JP2013137727A - Medical checkup information processing apparatus, medical checkup information processing method, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To read, in an online terminal, progress information (medical checkup results) stored in a recording medium such as an IC card and but not stored in a server device, from a recording medium and register them in the server device.SOLUTION: From a recording medium which stores, with respect to a medical checkup item, medical checkup results of an examinee, and server write-in information indicating whether the medical checkup results are stored in the external device, medical checkup results of medical checkup item indicating that the server write-in information is stored in the external device are acquired, and the medical checkup results are transmitted for registration to the external device.

Description

  The present invention relates to a medical examination information processing apparatus, a medical examination information processing method, and a program, and in particular, for reading progress information (medical examination result) that is not stored in a server device from a recording medium and registering it in the server device. Related to technology.

  Currently, so-called business trip medical examinations are generally performed in which doctors, nurses, etc. (hereinafter referred to as “measurers”) travel to schools and companies to conduct health examinations.

  For example, in a conventional business trip medical checkup, the result of a medical checkup (medical checkup information) performed by a measurer is described on a health checkup sheet (paper). However, in recent years, portable recording devices such as IC cards have been used instead of health checkup sheets (paper) in order to improve the efficiency of information collection (see, for example, Patent Document 1).

JP-A-11-213061

  However, in a system that records medical examination results only on a portable recording medium such as an IC card, there arises a problem that the medical examination results disappear due to a failure of the IC card or the subsequent medical examination results cannot be recorded. .

  Therefore, in order to solve the above problem, a mechanism is conceivable in which a health check result can be recorded not only on the IC card but also on the server device using a terminal capable of communicating with the server device.

  The IC card and the server device record not only the health check results but also the progress status of health check items (unreceived items) to be consulted in the future and health check items that have already been examined.

  If the progress status cannot be recorded on the IC card due to an IC card failure or a communication error with the terminal, the progress status is recorded only on the server device.

  In this case, the correct information is not recorded on the IC card, and the correct information cannot be transmitted to the examinee or the measurer.

  When operating as a medical examination item terminal (offline terminal) that cannot communicate with the server device, the progress is recorded on the IC card, but operates as a medical examination item terminal (online terminal) that communicates with the server device. In this case, the progress status is recorded on the IC card, and the progress status is recorded on the server device. In this case, there may be a case where the memory of the IC card is defective and the correct progress status cannot be recorded.

  In such a case, if the terminal is an offline terminal, the progress status is read from the IC card and the progress status is displayed. In this case, there is a possibility that an appropriate progress status cannot be displayed.

  In the case of an online terminal, it is also possible to read the progress status of the server device and display the progress status. However, since the progress status cannot be recorded in the server device when a medical examination is performed at an offline terminal, an appropriate progress status is displayed only by displaying the progress information read only from the server device. It ’s difficult.

  Accordingly, the present invention provides a mechanism for reading progress information (checkup results) stored in a recording medium such as an IC card and not stored in the server device from the recording medium and registering it in the server device in the online terminal. The purpose is to provide.

  The present invention is a medical examination information processing apparatus capable of communicating with an external device in which medical examination results of medical examinees in each medical examination item are stored, and for each medical examination item, the medical examination results of the medical examinee and From the recording medium storing the server writing information indicating whether or not the diagnosis result is stored in the external device, the medical check result of the medical check item indicating that the server writing information is stored in the external device An acquisition means for acquiring, and a transmission means for transmitting the medical examination result acquired by the acquisition means so as to be registered in the external device are provided.

  In addition, the present invention is a medical examination information processing method of a medical examination information processing apparatus capable of communicating with an external device in which medical examination results of a medical examinee in each medical examination item are stored, and the acquisition of the medical examination information processing apparatus For each medical examination item, the server write information is obtained from a recording medium storing a medical examination result of the examinee and server write information indicating whether or not the medical examination result is stored in the external device. An acquisition step of acquiring a medical examination result of a medical examination item indicating that it is stored in the external device, and a transmission unit of the medical examination information processing apparatus sends the medical examination result acquired in the acquisition step to the external device. And a transmission step of transmitting for registration.

  Further, the present invention is a program that can be read and executed by a medical examination information processing apparatus that can communicate with an external device in which a medical examination result of a medical examinee in each medical examination item is stored. For each medical examination item, the server writing information is stored in the external device from a recording medium storing the medical examination result of the examinee and the server writing information indicating whether the medical examination result is stored in the external device. An acquisition unit that acquires a medical examination result of a medical examination item indicating that the medical examination item is stored, and a transmission unit that transmits the medical examination result acquired by the acquisition unit to be registered in the external device. And

  According to the present invention, in an online terminal, progress information that is stored in a recording medium such as an IC card and not stored in the server device can be read from the recording medium and registered in the server device.

