JP2020201851A - Medical system - Google Patents

Abstract

To provide a technique that can early grasp a life state of a person to be watched such as the elderly, take appropriate actions, prevent deterioration, promote independence to keep quality of life, and keep down cost of a service providing side.SOLUTION: A home sensor 4 installed in a house 91 is a router-integrated type having a communication function, and a detection result is transmitted to a medical information sharing server 10 via an aggregation router 5. In the medical information sharing server 10, a local sharing DB 12 estimates, based on a sensing result, whether a user 94 is at home, and an environmental state, such as temperature and humidity, of the house 91, and causes a user terminal 40 to display them or notifies a supporter of such conditions. The medical information sharing server 10 detects the risk of nutritional bias, dementia, and the like from a purchase history of the user 94, and notifies the supporter of such conditions.SELECTED DRAWING: Figure 1

Description

The present invention relates to a health management system and a medical system, and for example, a health management system and a medical system having a function of watching over a resident of the home, especially a person who needs support such as an elderly person, by a sensor installed in the home. Regarding the system.

The aging society is accelerating, and the elderly living alone continues to expand. In order to watch over such elderly people, there are known methods of installing cameras and monitoring the amount of electricity used. In addition, a technique has been proposed in which a motion sensor and an acceleration sensor are effectively combined to monitor the behavior of a resident in a house (see, for example, Patent Document 1). In the technique disclosed in Patent Document 1, data detected from both a motion sensor installed in the residence of the resident to be monitored and an acceleration sensor worn by the resident is received, and information estimated from each of these sensors is received. By combining the above to judge the behavior of the resident, information on more specific living conditions related to the resident, which is difficult to judge from the data of only one of the motion sensor and the acceleration sensor, is collected.

Japanese Unexamined Patent Publication No. 2014-89494

As the aging society progresses rapidly, the shortage of supporters such as helpers and caregivers is becoming serious. It is also necessary to encourage the independence of the people to be watched over. Especially in the case of dementia, it is a very difficult disease for spouses, family members, and caregivers to notice at the onset or in the early stages of the onset, and it becomes a state that has progressed to some extent, that is, a state different from ordinary people. I often start to notice it. When dementia develops, it is necessary to grasp the symptoms as early as possible and adjust the support stage. The technology disclosed in Patent Document 1 can also grasp the living conditions of residents such as the elderly, but as described above, it can sufficiently cope with the situation of a large expansion of the elderly and a shortage of supporters. Instead, new technology was needed. In other words, it was not intended to promote independence and respond before the living condition deteriorates. In addition, local governments, nursing homes, rehabilitation facilities, etc. are assumed to be the supporters (providers of such services), but increasing the budget for measures for the elderly has become a major issue, and the budget has been significantly increased. It was hoped that good quality of life could be maintained for those seeking assistance while reducing the amount.

The present invention has been made in view of the above situations, and an object of the present invention is to grasp changes in living data, so-called changes in health, at an early stage while looking at living data of living conditions of a person to be watched over by an elderly person or the like. By doing so, we will take appropriate measures and prevention, prevent deterioration, promote independence and maintain quality of life, and control the cost of service providers (generally local governments, long-term care facilities, rehabilitation facilities). It is to provide the technology that can be done.

(1) The present invention is a medical system in which a plurality of medical institutions cooperate to provide medical care in a predetermined area.
The information processing terminal provided in the medical institution and
A medical information sharing server that cooperates with the information processing terminal of the medical institution,
A health management system that manages the health status of users,
Have,
The medical information sharing server
A business database that records the business information of the business that operates the medical institution, and
A user database (also referred to as a patient DB) that records user information of users who use the medical institution in association with identification information, and
A payment history acquisition unit that acquires the user's business transaction history (purchase history, medical payment, etc.)
A user purchase history database that records the history of commercial transactions in association with the identification information of the user,
Have,
The health management system
A home sensor that acquires the environmental state of the home with the user as a resident, and
A sensor communication unit that is connected to the home sensor and communicates with the outside, a home information collection unit that collects sensing information of the home sensor via the sensor communication unit, and a home information collection unit.
A home information database that stores the sensing information and
A state determination unit that determines the living state of the user based on the sensing information,
A notification unit that notifies at least one of the user and the supporter of the user of the determination result of the state determination unit.
With
The state determination unit estimates the health state of the user based on the business transaction history (for example, estimation using a known technique such as AI).
When it is estimated that the health condition needs to be dealt with (for example, improvement or support), the notification unit notifies the supporter (for example, a family doctor, a dietitian, a local government, a close relative, etc.).
Home sensors include environmental sensors, motion sensors, door sensors, acoustic sensors (also referred to as "sound sensors") and the like. The environment sensor measures, for example, temperature, humidity, and illuminance data, and the measured value / measurement time is stored in a cloud or the like. The motion sensor detects the approach of a person with infrared rays, for example, and the detected detection time / number of detections is stored in the cloud. The data of these sensors are used for judgment either individually or in combination of a plurality as appropriate.
By adopting a router-integrated sensor (for example, a sensor that plugs into an outlet) that integrates a home sensor and a sensor communication unit, even an unfamiliar person such as an elderly person can easily install it. From the sensing information obtained by such a sensor, it is possible to estimate the daily life of a person to be watched over, such as an elderly person living alone, especially safety information, health condition, daily habits, and the like. For example, if the tendency of sensing information changes, or if peculiar data occurs, it is judged that safety confirmation is necessary, and the person in charge of the local government (for example, the welfare section) is registered. Contact your health care provider (eg relatives, helpers, family medical institutions, etc.). In addition, by associating the sensing information (opening / closing data) of the door sensor with the local garbage collection schedule, it is possible to estimate the garbage disposal lifestyle each time from the accumulation of the opening / closing data of the door sensor. In other words, it leads to confirmation of healthy and habitual life and safety. Then, if the garbage is not taken out by the predetermined time on the day of taking out the garbage, an alarm can be generated to provide safe living care for the elderly.
In addition, when an elderly person, etc., who is the target of watching, makes a business transaction at a medical institution, a store, etc., from the history, for example, if he / she purchases the same item every day, he / she is notified of confirmation. Notify helpers, etc. of alerts. In particular, if you have dementia, you may purchase the same product repeatedly unnecessarily. In addition, a person with a specific disease may purchase something that should not be ingested. If the diagnosis result at the medical institution is recorded in the user database and you are instructed not to take such a thing, you can notify the person of caution from the diagnosis result and purchase history, or the health manager. Contact.
It should be noted that the information processing terminal of the user, the electronic payment card, and the electronic money (electronic payment) by biometric authentication are assumed, but in the business operator (shop, etc.), the electronic money commercial transaction system using the information processing terminal or the electronic payment card is assumed. May not be introduced. In such cases, the purchase history will be given as a paper receipt by cash payment. Therefore, the user terminal may acquire and record the image data of the paper receipt at the time of purchase with the attached camera. At this time, the image data may be extracted / organized by OCR processing on the user terminal and sent to the server side, or the data as it is may be transmitted to the server side and extracted / organized on the server side. May be good. Even if the user's payment is other than IC payment, the history of commercial transactions can be imported. The user's information processing terminal prompts the user to capture the receipt of the business transaction of the day at a predetermined time every day from a predetermined application or as a notification from the outside, and if there is no capture, the health manager is informed. Processing such as notification is also possible. In the case of taking in by oneself, the elderly person can look back on the events of the day by performing an operation of taking in the receipt every night, and can prevent deterioration of memory ability and the like. In recent years, electronic receipts may be issued instead of paper receipts, and of course, the purchase history may be extracted from the electronic receipts.
Further, when the user's business transaction history is recorded in the user purchase history database, the notification unit may notify a predetermined health manager that the record has been recorded. When the health manager has the right to access the data of the business transaction history, he / she refers to the data and the behavior of the person to be watched over (such as going to the hospital or making unnecessary purchases). ) Can be grasped.
Moreover, in recent years, in the lives of the elderly, there is a tendency that the number of people who buy finished delicatessen and eat is gradually increasing rather than buying ingredients such as vegetables and meat to prepare meals. From this purchase history, the nutrition to be ingested from the nutrition of delicatessen, seasonings, seasoning, etc. is estimated. From the estimation results, illnesses that are feared to occur in the body will be linked with electronic medical records at the time of health examination and outpatient visit. The doctor in charge can refer to the medical treatment by seeing the intake status of glory in daily life, and the dietitian can provide dietary care to the elderly, supporting the aspect of daily diet in the community. You can maintain and improve your health.

(2) The present invention is a health management system.
With a home sensor that acquires the environmental state in the home,
A sensor communication unit that is connected to the home sensor and communicates with the outside, a home information collection unit that collects sensing information of the home sensor via the sensor communication unit, and a home information collection unit.
A home information database that stores the sensing information and
A state determination unit that determines the living condition of the resident of the household based on the sensing information,
A notification unit that notifies the resident and the supporter of the resident of the determination result of the state determination unit,
To be equipped.

(3) The home sensor includes an acoustic sensor.
The state determination unit may estimate the living state of the resident based on the sensing information of the acoustic sensor.
For example, an acoustic sensor is installed next to the bed, and if a sound that seems to be a cough is continuously detected, the person is notified to go to the hospital or a health care manager (relatives, helper, family hospital).・ Notify doctors, etc. to check the situation. Similarly, it can be inferred from the sound of the futon shifting during sleep, that is, the sound of turning over, and by collecting the snoring sound, whether it is healthy to sleep by the number of sleep apnea and turning over. As a result, it is possible to grasp the deterioration of health of a person who needs to be watched over, such as an elderly person living alone, at an early stage, and prevent the aggravation of the disease. Also, install it in the kitchen to judge the condition of gas appliances. New types of gas appliances are equipped with gas leak sensors and overheat sensors, but older types may not have such sensors installed. Therefore, although it is simple, it is possible to detect gas leaks and the like with an acoustic sensor and call attention.

