (step 1408). The infectious disease patient action history collection / analysis center 101 adds the transportation history information 502 returned in step 1408 to the action history information 204 created in step 1403 (step 1409).

  Next, the action history information 204 created in step 1403 or step 1409 is registered in the action history database 102 as the infectious disease patient action history 1001 (step 1410), and the transportation detailed information 1202 is returned (step 1411). In the public medical institution, the active epidemiological investigation is continued based on various information on the used transportation (step 1412). The infection patient behavior history collection / analysis center 101 returns registration completion of the infection patient behavior history (step 1413), information registered in the infection patient behavior history 1001 in step 1408, and patients other than those obtained from public institutions The action history accumulation information 801 and the action history accumulation information 901 obtained from the general public are compared, the overlap of action histories is verified, and the processing after step 1326 in FIG. 13 is executed (step 1414).

FIG. 15 shows an infectious disease patient behavior history collection / analysis system according to the present invention. Although an infectious disease was not diagnosed by a public medical institution, the possibility of contact with an infectious disease patient or a new infectious disease patient was generated. FIG. 11 is a sequence diagram showing an operation of registering action history information in the infectious disease patient action history collection / analysis center for the purpose of checking overlap of action histories.
In FIG. 15, the action history recording device 104 owned by a non-infected person who has not been diagnosed with an infectious disease in a public medical institution is connected to the public medical institution terminal 107 (step 1501). The action history information 204 is extracted from the action history recording device 104 (step 1502). The behavior history of the non-infectious disease patient extracted in step 1502 is reported (transmitted) to the infectious disease behavior history collection / analysis center 101 (step 1503).

  The infectious disease patient behavior history collection / analysis center 101 requests the personal information management center 105 to collect personal information (step 1504). In the personal information management center 105, the action history recording device information 106 is searched by the action history recording device number 206 (step 1505), the decryption key 401, the authentication password 402, the authentication password registration time 403, the personal contact 404, the public The medical institution contact information 405 is extracted (step 1506), and personal information is returned (step 1507). The infectious disease patient behavior history collection / analysis center 101 determines whether or not the authentication password 402 is registered (step 1508), and if not registered, requests the public medical institution terminal 107 for the password (step 1509).

  The public medical institution terminal 107 returns a password and personal contact information based on the request (step 1510). The infectious disease patient behavior history collection / analysis center 101 notifies the personal information management center 105 of the password and personal contact address returned from the public medical institution terminal 107 (step 1511). In the personal information management center 105, the authentication password 402 and the personal contact 404 of the action history recording device information 106 are set, the current time is set as the authentication password registration time 403 (step 1512), and the setting end is returned (step 1512). Step 1513).

  Next, the infection patient action history collection / analysis center 101 notifies the contact information of the public medical institution to the personal information management center 105 (step 1514), and the personal information management center 105 stores the action history recording device information 106 in the public medical care. The institution contact information 405 is set (step 1515), and the end of setting is returned (step 1516). The infectious disease patient action history collection / analysis center 101 uses the decryption key 401 to decrypt the encrypted position information 302 of the action history information 204 (step 1517). It stores in action history accumulation information 801 other than the patient obtained from the public organization (step 1518), searches the infectious disease patient action history 1001, and evaluates the overlap with the action history information 204 decrypted in step 1517 (step 1519). ). If it is determined that there is an overlap in the action history, using conventional technology, the action history that may be in contact with the infectious disease patient is mapped to map data, visualized action history information such as an action history list, etc. (Step 1521), and the visualized action history information is returned to the public medical institution terminal 107 (1522). On the public medical institution terminal 107 side, it is used for evaluating the degree of contact with an infectious disease patient (step 1523), and the connection of the action history recording device 104 is released (step 1524).

