JP5845235B2 - Hospital use support system - Google Patents

Description

  The present invention relates to a technique for improving the convenience of a hospital using a communication network.

  Individuals who are concerned about health are limited in managing their own health, so they want to communicate well with doctors who can provide accurate advice on health management. In order to fully communicate with doctors, it is important to use hospitals as effectively as possible. The use of the hospital includes, for example, receiving a predetermined service in the hospital such as receiving a medical examination, being hospitalized, and going to hospital after being discharged. Services received in hospitals include, for example, services that provide useful information for health care, as well as services that allow patients who have significant restrictions in travel within the hospital to spend comfortably. Is included.

  The use of the hospital includes receiving a predetermined service outside the hospital. As a specific example of such a service, for example, there is a service in which a consultation is made by telephone or e-mail to determine whether or not to receive a medical examination even in a daily time when there is no need to visit a hospital. is there.

  In recent years, the spread of tablet terminals having a relatively large screen and being light and portable is remarkable. Such a tablet terminal provides a great opportunity to use the hospital as effectively as possible.

  Patent Document 1 discloses a hospital information system that allows hospitalized patients to obtain information comfortably. According to the technique of Patent Document 1, a tablet terminal used by an inpatient is connected to a television receiver in a hospital room, and the inpatient obtains information using a lightweight tablet terminal in a free posture. In addition, a part of the content of information to be displayed on the tablet terminal can be transferred to the television receiver for output. Therefore, it can be said that the technique of patent document 1 is a technique of the communication network in which the hospitalized patient can use a hospital effectively using a tablet terminal.

JP2013-125464A

  However, since the technique of Patent Document 1 cannot function at all in situations other than hospitalization, in particular, when there is no need to go to hospital, there is insufficient support for individuals who intend to use the hospital effectively. is there.

  Therefore, the present invention has been made in view of such circumstances, and an object thereof is to improve the convenience of a hospital used by an individual who wants to perform thorough health management using a communication network. .

In order to achieve the above object, the present invention provides:
A patient portable terminal used by a patient, a doctor portable terminal used by a doctor in a hospital, and a patient management server for storing and managing patient information for health management of the patient, which are communicably connected on a network; A hospital use support system for supporting the use of the hospital by the patient,
The control unit of the patient portable terminal is
A patient information browsing permission unit that permits the doctor to browse the patient information using the doctor portable terminal;
A measurement value acquisition unit that acquires the measurement value from a measuring instrument that measures the measurement value indicating the health state of the patient;
A measurement value transmission unit that transmits the measurement value as the patient information to the patient management server;
A recommended diagnosis information receiving unit that receives from the doctor portable terminal diagnosis recommendation information including an abnormality in the health condition of the patient and a date and time when the patient can be examined in the hospital.
Execute the process so as to function as a medical examination request information transmission unit that transmits medical examination request information including a medical examination desired date and time to the doctor portable terminal,
The control unit of the doctor portable terminal is
The patient management server stores the patient information browsing unit for browsing the patient information permitted from the patient,
Recommended diagnosis information transmission unit for transmitting the recommended diagnosis information to the patient portable terminal,
Process to function as a diagnosis reservation information transmitting unit that transmits the diagnosis reservation information including the diagnosis reservation date and time and the patient identification information of the patient determined for the diagnosis request date and time included in the diagnosis request information to the patient portable terminal. Run
The storage unit of the patient management server is
The measurement value received from the patient portable terminal is stored as the patient information.
Details will be described later.

  ADVANTAGE OF THE INVENTION According to this invention, the convenience of the hospital used by the individual who wants to perform thorough health management using a communication network can be improved.

It is a figure showing the whole hospital use support system composition. It is a figure which shows the function structure of a patient tablet terminal. It is a figure which shows the function structure of a doctor tablet terminal. It is a figure which shows the function structure of a medical examination reception terminal. It is a figure which shows the function structure of a patient management server. It is a figure which shows the function structure of a content management server. It is a figure which shows the function structure of a merchandise management server. It is a sequence diagram which shows the process of this embodiment in the patient's daily time. It is a sequence diagram which shows the process of this embodiment at the time of a patient's examination. It is a sequence diagram which shows the process of this embodiment at the time of a patient's hospitalization. It is a sequence diagram which shows the process of this embodiment after a patient discharges.

  Hereinafter, the form (henceforth "embodiment") for implementing the hospital utilization support system of the present invention is explained. In the present embodiment, an individual who uses a hospital by the hospital use support system is referred to as a “patient”. However, for convenience of explanation, the “patient” here is a result of having a doctor examine the health condition. This includes not only those who have been identified as having abnormalities, but also those whose health conditions have not been confirmed.

<Configuration>
As shown in FIG. 1, the hospital use support system of this embodiment includes a patient tablet terminal 1 (patient mobile terminal), a doctor tablet terminal 2 (doctor mobile terminal), a medical reception terminal 3, a patient management server 4, and a content management server. 5, a cloud system including devices such as a product management server 6 and a doctor tablet terminal 7 (second doctor portable terminal). The present invention can be realized by connecting these devices to be communicable on a network (for example, the Internet).