It is a figure which shows an example of a structure of the information processing system of this invention. It is a figure which shows an example of the hardware constitutions of the reception terminal 100 of FIG. 1, a medical examination apparatus, a medical examination process terminal, the management terminal 150, the recording medium 160, and the server 190. It is a flowchart which shows the procedure of the reception process which the reception terminal 100 performs. It is a flowchart which shows the procedure of the medical examination result recording process which a medical examination process terminal performs It is a flowchart which shows the procedure of the medical examination result recording process which a medical examination process terminal performs It is a flowchart which shows the procedure of the control processing which a medical examination process terminal performs. It is a flowchart which shows the procedure of the collection process which the management terminal 150 performs. It is a flowchart which shows the procedure of the charge calculation process which the management terminal 150 performs. It is an example of the table which shows the medical examination scheduled item memorize | stored in the recording medium 160. It is an example of the table which shows whether each terminal memorize | stored in the server 190 is a medical examination item in charge and an online terminal. It is an example of an associated information file recorded in each medical examination process terminal It is an example of an associated information file recorded in each medical examination process terminal It is a figure which shows an example of the initial menu screen displayed on a medical examination process terminal. It is a figure which shows an example of the screen which shows the determination result of whether it has been consulted displayed on a management terminal It is a figure which shows an example of the reception input screen displayed on the reception terminal 100 It is a figure which shows an example of the screen displayed on a medical examination process terminal in step S407, S422. It is a figure which shows an example of the examinee list information which a reception terminal reads from the outside It is a figure which shows an example of the charge table which shows the medical examination basic charge and the additional charge for every medical examination item. It is a flowchart which shows the procedure of the progress display process which a medical examination process terminal performs. It is an example of the table which shows a medical examination result and a medical examination scheduled item It is an example of the screen on which the progress status displayed on the medical examination process terminal is displayed It is an example of the table which shows the medical examination result memorize | stored in the memory of the server 190, a medical examination schedule, and recording-medium write-in information.

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

  FIG. 1 is a diagram showing an example of a system configuration of an information processing system according to the present invention.

  In FIG. 1, 100 is a reception terminal. The reception terminal 100 is an information processing apparatus such as a handy terminal or a notebook personal computer, and an RF-ID reader / writer 207 (FIG. 2) is detachably connected to the main body. The RF-ID reader / writer 207 (FIG. 2) may be incorporated in the main body.

  The reception terminal 100 is connected to a barcode reader (not shown). The RAM 202 (FIG. 2) of the reception terminal 100 stores a list of examinees that store examinee information such as a examinee ID, a medical examination number, a name, sex, age, date of birth, and past examination results of the examinee. Information (FIG. 16), a program for identifying the barcode in the image file read by the barcode reader and converting it into character data, and an acceptance processing program (FIG. 3) to be described later are stored.

  Similar to the reception terminal 100, the management terminal 150 is an information processing apparatus such as a handy terminal or a notebook personal computer. An RF-ID reader / writer 207 (FIG. 2) is detachably connected to the main body. The RAM 202 (FIG. 2) of the management terminal stores a medical examination result file (not shown) and a collection processing program (FIG. 6) described later.

  In the RAM 202 (FIG. 2) of the medical examination process terminals A (111) to N (129) (medical examination information processing apparatus), the control program shown in FIG. 5 and the medical examination processes shown in FIGS. Processing information, screen information used in each program (data for displaying the screen of FIG. 15 and the like on the display 205 and may be included in each program), and menus shown in FIGS. 10 to 11 Information file for associating each processing program with each other, device setting information of each medical examination device (setting information of medical examination process terminals A (111) to N (129)), and data of each medical examination device Communication programs (communication programs corresponding to communication procedures and protocols such as Bluetooth (registered trademark), IrDA, TSP / IP, etc.) are stored.

  In addition, you may include at least one part of said each communication program in an operation system.

  Each medical examination process terminal stores the same program (control program, medical examination process processing program, communication program, screen information and associated information file for these programs), and device setting information of all medical examination devices. Therefore, any medical examination process terminal can be used in any medical examination process only by selecting a specific medical examination process (for example, blood test) from the menu.

  The medical examination devices A (110) to N (128) are various examination devices such as an X-ray imaging apparatus, a sphygmomanometer, and an electrocardiogram measuring device used for the medical examination, and the medical examination process terminals A (111) to N (129). ) Is provided with an external interface (for example, Bluetooth, IrDA, etc.).

  Further, the medical examination devices A (110) to N (128) may be connected to the medical examination process terminals A (111) to N (129) by a wired cable (USB, IEEE 1394, parallel transfer cable, etc.). Communication may be performed by peer-to-peer, TCP / IP, FTP, or the like.

  The recording medium 160 is carried by each examinee to record the examinee information (eg, the examinee ID, medical examination number, name, gender, age, date of birth) and examination data and passage data of each medical examination process. The medium includes, but is not limited to, for example, an RF-ID, an IC card, and various types of memory cards. The recording medium can be stored / updated and can be carried around to a small size (for example, a USB memory). It ’s fine.

  In the following description, it is assumed that the recording medium 160 has a controller (not shown). However, the recording medium 160 does not have a controller and is designated by an address designated by each reader / writer 207. You may have the structure which can memorize | store or update data.

  In addition, about FIG. 1, when two are connected with the continuous line like the medical examination apparatus A (110) and the medical examination process terminal A (111), it means that both are connected by the cable (wired). When the two are connected by a broken line as in the medical examination device B (112) and the medical examination process terminal B (113), it means that the two are connected by radio or infrared, When two are not connected like C (114) and medical examination process terminal C (115), both are not connected and the measurement result of the medical examination apparatus C is input manually into the medical examination process terminal C115. Shows when to do.

  A server device 190 is communicably connected to the medical examination process terminal and has a function of collecting and storing measurement results and the like from each medical examination process terminal. As shown in FIG. 1, it may not be connected to all medical examination process terminals so as to be communicable. For example, there may be a medical examination process terminal that is not connected to the server 190 like the medical examination process terminal B. .

  The communication between the server 190 and each medical examination process terminal may be either wireless or wired.

  The server 190 is connected to the reception terminal 100 and the management terminal 150 so as to communicate with each other.

  Hereinafter, an example of the hardware configuration of the reception terminal 100, the medical examination device, the medical examination process terminal, the management terminal 150, the recording medium 160, and the server 190 illustrated in FIG. 1 will be described with reference to FIG.