(4) The home sensor includes an environment sensor.
The state determination unit may estimate the living state of the resident based on the sensing information of the environment sensor.
When the environment sensor includes a temperature sensor and a humidity sensor, it is determined from the sensing information whether the living environment is appropriate, that is, whether the room temperature and humidity are appropriate. Elderly people tend to have poor detection and judgment when the room is too hot / cold. If the resident is an elderly person living alone or a group of only elderly people, there is a possibility that no one will point out, which may cause heat stroke. Such cases can be dealt with early.

(5)
The settlement history acquisition unit that acquires the history of the resident's commercial transactions,
A user purchase history database that records the history of commercial transactions and
Have,
When the state determination unit detects a change point in the living state estimated from the sensing information of the home sensor or the health state estimated from the purchase history, the notification unit changes to the living state or the health state. At least one of the resident or the resident's supporter may be notified that the change has occurred.

(6) In the medical system of (1) above, the health management system according to any one of (2) to (5) above is used as the health management system.
An information processing terminal that is installed in the medical institution and functions as a thin client terminal,
Have,
The medical information sharing server
A thin client management server that builds a thin client environment together with the information processing terminal,
The medical system operated in the thin client environment and
Have.
If you have a function that records the sensor and payment history in the home of the medical institution and the person being watched over (also simply called the "payment reference function"), the operational efficiency will be improved by realizing the system configuration in the thin client environment. It is possible to prevent the monitoring function and the payment reference function from stopping.

(7) When the history of the commercial transaction of the resident is recorded in the user purchase history database, the notification unit may notify the supporter that the history has been recorded.

According to the present invention, it is possible to effectively watch over a person such as an elderly person living alone. In other words, by grasping the living conditions of the elderly and other people who are being watched over at an early stage, it is possible to take appropriate measures, prevent deterioration, and provide technology that promotes independence. In addition, it is possible to provide technology that can reduce the cost of service providers (generally local governments, nursing care facilities, rehabilitation facilities).

It is a figure explaining the outline of the function of the regional medical cooperation system which concerns on this embodiment. It is a figure explaining the outline of the function of the regional medical cooperation system which concerns on this embodiment. It is a figure which shows the schematic structure of the regional medical cooperation system which concerns on this embodiment. It is a block diagram of the medical information sharing server which concerns on this embodiment. It is a figure which shows the example of the registration data of the user DB which concerns on this embodiment. It is a figure which shows the example of the accumulated data of the user DB which concerns on this embodiment. It is a figure which shows the example of the medical person DB which concerns on this embodiment. It is a figure which shows the example of the pharmacist DB which concerns on this embodiment. It is a figure which shows the example of the caregiver DB which concerns on this embodiment. It is a figure which shows the example of the business operator DB which concerns on this embodiment. It is a block diagram of a user terminal which concerns on this embodiment. It is a figure which showed the example of the service which a patient can access and use a site for a patient which concerns on this Embodiment. It is a figure which showed the screen example which a user sets a sensor of a watching service which concerns on this embodiment. It is a figure which showed the screen example of the purchase history confirmation in the monitoring service which concerns on this embodiment. This is an example of a screen of an electronic medical record displayed on a thin client terminal of a medical institution terminal according to this embodiment. It is a flowchart which showed the example of the home confirmation processing in the monitoring service which concerns on this embodiment. It is a flowchart which showed the example of the environmental suitability confirmation processing in the monitoring service which concerns on this embodiment. It is a flowchart which showed the example of the health abnormality confirmation processing using the acoustic sensor in the monitoring service which concerns on this embodiment. It is a flowchart which showed the example of the purchase history confirmation processing in the monitoring service which concerns on this embodiment.

Next, an embodiment for carrying out the present invention (hereinafter, simply referred to as “embodiment”) will be specifically described with reference to the drawings. 1 and 2 are diagrams for explaining an outline of the functions of the regional medical cooperation system 1 realized in the present embodiment. The user 94 installs the home sensor 4 in the house 91. The home sensor 4 is an environment sensor, a motion sensor, a door sensor, an acoustic sensor, etc., and is installed at or near the bed 911, kitchen 912, lighting 913, entrance door 914, toilet 915, bathroom / dressing room 916, etc. To the toilet. In addition, as one of the home sensors 4, a network-compatible weight scale 4a is installed in the bathroom / dressing room 916.

The home sensor 4 is a router-integrated type having a communication function, and when it is plugged into an outlet, it always operates. The detection result of the home sensor 4 is aggregated by the aggregation router 5 and transmitted to the medical information sharing server 10 of the regional medical cooperation system 1 via the network. In the medical information sharing server 10, the regional sharing DB 12 estimates the presence or absence of the user 94 at home, the environmental state such as the temperature and humidity of the house 91, and the user terminal when caution is required. It is displayed on 40 or notified to a predetermined supporter via the medical information sharing server 10. For example, when there is a change in the tendency of sensing information or when peculiar data is generated, it is judged that safety confirmation is necessary, and a contact for identity verification is made, or a designated supporter, specifically, the person in charge of the local government. Contact the department (welfare section, etc.) and registered health managers (relatives, helpers, family hospitals, etc.). Further, when the home sensor 4 installed in the bathroom / dressing room 916 detects a loud sound / vibration, it is determined that the sensor 4 may have collapsed due to heat shock, and the above supporter is contacted.

As a health manager, a person who has qualifications such as relatives and helpers is preferable, but in addition, a person (neighbor, friend, etc.) who takes care of personal belongings as a key person may be registered. If the user 94 is a member of the mutual aid society, which is a system for accumulating ceremonial occasions, the contact information of the mutual aid society may be registered. In some cases, relatives and the like do not know that the user 94 is a member of the mutual aid society. In addition, when the user 94 dies, if he / she does not know that he / she is a member of the mutual aid society, he / she will contact the funeral company contracted by the hospital to which he / she was transported, and the user 94 himself / herself will be alive. Arrangements can be wasted.

In addition, the medical information sharing server 10 has a function of acquiring the purchase history of the user 94. When the user 94 uses the medical institution 92, the pharmacy 96, or the commercial facility 97, the usage history (that is, purchase history, payment history) is transmitted to the medical information sharing server 10 (regional sharing DB 12) and stored. Specifically, when a user 94, that is, an elderly person or the like who is a person to be watched over makes a business transaction at a commercial facility 97, from the history, for example, if the same thing is purchased every day, that person is notified. Notify the confirmation and notify the designated supporter of the alert. In particular, if you have dementia, you may purchase the same product repeatedly unnecessarily. In addition, a person with a specific disease may purchase something that should not be ingested. The medical information sharing server 10 records the diagnosis results of the medical institution 92, and if instructed not to ingest such a substance, the person may be notified of caution from the diagnosis results and the purchase history. Contact the designated supporter (health care manager such as relatives or family doctor).

In this way, by grasping the living conditions of the user 94 (persons to be watched over by the elderly, etc.) at an early stage, appropriate measures are taken to prevent deterioration, and independence is promoted to maintain the quality of life. At the same time, the cost of the service provider (generally local governments, long-term care facilities, rehabilitation facilities) will be suppressed. In the following, "nursing facilities" and "rehabilitation facilities" will be collectively referred to as "nursing facilities" unless otherwise specified.

FIG. 3 is a functional block diagram of the regional medical cooperation system 1. FIG. 4 is a functional block diagram showing a schematic configuration of the medical information sharing server 10.

In the regional medical cooperation system 1, a plurality of medical institutions (here, a business operator operating a medical institution 92, a pharmacy 96, and a nursing facility 98) and a commercial facility 97 use the medical information sharing server 10 in a certain range of areas. It provides medical and welfare products and services to the user 94, and also fulfills a function of watching over the user 94 such as an elderly person living alone and a function of verifying the purchase history.

The user 94 is assumed to be a patient who uses a medical institution 92 or a pharmacy 96, an elderly person who uses a nursing care facility 98 or a commercial facility 97, and a person who needs to be watched over. Hereinafter, it will be described as "user 94" for convenience. The medical institution 92 is a broad concept including hospitals, clinics, dental clinics, ophthalmic clinics, and the like. Of course, those stipulated by laws and guidelines are processed in accordance with them. For example, in electronic medical records and electronic prescriptions (prescription data), electronic signatures and time stamps of doctors, etc. are displayed. For essential data, electronic signatures and the like are added and referred to at the required timing.

For example, as shown in FIG. 3, the regional medical cooperation system 1 includes a medical information sharing server 10, a medical institution terminal 20 of a medical institution 92 connected to the medical information sharing server 10 via a network 2, a pharmacy terminal 60 of a pharmacy 96, and a commercial facility 97. It connects to the commercial facility terminal 70, the nursing facility terminal 80 of the nursing facility 98, the user terminal 40 of the user 94, and the home sensor 4 installed in the house 91.

Here, as shown in FIG. 2, the medical information sharing server 10 includes a control device 11, a regional sharing DB 12, and a medical information sharing site 100. The control device 11 comprehensively controls the components of the medical information sharing server 10 and functions as a communication IF with other devices.

The medical information sharing site 100 includes a portal site 101, a medical institution site 110, a patient site 140, a pharmacy site 160, a commercial facility site 170, and a long-term care facility, which are access destinations of the user 94 and the business operator. A site 180 is provided.