  The patient tablet terminal 1, the doctor tablet terminal 2, the examination reception terminal 3, the patient management server 4, the content management server 5, the product management server 6, and the doctor tablet terminal 7 are respectively an input unit, a display unit, a control unit, a storage unit, A computer including hardware such as a communication unit. When the control unit is constituted by, for example, a CPU (Central Processing Unit), information processing by a computer including the control unit is realized by program execution processing by the CPU. In addition, a storage unit included in the computer stores a program that is instructed by the CPU to realize the function of the computer. This realizes cooperation between software and hardware. The display form by the display unit includes, for example, an image, sound, or vibration, and at least one display form can be selected depending on the device. Communication forms by the communication unit include wired or wireless (for example, short-range wireless communication such as Bluetooth (registered trademark), Wi-Fi (registered trademark), infrared communication, wireless LAN (Local Area Network)), depending on the device. At least one communication mode can be selected.

The patient tablet terminal 1 is a tablet terminal used by a patient.
The doctor tablet terminal 2 is a tablet terminal used by a doctor who works at a hospital and designated by a patient. In this embodiment, the hospital where the doctor using the doctor tablet terminal 2 works is a general hospital having an inpatient facility, but is not limited thereto.
The doctor tablet terminal 7 is a tablet terminal used by another doctor who works at another hospital and designated by a patient. In the present embodiment, the hospital where the doctor using the doctor tablet terminal 7 works is a personal hospital that does not have an inpatient facility, but is not limited thereto.

  Tablet terminals including the patient tablet terminal 1 and the doctor tablet terminals 2 and 7 are wireless communication devices that are small and light enough to be carried by people. For example, the input unit and the display unit of the tablet terminal can be realized by a touch panel having a predetermined area. Moreover, the said tablet terminal is provided with the camera, The image image | photographed with the camera via the touch panel can be shared between the tablet terminals which can communicate.

  The examination reception terminal 3 is a device that is installed in a hospital, receives an examination, and executes a process related to procedures necessary for the examination (eg, outpatient reception, inquiry, examination, prescription of medicine, accounting). The examination reception terminal 3 includes a dedicated detection unit as a part of the input unit for detecting and communicating with the patient tablet terminal 1 within a predetermined distance from the examination reception terminal 3 by near field communication or the like. When the patient holds the patient tablet terminal 1 over the reading portion of the detection unit, the examination reception terminal 3 reads predetermined information from the patient tablet terminal 1. A plurality of the detection units can be arranged in the hospital.

  In the present embodiment, each person working in the hospital has a tablet terminal, and a person working in the hospital indirectly instructs a part of the processing performed by the examination reception terminal 3. Can take. In addition to doctors, those who work in hospitals include, for example, a receptionist who accepts medical examinations, doctors' examinations, accounting, etc., pharmacists who hand medicines prescribed by doctors to patients, and nurses. In particular, a receptionist for diagnosing, medical examination, and accounting, or a pharmacist, for example, can operate the tablet terminal that he / she owns to give a call instruction for calling notification to the patient to the medical reception terminal 3. it can.

The patient management server 4 is a server for storing and managing patient information (details will be described later) for patient health management. The patient management server 4 is operated by, for example, an operator of the operation business of the hospital use support system of the present embodiment.

  The content management server 5 is a server that stores and manages content distributed to the patient tablet terminal 1 at a predetermined date and time. The content management server 5 is operated by, for example, a content distributor participating in the operation business of the hospital use support system of the present embodiment.

  The merchandise management server 6 is a server that stores and manages merchandise information of merchandise (e.g., amenity merchandise, food, books) sold to patients who are hospitalized in a hospital. “Product information” is information indicating the description of the product, and specifically, the price, function, and expiry date when the product is food. The merchandise management server 6 is operated by, for example, a mail-order dealer who has participated in the operation business of the hospital use support system of the present embodiment, or an operator of a hospital shop.

(Patient tablet terminal 1)
As shown in FIG. 2, the patient tablet terminal 1 includes a patient information browsing permission unit 11, a measurement value acquisition unit 12, a measurement value transmission unit 13, a diagnosis recommendation information reception unit 14, a diagnosis request information transmission unit 15, and a content acquisition request unit. 16 and an order information transmission unit 17. The said function part functions because the control part of the patient tablet terminal 1 performs a process.

  The patient information browsing permission unit 11 permits the doctor of the doctor tablet terminal 2 (or the doctor of the doctor tablet terminal 7) to browse the patient information according to the operation of the patient tablet terminal 1. Patient information is information necessary for patient health management. The patient tablet terminal 1 has a request from the doctor tablet terminal 2, and in accordance with the operation of the patient tablet terminal 1, permission information indicating that the doctor (or another doctor) permits the patient information to be browsed is displayed. It transmits to the doctor tablet terminal 2 (or doctor tablet terminal 7).