FIG. 16 is an infectious disease patient behavior history collection / analysis system according to the present invention for the purpose of evaluating the possibility of contact with an infectious disease patient or checking the overlap of behavior history when a new infectious disease patient occurs. FIG. 11 is a sequence diagram showing an operation of registering personal behavior history information from the personal terminal 103 to the infection patient behavior history collection / analysis center 101.
In FIG. 16, the personal behavior history recording device 104 is connected to the personal terminal 103 (step 1601), and the behavior history recording device identification number 206 and behavior history information 204 are extracted from the behavior history recording device 104 (step 1602). The individual's action history consisting of the action history recording device identification number 206 and the action history information 204 extracted in step 1602 is reported (transmitted) to the infection patient action history collection / analysis center 101 (step 1603). The infectious disease patient behavior history collection / analysis center 101 requests the personal information management center 105 to collect personal information (step 1604). The personal information management center 105 searches the action history recording device information 106 by the action history recording device number 206 (step 1605), and decrypts the key 401, the authentication password 402, the authentication password registration time 403, the personal contact 404, the public The medical institution contact information 405 is extracted (step 1606), and personal information is returned (step 1607).

  The infectious disease patient action history collection / analysis center 101 determines whether or not the authentication password 402 is registered (step 1508), and if it is registered, requests the personal terminal 103 to input the authentication password (step 1609). . When the authentication password input to the personal terminal 103 is returned (step 1610), the authentication password returned from the infection patient behavior history collection / analysis center 101 and the authentication password collected from the personal information management center 105 at step 1607 are returned. 402 is compared (step 1611). If the authentication passwords match, the decrypted key 401 is used to decrypt the encrypted location information 302 of the action history information 204 (step 1612), and the authentication password registration time is determined from the decrypted action history information 204. Only the position information registered after 403 is stored in the action history accumulation information 901 obtained from the public as a storage target (step 1613). This prevents data that has not been personally authenticated from being accumulated in the infection patient behavior history collection / analysis center 101.

  Next, the infectious disease patient behavior history 1001 is searched and the overlap with the behavior history information 204 decrypted in step 1612 is evaluated (step 1614). If it is determined that there is an overlap of behavior histories, using conventional technology, the position where there is a possibility of contact with an infectious disease patient can be mapped to map data, visualized behavior history information such as a behavior history list, etc. It creates (step 1616) and returns the visualized action history information to the personal terminal 103 (step 1617). If the authentication password 402 is not registered in step 1608 or if the authentication password does not match in step 1611, the operation described in FIG. 17 is executed.

FIG. 17 shows the operation when the authentication password is not registered or the authentication password does not match when the personal action history information of FIG. 16 is registered in the infectious disease patient action history collection / analysis center 101 from the personal terminal 103. It is a sequence diagram.
In FIG. 17, in response to a new registration request (step 1701) of an authentication password from the infectious disease patient behavior history collection / analysis center 101, an authentication password and a personal contact reply (step 1702) are sent from the personal terminal 103. When the action history collection / analysis center 101 receives it, it notifies the personal information management center 105 of the authentication password and the personal contact information (step 1703). In the personal information management center 105, the authentication password 402 and the personal contact 404 of the action history recording device information 106 are set, the current time is set as the authentication password setting time 403 (step 1704), and the end of setting is returned (step 1704). Step 1705). The infectious disease patient behavior history collection / analysis center 101 replies to the personal terminal 103 that the behavior information after the current time can be referred to (step 1706).

  Next, the encrypted position information 302 of the action history information 204 is decrypted using the decryption key 401 (step 1706), the infectious disease patient action history 1001 is searched, and the action history decrypted in step 1612 is obtained. The overlap with the information 204 is evaluated (step 1707). If it is determined that there is an overlap of behavior histories, the personal terminal 103 is notified that there is a possibility of contact with an infectious disease patient (step 1709). The information notified in step 1709 is only the possibility of contact, and the part related to personal information such as contact location and date / time is sent to public medical institutions so that it can only be obtained face-to-face, thereby protecting the personal information. To do.

  As described above, the best mode for carrying out the invention has been described on the premise that an action history collection / analysis system for infectious disease patients is constructed in Japan. However, this system may be expanded to a global scale system. It can be easily realized. As a means for expanding to the global scale, a means for realizing the infectious disease patient behavior history collection / analysis system for each country and realizing it by mutual provision of information between the systems in each country can be considered. If expansion to a global scale can be realized, it can be used at border borders, such as immigration and immigration, and can provide a means of reducing the speed of the global spread of infectious diseases.

  The infectious disease patient behavior history collection / analysis system of the present invention collects and manages the behavior history regarding a patient infected with an infectious disease at the time of occurrence of an infectious disease such as avian influenza, In addition to supporting active epidemiological surveys for patients with infectious diseases, it is possible to analyze and confirm contact history without infringing on patient privacy for individuals or medical institutions who want to confirm whether or not they have contacted patients with infectious diseases. It can be used as an effective system for suppressing the spread range or speed of infectious diseases through early detection or early countermeasures.