The portal site 101 functions as the entrance of the medical information sharing site 100, and the user 94 and the business operator accessing from the outside access the target site via the portal site 101 at their respective information processing terminals.

The user 94 uses a user terminal 40 such as his / her own PC (personal computer), tablet terminal, smartphone, or display device with a network connection function (for example, a network-compatible LCD TV or digital signage display device) to provide a medical information sharing server. Access 10. Here, as shown in FIG. 3, each of the users 94 accesses the medical information sharing server 10 using the user terminals (1) 40_1 to the user terminals (n) 40_n. When the user terminal (1) 40_1 to the user terminal (n) 40_n are not distinguished, the description will be simply referred to as "user terminal 40". When the user terminal 40 is a tablet terminal or a smartphone, a dedicated application may be introduced and used.

The user terminal 40 accesses the patient site 140 and uses the products and services provided by the business operator. For example, when receiving a medical examination at a medical institution 92, the medical institution 92 can access the WEB page and make an appointment for the medical examination. In addition, for example, an application having a "medicine notebook function" or a "watching function" is introduced in the user terminal 40, and the prescription history can be referred to or the purchase history of the watching function can be displayed in synchronization with the medical information sharing server 10. You can refer to it. Further, the medical information sharing server 10 provides a watching function (watching service) for elderly people and the like as described above, and when receiving the service, various registrations / settings are made on the user terminal 40 and the service is used. Sometimes the user terminal 40 is presented.

In addition, home sensors (1) 4_1 to home sensors (n) 4_n are installed in each house 91 of the user 94, and sensor information is collected from the aggregate router (1) 5-1 to the aggregate router of each house 91. (N) Aggregated by 5_n and transmitted to the medical information sharing server 10 via the network 2. When the home sensor (1) 4-1 to the home sensor (n) 4_n are not distinguished, the description will be simply referred to as “home sensor 4”. Similarly, when the aggregation router (1) 5-1 to the aggregation router (n) 5_n are not distinguished, the description will be simply referred to as “aggregation router 5”.

The medical institution 92 includes a medical institution terminal 20 and connects to the medical information sharing server 10 via the network 2. Here, as shown in FIG. 3, medical institution terminals (1) 20_1 to medical institution terminals (n) 20_n are installed in each of the plurality of medical institutions 92. When the medical institution terminal (1) 20_1 to the medical institution terminal (n) 20_n are not distinguished, it is simply described as "medical institution terminal 20".

The medical institution terminal 20 accesses the medical institution site 110 from the portal site 101 and uses the functions prepared for the medical institution 92. The functions prepared for the medical institution 92 include, for example, medical systems such as an electronic medical record system, a clinical examination system, a medical accounting system, and a receipt support system. In the following, the explanation will focus mainly on the electronic medical record system. Although the details will be described later, the electronic medical record system and other functions are realized in collaboration with the medical information sharing server 10 as, for example, a thin client environment (particularly VDI (virtual desktop environment) method).

The medical institution 92 records the electronic medical record 30 created in its own medical treatment in the community sharing DB 12, and each medical institution 92 can use the electronic medical record 30 recorded in the community sharing DB 12 with mutual reference. ..

Further, the electronic medical record system is linked with the electronic prescription system provided by the medical information sharing server 10 as an ASP (application service provider), and can be output as an electronic prescription when the prescription is output. Further, the data recorded in the regional sharing DB 12 of the medical information sharing server 10 by another business operator can be referred to under certain conditions.

The regional medical cooperation system 1 may have a configuration to which edge computing technology is applied. By introducing a system that applies edge computing technology and 5G communication technology, the convenience and security of the regional medical cooperation system 1 can be ensured, and system construction and changes can be facilitated. Specifically, the edge servers are distributed and arranged in the secretariat / base of the regional medical cooperation system 1 to process personal information-related data (data of person DB 120 and business operator B 130). Other processing is processed by the server of the upper cloud. As a result, it is possible to flexibly comply with personal information protection regulations.

The pharmacy 96 includes a pharmacy terminal 60 and connects to the medical information sharing server 10 via the network 2. Here, as shown in FIG. 3, pharmacy terminals (1) 60_1 to pharmacy terminals (n) 60_n are installed in each of the plurality of pharmacies 96. When the pharmacy terminal (1) 60_1 to the pharmacy terminal (n) 60_n is not distinguished, it is simply described as “pharmacy terminal 60”.

At this time, the pharmacy terminal 60 accesses the pharmacy site 160 from the portal site 101 and uses the function prepared for the pharmacy 96. Features provided for pharmacy 96 include, for example, an electronic prescription system. In the electronic prescription system, the medical information sharing server 10 functions as an ASP server, the medical institution 92 registers the electronic prescription, and the pharmacy 96 acquires the electronic prescription.

The commercial facility 97 includes a commercial facility terminal 70, accesses the commercial facility site 170 from the portal site 101, and uses the functions prepared for the commercial facility 97. The function prepared for the commercial facility 97 is a purchase history notification function. Commercial facility terminals (1) 70_1 to commercial facility terminals (n) 70_n are installed in each of the plurality of commercial facilities 97. When the commercial facility terminal (1) 70_1 to the commercial facility terminal (n) 70_n are not distinguished, the description will be simply referred to as “commercial facility terminal 70”.

Specifically, when the user 94 uses the commercial facility 97, the commercial facility terminal 70 notifies the medical information sharing server 10 of the usage content. That is, the commercial facility terminal 70 is a device that is part of or interlocked with the POS system, and reads the ID associated with the user terminal 40 or a predetermined physical card presented by the user 94, and the ID and usage details (purchase). (History) is notified to the medical information sharing server 10 (regional settlement device 19 of the regional sharing DB 12 described later). When the regional medical cooperation system 1 provides an electronic payment service, it receives electronic money linked to the user terminal 40, a physical card, or the like, and medically treats the payment contents (that is, purchase history contents) of the user 94. Notify the information sharing server 10 (regional sharing DB 12).

The purchase history data is used for the monitoring service (purchase history reference function) as described above. Therefore, only items that are useful for the monitoring service (for example, purchased items and quantity) may be notified, and items that require special handling regarding personal information (for example, specific amount of money) may be omitted from the transmitted contents. .. Also, regarding purchased items, only food and drink may be notified. The user 94 can determine and set the items to be notified. In addition, as an electronic payment service, the regional medical cooperation system 1 may be introduced independently. For example, ID information is released for transportation IC cards, and public institutions and private companies manage entry / exit, attendance management, shops in companies, etc. Such technology may be introduced as it is available for purchase management at.

The long-term care facility 98 includes a long-term care facility terminal 80, accesses the long-term care facility site 180 from the portal site 101, and uses the functions prepared for the long-term care facility 98. The functions prepared for the long-term care facility 98 are, for example, a care management system (integrated input of assessment / plan / monthly plan; function for importing long-term care support progress record), home-visit long-term care / nursing support system, outpatient care / nursing support. There are systems, nursing home support systems, etc.

The above-mentioned information processing terminal of the business operator, that is, the medical institution terminal 20, the pharmacy terminal 60, the commercial facility terminal 70, and the care facility terminal 80 is the thin client terminal, the medical information sharing server 10 is the management server, and the thin client environment is It is composed.

The thin client environment is constructed by, for example, a virtualization technology (hereinafter, "VDI method") in which a virtual desktop environment is generated on the medical information sharing server 10 of the management server and the virtual desktop environment is operated from the information processing terminal of the operator. It is more preferable that it is done. As a specific virtualization technique to be applied, the technique disclosed in Japanese Patent No. 6384847 by the applicant as described above is used. It is not necessary that everything is realized as a thin client environment. For example, since the commercial facility 97 may not be specialized in a specific regional medical care like a chain store expanding nationwide, the commercial facility terminal 70 is composed of a general PC, and a predetermined function is executed on the web. May be good. Even if a part or all of the regional medical cooperation system 1 is constructed in a cloud environment, a certain effect can be realized.

Subsequently, the configuration of the medical information sharing server 10, particularly the configuration of the regional sharing DB 12, will be described with reference to FIG. The regional sharing DB 12 includes a business operator system support server 13, common software 14 for clients, a registration management unit 15, an authentication unit 16, a monitoring support control device 18, a regional payment device 19, a person DB 120, and a business operator. It includes a DB 130 and a technical information DB 135.

The operator system support server 13 functions as a thin client server (management server) in the thin client environment. Various types of thin client environments have been proposed, but the VDI method is adopted as described above. In the VDI method, a hypervisor is installed on one high-performance server, and virtual machines for virtual desktops are run on it for the number of users. The thin client terminal connects to the virtual desktop assigned to each user via the authentication server and the connection broker.

The common client software 14 holds various software (applications) used for the information processing terminal (for example, the medical institution terminal 20) of the thin client of each business operator in the thin client environment. That is, when the operator system support server 13 operates a virtual desktop as a thin client server, it holds an application to be operated on the virtual desktop. It also holds the application installed in the user terminal 40.

The registration management unit 15 registers users 94 who use the regional medical cooperation system 1, businesses such as medical institutions 92 and pharmacies 96, doctors and pharmacists who belong to these businesses. The user information of the user 94 is registered by the user 94 itself, or when using a business such as a medical institution 92 or a pharmacy 96, the business is registered with the consent of the user 94. .. In addition, when the user 94 uses the watching service (watching function), the home sensor 4 is registered and the basic payment information is also registered.

In addition, the patient information to be registered, the registration information of the business operator and the person belonging to the business operator, and specific examples of the registration process will be described together with the explanation of the person DB 120, the business operator DB 130, and the like described later.