  The patient information includes, for example, measured values that are patient body data obtained by measurement by a plurality of measuring instruments M (see FIG. 1), examination results when a doctor is examined, efficacy of a medicine prescribed by the doctor, Drug data including precautions, etc., and the results of surgery performed by the patient during hospitalization (hereinafter referred to as “surgery results”). The patient information may include the date and time when the measuring instrument M measured the measured value, the date and time when the medical examination was received, the day when the medicine was prescribed, the day when the medicine was taken, the day when the operation was performed, etc. Can be used history information.

  The measurement value measured by the measuring instrument M may include numerical data such as body weight, body fat percentage, blood pressure, urine sugar value (an example of a value obtained by urinalysis). The measurement value may also include non-numeric data such as an electrocardiogram, a sleep waveform, and an electroencephalogram. The measuring instrument M that measures these measurement values is connected to the patient tablet terminal 1 so as to be communicable by wireless or wired, for example. The measuring instrument M may be a single and dedicated measuring instrument such as a weight scale or a blood pressure monitor. Further, the measuring instrument M may be a measuring instrument that can be attached to the patient tablet terminal 1 using a dedicated accessory so that the patient can use the measuring instrument M at the time of traveling or sleeping. In addition, for example, the measuring instrument M that measures body weight, body fat percentage, blood pressure, and urine sugar value may be a measuring instrument installed in an intelligence toilet installed in a patient's home.

The measurement value acquisition unit 12 acquires the measurement value of the patient from the measuring instrument M that is communicably connected to the patient tablet terminal 1.
The measured value transmission unit 13 transmits the measured value of the patient as patient information to the patient management server 4 in accordance with the operation of the patient tablet terminal 1.

The medical examination recommendation information receiving unit 14 receives medical examination recommendation information including that there is an abnormality in the health condition of the patient and the date and time when the medical examination is possible at the hospital from the doctor tablet terminal 2. The recommended medical examination information is based on the measurement value of the patient received by the doctor tablet terminal 2 from the patient tablet terminal 1 so that a doctor who has recognized that there is an abnormality in the patient's health condition recommends the patient to receive a medical examination. Information.

  The medical examination request information transmitting unit 15 transmits medical examination request information including the medical examination desired date and time to the doctor tablet terminal 2 in accordance with the operation of the patient tablet terminal 1. The medical examination request information is information indicating that the patient desires medical examination. The patient operates the patient tablet terminal 1 to select a date and time that is convenient for the patient from the available diagnosis date and time included in the recommended diagnosis information and transmits it to the doctor tablet terminal 2.

The content acquisition request unit 16 requests the content management server 5 for content that can be acquired by the patient tablet terminal 1 in accordance with the operation of the patient tablet terminal 1.
The order information transmission unit 17 transmits order information including products ordered by a hospitalized patient to the product management server 6 in accordance with the operation of the patient tablet terminal 1. The order information is information indicating the order of the product indicated by the product information stored and managed by the product management server 6. The order information may include the price of the product, the order date and time, the number of orders, the identification information of the orderer (patient), and the desired delivery date and time to the patient's room.

(Doctor tablet terminal 2)
As shown in FIG. 3, the doctor tablet terminal 2 includes functional units such as a patient information browsing unit 21, a diagnosis recommendation information transmission unit 22, and a diagnosis reservation information transmission unit 23. The said function part functions because the control part of the doctor tablet terminal 2 performs a process. The functional configuration of the doctor tablet terminal 7 used by other doctors working at other hospitals is the same as the functional configuration shown in FIG. That is, the doctor tablet terminal 7 includes a patient information browsing unit 71 (second patient information browsing unit) equivalent to the patient information browsing unit 21, the diagnosis recommended information transmission unit 22, and the examination reservation information transmission unit 23 of the doctor tablet terminal 2, The examination recommendation information transmission part 72 and the examination reservation information transmission part 73 are provided.

  The patient information browsing units 21 and 71 are stored in the patient management server 4 according to the operation of the doctor tablet terminal 2, acquire the patient information permitted from the patient, and set the browsing state. In addition, when browsing a patient information, the doctor has obtained the permission by the patient information browsing permission part 11 in advance.

  The medical examination recommendation information transmission units 22 and 72 transmit the medical examination recommendation information to the patient tablet terminal 1 according to the operation of the doctor tablet terminal 2 when the doctor recognizes that the patient's health condition is abnormal.

  The medical examination reservation information transmission units 23 and 73 determine the medical examination reservation determined for the medical examination desired date and time included in the medical examination request information received from the medical examination request information transmission unit 15 of the patient tablet terminal 1 according to the operation of the doctor tablet terminal 2. The examination reservation information including the date and time and the patient identification information of the patient is transmitted to the patient tablet terminal 1.

(Examination reception terminal 3)
As shown in FIG. 4, the medical examination reception terminal 3 includes functional units such as a medical examination reservation information acquisition unit 31, a content introduction unit 32, a call notification unit 33, and a medical examination electronic payment processing unit 34. The said function part functions because the control part of the examination reception terminal 3 performs a process.