  In FIG. 2, reference numeral 201 denotes a CPU that comprehensively controls each device and controller connected to the system bus 204. Further, the ROM 203 or the external memory 211 is necessary to realize a BIOS (Basic Input / Output System) or an operating system program (hereinafter referred to as an OS), which is a control program of the CPU 201, or a function executed by each server or each PC. Various programs are stored.

  A RAM 202 functions as a main memory, work area, and the like for the CPU 201. The CPU 201 implements various operations by loading a program necessary for execution of processing from the ROM 203 or the external memory 211 into the RAM 202 and executing the loaded program.

  An input controller 205 controls input from the input device 209 or the like. A video controller 206 controls display on a display device 210 such as a liquid crystal display. The display device is not limited to a liquid crystal display, and may be a CRT display or the like. These are used by clients as needed.

  A memory controller 207 is connected to the hard disk (HD), flexible disk (FD), or PCMCIA card slot for storing a boot program, various applications, font data, user files, editing files, various data, etc. via an adapter. The access to the external memory 211 such as a compact flash (registered trademark) memory is controlled.

  A communication I / F controller 208 connects and communicates with an external device via a network (for example, the LAN 400 shown in FIG. 1), and executes communication control processing in the network. For example, communication using TCP / IP is possible.

  Note that the CPU 201 enables display on the display device 210 by executing outline font rasterization processing on a display information area in the RAM 202, for example. Further, the CPU 201 enables a user instruction with a mouse cursor (not shown) on the display device 210.

  Various programs that operate on the hardware are recorded in the external memory 211 and are executed by the CPU 201 by being loaded into the RAM 202 as necessary.

  The printer controller 212 controls a printing machine such as a thermal dot line type printer 213.

  The scanner controller 214 controls a discriminator such as the scanner 215.

  It should be noted that not all devices have these configurations, and it is only necessary to provide necessary devices.

  Next, the reception process performed by the reception terminal 100 in the embodiment of the present invention will be described with reference to FIG.

  Note that the process shown in the flowchart of FIG. 3 is a process in which the CPU 201 of the reception terminal 100 reads and executes a predetermined control program.

  In FIG. 3, first, the CPU 201 of the reception terminal 100 displays a reception input screen as shown in FIG. 14 on the display 205 of the reception terminal 100 (step S301), and the examinee list reading button ( 1401) is pressed to instruct reading of the list of examinees (FIG. 16) (step S302), from the USB memory or the like received from the outside or inserted into the USB terminal of the reception terminal 100 Information on the medical checkup process in which the medical checkup items scheduled for the checkup are set for each checker ID, and the checker ID, checkup number, name, gender, age, date of birth, etc. The user list information) is read and stored in the RAM 202 (step S303).

  FIG. 16 is an example of the list information of the examinees, and all the examinee IDs, names, course IDs, and medical examination items that must be examined for each examinee ID (for example, height / weight, blood pressure, waist circumference, visual acuity, etc.) ), Past medical examination results (not shown) and the like are set.

  In FIG. 16, the medical examination items that should be examined are represented by “◯”, and the items that are not scheduled to be examined are represented by “×”.

  In addition, in the list information of the examinees shown in FIG. 16, for example, consultation order information such as “height / weight”, “blood pressure”, “abdominal circumference”, “sight”, and “electrocardiogram” is displayed. It may be set.

  Returning to FIG. 3, next, when the consultation slip scan is instructed by pressing the consultation slip scan button (1402) on the reception input screen shown in FIG. 14 (step S <b> 304), the CPU 201 of the reception terminal 100 displays the reception terminal 100. The scanner connected to 100 is controlled to be readable.

  When a checkup form (a kind of checkup form in which each examiner fills in subjective symptoms) is set in the scanner and an instruction to read the checkup form is given, the reception terminal 100 The CPU 201 scans the consultation form, recognizes a unique barcode preprinted on the consultation form by the barcode recognition program of the reception terminal 100, converts it into text data (examinee ID), and stores it in the RAM 202. Store (step S305). The scanner may be a bar code reader.

  Next, the CPU 201 of the reception terminal 100 collates the examiner ID obtained by scanning the consultation sheet with the examiner ID included in the examinee list information stored in the RAM 202 in step S303, and receives the examinee ID. Is present in the examinee list information (FIG. 16) (step S306).

  As a result of the determination in step S306, if the examiner ID does not exist in the examinee list information (step S306: NO), an error message is displayed on the display 205 (step S309), the process returns to step S304, and again. Execute the process of reading the consultation form.

  As a result of the determination in step S306, when the examinee ID is present in the examinee list information (step S306: YES), the CPU 201 of the reception terminal 100 receives the examinee information corresponding to the relevant examinee ID (FIG. 8). Are stored in the RAM 202 (step S307).

  For example, when the examinee ID obtained by scanning the examination slip is “1”, when the examinee ID of the examinee list information shown in FIG. 16 is searched, a record with the examinee ID “1” is obtained. Hit. Then, from the record, the examinee ID is “1”, the name is “Kan Kanan”, and the examination items are “height / weight”, “abdominal circumference”, “chest X-ray”, “stomach X-ray”, “blood pressure”. , Data indicating that it is “electrocardiogram” (FIG. 16) (examinee information) is acquired.

  Then, the examinee information (FIG. 8) is transmitted to the recording medium 160 (step S308), and this process is terminated.

  In addition, when the controller of the recording medium 160 receives the visitor information of the user (examinee) corresponding to the consultation form from the reception terminal 100 in step S308, the received examinee information is stored in a storage unit (not illustrated) of the recording medium 160. Write (memorize). In this way, the examinee information (FIG. 8) of the examinee can be stored in the recording medium 160.