The authentication unit 16 is the authentication information registered by the registration management unit 15 when a business operator (medical institution 92, pharmacy 96, commercial facility 97, nursing facility 98) or a user 94 accesses the regional medical cooperation system 1. Authentication processing is performed based on the type of authentication method and the registration information obtained by the authentication method. In addition, when acquiring the data of the home sensor 4, the home sensor 4 is also authenticated based on the ID (here, IMEI) registered in advance.

The monitoring support control device 18 includes a sensor information collection unit 181, a state determination unit 182, a notification unit 183, a payment history acquisition unit 184, and a regional event management unit 185.

The sensor information collecting unit 181 acquires the sensor information from the home sensor 4 and records it in the user DB 121 (accumulated data 121b).

The state determination unit 182 estimates the living state, health state, etc. of the user 94 based on the sensor information and the purchase history. The state determination unit 182 uses artificial intelligence (AI) at the time of estimation.

As a result of the estimation by the state determination unit 182, the notification unit 183 notifies the 94 users themselves and their supporters when it is determined that some action is required. Specific processing will be described later.

The payment history acquisition unit 184 acquires the purchase history (settlement history) when the user 94 uses the medical institution 92, the pharmacy 96, the commercial facility 97, and the like.

The regional event management department 185 records and manages the administrative services of the user 94's residential area, such as the garbage collection date (garbage collection date) and the schedule of events at the residents' association / community center. If the opening / closing of the entrance door 914 cannot be confirmed by the predetermined time of the "garbage removal date" grasped by the regional event management unit 185 from the sensor information of the home sensor 4, the user 94 can be notified. .. You can also notify that "It seems that you are lacking in exercise. Let's go out more. There will be an event at the community center on XX days." It is also possible to notify disaster prevention information, evacuation warnings, evacuation routes, evacuation sites, etc. In particular, even though the evacuation warning has been issued, if it can be estimated that the user is at home from the sensor information of the home sensor 4, it is possible to continuously notify the user.

As described above, the regional payment device 19 performs payment processing of electronic payment (so-called electronic money) that can be used by businesses (medical institutions 92, pharmacies 96, commercial facilities 97) participating in the regional medical cooperation system 1 and makes payments. The history is notified to the payment history acquisition unit 184.

The person DB 120 records and holds various information of a person who uses the regional medical cooperation system 1, that is, a user 94 and a person who belongs to the business operator. Specifically, the person DB 120 includes a user DB 121, a medical personnel DB 122, a pharmacist DB 123, a caregiver DB 124, an electronic medical record DB 125, and a prescription DB 126.

The user DB 121 includes registration data 121a and accumulated data 121b. The registration data 121a records predetermined registration items (user information). The accumulated data 121b records the data of the home sensor 4 and the purchase history.

Here, with reference to the example of the registration data 121a shown in FIG. 5, the specific contents of the user information of the user 94 and the registration process by the registration management unit 15 will be described.

When the user 94 himself / herself registers, the registration process is performed by the registration management unit 15 by accessing the registration page of the patient site 140 from the portal site 101 operated by the regional medical cooperation system 1. , Predetermined items are registered in the user DB 121 of the person DB 120. Further, when an unregistered user 94 uses a medical institution 92 or the like, the medical institution 92 or the like may register.

As shown in FIG. 5, the registration data 121a includes the basic registration information area 1211, the registration information 1 (medical) area 1212, the registration information 2 (electronic payment) area 1213, and the registration information 3 (watching sensor) area 1214. Has.

In the basic registration information area 1211, as basic information of the user 94, "user ID", "name", "date of birth", "presence or absence of living together", "address", "phone number", The "email address", "emergency contacts 1, 2", "authentication means and authentication information" are recorded. In addition to the above, for example, "blood type information", "physical characteristics (height, weight, eyesight, etc.)" and the like may be registered.

The social security number includes, for example, a health insurance number or a government-managed personal number, and a driver's license number may be used as another public number. Considering the actual operation, it is desirable that the health insurance number is officially registered after confirmation by the insurance card only when the medical institution 92 is used. Until then, it can be assumed that the social security number will be unregistered and the user information will be temporarily registered. As places (institutions) that can be transferred to formal registration, there are the above-mentioned medical institutions 92 and pharmacies 96 that require the presentation of official identification cards. In addition, when a local public body participates in the regional medical cooperation system 1, it may be officially registered at the local public body office (government office).

The authentication means and the authentication information can be registered by a plurality of types of authentication means. For example, there are encryption means such as "password" and biometric information such as "fingerprint authentication", "face authentication", "voiceprint authentication", and "iris authentication". Mobile terminals such as smartphones and tablet terminals can use various biometric authentication functions such as "fingerprint authentication", "face authentication", "voiceprint authentication", and "iris authentication".

In the example of FIG. 5, the basic registration information area 1211 has a user ID "C0001", a name "ABCD", a social security number "11112223-123", a date of birth "May 05, 1950", and an address "○○". Ward XX1-1 ", phone number" 03-1234-xxxxx ", email address" abcd123xxx@xxx.xxx.jp ", emergency contact 1" 03-1234-XYZW (child) ", emergency contact" It is "03-1234-XYXY (helper)" and the authentication means (password) "XXXXXXXXX".

In the registration information 1 (medical) area 1212, as medical information, "family hospital / pharmacy", "helper" (or caregiver), "presence or absence of life-prolonging treatment intention", "presence or absence of organ donation intention", "Caution required" and "Caution drug information / side effect information" are recorded.

By recording the "family hospital", when visiting another hospital, the hospital can keep in touch with the registered "family hospital" as needed. Furthermore, in the event of an emergency transport, the "family hospital" can be contacted first, and appropriate measures can be taken promptly. In addition, having a "hanging pharmacy" makes it possible to grasp the inventory status of medicines in advance when a doctor issues a prescription. Further, a doctor or a pharmacist may register in the electronic medical record system operated by the medical institution terminal 20 or the prescription system operated by the pharmacy terminal 60, which will be described later. At this time, the registrant information (doctor ID and pharmacist ID) is also associated and registered.

By registering "life-prolonging treatment intention" and "organ donation intention", the medical institution 92 can smoothly confirm those intentions when the user 94 is transported to the medical institution 92 by an ambulance or the like or dies. The subsequent response will be smooth. Especially in the case of elderly people living alone, it may be difficult to confirm their intentions on such matters. For this reason, by being registered in advance, even when the elderly need to be treated by the watching function and the person cannot be confirmed directly, the medical institution 92 etc. can use it until the relatives etc. are contacted. Appropriate response that respects the will of the person 94 becomes possible.

In addition, since "emergency contacts 1 and 2" and "helper" are registered, it is possible to contact family members, relatives, etc. even if it is difficult for the user 94 to confirm. In addition, by registering the pre-existing illness, surgical history, etc. as "precautions", the medical institution 92 can grasp the treatment to be avoided in the situation where it is difficult for the user 94 to confirm, and the treatment can be smoothed. In "Caution drug information / side effect information", if there is a drug that the user 94 wants to avoid due to side effects from his / her own drug history, he / she registers it together with the reason.

In the registration information 2 (electronic payment) area 1213, as information related to electronic payment (so-called electronic money), "ID and expiration date for IC payment service", "ID and expiration date for QR payment service", user terminal Forty "terminal IDs (IMEI)" are recorded.

In the registration information 3 (watching sensor) area 1214, as information on the watching function using the home sensor 4 installed in the house 91, "transmission type (individual or aggregated)" and "aggregated" when the transmission type is aggregated. The "ID (IMEI) of the router 5" and the "sensor type and ID (IMEI)" of the sensors (1) to (5) are recorded. The sensor type is the type of the home sensor 4 described above, and includes an environment sensor, a motion sensor, a door sensor, an acoustic sensor, a toilet sensor, and the like. The installation position may be registered as information regarding the sensors (1) to (5). The toilet sensor is a sensor that determines the opening / closing of the toilet door, and can be realized by the same sensor or a combination sensor as the door sensor or the acoustic sensor.

In the example of FIG. 5, the transmission type "aggregate", the ID (master unit IMEI) of the aggregate router 5 "AA-BBBBBBBB-CCCCCC-FF", the sensor (1) "environment type AA-BBBBBBBB-CCCCCC-FA", the sensor ( 2) "Acoustic type AA-BBBBBBBB-CCCCCC-FB", sensor (3) "Human sensor type AA-BBBBBBBB-CCCCCC-FC", sensor (4) "Door type AA-BBBBBBBB-CCCCCC-FD", sensor (5) ) "Toilet type AA-BBBBBBBB-CCCCCC-FE".

At the time of registration, the user 94 may be able to set the disclosure range for items other than the predetermined required disclosure items such as the name, and which item is the type of business operator (medical institution 92, pharmacy 96, commercial facility 97, etc.). It is possible to decide what kind of attribute of the care facility 98) and the business operator (doctor, nurse, pharmacist, clerical staff, etc.) to disclose. For example, it is possible to disclose all items to the medical institution 92 and not disclose only the essential disclosure items to the pharmacy 96. In addition, it is possible to disclose all matters to doctors among medical institutions 92 and not to disclose other than essential disclosure items for nurses. Each item of patient information may be initially set to either opt-in or opt-out according to its characteristics, and the setting may be changed by the user. Further, the disclosure items at the time of emergency lifesaving may be based on such initial settings or settings changed by the user, or all may be disclosed.

Next, an example of the accumulated data 121b will be described with reference to FIG. The accumulated data 121b includes a purchase history data unit 1215 that records purchase history data, and a sensor history data unit 1216 that records sensor information of the home sensor 4.