  The examination appointment information acquisition unit 31 obtains the examination appointment information from the patient tablet terminal 1 when the distance between the patient tablet terminal 1 and the detection unit of the examination reception terminal 3 is within a predetermined range.

  The content introduction unit 32 receives content that can be distributed to the patient tablet terminal 1 by a content distribution request from the content acquisition request unit 16 of the patient tablet terminal 1 to the content management server 5 by a patient waiting for medical examination. The information is displayed on the patient tablet terminal 1 for introduction. Content introduction by the content introduction unit 32 is performed, for example, when the examination reservation information acquisition unit 31 acquires the examination reservation information from the patient tablet terminal 1.

  The call notification unit 33 notifies the patient tablet terminal 1 of a call for diagnosis at a predetermined timing. Calls of the call notification unit 33 include, for example, a call for inquiry, a call for examination by a doctor, a call for a patient to receive a medicine prescribed by a doctor, and a call for accounting. The inquiry, examination or accounting call is made, for example, after the examination reception terminal 3 receives a call instruction input from the tablet terminal of the receptionist of the inquiry, examination or accounting. The call for receiving the medicine is made, for example, after the examination reception terminal 3 receives the call instruction input from the tablet terminal of the pharmacist.

  When the examination reception terminal 3 receives a predetermined call instruction from the tablet terminal of the reception person or the tablet terminal of the pharmacist, it displays a call screen on the touch panel of the patient tablet terminal 1, vibrates the patient tablet terminal 1, The patient is called each time by causing the patient tablet terminal 1 to output a ringing tone. The patient may be called at almost the same time as the call from the receptionist, etc., but for patients who are temporarily out due to a long waiting time for the examination, procedures for the examination are required. If done a few minutes before the start, the patient can reliably go to the specified location at the specified timing.

  The medical examination electronic payment processing unit 34 processes electronic payment via the patient tablet terminal 1 in doctor's examination accounting and medicine accounting prescribed by the doctor. The electronic payment includes, for example, payment using electronic money stored in the patient tablet terminal 1 and credit payment. The electronic payment is automatically executed, for example, when a patient who has completed a medical examination brings the patient tablet terminal 1 close to a detection unit included in the medical examination reception terminal 3.

(Patient management server 4)
As shown in FIG. 5, the patient management server 4 stores patient information including measurement values, examination results, medicine data, and surgical results in a storage unit. Patient information is created for each patient and introduces authentication technology (eg, fingerprint authentication, vein authentication) that prevents anyone other than the patient himself and the doctor who has received permission to view it. . The measured value is data measured by the measuring instrument M. The examination result is data describing the examination result when the doctor examines the patient in a predetermined format. The medicine data is data in which a description of medicine prescribed by the doctor to the patient is described in a predetermined format. The operation result is data describing the operation result when the doctor operates the patient in a predetermined format.

(Content management server 5)
As shown in FIG. 6, the content management server 5 stores content to be distributed to the patient tablet terminal 1 in a storage unit. Further, the content management server 5 includes a function unit called a distribution schedule creation unit 51. The functional unit functions when the control unit of the content management server 5 executes processing.

  The delivery schedule creation unit 51 creates a delivery schedule indicating when the patient tablet terminal 1 can view the content. The distribution schedule is created based on an instruction from a content distributor, for example.

(Product Management Server 6)
As shown in FIG. 7, the merchandise management server 6 stores in the storage section the merchandise information of merchandise sold to a patient admitted to the hospital and the order information received from the order information transmission section 17 of the patient tablet terminal 1. . The merchandise management server 6 includes a functional unit called a merchandise electronic payment processing unit 61. The functional unit functions when the control unit of the product management server 6 executes the process.

  The merchandise electronic payment processing unit 61 processes the electronic payment via the patient tablet terminal 1 for the merchandise ordered from the hospitalized patient according to the order information received from the order information transmitting unit 17 of the patient tablet terminal 1. . The electronic payment includes, for example, payment using electronic money stored in the patient tablet terminal 1 and credit payment.

<Processing>
Next, the process by the hospital utilization support system of this embodiment is demonstrated. The subject of this processing is the control unit of each device constituting the hospital use support system, but for convenience of explanation, the term “control unit” is omitted.

  With reference to FIG. 8, the process of this embodiment at the time of a patient's daily life is demonstrated. The process in FIG. 8 starts when the patient logs in to the patient management server 4 by inputting a predetermined login ID and login password using the patient tablet terminal 1, and proceeds to step S101. It is assumed that the doctor using the doctor tablet terminal 2 has obtained permission to browse the patient information stored in the patient management server 4 from the patient by the patient information browsing permission unit 11.

  In step S <b> 101, the patient tablet terminal 1 acquires the measurement value of the patient from the measurement device M when the patient performs measurement using the measurement device M (processing by the measurement value acquisition unit 12). After step S101, the process proceeds to step S102.