  FIG. 5 is a flowchart showing a procedure of a control process (a process for associating a medical examination device with a medical examination process device) executed by each medical examination process terminal in FIG. In addition, this process is implement | achieved when CPU201 of each medical examination process terminal (Medical examination process terminal A (111) -N (129)) reads and runs the program memorize | stored in RAM202 (namely, medical examination). Corresponding to the processing (under the control of the CPU 201 of the process terminal). Moreover, below, although the control process which the medical examination process terminal A111 performs is demonstrated, the same process is performed also in another medical examination process terminal.

  Further, the processes in steps S509 and S510 shown in FIG. 5 are performed in a state in which the medical examination process terminal that executes the medical examination result recording process offline (executed without communicating with the server 190) can communicate with the server 190. Shall be executed.

  In FIG. 5, first, when the medical examination process terminal A111 is turned on and the medical examination process terminal A111 is activated, the CPU 201 of the medical examination process terminal A111 initially displays a medical examination system menu as shown in FIG. A menu screen is displayed on the display 205 (step S501). Specifically, the CPU 201 reads the association information file as shown in FIG. 10 from the RAM 202, and based on the menu information (menu No, menu name, etc.) in the read association information file, the medical examination shown in FIG. Control to display the system menu.

  FIG. 10 is an example of an association information file. As shown in FIG. 10, the association information file records a menu number, a menu name, a processing program name to be executed when a menu is selected, and setting information of a medical examination device. Information such as the device setting information file name.

  FIG. 12 is an example of an initial menu screen of the medical examination process terminal. When various setting buttons on the initial menu screen of FIG. 12 are pressed, a submenu (not shown) is displayed. Then, by inputting and editing in the displayed submenu, various communication procedures such as Bluetooth and IrDA can be set, and a new medical device setting file can be read. The setting data is stored in the RAM 202.

  Returning to FIG. 5, any one of buttons “1. Visual acuity test” to “11. Simplified cancer test” in the medical examination system menu shown in FIG. 12, which is a touch button for starting each medical examination process program (for example, When the “10, height / weight” button is pressed and a menu is selected by pressing the selection button (step S502), the program name “prohighwe” corresponding to the selected menu is executed. (FIG. 10).

  Next, the CPU 201 of the medical examination process terminal A111 has a plurality of menu numbers (1-1 and 1-2) for the same selected menu as shown in FIG. 11 in the association information file stored in the RAM 202. It is determined whether or not to perform (step S503). FIG. 11 shows another example of the association information file.

  As a result of the determination in step S503, when there are a plurality of menu numbers (step S503: YES), that is, for example, when a menu number has a branch number, the device information file names corresponding to the plurality of device information files are used. The device name is read out and displayed on a screen (not shown) (step S504), and when one of the plurality is selected by touch (step S505), the process proceeds to step S506.

  If the result of determination in step S503 is that there are no multiple menu numbers (step S503: NO), the process proceeds directly to step S506.

  Next, in step S506, the device setting information file name corresponding to the selected menu No. of the association information file shown in FIG. 10 or 11 stored in the RAM 202 is stored based on the selected menu No. (and device). Read into the work area of the RAM 202. For example, when the association information file has the contents shown in FIG. 10 and “10. Height / weight” is selected, the CPU 201 of the medical examination process terminal A111 selects the device setting information file “fasshigwei” and the corresponding information according to the selection. The processing program name “prohighwe” to be read is read.

  Next, the CPU 201 of the medical examination process terminal A111 executes the program having the program name read in step S506 (step S507), and displays a processing program screen (screen for displaying the measurement result) on the display 205 (step S508).

  In step S509, the CPU 201 of the medical examination process terminal A111 determines whether the CPU 201 is an online terminal (a terminal that executes a medical examination process in a state where it can communicate with the server 190), and is the online terminal? Information indicating whether or not is sent to the server 190.

  Further, the medical examination process terminal A111 refers to information indicating whether the medical examination item is a medical examination item that communicates with the server 190 and is stored in correspondence with the menu (each medical examination item) in FIG. Then, it operates as the menu (checkup item) selected in step S502, and determines whether or not the checkup item can communicate with the server 190.

If it is determined that communication with the server 190 is possible, communication with the server 190 is established, and the process shown in FIG. In addition, when it is determined that communication with the server 190 cannot be performed, the process illustrated in FIG.
In addition, information indicating the medical examination item that the user is in charge of (the medical examination item corresponding to the program executed in step S507) is transmitted to the server 190.

  Note that the information transmitted from the medical examination process terminal A111 to the server 190 in step S509 is registered in a table shown as an example in FIG.

  In step S510, the medical examination process terminal A111 registers a table (FIG. 9) in which all the medical examination process terminals are in charge of each item and a flag (online flag) indicating whether or not to execute the online medical examination process. ) From the server 190.

  According to the control process of FIG. 5, the processing program corresponding to the menu selected by the operator in the medical examination process terminal is executed, and the process in the desired medical examination process can be executed. That is, it is possible to set which medical examination item is to be received.

Further, which medical examination item each medical examination process terminal is in charge of, and whether each medical examination process terminal is communicable with the server 190 when executing the medical examination process (online terminal or offline) Terminal) can be shared by all medical examination process terminals.
Next, the medical examination result recording process performed by the medical examination process terminal in the embodiment of the present invention will be described with reference to FIG.

  The process illustrated in the flowchart of FIG. 4A is a process in which the CPU 201 of the medical examination process terminal A111 reads and executes a predetermined control program, and operates as an offline terminal that cannot communicate with the server 190. It is processing.

