JP2015172947A - Medical checkup information processing system, medical checkup information processing apparatus, medical checkup information processing method, program, and storage medium - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical checkup information processing system capable of letting a medical examinee and examiner know items on which the medical examinee should be examined hereafter.SOLUTION: In the medical checkup information processing system having a recording medium and a medical checkup information processing apparatus, the medical checkup information processing apparatus obtains an order change condition that is recorded in the recording medium. According to the order change condition, when a measured value of the medical checkup meets the order change condition, an examination schedule thereafter is changed. Then, according to the changed examination schedule, medical checkup items on which the medical examinee is scheduled to be examined and medical checkup items not to be scheduled to be examined are displayed so as to be identified.

Description

  The present invention relates to a medical examination information processing system, a medical examination information processing apparatus, a medical examination information processing method, a program, and a storage medium, and in particular, each examinee receives medical examination information measured by various medical examination devices via a terminal. BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical examination information processing system that collects medical examination information recorded on a recording medium.

  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 the conventional business trip medical examination, the medical examination result (medical examination information) performed by the measurer was described in the medical examination sheet (paper). Instead of paper, a portable recording device such as an IC card is used (for example, see Patent Document 1).
JP-A-11-213061

  However, since a portable recording device such as an IC card is used for recording the medical examination information, it is difficult for the examinee to grasp the medical examination items to be examined by himself / herself.

  In particular, if the schedule of subsequent visits changes depending on the result of a certain item (when a certain measured value exceeds the threshold, another item is added, etc.) It is difficult to know if it is necessary to visit a diagnosis item.

  Similarly, it is difficult for the measurer to convey the next medical examination item to the examinee, and it is difficult for the examiner to know the next medical examination item.

  Therefore, the present invention provides a medical examination information processing system, a medical examination information processing device, a medical examination information processing method, a program, and a storage medium that allow a medical examiner or a measurer to grasp items to be examined in the future. The purpose is to provide.

  The medical examination information processing system according to the present invention includes order information that indicates whether or not a medical examination item is scheduled for medical examination by the medical examiner and an order change condition in which a medical examination schedule that is changed according to the medical examination result is registered. A medical examination information processing system comprising a portable recording medium for recording and a medical examination information processing apparatus for displaying a medical examination item, wherein the medical examination information processing apparatus stores the information on the examinee recorded on the portable recording medium. An acquisition means for acquiring, an order change condition acquisition means for acquiring an order change condition recorded in the portable recording medium, and a determination means for determining whether or not a medical examination result satisfies a condition set in the order change condition When the determination means determines that the health check result satisfies the condition set in the order change condition, the diagnosis schedule changing means for changing the diagnosis schedule according to the condition, and the reception acquired by the acquisition means Display control means for performing display control so as to be able to distinguish between a medical examination item scheduled for medical examination and a medical examination item not scheduled for medical examination based on the medical examination information changed by the person information and the medical examination schedule changing means; It is characterized by providing.

  Further, the medical examination information processing apparatus of the present invention is an order change in which a medical examination item that indicates whether or not a medical examination item is scheduled for medical examination and a medical examination schedule that is changed according to the medical examination result is registered. A medical examination information processing apparatus for displaying medical examination items, which is communicable with a portable recording medium for recording conditions, an acquisition means for obtaining information on a recipient recorded in the portable recording medium, and a portable recording medium Order change condition acquisition means for acquiring the recorded order change condition, determination means for determining whether or not the medical examination result satisfies a condition set in the order change condition, and the medical examination result is determined by the determination means. When it is determined that the condition set in the order change condition is satisfied, the examination schedule changing means for changing the examination schedule according to the condition, the patient information acquired by the acquisition means, and the examination schedule changing means are changed. Based on consultation appointments, characterized in that it comprises a display control means for distinguishably displaying control the entry medical examination are not planning to visit the medical examination items are scheduled to visit.

  Further, the medical examination information processing method of the medical examination information processing apparatus of the present invention is a medical examination schedule that is changed according to the medical examination information and medical examination information indicating whether or not the medical examination item is scheduled for medical examination by the medical examinee. Is a medical examination information processing method in a medical examination information processing apparatus that displays a medical examination item that is communicable with a portable recording medium that records the order change condition registered, and the acquisition means of the medical examination information processing apparatus includes: An acquisition step of acquiring the examinee information recorded in the portable recording medium, and an order change condition acquisition in which the order change condition acquisition means of the medical examination information processing apparatus acquires the order change condition recorded in the portable recording medium A step of determining whether or not a determination result of the medical examination information processing apparatus satisfies a condition set in the order change condition, and a medical examination schedule changing means of the medical examination information processing apparatus Is the determination step If it is determined that the health check result satisfies the condition set in the order change condition, the health check information processing apparatus and the health check information processing apparatus display control means for changing the health check information schedule according to the condition, Based on the patient information acquired in the acquisition process and the consultation schedule changed in the consultation schedule changing process, it is possible to distinguish between the medical examination items scheduled for medical examination and the medical examination items not scheduled for medical examination. And a display control step for controlling.