DESCRIPTION OF SYMBOLS 101 Infectious disease patient action history collection and analysis center 102 Action history database 103 Personal terminal 104 Action history recording device 105 Personal information management center 107 Public medical institution terminal 110 Transportation system operation history collection and management center 112 Communication network 204 Action history information 206 Action History recording device identification number 302 Location information 401 Decryption key 402 Authentication password 403 Authentication password registration time 404 Personal contact 405 Public medical institution contact 502 Operation history information 504 Transportation agency operation history recording device identification number 602 Location information 701 Infectious disease patient Action history storage information 801 Action history storage information other than patients 901 Action history storage information 1001 obtained from the public Infectious disease patient action history 1101 Transportation operation history storage information 1201 Transportation operation history recording device information 1202 Detailed information on transportation

Claims (5)

Public medical institution terminals installed in public medical institutions, infectious disease patient behavior history collection / analysis centers that collect and analyze behavior history of infectious disease patients, personal information management centers that manage personal information, and transportation operations An infectious disease patient behavior history collection / analysis system in which a transportation operation history collection / management center that collects and manages history is connected through a communication network,
Public medical institution terminals
When an action history recording device owned by a patient diagnosed with an infectious disease is connected to a public medical institution terminal, an action history recording device identification number and an action history in which the patient's action history is recorded A means of extracting information;
Means for transmitting the extracted action history recording device identification number and action history information to the infection patient action history collection and analysis center;
Referring to the visualized behavior history information received from the Infectious Disease Patient Behavior History Collection and Analysis Center, when the specified time when the possibility of infection to a third party and the use of public transportation are entered And means for transmitting the specified time and public transportation usage status to the Infectious Disease Patient Behavior History Collection and Analysis Center,
Infectious Disease Patient Behavior History Collection and Analysis Center
When receiving an action history recording device identification number and action history information from a public medical institution terminal,
Requesting a decryption key for decrypting the encrypted action history from the personal information management center, and means for decrypting the action history information using the received decryption key;
Means for storing the decrypted action history information in the action history database as infectious disease patient action history accumulation information;
Means for creating action history information visualized based on infectious disease patient action history accumulation information;
Means for returning the visualized action history information to the public medical institution terminal;
Means for extracting an action history after the specified time from the decrypted action history information and registering it in the action history database as an infectious disease patient action history;
Based on the action history information, it is determined whether or not the transportation facility is used, and if it is used, means for transmitting the extracted behavior history information to the transportation operation history collection / management center,
A means for returning detailed information on transportation used by the transportation operation history collection and management center to the public medical institution terminal.
A means for verifying the overlap of behavior histories by comparing the behavior history of patients with infectious diseases, behavior history accumulation information other than patients obtained from public institutions, and behavior history accumulation information obtained from the general public,
The action history is determined to be overlapped, and if there is an overlap, the action history recording device identification number determined to be overlapped is extracted, and the personal information management center is provided with means for collecting contact information,
The transportation operation history collection / management center collates the action history information sent from the infection patient action history collection / analysis center with the transportation operation history accumulation information, and records the transportation operation history of the transportation with overlapping location information. Means for extracting the device identification number and extracting the transportation detailed information corresponding to the transportation operation history recording device identification number from the transportation operation history recording device information;
An infectious disease patient behavior history collection / analysis system comprising means for returning the extracted detailed information on transportation means to the infection patient behavior history collection / analysis center. When the Infectious Disease Patient Behavior History Collection / Analysis Center receives facility use information and transportation use information of an infectious disease patient from a public medical institution terminal, it obtains the location information of the facility from the facility name or address of the facility used. , Means for creating action history information,
If there is use of transportation, means to send information on the transportation used to the transportation operation history collection and management center,
A means for adding the received operation history information to the created action history information when receiving the transportation detailed information and the operation history information extracted from the information of the used transportation facility from the transportation operation history collection and management center; ,
3. The infectious disease patient behavior history collection / analysis system according to claim 2, further comprising means for registering the created behavior history information in the behavior history database as an infectious disease patient behavior history. A public medical institution terminal installed in a public medical institution, an infectious disease patient behavior history collection / analysis center that collects and analyzes behavior history of infectious disease patients, and a personal information management center that manages personal information Infectious disease patient behavior history collection / analysis system connected through communication,