  In step S401, the CPU 201 of the medical examination process terminal A111 determines an operation on the display 205 (also serving as a touch panel) and the reader / writer 207, and a card (recording medium 160) is stored in the reader / writer 207 of the medical examination process terminal A111. Detects being held over.

In step S402, the CPU 201 of the medical examination process terminal A111, from the recording medium 160 detected in step S401, shows the table shown in FIG. To get. The health check result acquired here may be a measured value or information indicating whether or not a medical check including a measured value has been received.
FIG. 19 shows an example of a table of medical checkup results, medical checkup schedule items (scheduled reception), and server write information recorded on the recording medium 160.

FIG. 19 shows the examinee ID, name, and reception schedule (examined items to be examined (for example, height / weight, blood pressure, abdominal circumference, visual acuity)), medical examination results, server writing information, etc. Has been.
In the reception schedule of FIG. 19, “◯” is stored for the medical examination items that should be examined, and “X” is stored for the items that are not scheduled to be examined.

  Further, “##” of the measurement value in FIG. 19 indicates that data cannot be written because a defect exists in a predetermined memory portion of the IC card. Even in such a case, since “◯” is stored in the server writing information, it can be determined that the medical examination has been completed, and the medical examination result of the medical examination item from the server 190 can be determined. Can be acquired and displayed.

Further, for example, consultation order information may be set such that the patient is examined in the order of “height / weight”, “blood pressure”, “abdominal circumference”, “sight”, and “electrocardiogram”.
In step S403, the CPU 201 of the medical examination process terminal A111 displays the screen shown in FIG. 20, and displays the progress status of the medical examination (lower part of the screen shown in FIG. 20).
Details of the progress status display processing will be described later with reference to the flowchart shown in FIG.

  In step S <b> 404, the CPU 201 of the medical examination process terminal A <b> 111 accepts input of measurement values (medical examination results) from the medical examination device. In addition, in the medical examination process terminal which is not connected to the medical examination device like the medical examination process terminal C115 in FIG. 1, the measurement value input by the measurer is accepted.

  In step S405, the CPU 201 of the medical examination process terminal A111 indicates that the medical examination result selected in step S408 and the medical examination result cannot be written to the server 190 in the medical examination item selected in step S502. As a result, “x” is written in the server write information to the recording medium 160 such as an IC card.

  In step S406, the CPU 201 of the medical examination process terminal A111 determines whether or not the medical examination result and the server writing information have been successfully written to the recording medium 160 in step S405.

  If it is determined that writing has succeeded (step S406: YES), the process ends. If writing has failed (writing has failed) (step S406: NO), the process proceeds to step S407. .

  In step S407, the CPU 201 of the medical examination process terminal A111 displays an error screen (FIG. 15) and a warning screen indicating that the recording medium 160 should be changed. That is, if NO is determined in step S406, neither the recording on the recording medium 160 nor the recording on the server 190 can be performed, so that the medical examination result or the like cannot be recorded. For this reason, a notification to the effect is issued by changing the recording medium 160 or the like. Then, the process shown in this flowchart is terminated.

In step S405, for example, as shown in FIG. 19, 175/68 is stored as the health check result in “height / weight” as the health check item (check item), and “x” is stored in the server writing information. Is done. “×” in the server writing information indicates that the medical examination result could not be written to the server 190, and “◯” represents that the medical examination result could be written in the server 109.
Next, the medical examination result recording process performed by the medical examination process terminal in the embodiment of the present invention will be described with reference to FIG.

  The process illustrated in the flowchart of FIG. 4B is a process in which the CPU 201 of the medical examination process terminal A111 reads and executes a predetermined control program, and is a process that operates as an online terminal that communicates with the server 190. .

  In step S408, the CPU 201 of the medical examination process terminal A111 determines an operation on the display 205 (also serving as a touch panel) and the reader / writer 207, and a card (recording medium 160) is stored in the reader / writer 207 of the medical examination process terminal A111. Detects being held over.

In step S409, the CPU 201 of the medical examination process terminal A111 uses the recording medium 160 detected in step S408 to obtain the table shown in FIG. To get. The health check result acquired here may be a measured value or information indicating whether or not a medical check including a measured value has been received.
FIG. 19 is an example of a table of medical checkup results, medical checkup schedule items (scheduled reception), and server write information recorded in the recording medium 160 as described above.

  In step S410, the CPU 201 of the medical examination process terminal A111 determines whether or not “x” is present in the server write information acquired in step S409.

  If the CPU 201 of the medical examination process terminal A111 determines in step S410 that “x” is present in the server write information (YES), the server write information acquired in step S409 has “x”. The medical examination result of the medical examination item is transmitted to the server 190, and a registration request for the medical examination result is made. Then, when the medical examination result of the medical examination item having “x” in the server writing information acquired in step S409 is registered in the server 190, the registration request of the table shown in FIG. The server writing information “×” of the performed medical examination item is rewritten and recorded as the server writing information “◯” (step S411).

If the CPU 201 of the medical examination process terminal A111 determines in step S410 that there is no “x” in the server write information (NO), the process proceeds to step S412.
In step S <b> 412, the CPU 201 of the medical examination process terminal A <b> 111 transmits a medical examination result acquisition request to the server 190 and acquires the medical examination result from the server 190.
Information shown in FIG. 21 is stored in the external memory 211 of the server 190.
In FIG. 21, for each recipient, the medical checkup result of the examinee, the scheduled medical examination items (reception planned), and recording medium writing information are stored.

  Here, “×” in the recording medium writing information indicates information indicating that the medical examination result cannot be written to the recording medium, and “○” in the recording medium writing information indicates writing of the medical examination result in the recording medium. The information indicating that has been completed.