  In addition, the program of the present invention records the order change condition in which the examinee information indicating whether or not the examinee is scheduled to undergo a medical examination and the examination schedule to be changed according to the medical examination result are registered. A program that can be executed in a medical examination information processing apparatus that displays a medical examination item and that can communicate with a portable recording medium, wherein the medical examination information processing apparatus obtains information on a recipient recorded in the portable recording medium Acquisition means, order change condition acquisition means for acquiring the order change condition recorded in the portable recording medium, determination means for determining whether or not a medical examination result satisfies a condition set in the order change condition; When it is determined by the determination means that the health check result satisfies the condition set in the order change condition, the diagnosis schedule change means for changing the diagnosis schedule according to the condition is acquired by the acquisition means. Display control means for displaying and controlling the medical examination items scheduled for medical examination and the medical examination items not scheduled for medical examination based on the medical examination information and the medical examination schedule changed by the medical examination schedule changing means. It is made to function.

  According to the present invention, even if the medical examination schedule is changed during the medical examination, the display of the medical examination items scheduled for medical examination and the medical examination items that are not scheduled to undergo medical examination differ from each other by reflecting the change. Therefore, it is possible for the examiner and the measurer to grasp the items that the examinee should receive in the future.

It is a block diagram which shows the system configuration | structure of a medical examination information system roughly It is a block diagram which shows roughly the hardware constitutions of the various terminals in FIG. 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 control process which each medical examination process terminal performs. It is a flowchart which shows the procedure of the medical examination information processing which a medical examination process terminal performs It is a flowchart which shows the detailed procedure of the medical examination status display process in step S508 of FIG. 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 detailed procedure of the charge calculation process in step S716 of FIG. It is a figure which shows an example of the order change conditions recorded on a recording medium. 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 patient information (before medical examination) recorded on a recording medium. It is a figure which shows the limit value (1st threshold value) of a medical examination apparatus. It is a figure which shows an example of the examinee information (there is a consultation completed item) recorded on a recording medium. 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 table for demonstrating an example of the related information file recorded on each medical examination process terminal in FIG. It is a table for demonstrating an example of the related information file recorded on each medical examination process terminal in FIG. It is a figure which shows an example of the reception input screen displayed on the reception terminal 100 in FIG. It is a figure which shows an example of the initial menu screen displayed on a medical examination process terminal in step S401 of FIG. It is a figure which shows an example of the screen which displays the medical examination result etc. which are 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 block diagram which shows roughly the structure of the function with which the medical examination process terminal in FIG. 1 is provided. It is a figure which shows an example of the screen displayed on a medical examination process terminal when a medical examination schedule is changed. It is a figure which shows an example of a screen when a medical examination schedule is changed according to order change conditions.

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

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

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

  In FIG. 1, 100 is a reception terminal. The reception terminal 100 is 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). Then, in the memory 202 (FIG. 2) of the reception terminal 100, the list information (FIG. 10) that stores the visitor information including the examinee ID, the medical examination number, the name, the sex, the age, and the date of birth of the examinee. ), A program for identifying the barcode in the image file read by the barcode reader and converting it into character data, and a reception processing program (FIG. 3) to be described later.

  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 memory 202 (FIG. 2) of the management terminal stores a medical examination result file (not shown) and a collection processing program (FIG. 7) described later.

  In the memory 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. 4 and the medical examination process processing program shown in FIG. 5 and FIG. Screen information used in each program (data for displaying the screen of FIG. 19 and the like on the display 205 and may be included in each program), menus and processes shown in FIGS. For associating an associated information file for associating with a program, device setting information of each medical examination device (setting information of medical examination process terminals A (111) to N (129)), and data exchange with each medical examination device A communication program to be used (a communication program corresponding to each communication procedure and protocol such as Bluetooth (registered trademark), IrDA, TSP / IP) is 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.

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

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

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

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

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

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

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

  The display 205 displays a screen and also serves as a touch panel, and the keyboard 206 is used for inputting various instructions and numerical values.

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

  Next, the function with which the medical examination process terminal (medical examination information processing apparatus) in FIG. 1 is provided is demonstrated.

  FIG. 21 is a block diagram schematically showing a functional configuration of the medical examination process terminal (health medical examination information processing apparatus) in FIG. 1.