  In step S102, the patient tablet terminal 1 transmits the patient measurement value acquired from the measuring instrument M to the patient management server 4 as patient information in accordance with the operation of the patient tablet terminal 1 (processing by the measurement value transmission unit 13). . The patient management server 4 updates the patient information to the latest state using the received measurement values. After step S102, the process proceeds to step S103.

  In step S103, the doctor tablet terminal 2 stores the patient information permitted by the patient stored in the patient management server 4 after the doctor logs in to the patient management server 4 by inputting a predetermined login ID and login password. The browsing state is set (processing by the patient information browsing unit 21). In this process, it is assumed that the doctor who has browsed the patient information recognizes that the patient's health condition is abnormal based on the measurement value of the patient. After step S103, the process proceeds to step S104.

  In step S <b> 104, the doctor tablet terminal 2 transmits to the patient tablet terminal 1 diagnosis recommendation information including that there is an abnormality in the health condition of the patient and the date and time when the doctor can be examined in response to the operation of the doctor tablet terminal 2 ( Processing by the recommended examination information transmission unit 22). After step S104, the process proceeds to step S105.

  In step S105, the patient tablet terminal 1 receives medical examination recommendation information from the doctor tablet terminal 2 (processing by the medical examination recommendation information receiving unit 14). After step S105, the process proceeds to step S106.

  In step S <b> 106, the patient tablet terminal 1 transmits, to the doctor tablet terminal 2, the medical request information including the medical request date and time selected by the patient via the operation unit of the patient tablet terminal 1 (processing by the medical request information transmitting unit 15). . After step S106, the process proceeds to step S107.

  In step S <b> 107, the doctor tablet terminal 2 receives the examination request information from the patient tablet terminal 1. Here, the doctor determines the appointment appointment date and time by looking at the examination request date and time included in the examination request information. After step S107, the process proceeds to step S108.

In step S <b> 108, the doctor tablet terminal 2 transmits, to the patient tablet terminal 1, appointment reservation information including the decided appointment appointment date and patient identification information of the patient according to the operation of the doctor tablet terminal 2 (diagnosis appointment information transmission unit). 23).
This is the end of the description of the daily processing of the patient in FIG.

According to the processing of FIG. 8, the patient can receive accurate advice on health management by the doctor by having the doctor periodically read the measurement value as patient information.
In addition, the doctor can quickly determine whether or not the patient's health condition is abnormal from the measurement value of the patient, and can recommend the patient to the patient at a timing when the patient needs to be examined.
In addition, the patient can easily select the appointment date and time that is convenient for both the patient and the doctor.
As a result, it is possible to improve the convenience of a hospital used by an individual who wishes to perform thorough health management using a communication network.

  With reference to FIG. 9, the process of this embodiment at the time of the examination of the patient who wished to see after the process of FIG. 8 will be described. The process of FIG. 9 starts when the patient tablet terminal 1 possessed by the patient who visited the hospital slightly before the appointment appointment date included in the examination appointment information described in step S107 of FIG. The process proceeds to step S201.

  In step S201, the medical examination reception terminal 3 performs near field communication with the patient tablet terminal 1 brought close to the detection unit included in the medical examination reception terminal 3, so that the medical examination described in step S108 in FIG. Reservation information is acquired (processing by the examination reservation information acquisition unit 31). The medical examination reception terminal 3 transmits the acquired medical examination reservation information to the receptionist's tablet terminal, and the receptionist confirms the medical examination reservation of the patient and then prepares for an inquiry or medical examination. After step S201, the process proceeds to step S202.

  In step S202, the examination reception terminal 3 displays the contents that can be distributed by the content management server 5 to the patient tablet terminal 1 on the patient tablet terminal 1 of the patient waiting for the examination in the outpatient lobby of the hospital. (Processing by the content introduction unit 32). After step S202, the process proceeds to step S203.

  In step S203, the patient tablet terminal 1 requests the content management server 5 to distribute the content introduced from the examination reception terminal 3 and selected by the patient (for example, by tapping a thumbnail of the displayed content) (contents). Processing by the acquisition request unit 16). After step S203, the process proceeds to step S204.

  In step S <b> 204, the content management server 5 distributes content corresponding to the distribution request to the patient tablet terminal 1. The distributor of the content management server 5 may distribute the content to the patient free of charge in order to spread viewing of the content by the patient. In this case, the sales of the distributor can be ensured by covering the content distribution fee with the advertising fee of an advertisement of a pharmaceutical manufacturer or the like displayed on the tablet terminal together with the content. After step S204, the process proceeds to step S205.

In step S <b> 205, for example, the examination reception terminal 3 issues a call notification for an inquiry to the patient tablet terminal 1 in response to a call instruction from the tablet terminal of the inquiry reception person (processing by the call notification unit 33). . The patient goes to a designated place and receives an inquiry in response to the inquiry call notification. The receptionist of the inquiry creates an inquiry result as electronic data using his / her tablet terminal and transmits it to the doctor tablet terminal 2. After step S205, the process proceeds to step S206.