The purchase history data unit 1215 records the date of use (date of purchase), the "type (electronic money, cash, etc.)" of the payment method, the place of use (the company that used it), the amount total, and the details. In the illustrated example, on the usage date "2019.06.01", the usage location "A clinic" and "C pharmacy" are of the type "cash" and the total amount of money is "750 yen" and "600 yen", respectively. .. The item list is not recorded. For the place of use "XXX store", the type is "electronic money" and the total amount is "2100 yen", the detailed list "drinking water 1 piece 100 yen, tomato 1 piece 200 yen, chicken 1 piece 250 yen, pudding 2 pieces 200 yen, glue" One valve is 400 yen, ... "is recorded. The above-mentioned condition determination unit 182 determines, for example, that there is a risk of hypertension (excessive salt content) or dyslipidemia from the history of purchasing "Noribento" for two consecutive days, and the user 94 or a supporter to that effect. Notify to.

The sensor history data unit 1216 records the sensor information data and the determination result of the registered home sensor 4. In the figure, only the determination result is illustrated. For example, on the sensing day "2019.06.01", the sensor (1) (environmental sensor) "no abnormality", the sensor (2) (acoustic sensor) "cough detection at 05:30", the sensor (3) (human feeling) Sensor) "Small activity", sensor (4) (door sensor) "0 times detection", sensor (5) (toilet sensor) "1 time".

For example, when the state determination unit 182 described above determines from the sensor (2) (acoustic sensor) "cough detection at 05:30" that "the user 94 of this house 91 may be in poor physical condition", the notification unit 183 determines. Notify the registered supporters (for example, emergency contacts 1 and 2 in the basic registration information area 1211 of FIG. 5) of the judgment result.

Further, when the state determination unit 182 determines from the sensor (5) (toilet sensor) "once" that the number of toilets is reduced and "there is a risk of starting to suffer from a disease of the internal organs", the notification unit 183 determines. Notify registered supporters.

The supporter who received the notification calls or visits the target user 94. As a result, even if an elderly person living alone becomes ill, it can be dealt with at an early stage and the aggravation can be prevented.

In addition, on the sensing date "2019.05.30", the sensor (1) (environment sensor) "13:30 room temperature high" was set, and the above-mentioned state determination unit 182 stated that "there is a risk of heat stroke". It makes a judgment and notifies the user 94 to call attention, and if the data of the sensor (1) is not improved (here, if the room temperature does not drop, the registered supporter or the person in charge of administration is notified.

In addition to the above, the accumulated data 121b of the user 94 includes, for example, blood pressure value and heart rate data measured by the biological information acquisition unit 424 of the user terminal 40 described later. By accumulating these data, it is possible to issue a warning or notify a related person when data peculiar to the data occurs, and early prevention is possible. In addition, when an emergency request is made, it helps the emergency personnel to make a decision during transportation.

Subsequently, the registration information in the business operator will be described with reference to FIGS. 7 to 9. When the medical institution 92, the pharmacy 96, the commercial facility 97, and the long-term care facility 98 are registered, a person who has been given predetermined authority by the administrator of the regional medical cooperation system 1 in advance registers the affiliation of each institution. As the administrator of the regional medical cooperation system 1, for example, there is a medical association (or a person delegated from it) in the region.

The registration information (business operator information) of the medical personnel will be specifically described with reference to the example of the medical personnel DB 122 shown in FIG. 7. Registration items for persons belonging to the medical institution 92 (that is, medical personnel) are "name", "attribute (doctor, nurse, etc.)", "affiliation (affiliation 1, affiliation 2, ...)", "specialty". , "Authentication information", and "Mobile terminal ID (MAC address and IMEI)", and when registered, a medical personnel ID is given. If you move to another company, the affiliation change process will be performed. In addition, it is possible to belong to a plurality of businesses, and a plurality of affiliations are registered such as "affiliation 1" and "affiliation 2". For doctors, "specialty" can be registered. In addition, occupations such as doctors, nurses, and pharmacists that are determined by national qualifications may be registered by a designated institution such as the Medical Association.

In the example of FIG. 7, for the person indicated by the medical personnel ID "D0003", the name "CCDD", the attribute "doctor", the affiliation 1 "A clinic", the affiliation 2 "B clinic", the specialty "internal medicine", and the authentication information. It is "password, face authentication, fingerprint authentication" and mobile terminal ID "21:43:65: 87: 09: BA". From this information, it can be seen that the person with the medical personnel ID "D0003" is a doctor of internal medicine and belongs to "A clinic" and "B clinic". Further, the mobile terminal having the MAC address "21:43:65:87:09: BA" can be connected to the thin client terminal 21 or can be directly accessed via the network 2 such as the Internet.

The registration information (business information) of the employees of the pharmacy 96 will be specifically described with reference to the example of the pharmacist DB 123 shown in FIG. The registration items of the person who belongs to the pharmacy 96 include "name", "affiliation", and "authentication information", and a pharmacist ID is given after registration. For example, it can be seen that the name "GGHH", the affiliation "A pharmacy", and the authentication information "password, fingerprint" are registered for the pharmacist with the pharmacist ID "F0001". If you move to another company, the affiliation change process will be performed. In addition, although it is possible to register other than the pharmacist, in that case, the user information of the accessible user 94 may be restricted.

Next, the registration information (business information) of the employees (caregiver, care manager, etc.) of the care facility 98 will be specifically described with reference to the caregiver DB 124 of FIG. Registration information of a person belonging to the nursing care facility 98 includes "name", "affiliation", "attribute", and "authentication information", and a caregiver ID is given after registration. For example, it can be seen that the name "QQRR", the affiliation "B elderly home", the attribute "care manager, caregiver", and the authentication information "password, fingerprint" are registered for the employee with the caregiver ID "G0004". If you move to another company, the affiliation change process will be performed.

Returning to the description of FIG. In the electronic medical record DB 125, the data of the electronic medical record created by the medical institution 92 is recorded in association with the user 94 who is a patient. In the prescription DB 126, the prescription data created by the medical institution 92 is recorded in association with the user 94 and the control number. The prescription DB 126 is referred to by the pharmacy terminal 60 when the pharmacy 96 delivers the drug to the user 94, and specific information (date and time, drug name, manufacturer, amount, etc.) when the drug is actually delivered is added. Since the electronic medical record and prescription history of the user 94 are recorded, not only the judgment of the doctor becomes easier at the time of medical treatment described later, but also the user 94 in an unconscious state has been transported by an ambulance or the like. In some cases, if the identity can be confirmed, what kind of treatment is given and what kind of medicine is prescribed can be known, so that unnecessary examinations can be omitted and immediate treatment can be performed.

The technical information DB 135 includes, for example, a regulatory affairs information DB, a medical information DB, and a device management DB. Safety information regarding pharmaceutical products is recorded in the regulatory information DB. The safety information is registered / updated by the pharmaceutical company, or registered / updated by the administrator of the regional medical cooperation system 1. Information on infectious diseases by public institutions and medical associations and information by businesses participating in the regional medical cooperation system 1 are recorded and updated in the medical information DB. In the device management DB, the installation status (for example, installation position, introduction time, maintenance status, etc.) of the AED and the medical devices installed in each medical institution are recorded. Regarding the installation status of the AED, image data of the installation state is recorded so that the installation location can be easily understood when there is an inquiry from the user terminal 40 or the like.

Subsequently, the operator DB 130 will be described with reference to FIGS. 4 and 10. The business operator DB 130 registers and records the information of the business operator itself, and is registered by the administrator of the regional medical cooperation system 1. Specifically, the business operator DB 130 includes a hospital DB 131, a pharmacy DB 132, a commercial facility DB 133, and a nursing care facility DB 134.

As shown in the hospital DB 131 of FIG. 10 (a), as the registration information of the medical institution 92, "medical institution ID", "name", "type", "clinical department", "reservation cooperation", "address", "phone number", and "representative" There are (ID), "affiliation (ID)", "registered terminal (MAC)", "reservation", and "application". The "type" is the type of the medical institution 92, which is the type of hospital or clinic (type: 04), the special function hospital (type: 01) if it is a hospital, and the regional medical support hospital (type: type). : 02), other general hospitals (type: 03), etc. "Reservation cooperation" is an emergency cooperation function (cooperation:) in which medical institutions 92 communicate with each other using the regional medical cooperation system 1 in addition to the conventional communication means such as telephone in the event of an emergency patient or the like. Whether or not to participate in the reservation function (cooperation: 12) between 11) and medical institutions 92. In addition, the homepage address of the medical institution 92 and the like may be registered. “Reservation” indicates whether or not the user 94 has a function of reserving the medical institution 92. The "application" indicates the presence or absence of a function that provides a function for the user 94 to make various applications.

For example, for the medical institution terminal 20 with the medical institution ID "20001", the name "A clinic", the type "04: clinic", the clinical department "internal medicine, allergy department", the cooperation "11: emergency cooperation, 12: reservation cooperation" , Address "○○ City XX 8-7", Phone number "XX-123-34XX", Representative's name (ID) "AABB (D0001)", Affiliation (ID) "BBCC (D0002), CCDD ( D0003), ... ”, MAC address of the registered terminal“ 12:34:56:78:90:12, ・ ・ ・ ”, reservation“ ○ ”, application“ ○ ”. Therefore, for example, from the information of the registered terminal, in the hospital with the medical institution ID "2001", the terminal (medical institution terminal 20) with the MAC address "12:34:56:78:90:12" is used as a thin client terminal for medical treatment. The information sharing server 10 will be accessed. Further, it can be seen that the medical institution terminal 20 having the medical institution ID "2001" participates in the emergency cooperation function provided by the regional medical cooperation system 1 and the reservation function between the medical institutions 92. Further, the user 94 can use the medical treatment reservation and various applications of the A clinic.