Public medical institution terminals
When an action history recording apparatus owned by a non-infected person is connected to a public medical institution terminal, means for extracting an action history recording apparatus identification number and action history information from the action history recording apparatus;
Means for transmitting the behavior history recording device identification number and behavior history information of the extracted non-infective patient to the infection patient behavior history collection and analysis center;
A means of returning a password and personal contact based on a password request from the Infectious Disease Patient Behavior History Collection and Analysis Center;
A means for receiving behavior history information visualized from the Infectious Disease Patient Behavior History Collection and Analysis Center,
Infectious Disease Patient Behavior History Collection and Analysis Center
When receiving a behavior history of a non-infectious disease patient from a public medical institution terminal, a means for requesting personal information from the personal information management center,
A means for determining whether or not an authentication password is registered in the personal information received from the personal information management center, and in the case of no registration, means for requesting a password from a public medical institution terminal;
Means for sending the password and personal contact returned from the public medical institution terminal to the personal information management center,
A means of sending public medical institution contact information to the Personal Information Management Center;
Using the decryption key included in the personal information received from the Personal Information Management Center, the encrypted location information of the action history information is decrypted, and the decrypted action history information other than the patient obtained from the public institution Means for storing in the action history database as action history accumulation information;
Means for searching for infectious disease patient behavior history and evaluating overlap with decrypted behavior history information;
If it is determined that there is an overlap in the action history, a means for creating action history that may be contacted with an infectious disease patient as visualized action history information;
A system for collecting and analyzing an action history of an infectious disease patient, comprising means for returning the visualized action history information to a public medical institution terminal. Personal terminals operated by individuals, infection patient behavior history collection / analysis center that collects and analyzes behavior history of patients with infectious diseases, and personal information management center that manages personal information can be freely communicated via the communication network A connected infection patient behavior history collection and analysis system,
Personal terminals
When the personal behavior history recording device is connected, means for extracting the behavior history recording device identification number and the personal behavior history information from the behavior history recording device;
Means for transmitting the extracted action history recording device identification number and action history information to the infectious disease patient action history collection and analysis center,
Infectious Disease Patient Behavior History Collection and Analysis Center
When receiving an action history recording device identification number and action history information from a personal terminal, means for requesting personal information from the personal information management center;
When receiving personal information from the personal information management center, it is determined whether or not an authentication password is registered in the personal information management means, and if there is registration, means for requesting the personal terminal to input the authentication password;
When the authentication password input to the personal terminal is returned, a means for comparing the returned authentication password with the authentication password received from the personal information management center,
If the authentication password matches, the decrypted location information of the action history information is decrypted using the decryption key included in the personal information, and the decrypted action history information is registered after the authentication password registration time. Means for storing only the location information that has been stored in the behavior history database as behavior history accumulation information obtained from the general public,
Means for searching for an infectious disease patient behavior history stored in the behavior history database and evaluating an overlap with the decrypted behavior history information;
When it is determined that there is an overlap of action histories, a means for creating as visualized action history information;
A system for collecting and analyzing an action history of an infectious disease patient, comprising: means for returning visualized action history information to a personal terminal. The Infectious Disease Patient Behavior History Collection and Analysis Center
If the authentication password is not registered in the personal information received from the Personal Information Management Center, or if the authentication password collected from the Personal Information Management Center does not match the authentication password returned from the personal terminal Means for requesting a new password registration;
Means for receiving the authentication password and personal contact from the personal terminal, and transmitting the authentication password and personal contact to the personal information management center;
Upon receiving the authentication password and the personal contact setting completion from the personal information management center, a means for returning to the personal terminal that the behavior information after the present time can be referred,
Means for decrypting the encrypted location information of the action history information using the decryption key received from the personal information management center;
Means for searching for an infectious disease patient behavior history stored in the behavior history database and evaluating an overlap with the decrypted behavior history information;
5. An infectious disease patient behavior history collection according to claim 4, further comprising means for transmitting to a personal terminal that there is a possibility of contact with an infectious disease patient when it is determined that there is an overlap in behavior history.・ Analysis system.

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