In step S206, for example, the medical examination reception terminal 3 issues a call notification for medical examination to the patient tablet terminal 1 in response to a call instruction from the tablet terminal of the medical examination reception person (processing by the call notification unit 33). . In addition, the patient goes to the doctor and receives a medical examination in response to the call notification of the medical examination. When the doctor completes the examination, the doctor uses the doctor tablet terminal 2 to create the examination result as electronic data, and transmits the examination result to the terminal tablet of the examination recipient. In the process of FIG. 9, a doctor prescribes a medicine to a patient, and the examination result includes the kind of the medicine. The patient who has completed the examination waits in the hospital for examination accounting.
When the receptionist's terminal tablet receives the examination result, the receptionist calculates a doctor's examination fee from the examination result, and the fee is included in the patient identification information of the patient (including the examination reservation information) The information is stored in the examination reception terminal 3 in association with each other. Further, the terminal tablet of the receptionist transmits the examination result to the patient tablet terminal 1. After step S206, the process proceeds to step S207.

  In step S207, for example, in response to a call instruction from the tablet terminal of the transaction receiver, the diagnosis reception terminal 3 notifies the patient tablet terminal 1 of a call for medical checkup (by the call notification unit 33). processing). In response to the accounting call notification, the patient holds the patient tablet terminal 1 over the reading portion of the detection unit of the examination reception terminal 3 and performs the accounting procedure. After step S207, the process proceeds to step S208.

In step S <b> 208, the examination reception terminal 3 processes electronic payment via the patient tablet terminal 1 for the doctor's examination accounting (processing by the examination electronic payment processing unit 34). For example, the medical examination electronic payment processing unit 34 reads patient identification information included in the patient tablet terminal 1, extracts the price of the medical examination associated with the patient identification information from the storage unit, and extracts the price from the electronic money included in the patient tablet terminal 1. To collect.
The patient who has paid for the examination goes to the pharmacist to receive the prescribed medicine, asks the pharmacist to see the examination result displayed on the patient tablet terminal 1, and requests the prescription of the medicine. Then wait. Alternatively, the patient may transmit the examination result of the patient tablet terminal 1 to the tablet terminal of the pharmacist and have the pharmacist check the medicine to be prescribed.
The pharmacist knows the type of medicine prescribed to the patient from the examination results presented by the patient, calculates the price of the prescribed medicine, and identifies the price (including the appointment information) as the patient identification of the patient The information is stored in the examination reception terminal 3 in association with the information. After step S208, the process proceeds to step S209.

  In step S209, for example, in response to a call instruction from the tablet terminal of the pharmacist, the examination reception terminal 3 delivers the drug to the patient tablet terminal 1 and issues a call notification for accounting for the drug (call notification) Processing by the unit 33). In response to the call notification, the patient receives the medicine prescribed by the doctor from the pharmacist and receives an explanation of the medicine. In addition, the pharmacist operates his tablet terminal to read out medicine data of medicine prescribed by the doctor from a medicine database stored in a dedicated server (not shown), and the read medicine data is stored in the patient tablet terminal 1. Send. After step S209, the process proceeds to step S210.

In step S210, the examination reception terminal 3 processes electronic payment via the patient tablet terminal 1 for the accounting for the medicine prescribed by the doctor (processing by the examination electronic payment processing unit 34). For example, the examination electronic payment processing unit 34 reads the patient identification information included in the patient tablet terminal 1, extracts the price of the medicine associated with the patient identification information from the storage unit, and extracts the drug from the electronic money included in the patient tablet terminal 1. The amount of money will be collected. After step S210, the process proceeds to step S211.

  In step S211, the patient tablet terminal 1 transmits the patient examination result received from the terminal tablet of the reception person to the patient management server 4 as patient information according to the operation of the patient tablet terminal 1, and stores it. Therefore, the patient management server 4 can manage the past medical history of the patient, and if the patient tablet terminal 1 reads the past examination result from the patient management server 4, the patient can easily manage his / her health. be able to. After step S211, the process proceeds to step S212.

In step S212, the patient tablet terminal 1 uses, as patient information, the medicine data prescribed by the doctor (that is, medicine data) received from the pharmacist's terminal tablet in response to the operation of the patient tablet terminal 1 as patient information. 4 to be stored. Therefore, the patient management server 4 can manage the history of medicines taken by the patient, and if the patient tablet terminal 1 reads past medicine data from the patient management server 4, the patient uses the patient tablet terminal 1 so-called. It can be used as a medicine notebook and can easily manage my own health.
Above, description of the process at the time of a patient examination of FIG. 9 is complete | finished.