  In step S412, the CPU 201 of the medical examination process terminal A111 transmits the examinee ID acquired from the recording medium in step S408 to the server 190, and the CPU 201 of the server 190 corresponds to the examinee ID in FIG. The registered information (the medical checkup result of the examinee, the scheduled medical checkup item (scheduled reception), and the recording medium writing information) is acquired and transmitted to the medical checkup process terminal A111. Thereby, the medical examination process terminal A111 acquires the medical examination result of the examinee, the examination schedule item (scheduled reception), and the recording medium writing information from the server 109.

  Next, in step S413, the CPU 201 of the medical examination process terminal A111 determines whether “x” is present in the recording medium writing information acquired in step S412.

  If the CPU 201 of the medical examination process terminal A111 determines in step S413 that “x” is present (YES), the health examination item acquired in step S412 in the medical examination item “x” in the recording medium writing information. The diagnosis result is written (recorded) on a recording medium. Then, the CPU 201 of the medical examination process terminal A111 issues a registration request to the server 190 for updating the recording medium writing information of FIG. 21 in which “x” of the recording medium writing information is stored to “◯”. The information is transmitted to the server 190, and the recording medium writing information in FIG. 21 in which “x” of the recording medium writing information is stored is updated to “◯” (step S414).

If the CPU 201 of the medical examination process terminal A111 determines in step S413 that there is no “x” in the recording medium write information acquired in step S412 (NO), the process proceeds to step S415.
In step S415, the CPU 201 of the medical examination process terminal A111 displays the screen shown in FIG. 20, and displays the progress status of the medical examination (lower part of the screen shown in FIG. 20).
Details of the progress status display processing will be described later with reference to the flowchart shown in FIG.

  In step S416, CPU201 of medical examination process terminal A111 receives the input of a measured value (medical examination result) from a medical examination apparatus. In addition, in the medical examination process terminal which is not connected to the medical examination device like the medical examination process terminal C115 in FIG. 1, the measurement value input by the measurer is accepted.

  In step S417, the CPU 201 of the medical examination process terminal A111 writes the medical examination result input in step S416 in the recording medium 160 such as an IC card in the medical examination item selected in step S502.

  In step S418, the CPU 201 of the medical examination process terminal A111 determines whether the medical examination result has been successfully written in the recording medium 160 in step S417.

  If it is determined that the writing is successful (step S418: YES), the process proceeds to step S423. On the other hand, if it is determined that the writing has failed (step S418: NO), the process proceeds to step S419.

  In step S419, the CPU 201 of the medical examination process terminal A111 displays an error screen indicating that writing of the medical examination result to the recording medium has failed. Then, the CPU 201 of the medical examination process terminal A111 uses the medical examination result input in step S417 and information indicating that the medical examination process terminal is currently operating as information indicating that writing to the recording medium cannot be performed. A registration request for registering “x” in the recording medium writing information (recording medium writing information in FIG. 21) is transmitted to the server 190 (step S420). When the server 190 receives the registration request, the server 190 registers the recording medium writing information “x” together with the health check result requested for the registration.

  In step S421, the CPU 201 of the medical examination process terminal A111 determines whether or not the recording medium writing information “x” can be registered together with the medical examination result in FIG. 21 of the server 190 without causing a communication error or the like. If it is determined that registration has been completed (YES), the process is terminated. On the other hand, if it is determined that registration has failed (NO), an error screen (FIG. 15) is displayed, a warning screen or the like indicating that the recording medium 160 should be changed is displayed (step S422), and the process ends.

  When the CPU 201 of the medical examination process terminal A111 determines in step S418 that the writing has succeeded (YES), the medical examination result input in step S417 and the information indicating that the recording medium has been written, A registration request for registering “◯” in the recording medium writing information (recording medium writing information in FIG. 21) of the medical examination item in which the medical examination process terminal is currently operating is transmitted to the server 190 (step S420). When the server 190 receives the registration request, the server 190 registers the recording medium writing information “◯” together with the health check result requested for the registration.

In step S424, the CPU 201 of the medical examination process terminal A111 determines whether or not the recording medium writing information “◯” can be registered together with the medical examination result in FIG. 21 of the server 190 without causing a communication error or the like. If it is determined that registration has been completed (YES), the server writing information in the medical examination item in which the medical examination process terminal A111 is currently operating is displayed as “○” as information indicating that the data has been written to the server on the recording medium. "Is written (step S426). On the other hand, if it is determined that registration could not be performed (NO), the server writing information in the medical examination item in which the medical examination process terminal A111 is currently operating is used as information indicating that writing to the server could not be performed on the recording medium. “×” is written in (step S425).
CPU201 of medical examination process terminal A111 will complete | finish a process, if the process of step S425 and step S426 is performed.

  Next, a progress display process (corresponding to step S403 and step S415) performed by the medical examination process terminal A111 in the embodiment of the present invention will be described with reference to FIG.

  The process shown in the flowchart of FIG. 18 is a process in which the CPU 201 of the medical examination process terminal A111 reads and executes a predetermined control program.

  Further, FIG. 20 shows an example of a screen displayed when the processing of this flowchart is executed.

  First, the CPU 201 of the medical examination process terminal A111 displays on the screen the examinee ID (0001), the consultation number (999999), the name of the examinee, and the like according to the information of FIG. 19 acquired from the recording medium in step S401 or step S408. Information on the examinee such as gender is displayed (step S1801).

  In step S1802, the medical examination process terminal A111 determines a medical examination item scheduled for medical examination according to the information shown in FIG. 19 acquired from the recording medium in step S401 or step S408, and the medical examination item scheduled for medical examination is yellow. Is displayed.