Similarly, for the pharmacy DB 132 in FIG. 10 (b), the commercial facility DB 133 in FIG. 10 (c), and the long-term care facility DB 134 in FIG. 10 (d), as the registration information of each business, "business (pharmacy ID, pharmaceutical institution)" There are "ID, long-term care facility ID)", "name", "address", "telephone number", "representative (ID)", "affiliation (ID)", and "registered terminal (MAC)". From those businesses, the medical information sharing server 10 can be accessed only from the information processing terminals (pharmacy terminal 60, commercial facility terminal 70, care facility terminal 80) of the registration terminal (MAC).

Subsequently, the schematic configuration of the user terminal 40 will be described with reference to the functional block diagram of the user terminal 40 shown in FIG.

The user terminal 40 includes a user IF 421, a display unit 422, a communication IF 423, a biometric information acquisition unit 424, and a position information acquisition unit 425, in the same manner as a general information processing terminal (smartphone, tablet terminal, etc.). , A certification unit 426 is provided. The authentication unit 426 includes a fingerprint authentication unit 426a for a fingerprint authentication function, a face authentication unit 426b for a face authentication function, a voiceprint authentication unit 426c for voiceprint authentication, and an iris authentication unit 426d for iris authentication. The biological information acquisition unit 424 can use, for example, a blood pressure sensor using an optical sensor, a pulse sensor, or the like, which are known functions that have been installed in smartphones in recent years. Further, in recent years, a technique of taking a face image with a camera and detecting a heart rate from a subtle change has been installed, and such a technique can also be used.

The user terminal 40 further includes a community medical sharing application 427, a home sensor management unit 428, and a purchase history processing unit 429.

The regional medical sharing application 427 is an application used when using the regional medical cooperation system 1. By activating this regional medical sharing application 427, the portal site 101 can be accessed from the home screen 430, and the sensor setting of the monitoring function can be performed. And execute the purchase history display function.

The home sensor management unit 428 registers and manages the home sensor 4 installed in the house 91. The registration method of the home sensor 4 will be described later with reference to FIG.

The purchase history processing unit 429 acquires the payment details as the purchase history when the payment is made at the medical institution 92, the commercial facility 97, or the like. When using the electronic payment service (that is, electronic money), the data of the electronic receipt is acquired and notified to the payment history acquisition unit 184 of the regional sharing DB 12. If there is no electronic rate data (that is, data that can be sent directly to the payment history acquisition unit 184) due to cash payment, etc., open a predetermined input screen and enter manually, or take a general paper receipt with a camera. Digitized data is obtained by OCR processing or the like, and the data is notified to the payment history acquisition unit 184.

Specific examples of services and the like provided by the regional medical cooperation system 1 having the above configuration will be described. FIG. 12 is a diagram showing an example of a service that the user 94 can access and use the medical institution site 110. The user 94 activates the Internet browsing application on the user terminal 40 and accesses the portal site 101 of the medical institution site 110. When the regional medical sharing application 427 is introduced, the regional medical sharing application 427 is started to access the portal site 101 from the home screen 430. By pressing the "patient / general" button 101A of the online browsing application or the "patient / general" selection icon 431 on the home screen 430 of the community medicine sharing application 427, the display transitions to the patient / general portal site.

The patient / general portal site has selection buttons for "hospital list," "pharmacy list," and "my page" at the top of the screen. When the "hospital list" is selected, the medical institutions 92 participating in the regional medical cooperation system 1 are displayed in a list for each clinical department. When the "pharmacy list" is pressed, a list of pharmacies 96 participating in the regional medical cooperation system 1 is similarly displayed. When the user 94 has already been registered and is accessing by performing the authentication process, the display may be performed in the order of closest to the address of the user 94 or the medical institution 92 having the most usage history.

In the example of the illustrated hospital list screen A11, a list of hospitals for internal medicine is shown. In the list, the hospital name and address are listed, and a reservation button and an application button are provided next to some hospital names. For example, when the reservation button of the A clinic is pressed, the screen transitions to the hospital individual reservation screen A12 related to the A clinic. On the hospital individual reservation screen A12 shown in the figure, the reservation registration tab is selected, and the reservation status (congestion status) for several days (here, 1/23 to 1/26) is "○ (with reservation frame)", "△". (Reservations are small) ”,“ × (Reservations not possible) ”, and“-(Closed) ”indicated. “○” and “Δ” can be pressed, and by pressing the button, a predetermined reservation screen (not shown) is displayed. When the reservation confirmation tab is selected, the reserved contents are displayed if the reservation has been made.

A reservation-reservable hospital list button is provided at the bottom of the hospital list screen A11. By pressing this button, the reservationable hospital list screen A13 is displayed. Reservable status / congestion status of hospitals that can be reserved for each clinical department is displayed in a list that can be selected by selecting "○", "△", "×", and "-". By pressing the desired hospital / date and time, a predetermined hospital / date and time can be selected. Transit to the reservation screen.

In this way, it is possible to realize a service that can be implemented on a portal and share a local outpatient reservation system in the area. The user 94 can visually identify the busy time zone from the reservation status of other patients on the day when he / she wishes to go to the first outpatient clinic, and can select a relatively vacant time zone from the congestion condition to make a reservation. Since it is an ordering for regional cooperation, the current congestion status of hospitals and the waiting time of users 94 can be visually observed from the list of hospitals in the same department, and vacant hospitals can be easily searched in real time. The medical institution 92 can analyze and improve management from various angles from the reservation data.

Further, when the "application button" is provided next to the hospital name on the hospital list screen A11, the transition to the application screen A14 is made by pressing the button. On the application screen A14, if the application-related tab is selected, you can apply for a medical certificate, certificate, letter of introduction, etc., and if the receipt-related tab is selected, you can apply for a medical statement or receipt certificate. Etc. can be applied.

When "My Page" is selected, the user information of the user 94 is displayed. That is, "hospital visit history", "medicine prescription history", "registration items", "watching sensor setting", and "purchase history" can be displayed. In the example of the illustrated My Page screen A15, the outpatient tab is selected, and four outpatient histories are displayed starting with the use of "January 23, 2018 A Clinic". By pressing each list, you can browse the electronic medical records (items that the medical institution 92 has made viewable) and prescriptions at the time of use. That is, the user 94 can view all or a certain range of his / her own data recorded in the electronic medical record DB 125 and the prescription DB 126. In addition, in the example of My Page screen A16, the drug tab showing the prescription history of the drug is selected, and the drug is prescribed by the prescription issued at "A Clinic" at "XY Dispensing Pharmacy" on "January 23, 2018". Is displayed that you have received. By pressing the "list display" button in the lower area on the My Page screen A16, a list of prescription histories for the latest predetermined period is displayed.

FIG. 13 shows My Page screens A16a to 16c when the “Watching sensor setting” tab is selected. Sensors (1) and (2) are set on the My Page screen A16a of FIG. 13 (a). When the "Add sensor" button at the bottom of the screen is pressed, the screen transitions to the My Page screen A16b shown in FIG. 13B. When the "Detect" button of the sensor ID is pressed, the sensor to be added is displayed. Here, the sensor ID "AA-BBBBBB-CCCCCC-FC" is detected. By selecting the sensor type and installation location on this screen and pressing the "Register" button, the registration process is performed and the screen transitions to the My Page screen A16c shown in FIG. 13 (c). The sensor detection and registration process is performed by a general process.

FIG. 14 is a diagram showing an example of the My Page screen A16d for confirming the purchase history in the protection service, and when the "Purchase history" tab is selected, the contents of the purchase history data unit 1215 of the user DB 121 are displayed. To. In the illustrated example, on the usage date "2019.06.01", the total amount of money for the usage locations "A clinic" and "C pharmacy" is "750 yen" and "600 yen". For the place of use "XXX store", the total amount is "2100 yen", and the detailed list is "drinking water 1 piece 100 yen, bread 1 piece 130 yen, tomato 1 piece 200 yen, chicken 1 piece 250 yen, pudding 2 pieces 200 yen". , ... "is displayed. By checking this screen at the time of shopping, the user 94, such as the elderly, can grasp the most recently purchased item and prevent duplicate purchases.

Next, an example of using the electronic medical record system of a doctor in the medical institution 92 will be described with reference to FIG. FIG. 15 is a screen example of the electronic medical record 30 displayed on the thin client terminal 21 of the medical institution terminal 20. In the upper area 301 of the screen, the name of the doctor in charge "AABB" and the medical staff ID "D0001" are displayed as login users. Below that, a patient profile area 302 is provided, with the user 94's name "ABCD, date of birth / age / gender" 1950.05.05 student / 69 years old / male ", patient ID" C0001 ", The medical institution 92's medical examination ticket number "00035", medical history "hypertension", and allergy "-(none)" are displayed.

On the right side of the patient profile area 302, a caution column 321 regarding the watching function is provided. When the patient is a user 94 who is using the watching service (watching function) and it is determined from the purchase history that the state should be dealt with, a predetermined display is made in this column. For example, when "nutrition" is displayed, it is judged from the purchase history that there is a high possibility that nutrition is biased, and it indicates that an interview / explanation by a specialist such as a doctor or a dietitian is necessary. When the caution column 321 is pressed, the purchase history is displayed.