According to the process of FIG. 9, the examination reception terminal 3 detects the patient tablet terminal 1 and acquires the examination reservation information, so that the patient can be easily accepted out of the hospital with little human intervention.
Moreover, according to the hospital utilization support system of this embodiment, since a communication network is built using the tablet terminal which a patient possesses, the expense on the hospital side for building a communication network can be suppressed.
In addition, since the content can be introduced to a patient waiting for a medical examination and the patient can freely watch the content, the patient can comfortably spend the waiting time for the medical examination.
In addition, call notifications such as medical interviews are made via the patient tablet terminal 1, so that the patient can call even if he / she is away from the waiting room while waiting for an examination without worrying about missing the call due to the in-hospital announcement. Can be surely known. The call according to this embodiment is particularly effective when the patient needs to temporarily leave the hospital.
Moreover, since the electronic payment is performed via the patient tablet terminal 1 for the medical checkup and the medical checkup, the patient can surely pay for the medical checkup and the charge for the medicine without bringing cash.
Moreover, since the patient tablet terminal 1 can acquire the past examination results and past medicine data from the patient management server 4, the patient can easily manage his / her health.
As a result, it is possible to improve the convenience of a hospital used by an individual who wishes to perform thorough health management using a communication network.

With reference to FIG. 10, the process of this embodiment at the time of hospitalization of the patient who wished to be hospitalized after the process of FIG. 9 will be described. For example, a mail-order dealer who operates the product management server 6 provides a website that displays a list of products to be sold on a tablet terminal. The product management server 6 stores and manages the product information of the product. A hospitalized patient operates the patient tablet terminal 1 to browse the website. The merchandise management server 6 may have introduced an authentication technique for enabling a specific patient to access the website. In this case, the patient of the present embodiment uses the patient tablet terminal 1 to merchandise management server 6. Have a login ID and a login password for logging in. The process of FIG. 10 starts when a hospitalized patient accesses the product management server 6 and performs an order operation in order to purchase a desired product on the website, and proceeds to step S301.

  In step S301, the patient tablet terminal 1 transmits order information including the product ordered by the patient to the product management server 6 according to the operation of the patient tablet terminal 1 (processing by the order information transmitting unit 17). After step S301, the process proceeds to step S302.

  In step S302, the merchandise management server 6 processes electronic payment via the patient tablet terminal 1 for the ordered merchandise according to the order information received from the patient tablet terminal 1 (processing by the merchandise electronic payment processing unit 61). ). Note that the patient opens a website provided by the content distributor and opens the content management server 5 in order to view the content on the patient tablet terminal 1 after completing the ordering operation of the product with respect to the product management server 6. to access. After step S302, the process proceeds to step S303.

  In step S <b> 303, the patient tablet terminal 1 sends a content distribution request selected by the patient (for example, by tapping a thumbnail of the displayed content) to the content management server 5 from among the plurality of contents on the website. (Processing by the content acquisition request unit 16). After step S303, the process proceeds to step S304.

In step S <b> 304, the content management server 5 distributes the content requested to be distributed from the patient tablet terminal 1 to the content management server 5 to the patient tablet terminal 1. In addition, as with the time of medical examination, it is advisable to make the content distribution fee for patients free.
Above, description of the process at the time of a patient's hospitalization of FIG. 10 is complete | finished.

According to the process of FIG. 10, since the hospitalized patient performs electronic payment for the product ordered in the hospital via the patient tablet terminal 1, the patient pays for the purchase of the product without bringing cash. Can be performed reliably. In addition, the delivery item can be brought to the patient's bedside.
In addition, patients who are hospitalized can use the patient tablet terminal 1 to watch time and content freely, unlike when watching movies and television in a waiting room, etc. I can spend it.
As a result, it is possible to improve the convenience of a hospital used by an individual who wishes to perform thorough health management using a communication network.

  With reference to FIG. 11, the process of this embodiment after the discharge of the patient discharged after having undergone surgery during the hospitalization after the process of FIG. 10 will be described. It is assumed that the doctor who operated the patient has created electronic data of the result of the operation using the doctor tablet terminal 2 and has already transmitted the created operation result to the patient tablet terminal 1. In addition, in order to reduce the post-operative burden as much as possible, the patient may consider other doctors working at the nearest other hospital from the patient's home, who are relatively easy to visit, to see the progress after the operation. ing. The process of FIG. 11 starts when the patient who operates the patient tablet terminal 1 logs in the patient management server 4 by inputting a predetermined login ID and login password, and proceeds to step S401.

  In step S401, the patient tablet terminal 1 transmits the operation result received from the doctor tablet terminal 2 to the patient management server 4 as patient information in response to the operation of the patient tablet terminal 1. After step S401, the process proceeds to step S402.

  In step S <b> 402, the patient tablet terminal 1 transmits to the doctor tablet terminal 7 permission information indicating that other doctors are permitted to view patient information using the doctor tablet terminal 7. After step S402, the process proceeds to step S403.

  In step S <b> 403, the doctor tablet terminal 7 stores the patient permitted by the patient, which is stored in the patient management server 4 after another doctor logs in to the patient management server 4 by inputting a predetermined login ID and login password. The information is brought into a browsing state (processing by the patient information browsing unit 71). In this process, another doctor who has browsed the patient information can check the patient's surgical results. After step S403, the process proceeds to step S404.