  In FIG. 21, the medical examination process terminal includes an acquisition unit 2101 that acquires information on a patient from a recording medium, an order change condition acquisition unit 2102 that acquires an order change condition (FIG. 9) recorded on a portable recording medium, It is acquired by the determination unit 2103 for determining whether or not the medical examination result satisfies the order change condition acquired by the order change condition acquisition unit, the examination schedule changing unit 2104 for changing the consultation schedule according to the order change condition, and the acquisition unit. A display control unit that controls display so that a medical examination item scheduled for medical examination and a medical examination item not scheduled for medical examination can be identified based on the medical examination information changed by the medical examination information and the examination schedule changing means. 2105, a message display unit 2106 for displaying a message when the examination schedule changing means changes the examination schedule according to the order change condition, A medical examination schedule transmitting unit 2107 for transmitting the information to the portable recording medium, and a second display control unit 2108 for displaying the medical examination items whose medical examination schedule has been changed and the medical examination items that have not been changed in an identifiable manner. .

  Next, the reception process executed by the reception terminal 100 in FIG. 1 will be described.

  FIG. 3 is a flowchart showing a procedure of reception processing executed by the reception terminal 100 in FIG. This process corresponds to a process realized by the CPU 201 of the reception terminal 100 reading and executing a program stored in the memory 202 (that is, executed under the control of the CPU 201 of the reception terminal 100). .

  In FIG. 3, first, the CPU 201 of the reception terminal 100 displays a reception input screen as shown in FIG. 17 on the display 205 of the reception terminal 100 (step S301), and the examinee list reading button ( 1701) is pressed to instruct the patient list (FIG. 10) to be read (step S302), the current day's medical examination is received from the USB memory received from the outside or inserted into the USB terminal of the receiving terminal 100. Information indicating the medical checkup process in which the medical checkup items that must be checked for each checker ID and the checker information such as the checkup ID of the person, checkup number, name, gender, age, date of birth, etc. The patient list information) is read and stored in the memory 202 (step S303).

  FIG. 10 is an example of the list information of the examinees, and all the examinee IDs, names, course IDs, and medical examination items (for example, height / weight, blood pressure, waist circumference, visual acuity, etc.) that have to be examined for each examinee ID. ) Is set. That is, of all the pre-set medical examination items, information indicating the medical examination items that the medical examinee receives, the medical examination items that the medical examination does not receive, and the medical examination items for which the medical examination has not been confirmed is provided for each medical examinee (the medical examinee ID). Every).

  In FIG. 10, the medical examination items that must be examined are indicated by “◯”, and the items that are not scheduled to be examined are indicated by “X” (the same applies to FIGS. 11 and 13).

  Further, in the list information of the examinee shown in FIG. 10, for example, consultation order information is set such that the examinee is examined in the order of “height / weight”, “blood pressure”, “abdominal circumference”, and “sight”. May be.

  Returning to FIG. 3, when the examination slip scan is instructed by pressing the consultation slip scan button (1702) on the acceptance input screen shown in FIG. 17 (step S <b> 304), the CPU 201 of the acceptance terminal 100 displays the acceptance 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 the barcode into text data (examinee ID), and stores the memory 202. (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 examination slip with the examiner ID included in the examinee list information stored in the memory 202 in step S303, and receives the examinee. It is determined whether or not the ID exists in the examinee list information (FIG. 10) (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 S310), 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. 11). Is stored in the memory 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. 10 is searched, the record of the examinee ID is “1”. Hit. From the record, the medical checkup item is “1”, the name is “Tanaka”, the medical checkup items to be checked are “height / weight”, “blood pressure”, and the checkup schedule is unconfirmed Are “visual acuity” and “electrocardiogram”, and data (FIG. 11) (examinee information) indicating that the medical examination item that should not be examined is “abdominal circumference” is acquired.

  Then, an order change condition (FIG. 9) corresponding to the course ID included in the examinee information is acquired (step S308).

  Then, the examinee information (FIG. 11) and the order change condition (FIG. 9) are transmitted to the recording medium 160 (step S309), and this process ends.

  When the controller of the recording medium 160 receives the visitor information and the order change condition of the user (examinee) corresponding to the consultation form in step S309, the controller receives the received examinee information and the order change condition. Is written (stored) in a storage unit (not shown). In this way, the examinee information of the examinee (FIG. 11) and the order change condition (FIG. 9) can be stored in the recording medium.

  Next, a control process (a process of associating a medical examination device with a medical examination process terminal) executed by each medical examination process terminal in FIG.

  FIG. 4 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. This process is realized by the CPU 201 of each medical examination process terminal (medical examination process terminals A (111) to N (129)) reading out and executing a program stored in the memory 202 (that is, health examination process terminals A (111) to N (129)). Corresponding to the processing (under the control of the CPU 201 of the diagnosis 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.

  In FIG. 4, 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 S401). Specifically, the CPU 201 reads the association information file as shown in FIG. 15 from the memory 202, and based on the menu information (menu No., menu name, etc.) in the read association information file, the CPU 201 Control to display the diagnosis system menu.