Below the patient profile area 302, three buttons 303 of "reception", "examination", and "accounting" are provided, and "examination" is selected here. Further, a medical record area 304 is provided in the area below the buttons. The left 1/3 of the medical record area 304 is the previous medical care area 311 and the right 2/3 is the current medical care area, the left half is the SOAP description area 312, and the right half is the ORDER description area 313. In the ORDER description area 313, the drug selection column is displayed and the drug to be prescribed is selected and entered from the list.

A usage history area 305 is provided on the right side of the medical record area 304. In the usage history area 305, the own hospital history area 306 and the other medical examination area 307 can be designated and displayed by tab selection. Here, the other medical examination area 307 is selected, and the other medical examination history area 307 is provided with the other medical examination history area 308 and the prescription history area 309.

In the other medical examination history area 308, the electronic medical record data is referenced / extracted from the electronic medical record DB 125 using the patient ID (here, “C0002”) of the same user 94 as a key, and the medical examination history of the other medical institution 92 is predetermined in the past. It is displayed for the period (for example, one year). In the prescription history area 309, the prescription history by another medical institution 92 from which the prescription data is referenced / extracted from the prescription DB 126 using the patient ID of the same user 94 as a key is displayed for the past predetermined period (for example, one year). ..

When examining the user 94 or prescribing a drug, the doctor can refer to the medical examination history of another medical institution 92 and the prescription history of the drug on the same screen. By knowing what kind of treatment the user 94 has received, an appropriate treatment method can be selected. In particular, if the cause of the disease is unknown, the past treatment history can be confirmed from the contents or from the user 94 if there is a letter of introduction. However, even if there is no referral letter or the user 94 is not aware of this treatment unlike the disease, the doctor in charge of medical treatment will take into consideration the past disease and prescribe an appropriate treatment method. Can be selected. It will be a reference to narrow down the medicines to be newly prescribed to the user 94 when the old medicine is used or has already disappeared.

Further, in the user 94 such as an elderly person having various diseases, a plurality of drugs may be prescribed and a multi-drug administration or a multi-drug combination state (so-called polypharmacy) may occur. For example, when a total of five types of drugs are prescribed by a plurality of medical institutions 92, a doctor at a certain medical institution 92 determines that three types are sufficient when comprehensively considering them, and changes the prescription. , The prescription amount can be suppressed, and finally the drug cost can be reduced. In such a case, as a function of the electronic medical record system of the medical institution terminal 20, the function of notifying and receiving the change to the previously prescribed medical institution 92 is given to the user 94 of the latest. The medical institution 92 can also grasp the treatment policy and the prescription policy. Further, when the user 94 is using the long-term care facility 98, the long-term care facility terminal 80 of the long-term care facility 98 also has a function of receiving such a notification, so that between the persons related to the user 94. You can share drug changes at.

The user 94 may not be able to convey accurate information (disease name or drug name) due to ambiguous memory of the past treatment history, and in some cases, may convey incorrect and inappropriate information. However, such a situation can be prevented. Furthermore, it is easy to find that many drugs with the same or similar efficacy are prescribed in duplicate at different medical institutions 92. This type of situation is often aimed at reselling illegal drugs, allowing doctors to prevent illegal prescriptions early. The prescription DB 126 may be provided with a monitoring function for determining the presence or absence of an inappropriate prescription. Since the drugs to be resold are known to a certain extent, the drugs to be monitored are registered, and when duplicate prescriptions occur, a warning is issued by the electronic medical record system of the medical institution 92 or the prescription system of the pharmacy 96, and the doctor Etc. may be confirmed.

Next, an example of processing of the watching service (function) will be described with reference to FIGS. 16 to 19.
FIG. 16 is a flowchart of a home state determination process. The state determination unit 182 of the community sharing DB 12 checks the sensor data acquired from the home sensor 4 (S101). The sensor data to be checked may be only the data of a specific type of home sensor 4, for example, a motion sensor, or may be a combination of data of a plurality of types of sensors. In the following, an example of making a judgment based only on the data of the motion sensor is shown.

When it is determined by checking the sensor data that the user 94 is not at home (N in S102), the state determination unit 182 records "absence" in the accumulated data 121b (S103). When it is determined that the user is at home (Y in S102), whether or not the user 94 is active is determined by "high" and "low" (S104). When it is determined that the user 94 is actively active in housework (cleaning, etc.) (Y in S104), the state determination unit 182 records the active state "high" in the accumulated data 121b (S105). When it is determined that the user 94 is inactive due to sleep or the like (N in S104), the state determination unit 182 records the activity state "low" in the accumulated data 121b.

FIG. 17 is a flowchart of a process for determining whether or not the house 91 is in an appropriate state (here, a temperature / humidity state) as a living environment by checking the data of the environment sensor. The state determination unit 182 checks the data of the environment sensor (S201) and determines whether or not the state is appropriate (S202). When it is determined to be appropriate (Y in S202), the state determination unit 182 records the environmental state as "appropriate" in the accumulated data 121b (S203).

When it is determined to be inappropriate (N in S202), the state determination unit 182 records "inappropriate" in the accumulated data 121b, and the living environment is inappropriate for the 94 users ("the temperature is too high"). "And" humidity is too low (dry state) ") (S204). When it can be determined from the data of the environment sensor that the living environment has been adjusted to an appropriate level within a certain period after notifying the user 94 (Y in S205), the state determination unit 182 stores "environment adjusted" in the accumulated data 121b. Record.

When there is no change in the data of the environment sensor (N of S205), the state determination unit 182 indicates that the environment is inappropriate for the registered supporter and the user 94 does not see any adjustment movement. (S207), and records in the accumulated data 121b that the improper state continues even after the notification to the user 94 and that the supporter has been notified (S208). Elderly people tend to be insensitive to changes in the environment such as temperature and humidity, and may suffer from heat stroke without feeling that the house 91 is hot. However, with the above processing, it is possible to notify the 94 users and their supporters that the environment is inappropriate at an early stage, and it is possible to deal with it before it becomes serious.

FIG. 18 is a flowchart of a process of determining whether or not the house 91 or the user 94 of the resident needs to be dealt with by checking the data of the acoustic sensor. Here, a cough is detected by an acoustic sensor installed in the bedroom. The state determination unit 182 checks the data of the acoustic sensor (S301), and determines whether or not the user 94 has a sign of illness based on whether or not a sound that can be determined to be a cough is included (S302). If there is no sign of illness (N in S302), the state determination unit 182 records "no sign" in the accumulated data 121b (S303).

If there is a sign of illness (Y in S302), the status determination unit 182 notifies the user 94 (S304) and also notifies the registered supporter (S305), "There is a sign" and "Notified". Is recorded in the accumulated data 121b (S306).

In addition to estimating the above-mentioned "cough (sign of illness)" in the detection process of the home sensor 4 installed in the bedroom, for example, the sound of the futon slipping during sleep, that is, the sound of turning over or the sound of snoring is collected. Therefore, the number of sleep apnea and turning over may be estimated, and whether the actual sleep is good or healthy may be estimated.

FIG. 19 is a flowchart showing an example of purchase history confirmation processing in the monitoring service. The purpose is to detect malnutrition and dementia at an early stage based on the purchase history of the user 94. The state determination unit 182 checks the purchase history recorded in the purchase history data unit 1215 of the accumulated data 121b (S401), and whether or not there is a bias in nutrition from the history of food and drink for a predetermined period (for example, one week). Is determined (S402).

When it is determined that nutrition is biased (Y in S402), the state determination unit 182 notifies the user 94 (S403) and notifies the family hospital of the request for nutritional guidance (S404). At the family hospital, as described above, the electronic medical record 30 indicates that the request for nutritional guidance has been met. When notifying user 94, for example, "Are you eating an irregular and unbalanced diet? Let's actively eat green-yellow vegetables and fish that have antioxidant effects every day. We recommend 〇 You can also give advice such as "It's cooking."

When there is no nutritional bias (N of S402) or after the above notification (S404), the state determination unit 182 determines whether or not the user 94 purchases the same product more frequently than generally expected (S405). .. If you do not purchase the same item frequently, the process ends.

If the same product is purchased frequently (Y in S405), the status determination unit 182 notifies the 94 users and confirms with the registered hospital or caregiver whether or not dementia has occurred. Notify the request (S407). When dementia develops, the same item may be purchased frequently and inventory may increase in refrigerators and the like. In addition, even if it is not dementia, the memory may be weakened due to aging and the inventory status may be forgotten. In such a case, it is possible to deal with it at an early stage.

For the elderly user 94, in order to live a healthy and long life, eat well, move well, sleep well, go out moderately in the sunlight (anti-osteoporosis measures), as in the young or active days. It is necessary to contact and talk with each other to communicate, and to study and move the brain from various thoughts and thoughts. By maintaining this, you can lead a healthy life mentally, physically, and free from illness. In general, as we get older, these things begin to decline unknowingly.

In the regional medical cooperation system 1 of the present embodiment, the life of each user 94 is in a state in which the user 94 is not aware of the information and purchase history of the home sensor 4 in daily life (that is, in a state of not knowing). Accumulate data. As a result, the elderly lifestyle is used as life data, and compared and analyzed with the accumulated data, the change points in life, the time when health cannot be maintained, and the change time when it is thought that the patient will be ill if left as it is. , Guess from the time of signs of dementia, the time of change in tastes such as meals, etc., customize the content of care and guidance to 94 individual users, and the person in charge of the local government, caregiver care care manager, doctor, nutritionist, family Communicate improvement measures, etc. By continuing the improvement by such watching, it is possible to suppress the medical institution 92 and give advice and support so that the patient can live independently without moving into the nursing facility 98.