  In step S1803, the medical examination process terminal A111 determines a medical examination item not scheduled to be examined according to the information shown in FIG. 19 acquired from the recording medium in step S401 or step S408. Display in black.

In this way, by displaying the health check items that are scheduled to be visited and the health check items that are not scheduled to be received in a distinguishable manner, it is possible to determine which health check items the examinee must receive. Can inform the person in charge.
Here, the determination of whether or not there is a medical examination schedule is made based on the information on the medical examinee (FIG. 19).

Specifically, items for which “○” is set for the checkup item scheduled to receive the recipient information are determined to have a checkup, and items for which “x” is set have no checkup plan. To be judged.
Next, the process of step S1804 and step S1805 will be described.

Since the processes in steps S1804 and S1805 are different depending on whether they are executed as the detailed process in step S403 or the detailed process in step S415, each detailed process will be described here.
First, processing in steps S1804 and S1805 executed as detailed processing in step S403 will be described.

In step S1804, the medical examination process terminal A111 discriminates the medical examination items that have already undergone medical examination based on the medical examinee information acquired in step S402 (FIG. 19). Is displayed. Specifically, the medical examination item in which the measured value is included in the medical examination result of the examinee information (FIG. 19) acquired in step S402 and the medical examination item in which “◯” is stored in the server writing information are displayed. It is determined that the medical checkup item has already been examined.
And about the medical examination item determined as the medical examination item which has received medical examination, as shown in the lower part of the screen of FIG. 20, "(circle)" is displayed.
Next, the CPU 201 of the medical examination process terminal A111 displays “◎” on the current medical examination item (step S1805).
Next, processing in steps S1804 and S1805 executed as detailed processing in step S415 will be described.

In step S1804, the medical examination process terminal A111 discriminates the medical examination items that have already been examined based on the examinee information acquired in step S409 (FIG. 19) and the information acquired in step S412 (FIG. 21). “○” is displayed in the medical examination items determined to have been examined. Specifically, the measurement value is included in the medical examination item in which the measurement value is included in the medical examination result of the examinee information (FIG. 19) acquired in step S402 and the medical examination result in FIG. 21 acquired in step S412. The included medical examination items are determined as medical examination items that have already been examined.
And about the medical examination item determined as the medical examination item which has received medical examination, as shown in the lower part of the screen of FIG. 20, "(circle)" is displayed.

  Next, the CPU 201 of the medical examination process terminal A111 displays “◎” on the current medical examination item (step S1805).

  According to the progress status display process of FIG. 18, the medical examination items that are scheduled to be examined and the medical examination items that are not scheduled to be examined are displayed in an identifiable manner, and the medical examination items that have already been examined are displayed as “O”. Since the medical checkup item is displayed as “」 ”, it is possible for the examiner and the measurer to grasp the items that the examinee should receive in the future.

  In the medical examination status display process of FIG. 18, the information is displayed so as to be identifiable by shading or “◯” or “◎”, but any display may be used as long as the information for each medical examination item can be identified. You may display so that identification is possible by changing a color.

  Thereby, when the medical examination result cannot be recorded on the recording medium 160 in the previous examination item, or when the previous examination is an examination in charge of the offline terminal and the medical examination result cannot be recorded on the server 190. It is also possible to display the correct progress status.

  Next, the collection process performed by the management terminal 150 in the embodiment of the present invention will be described with reference to FIG.

  Note that the processing shown in the flowchart of FIG. 6 is processing in which the CPU 201 of the management terminal 150 reads and executes a predetermined control program.

  In FIG. 6, first, the CPU 201 of the management terminal 150 determines an operation to the display 205 (also serving as a touch panel) and the reader / writer 207, and the card (recording medium 160) is touched on the reader / writer 207 of the management terminal 150. Then (step S601), the CPU 201 of the management terminal 150 transmits a request for reading the examinee information and examination data (measurement values) recorded on the recording medium 160 to the recording medium 160 via the reader / writer 207. (Step S602).

  The controller of the recording medium 160 that has received the reading request transmits the examinee information and the examination data (measurement value) to the reader / writer 207 of the management terminal 150.

  Next, the CPU 201 of the management terminal 150 receives the information and test data for one person via the reader / writer 207 of the management terminal 150 (step S603) and stores it in the work area of the RAM 202 of the management terminal 150 (step S603). Step S604).

  Next, the CPU 201 of the management terminal 150 collates the patient information stored in the RAM 202 with the examination data for one person (step S605), determines whether there is an unexamined medical examination process (step S606), and the determination result. Is stored in the work area of the RAM 202 of the management terminal 150.

  Next, the CPU 201 of the management terminal 150 displays an inspection result and determination result screen as shown in FIG. 13 on the display 205 of the management terminal 150 (step S607). FIG. 13 is an example of a collection processing program screen of the management terminal. The CPU 201 of the management terminal 150 displays the examinee ID, name, and the like based on the received examinee information on the screen of FIG. 13, and displays whether or not a consultation has been completed based on the determination result of step S606.

  Note that the screen shown in FIG. 13 indicates that the blood test has not been examined and that other medical examination items have been examined.

  Returning to FIG. 6, the CPU 201 of the management terminal 150 detects touch (pressing) of each button (display switching button, print button, registration button) on the screen of FIG. 13 (determines operation), and the display switching button is pressed ( It is determined whether or not it has been touched (step S608). When the display switching button is pressed (step S608: YES), the CPU 201 of the management terminal 150 displays a medical examination data details display screen (not shown) when the initial screen of FIG. Switch the display. When the medical examination data details display screen is displayed, the display is switched to the initial screen of FIG. 13 (step S609). Then, the process returns to step S608.