  FIG. 15 is an example of an association information file. As shown in FIG. 15, the association information file records a menu number, a menu name, a name of a processing program executed when a menu is selected, and setting information of a medical examination device. Information such as the device setting information file name.

  FIG. 18 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. 18 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 memory 202.

  Returning to FIG. 4, any one of buttons “1. Visual acuity test” to “11. Simple cancer test” in the medical examination system menu shown in FIG. 18 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 S402), the program name “prohighwe” corresponding to the selected menu is executed. (FIG. 15).

  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. 16 in the association information file stored in the memory 202. It is determined whether or not it exists (step S403). FIG. 16 is another example of the association information file.

  As a result of the determination in step S403, when there are a plurality of menu numbers (step S403: YES), that is, for example, when a menu number has a branch number, from the device information file names corresponding to the plurality of device information files. The device name is read out and displayed on a screen (not shown) (step S404). When one of the plurality is selected by touch (step S405), the process proceeds to step S406.

  If the result of determination in step S403 is that there are no multiple menu numbers (step S403: NO), the process proceeds directly to step S406.

  Next, in step S406, the device setting information file name corresponding to the selected menu No. of the association information file shown in FIG. 15 or FIG. 16 stored in the memory 202 based on the selected menu No. (and device). Is read into the work area of the memory 202. For example, when the association information file has the contents shown in FIG. 15 and “10. Height / Weight” is selected, the CPU 201 of the medical examination process terminal A111 selects the device setting information file “fashwei” and the corresponding The processing program name “prohighwe” to be read is read.

  Next, in step S407, the first threshold value corresponding to the menu selected in step S402 and corresponding to the device selected in step S405 among all preset medical examination items is set to the first threshold value. Obtained from the table (FIG. 12) (step S407). Specifically, when “height / weight” is selected in step S402 from the first threshold value table (FIG. 12) corresponding to the device selected in step S405, “upper limit: 250” is set as the first threshold value. , Lower limit: 0 ”only.

  The first threshold value is a table in which limit values in the medical examination device are set. If a value exceeding the first threshold value is measured, it can be determined that the measured value is an error.

  Next, the CPU 201 of the medical examination process terminal A111 executes the program having the program name read in step S406 (step S408), and displays a processing program screen (screen for displaying the measurement result) on the display 205 (step S409). This process is terminated.

  In step S408 in this process, when “3. Blood pressure test” is selected in step S402, the processing program name “probldprs” is executed, and in step S409, the result of blood pressure measurement as shown in FIG. 19 is displayed. A screen is displayed on the display 205. (At the time of step S409, portions related to the examinee information and the medical examination status are not displayed in the screen shown in FIG. 19. These portions are displayed by executing the processing shown in the flowchart of FIG.

  According to the control process of FIG. 4, 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.

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

  FIG. 5 is a flowchart showing a procedure of medical examination information processing executed by the medical examination process terminal according to the present embodiment. 5 is realized by the CPU 201 of each medical examination process terminal reading and executing the program stored in the memory 202 (that is, the control of the CPU 201 of the medical examination process terminal). To be executed).

  Hereinafter, it demonstrates as what is performed by medical examination process terminal A111 and medical examination apparatus A110. In the following, a case where the “3. Blood pressure test” button is pressed on the medical examination system menu screen shown in FIG. 18 and the blood pressure examination screen shown in FIG. 19 is displayed on the display 205 of the medical examination process terminal A111 will be described. To do. In this process, since transmission of examination data is started by an operation on the medical examination device side (step S509 described later), there is no “data transmission” button on the screen of FIG. In addition, although displayed in the example shown in FIG. 19, in the initial state, the examinee ID, the medical examination number, the name, the sex, the age, and the measurement result are not displayed.

  In FIG. 5, first, the CPU 201 of the medical examination process terminal A111 determines an operation to 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. ) Is touched (step S501), the CPU 201 of the medical examination process terminal A111 sets the order change condition (FIG. 9) recorded in the recording medium 160 with respect to the recording medium 160 via the reader / writer 207. Obtain (step S502).

  Furthermore, in step S503, the medical examination process terminal A111 acquires the examinee information (FIG. 11) recorded on the recording medium 160 via the reader / writer 207.

  As for the examinee information, the examinee information table shown in FIG. 11 is the one before taking any items, and the examinee information table shown in FIG. 13 ends the health check item of “height / weight”. The measured values are recorded. That is, the medical examination result (measured value) in each medical examination item is recorded in the examinee information table.

  In step S504, the medical examination process terminal A111 determines the medical examination item set in the control process of FIG. 4 (in this embodiment, it is determined to be “blood pressure”).

  In step S505, it is determined from the patient information (FIG. 13) acquired in step S503 whether or not the item determined in step S504 has already been examined.