In this way, by pinpointing elderly care, it is possible to omit the care that was originally provided to those who were not originally needed just because they were elderly, and to provide care for such elderly people. It is possible to reduce the cost of local governments. In addition, illnesses in the elderly can be inferred from changes in tastes and behaviors in life. For example, illness-induced changes, on the other hand, doctors can derive improvement measures by knowing changes in tastes and behaviors and superimposing them on test data. In other words, prescription costs for the elderly can be reduced as lifestyle improvement guidance without relying on medication or prescription. This leads to the suppression of medical insurance for the elderly in Japan, for example, and leads to a significant cost reduction by not prescribing. In other words, patients can benefit from reduced drug costs and municipalities can benefit from reduced health insurance costs.

In addition, the long-term care facility 98 is expected to expand as a second elderly life support project that conducts various communications as a new business, acting as a conduit with the elderly (user 94) around the facility.

In addition, the state determination unit 182 estimates from the purchase history that a large amount of intake is not good for the elderly, such as soy sauce, which is consumed in a shorter cycle than usual by the AI function. By encouraging dietary improvement, it is possible to prevent hypertension (excessive salt content). Further, by displaying the purchase history and the blood data of the medical institution 92 (data recorded in the electronic medical record DB 125) on the electronic medical record and comparing them, the doctor can perform accurate treatment and guidance. In addition, when the data of the network-compatible weight scale 4a is collected, the movement of the data and the data of the physical characteristics, if registered, are also reflected to estimate the change in the health condition. can do.

Similarly, the frequency of purchase (ingestion) of pickles, boiled soba, soba soup, salt, and ramen increases the risk of gastric cancer, so gastrocamera examination can be suppressed and gastric cancer treatment can be suppressed by dietary guidance. This will lead to a reduction in the burden on patients and national health insurance premiums.

It is possible that AI will answer that it does not matter depending on the season. For example, in the case of summer, considering heat stroke, it is okay to have more salt than in winter, so it is not necessarily bad for the elderly's body to take more soy sauce with foods that cold tofu and other foods that they want in summer. In some cases. It is very important to monitor and manage the intake of water and salt for temperature control in summer and prevention of heat stroke, and emergency transportation due to heat stroke can be suppressed.

The proportion of lifestyle-related diseases in the elderly is increasing, which also leads to dementia. The main lifestyle-related diseases that lead to dementia include diabetes, dyslipidemia, and hypertension. In addition, lifestyle-related habits that are prone to dementia include an unbalanced diet, lack of exercise, excessive drinking of alcohol, and tobacco.

For example, if the intake (purchase) of animal fat (beef / pork / chicken), lard, butter, margarine, and fresh cream is constantly high, the risk of dyslipidemia increases. The more you buy bread, pasta, rice (rice), udon, sugar, and fructose, the higher your risk of diabetes. If these appear frequently in the purchase history, the state determination unit 182 determines that the risk of dyslipidemia or the risk of diabetes is high due to the AI function. In addition, for elderly people (user 94) who frequently purchase alcoholic beverages, it is possible to avoid the risk of alcohol dependence by raising the alarm content (frequency and warning level) when the notification unit 183 notifies. it can. Alcoholics tend not to speak honestly to their doctors. Since the daily intake can be estimated from the purchase interval and the content, the doctor can know the alcohol intake and take appropriate measures.

In this way, lifestyle habits can be estimated from the home sensor 4 and purchase history, so by improving eating habits, actively exercising, and calling attention to excessive alcohol and tobacco, it can be used by elderly people to be watched over. It is possible to maintain a healthy life for the person 94. In addition, since the medical care data and examination data of the user 94 are accumulated in the regional medical cooperation system, the preliminary group of lifestyle-related diseases can be detected at an early stage from the data and the prediction result of lifestyle-related diseases from the home sensor 4 and the like.・ By responding, you can prevent getting lifestyle-related diseases.

In addition, the state determination unit 182 should not eat such foods from the medical information of the medical institution 92 (electronic medical record data of the electronic medical record DB125) by the AI function, based on the illness or medical condition of the elderly person himself / herself. You can judge things (menus, ingredients, seasonings, alcohol, cigarettes). When these items come out from the purchase history, the state determination unit 182 can suppress shopping and provide dietary guidance to the user 94 (elderly person) directly or through a supporter as a food requiring attention, which is appropriate. It leads to good health management.

In addition, the state determination unit 182 calculates the amount of exercise from the intake data estimated from the purchase history and the walking time until going out and returning home, and if a certain amount of exercise can be expected during a walk or the like, only the amount of the exercise is expected. Various risks can be estimated low.

A system has also been proposed in which AI automatically proposes menus from ingredients. Applying this technique, the state determination unit 182 estimates the menu that can be made from the purchased ingredients (materials) by the AI function. At this time, two types of menus are proposed. One is a recommended menu that is good for your health, and the other is a menu that is not good for your health. For example, these two types of menus are created for each age group of users 94 (60s, 70s, ...). The AI function learns the tastes of the elderly and infers them as menus for the elderly from the taste patterns of the elderly. For example, delicatessen is extracted from the purchase data purchased by the elderly and learned as AI learning material data as a taste menu. In addition to daily meals, snacks, and supplements, publicly known techniques that allow AI to comprehensively judge various physical information and estimate excess or deficiency of nutrients are commercially available, and such techniques can be applied. ..

The present invention has been described above based on the embodiments. This embodiment is an example, and it will be understood by those skilled in the art that various modifications are possible for the combination of each of these components, and that such modifications are also within the scope of the present invention.

1 Community medical cooperation system 2 Network 4 Home sensor 5 Aggregate router 5
10 Medical information sharing server 11 Control device 12 Regional sharing DB
13 Business operator system support server 14 Common software for clients 15 Registration management department 16 Authentication department 18 Watching support control device 19 Regional payment device 20 Medical facility terminal 21 Thin client terminal 30 Electronic medical record 40 User terminal 50 Prescription 60 Pharmacy terminal 70 Commercial facility Terminal 80 Nursing facility terminal 92 Medical institution 100 Medical information sharing site 101 Portal site 110 Medical institution site 120 people DB
121 User DB
122 Medical personnel DB
123 Pharmacist DB
124 Caregiver DB
125 Electronic Medical Record DB
126 Prescription DB
130 Business DB
131 Hospital DB
132 Pharmacy DB
133 Nursing care facility DB
134 Commercial facility DB
135 Technical Information DB
140 Patient site 160 Pharmacy site 170 Commercial facility site 180 Nursing facility site 181 Sensor information collection unit 182 Status determination unit 183 Notification unit 184 Payment history acquisition unit 185 Regional event management department 421 User IF
422 Display unit 423 Communication IF
424 Biometric information acquisition department 425 Location information acquisition department 427 Community medical sharing application 428 Home sensor management department 429 Purchase history processing department

Claims (7)

A medical system in which multiple medical institutions cooperate to provide medical care in a predetermined area.
The information processing terminal provided in the medical institution and
A medical information sharing server that cooperates with the information processing terminal of the medical institution,
A health management system that manages the health status of users,
Have,
The medical information sharing server
A business database that records the business information of the business that operates the medical institution, and
A user database that records user information of the user who uses the medical institution in association with identification information, and
The settlement history acquisition unit that acquires the history of the user's commercial transactions,
A user purchase history database that records the history of commercial transactions in association with the identification information of the user,
Have,
The health management system
A home sensor that acquires the environmental state of the home with the user as a resident, and
A sensor communication unit that is connected to the home sensor and communicates with the outside, a home information collection unit that collects sensing information of the home sensor via the sensor communication unit, and a home information collection unit.
A home information database that stores the sensing information and
A state determination unit that determines the living state of the user based on the sensing information,
A notification unit that notifies at least one of the user and the supporter of the user of the determination result of the state determination unit.
With
The state determination unit estimates the health state of the user based on the history of the commercial transaction, and determines the health state of the user.
A medical system characterized in that the notification unit notifies the supporter when it is estimated that improvement is necessary for the health condition. With a home sensor that acquires the environmental state in the home,
A sensor communication unit that is connected to the home sensor and communicates with the outside, a home information collection unit that collects sensing information of the home sensor via the sensor communication unit, and a home information collection unit.
A home information database that stores the sensing information and
A state determination unit that determines the living condition of the resident of the household based on the sensing information,
A notification unit that notifies the resident and the supporter of the resident of the determination result of the state determination unit,
A health management system characterized by being equipped with. The home sensor includes an acoustic sensor.
The health management system according to claim 2, wherein the state determination unit estimates the living state of the resident based on the sensing information of the acoustic sensor. The home sensor includes an environment sensor
The health management system according to claim 2 or 3, wherein the state determination unit estimates the living state of the resident based on the sensing information of the environment sensor. The settlement history acquisition unit that acquires the history of the resident's commercial transactions,
A user purchase history database that records the history of commercial transactions and
Have,
When the state determination unit detects a change point in the living state estimated from the sensing information of the home sensor or the health state estimated from the history of the commercial transaction, the notification unit indicates that the change has occurred. The health management system according to any one of claims 2 to 4, wherein the resident or at least one of the supporters of the resident is notified. As the health management system, the health management system according to any one of claims 2 to 4 and
An information processing terminal that is installed in the medical institution and functions as a thin client terminal,
Have,
The medical information sharing server
A thin client management server that builds a thin client environment together with the information processing terminal,
The medical system operated in the thin client environment and
The medical system according to claim 1, wherein the medical system is characterized by having. The first or sixth aspect of claim 1 or 6, wherein when the history of the commercial transaction of the resident is recorded in the user purchase history database, the notification unit notifies the supporter that the history has been recorded. Medical system.

Images