  If the result of the determination in step S608 is that the display switching button has not been pressed (NO in step S608), it is determined whether or not the print button has been pressed (touched) (step S610).

  When the print button is pressed (YES in step S610), the CPU 201 of the management terminal 150 prints a personalized result list based on the patient information and examination data stored in the RAM 202 (step S611). ), The process returns to step S608.

  If the result of determination in step S610 is that the print button has not been pressed (NO in step S610), it is determined whether or not the registration button has been pressed (touched) (step S612), and if the registration button has not been pressed (step S612). NO), the process returns to step S608.

  As a result of the determination in step S612, when the registration button is pressed (YES in step S612), the CPU 201 of the management terminal 150 determines that the unexamined item is based on the determination result of the inspection omission of each inspection data in step S606. It is determined whether or not there is an item (step S613), and if there is an undiagnosed item (YES in step S613), the CPU 201 of the management terminal 150 outputs a warning sound from a speaker (not shown) of the management terminal 150 for management. On the display 205 of the terminal 150, the name of the medical examination process that has not been examined, the ID and name of the medical examinee, and a message (not shown) prompting the user to go to the relevant medical examination process again are displayed (step S614), and the process is performed in step S615. Proceed to

  If the result of determination in step S613 is that there are no unexamined items (NO in step S613), the CPU 201 of the management terminal 150 stores the examination data and pass record data for one person in the medical examination result file (step S615). ).

  Next, the CPU 201 of the management terminal 150 moves the process to step S616. Details of the fee calculation processing in step S616 will be described with reference to the flowchart of FIG.

  FIG. 7 is a flowchart showing details of the charge calculation processing in step S616 in FIG. Note that the processing of this flowchart corresponds to processing realized by the CPU 201 of the management terminal 150 reading and executing a program stored in the RAM 202 (that is, executed under the control of the CPU 201 of the management terminal). To do.

  In step S701, medical examination items that have been examined are searched from the examination data.

  Next, in step S702, a fee corresponding to the medical checkup item that has been received in step S701 is acquired based on the fee table shown in FIG.

  Next, in step S703, the medical examination fee is calculated by adding the total fee acquired in step S702 to the basic fee.

  Further, the calculated medical examination fee and its breakdown may be displayed on the display 205 of the management terminal 150.

  According to the charge calculation process of FIG. 7, it becomes possible to calculate the medical examination fee for each examinee according to the attributes of the examinee and the medical examination items received.

  As described above, according to the present invention, in an online terminal, progress information (medical examination result) that is stored in a recording medium such as an IC card and not stored in the server apparatus is read from the recording medium and registered in the server apparatus. can do.

  It should be noted that the configuration and contents of the various data described above are not limited to this, and it goes without saying that the various data and configurations are configured according to the application and purpose.

  Moreover, the program in this invention is a program which a computer can perform the processing method of FIGS. The program in the present invention may be a program for each processing method of each apparatus in FIGS.

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

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

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

  Further, by executing the program read by the computer, not only the functions of the above-described embodiments are realized, but also an OS (operating system) operating on the computer based on an instruction of the program is actually It goes without saying that a case where the function of the above-described embodiment is realized by performing part or all of the processing and the processing is included.

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

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

  Furthermore, by downloading and reading a program for achieving the present invention from a server, database, etc. on a network using a communication program, the system or apparatus can enjoy the effects of the present invention. In addition, all the structures which combined each embodiment mentioned above and its modification are also included in this invention.

100 Reception terminal 110 Medical examination device A
111 medical examination process terminal A
150 Management terminal 160 Recording medium 190 Server

Claims (4)

A medical examination information processing apparatus capable of communicating with an external device in which a medical examination result of a medical examinee in each medical examination item is stored,
For each medical examination item, the server writing information is stored in the external device from a recording medium storing the medical examination result of the examinee and the server writing information indicating whether the medical examination result is stored in the external device. Acquisition means for acquiring a medical examination result of a medical examination item indicating that it is stored in
Transmitting means for transmitting the medical examination result acquired by the acquiring means to register in the external device;
A medical examination information processing apparatus comprising: The acquisition means acquires, from the recording medium, a medical checkup result of a medical checkup for each medical checkup item and server writing information indicating whether or not the medical checkup result is stored in the external device,
The server writing information acquired by the acquisition means further comprises a determination means for determining whether or not a medical examination result is stored in the external device,
The transmission means transmits the medical examination result of the medical examination item of the server-written information determined by the judging means to indicate that the medical examination result is stored in the external apparatus to be registered in the external apparatus. The medical examination information processing apparatus according to claim 1, wherein: A medical examination information processing method of a medical examination information processing apparatus capable of communicating with an external device in which a medical examination result of a medical examinee in each medical examination item is stored,
Record in which the acquisition unit of the medical examination information processing apparatus stores, for each medical examination item, a medical examination result of the examinee and server writing information indicating whether or not the medical examination result is stored in the external device An acquisition step of acquiring a medical examination result of a medical examination item indicating that the server writing information is stored in the external device from a medium;
A transmission step in which the transmission means of the medical examination information processing apparatus transmits the medical examination result acquired in the acquisition process to register in the external device;
A medical examination information processing method comprising: It is a program that can be read and executed by a medical examination information processing device that can communicate with an external device in which the medical examination results of the medical examinee in each medical examination item are stored
The medical examination information processing apparatus
For each medical examination item, the server writing information is stored in the external device from a recording medium storing the medical examination result of the examinee and the server writing information indicating whether the medical examination result is stored in the external device. Acquisition means for acquiring a medical examination result of a medical examination item indicating that it is stored in
A program for causing a medical examination result acquired by the acquisition means to function as a transmission means for transmitting to register in the external device.

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