  If it is determined in step S505 that the medical examination has been completed (step S505: YES), the process proceeds to step S515.

  If it is determined that the patient has not yet been examined (step S505: NO), the process proceeds to step S506.

  In step S506, the medical examination process terminal A111 determines whether the medical examination item determined in step S504 is an unconfirmed item for the examinee.

  Specifically, the determination is made based on whether the item is set in the deletion order of the order change condition acquired in step S502. If it is determined that the item set in the deletion order and the item set in the measurement item are not yet visited, the scheduled visit may be deleted depending on the result of the measurement item. Judged to be an item.

  On the other hand, when the deletion order is not set, it is determined that the schedule is an established item.

  For example, in the case of the “Course ID: 2” order change condition shown in FIG. 9, if the measured value of “blood pressure” satisfies a predetermined condition, “stomach” (stomach X-ray examination) is deleted. It is set to be. Therefore, when the current medical examination item determined in step S504 is “stomach” and “blood pressure” is not yet received (measurement corresponding to the item set in the deletion order in FIG. 9). If the item has not been examined), it is determined as an unconfirmed item.

  If it is determined that the schedule is an unconfirmed item (step S506: YES), the process proceeds to step S515.

  If it is determined that the item is a scheduled item (step S506: NO), the process proceeds to step S507.

  In step S507, the medical examination process terminal A111 determines whether or not the medical examination item determined in step S504 is an item scheduled to be examined. Specifically, if the current medical examination schedule set in the examinee information (FIG. 13) acquired from the recording medium 160 in step S503 is “◯”, it is determined that there is a plan, and “X” is set. If it is, it is judged that there is no plan.

  If it is determined that there is a plan (step S507: YES), the process proceeds to step S508.

  If it is determined that there is no plan (step S508: NO), the process proceeds to step S515.

  In step S515, the medical examination process terminal A111 displays an error screen (not shown).

  If it is determined in step S505 that the medical examination has been completed, an error message indicating that the medical examination has been completed is displayed.

  If it is determined in step S506 that the medical examination schedule has not yet been determined, an item to be examined first is presented, and an error screen is displayed to prompt the medical examination of the item.

  If it is determined in step S507 that the item is not scheduled to be consulted, an error message indicating that there is no plan is displayed.

  In step S508, the medical examination process terminal A111 executes a medical examination status display process whose details are shown in the flowchart of FIG.

  FIG. 6 is a flowchart showing the procedure of the medical examination status display process in step S508 of FIG. This process is realized by the CPU 201 of the medical examination process terminal A111 reading and executing a program stored in the memory 202 (that is, executed under the control of the CPU 201 of the medical examination process terminal A111). ) Corresponds to the process.

  In FIG. 6, first, the CPU 201 of the medical examination process terminal A111 displays the examination ID (999999999999), the examination number (999999), and the recipient information such as the name and sex of the examinee on the screen (step S601).

  Based on the received patient information (FIGS. 11 and 13), the medical examination items (health medical examination items) scheduled to be examined are determined (step S602), and the determined medical examination items are displayed in an identifiable manner. (Step S603).

  The determination of whether or not there is a medical examination schedule is made based on the information on the medical examinee shown in FIG. 11 or FIG. Specifically, it is determined that an item for which “◯” is set is scheduled to receive a medical examination and an item for which “×” is set is determined to have no scheduled medical examination.

  Next, the CPU 201 of the medical examination process terminal A111 discriminates the medical examination items (health examination items) that are not scheduled to undergo medical examination based on the information of the medical examinees who received the medical examination (FIGS. 11 and 13). It displays so that it can be identified (step S604).

  In addition, the presence or absence of a medical examination schedule is determined based on the medical examination person information shown in FIG. 11 or FIG. Specifically, an item for which “x” is set is determined as having no scheduled medical examination.

  In addition, about the display of a consultation schedule, you may control so that a consultation schedule received at the reception terminal 100 and a consultation schedule added / deleted according to the order change condition may be displayed in an identifiable manner.

  Next, the CPU 201 of the medical examination process terminal A111 discriminates the medical examination items that have already been examined based on the received medical examiner information (FIG. 13), and displays “◯” on the determined medical examination items ( Step S605).

  The determination as to whether or not a medical check has been completed is determined based on whether or not examination data is recorded in the medical checker information shown in FIG.

  Next, the CPU 201 of the medical examination process terminal A111 displays “◎” on the current medical examination item determined in step S504 in FIG. 5 (step S606).

  According to the medical examination status display process of FIG. 6, 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 indicated by “○”. Since the current medical checkup item is displayed as “」 ”, the examinee and the measurer can be made aware of the items that the examinee should receive in the future.

  In addition, by displaying the items scheduled to be examined from the beginning and the items added / deleted due to the order change condition in an identifiable manner, the examinee can be prevented from forgetting to consult.

  In the medical examination status display process of FIG. 6, it is displayed so as to be identifiable by shading, “◯”, and “◎”, 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.

Further, it may be controlled to display a threshold value for the order change condition on the screen shown in FIG. 19 according to the order change condition acquired in step S502.
Returning to the flowchart of FIG.

  In step S509, the medical examination process terminal A111 accepts input of measurement values measured by the medical examination equipment.

  About the input of a measured value, either the structure acquired from a medical examination apparatus may be sufficient as it may be comprised so that the input of the measured value by a medical examination apparatus may be received from a measurer.

  In step S510, the medical examination process terminal A111 determines whether or not the registration button on the screen has been pressed by the user.

  If it is determined that the registration button has been pressed (step S510: YES), the process proceeds to step S511.

  If the registration button has not been pressed (step S510: NO), the process waits until it is pressed.

  In step S511, the medical examination process terminal A111 compares the measurement value input in step S509 with the order change condition acquired in step S502, and determines whether or not the order change condition is met.

  If it is determined that the order change condition is satisfied (step S511: YES), the process proceeds to step S512.

  If it is determined that the order change condition is not met (step S511: NO), the process proceeds to step S516.

  In step S512, the future consultation schedule is changed according to the order change condition determined to be applicable in step S511.

  In step S513, a message indicating that the consultation schedule has been changed (as an example, FIG. 22) is displayed.

  FIG. 22 is an example of a screen displayed in step S513, and a message indicating that a fundus examination and an electrocardiogram examination are additionally performed because the blood pressure measurement value matches the order change condition is displayed.

  In step S514, the measurement value input in step S509 and the examination schedule changed in step S512 are recorded in the recording medium 160. At this time, for the item changed in step S512, information indicating that the item has been changed may be recorded together. Thereby, in the consultation item display process in the flowchart of FIG. 6, it is possible to display the item that has been changed because it matches the order change condition in an identifiable manner.

In step S516, the measurement value input in step S509 is recorded on the recording medium 160.
Next, the order change condition shown in FIG. 9 will be described.

  FIG. 9 is a table in which order change conditions are set, and is data transmitted from the receiving terminal 100 to the recording medium 160 in step S309. Note that only the data of the course ID corresponding to the examiner ID specified in step S306 is transmitted as the data transmitted in step S309.

  The order change condition is data composed of a measurement item (901), a condition (902), an additional order (903), and a deletion order (904).

  The condition of “Course ID: 1” will be described. In course ID: 1, order (schedule to receive a medical examination) to receive additional fundus examination and electrocardiogram examination when the maximum blood pressure exceeds 160 and the minimum blood pressure exceeds 95 even if the measured blood pressure value is one time. Indicates to change.

  In addition, in the height / weight test, when the weight is 160 kg or more, the order (scheduled to be examined) is changed so that a body fat test is additionally received.

  Regarding the condition of course ID: 2, if the measured value of blood pressure exceeds 2 and the maximum blood pressure exceeds 140 and the minimum blood pressure exceeds 90, the order should be changed so that a fundus examination is additionally received. Show. It also shows that the order is changed so that the stomach X-ray examination is deleted from the scheduled appointment (the original one included in the scheduled appointment is deleted from the scheduled appointment).

  FIG. 23 is a diagram illustrating an example of a screen displayed on the medical examination process terminal when the examination schedule is changed according to the order change condition.

  The screen example shown in FIG. 23 is an example for a medical examinee with “Course ID: 1”, and shows a case where the blood pressure measurement value satisfies the order change condition.

  The order change condition (measurement item: blood pressure) of course ID: 1 is that when the measured blood pressure is one time, the maximum blood pressure exceeds 160 and the minimum blood pressure exceeds 95. Become.

  In the screen shown in FIG. 23, the maximum blood pressure / minimum blood pressure set in the order change condition is displayed as a threshold (2302).

  Further, since the blood pressure measurement value of the examinee (Taro Kannon) is “highest: 180, lowest: 100” (2301), it can be said that the order change condition is satisfied.

  Therefore, a fundus examination and an electrocardiogram examination are added as scheduled visits. Here, in FIG. 23, items of fundus examination and electrocardiogram examination are shaded so that it can be identified that they have been added as a medical examination schedule (2303).

  As described above, by displaying the items scheduled to be consulted from the beginning and the items added / deleted due to the order change condition in an identifiable manner, the examinee can be prevented from forgetting to consult.

  Next, the collection process executed by the management terminal 150 in FIG. 1 will be described with reference to FIG.

  FIG. 7 is a flowchart showing the procedure of the collection process executed by the management terminal 150 in FIG. This process corresponds to a process realized by the CPU 201 of the management terminal 150 reading and executing a program stored in the memory 202 (that is, executed under the control of the CPU 201 of the management terminal 150). To do.

  In FIG. 7, first, the CPU 201 of the management terminal 150 determines an operation on the display 205 (also serving as a touch panel) and the reader / writer 207, and the card (recording medium 160) is touched on the reader / writer 207 of the management terminal 150. Then (step S701), the CPU 201 of the management terminal 150 issues 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. Transmit (step S702).

  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 of the examinee and test data for one person via the reader / writer 207 of the management terminal 150 (step S703) and stores it in the work area of the memory 202 of the management terminal 150. (Step S704).

  Next, the CPU 201 of the management terminal 150 collates the examinee information stored in the memory 202 with the examination data for one person (step S705), and determines whether there is an unexamined medical examination process (step S706). The result is stored in the work area of the memory 202 of the management terminal 150.

  At this time, the items deleted due to the order change condition are not judged as unvisited.

  Next, the CPU 201 of the management terminal 150 displays an inspection result and determination result screen as shown in FIG. 20 on the display 205 of the management terminal 150 (step S707). FIG. 20 is an example of the 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. 20, and displays whether or not a consultation has been completed based on the determination result of step S706.

  Note that the screen shown in FIG. 20 indicates that the blood test has not been examined and that other medical examination items have been examined.

  Returning to FIG. 7, the CPU 201 of the management terminal 150 detects a touch (press) of each button (display switch button, print button, registration button) on the screen of FIG. 20 (determines an operation), and the display switch button is pressed ( It is determined whether or not it has been touched (step S708). When the display switching button is pressed (step S708: 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. 20 (step S709). Then, the process returns to step S708.

  If the result of determination in step S708 is that the display switch button has not been pressed (NO in step S708), it is determined whether or not the print button has been pressed (touched) (step S710). When the print button is pressed (YES in step S710), the CPU 201 of the management terminal 150 prints a personalized result list based on the examiner information and examination data stored in the memory 202 (step S710). S711), the process returns to step S708.

  If the result of determination in step S710 is that the print button has not been pressed (NO in step S710), it is determined whether or not the registration button has been pressed (touched) (step S712), and if the registration button has not been pressed (step S712). NO), the process returns to step S708.

  As a result of the determination in step S712, when the registration button is pressed (YES in step S712), 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 S706. It is determined whether or not there is an item (step S713), and if there is an undiagnosed item (YES in step S713), the CPU 201 of the management terminal 150 outputs a warning sound from a speaker (not shown) of the management terminal 150 for management. The display 205 of the terminal 150 displays the name of the unexamined medical examination process, the examinee ID and name, and a message (not shown) that prompts the user to go to the relevant medical examination process again (step S714), and the process proceeds to step S715. Proceed to

  As a result of the determination in step S713, when there are no unexamined items (NO in step S713), 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 S715). ).

  Next, the CPU 201 of the management terminal 150 shifts the processing to step S716. Details of the fee calculation processing in step S716 will be described with reference to the flowchart of FIG.

  FIG. 8 is a flowchart showing details of the charge calculation processing in step S716 in FIG. Note that the processing of this flowchart is realized by the CPU 201 of the management terminal 150 reading and executing a program stored in the memory 202 (that is, executed under the control of the CPU 201 of the management terminal). Correspond.

  In step S801, medical examination items that have been examined are searched from the examination data.

  Next, in step S802, a fee corresponding to the medical checkup item already received in step S801 is acquired based on the fee table shown in FIG.

  Next, in step S803, the medical examination fee is calculated by adding the total fee acquired in step S802 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.

  As for the additional fee, only the item added according to the order change condition may be the target of the additional fee.

  According to the charge calculation process of FIG. 10, it is possible to calculate the medical checkup fee for each medical checkup according to the attributes of the medical checkup and the medical checkup items received.

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

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

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

  As described above, the medical examination process terminal shown in FIG. 1 stores in the memory 202 the associated information file shown in FIGS. 15 and 16, interface settings with each medical examination device, each processing program, and each medical examination. At least device setting information is stored. Then, the CPU 201 of the medical examination process terminal reads out and executes the setting information of the medical examination device and the processing program from the memory 202 in response to selection of any of the medical examination menus shown in FIG.

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

  Further, the CPU 201 of the medical examination process terminal stores setting information for each medical examination device for each medical examination process in the memory 202, and the processing program (FIGS. 5 and 6) selects each of the menus. One is selected from a plurality of medical examination devices in the selected medical examination process, and setting information associated with the selected medical examination device is read and the process is executed.

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

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

  In addition, it provides a mechanism that allows the user to grasp which inspection must be taken during the inspection.

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

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

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

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

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

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

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

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

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

  Furthermore, by downloading and reading out a program represented by software 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. It becomes.

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

Claims (8)

A portable recording medium that records the order information that contains the information about the patient and whether or not the examination schedule is changed according to the examination result. A medical examination information processing system comprising a medical examination information processing apparatus for displaying
The medical examination information processing apparatus includes:
Obtaining means for obtaining information on a patient recorded in the portable recording medium;
Order change condition acquisition means for acquiring the order change condition recorded in the portable recording medium;
Determining means for determining whether or not a medical examination result satisfies a condition set in the order change condition;
When it is determined by the determination means that the health check result satisfies the condition set in the order change condition, a diagnosis schedule changing means for changing the diagnosis schedule according to the condition;
Based on the patient information acquired by the acquisition unit and the consultation schedule changed by the consultation schedule changing unit, it is possible to distinguish between a medical examination item scheduled for medical examination and a medical examination item not scheduled for medical examination. Display control means for controlling display;
A medical examination information processing system comprising: The medical examination information processing apparatus includes:
The medical examination information processing system according to claim 1, further comprising a message display means for displaying a message to that effect when the examination schedule changing means changes the examination schedule according to the order change condition. The medical examination information processing apparatus includes:
When the consultation schedule is changed by the consultation schedule changing means, the consultation schedule transmission for transmitting the consultation schedule to the portable recording medium so as to update the visitor information recorded in the portable recording medium with the changed consultation schedule. The medical examination information processing system according to claim 1, further comprising means. The medical examination information processing apparatus includes:
4. The apparatus further comprises second display control means for displaying the medical examination items whose medical examination schedule has been changed by the medical examination schedule changing means and the medical examination items that have not been changed in an identifiable manner. 5. The medical examination information processing system according to any one of the above. It is possible to communicate with a portable recording medium that records the order change condition in which the examinee information indicating whether or not the examinee is scheduled to undergo a medical examination and the examination schedule to be changed according to the medical examination result is registered. A medical examination information processing apparatus that displays medical examination items,
Obtaining means for obtaining information on a patient recorded in the portable recording medium;
Order change condition acquisition means for acquiring the order change condition recorded in the portable recording medium;
Determining means for determining whether or not a medical examination result satisfies a condition set in the order change condition;
When it is determined by the determination means that the health check result satisfies the condition set in the order change condition, a diagnosis schedule changing means for changing the diagnosis schedule according to the condition;
Based on the patient information acquired by the acquisition unit and the consultation schedule changed by the consultation schedule changing unit, it is possible to distinguish between a medical examination item scheduled for medical examination and a medical examination item not scheduled for medical examination. Display control means for controlling display;
A medical examination information processing apparatus comprising: It is possible to communicate with a portable recording medium that records the order change condition in which the examinee information indicating whether or not the examinee is scheduled to undergo a medical examination and the examination schedule to be changed according to the medical examination result is registered. A medical examination information processing method in a medical examination information processing apparatus for displaying a medical examination item,
An acquisition step in which the acquisition unit of the medical examination information processing apparatus acquires the examinee information recorded in the portable recording medium;
An order change condition acquisition unit in which the order change condition acquisition unit of the medical examination information processing apparatus acquires an order change condition recorded in the portable recording medium;
A determination step of determining whether the determination unit of the medical examination information processing apparatus satisfies a condition of the medical examination result set in the order change condition;
If the medical examination schedule changing means of the medical examination information processing apparatus determines that the medical examination result satisfies the condition set in the order changing condition by the determination step, the examination schedule is changed to change the medical examination schedule according to the condition. Process,
The display control means of the medical examination information processing apparatus determines the medical examination items scheduled for medical examination and the medical examination based on the information on the medical examinee acquired in the obtaining process and the medical examination schedule changed in the medical examination schedule changing process. A display control process for controlling the display of unscheduled medical examination items in a distinguishable manner;
A medical examination information processing method comprising: It is possible to communicate with a portable recording medium that records the order change condition in which the examinee information indicating whether or not the examinee is scheduled to undergo a medical examination and the examination schedule to be changed according to the medical examination result is registered. A program that can be executed by a medical examination information processing apparatus that displays medical examination items,
The medical examination information processing apparatus
Obtaining means for obtaining information on a patient recorded in the portable recording medium;
Order change condition acquisition means for acquiring the order change condition recorded in the portable recording medium;
Determining means for determining whether or not a medical examination result satisfies a condition set in the order change condition;
When it is determined by the determination means that the health check result satisfies the condition set in the order change condition, a diagnosis schedule changing means for changing the diagnosis schedule according to the condition;
Based on the patient information acquired by the acquisition unit and the consultation schedule changed by the consultation schedule changing unit, it is possible to distinguish between a medical examination item scheduled for medical examination and a medical examination item not scheduled for medical examination. A program that functions as display control means for controlling display.   A computer-readable storage medium storing the program according to claim 7.

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