  In step S <b> 404, the doctor tablet terminal 7 displays the recommended diagnosis information including that the patient is ready to check the progress after the operation and the date and time when the doctor can be examined in another hospital according to the operation of the doctor tablet terminal 7. It transmits to the patient tablet terminal 1 (process by the medical examination recommendation information transmission part 72). After step S404, the process proceeds to step S405.

  In step S405, the patient tablet terminal 1 receives medical examination recommendation information from the doctor tablet terminal 7 (processing by the medical examination recommendation information receiving unit 14). After step S405, the process proceeds to step S406.

  In step S <b> 406, the patient tablet terminal 1 transmits to the doctor tablet terminal 2 the medical request information including the medical request date and time selected by the patient via the operation unit of the patient tablet terminal 1 (processing by the medical request information transmitting unit 15). . After step S406, the process proceeds to step S407.

  In step S <b> 407, the doctor tablet terminal 7 receives the examination request information from the patient tablet terminal 1. Here, the doctor determines the appointment appointment date and time by looking at the examination request date and time included in the examination request information. After step S407, the process proceeds to step S408.

In step S <b> 408, the doctor tablet terminal 7 transmits, to the patient tablet terminal 1, the examination appointment information including the decided examination appointment date and patient identification information of the patient in response to the operation of the doctor tablet terminal 7 (diagnosis appointment information transmission unit). 73).
Above, description of the process after discharge of a patient of FIG. 11 is complete | finished.

According to the processing of FIG. 11, it is possible to receive accurate advice on the progress after the operation from another doctor by having the other doctor browse the operation result when the patient is operated as patient information.
In addition, the patient can easily select a diagnosis appointment date and time that is convenient for the patient and other doctors.
As a result, it is possible to improve the convenience of a hospital used by an individual who wishes to perform thorough health management using a communication network.

<Others>
This embodiment is an example for suitably carrying out the present invention, and is not intended to limit the present invention. Therefore, the present embodiment can be variously modified within a range that does not change the gist of the present invention.

  For example, in this embodiment, a mobile phone may be used instead of the tablet terminal used by a patient, a doctor, or the like. That is, various portable terminals, such as a tablet terminal, a mobile phone, and a smart phone, can be introduced into the hospital use support system of this embodiment.

Using a tablet terminal, the doctor can explain the current symptoms to the patient in an easy-to-understand manner using video (still images or moving images). For example, a doctor uses a tablet terminal to display an image of a symptom in front of the patient's eyes while performing an operation for displaying an image for explaining the symptom and an operation for inputting a command for displaying the next image. be able to. Even when the patient is far away, the doctor establishes communication so that data can be shared between the tablet terminal and the patient's tablet terminal, and the image that the doctor wants to show is displayed on the patient's tablet terminal Can explain the symptoms.

Even when the doctor is absent, the symptoms can be explained to a hospitalized patient, for example, using a tablet terminal possessed by the nurse. For example, communication is established between a nurse's tablet terminal and a doctor's tablet terminal, and imaging data when a patient is imaged from the nurse's tablet terminal is transmitted to the doctor's tablet terminal. The doctor grasps the patient's condition while looking at the above-mentioned imaging data, the patient's past examination results (eg electronic medical record), the patient's daily measurement values, etc. on his tablet terminal, Can send instructions. In addition, when the nurse shows the screen with the nurse's tablet terminal close to the patient, the doctor can easily understand the patient's condition while displaying predetermined data on the screen and showing the patient through the nurse's tablet terminal. Can be explained.
In addition, the patient's condition image data photographed by the doctor's tablet terminal or the nurse's tablet terminal can be stored in the patient management server 4 as patient information, for example.

  A patient in hospital can use the patient tablet terminal 1 on the bed and can communicate with the tablet terminal of the patient's family, for example, via a video phone, and can spend a comfortable hospital stay.

  In the present embodiment, it is preferable that the radio wave used in the network used in the hospital does not affect medical devices such as Wi-Fi. For tablet terminals used in hospitals, it is preferable to enable wireless charging and realize a network that does not affect medical devices.

  For hospitalized patients who do not have a tablet terminal, a tablet terminal provided by the hospital is placed on the patient's bedside and used by the patient. Thereby, the spread of the hospital use system of this embodiment can be promoted.

  By introducing a multilingual automatic translation function into the tablet terminal, doctors can communicate with foreign patients who cannot use Japanese using the tablet terminal. The automatic translation function may be, for example, a function that, when a picture on the touch panel is selected, a word representing the picture is displayed on a screen or a voice is output in a predetermined translated word. In addition, the automatic translation function may be a function of displaying a translated sentence on a screen or outputting a voice in a predetermined language when, for example, a word or sentence on the touch panel is selected. In addition, the automatic translation function may be a function of analyzing words spoken by the patient via a microphone included in the tablet terminal and displaying the screen in a predetermined language or outputting the sound.

In addition, it is possible to realize a technique in which various techniques described in this embodiment are appropriately combined.
Further, the software described in the present embodiment can be realized as hardware, and the hardware can also be realized as software.
In addition, hardware, software, sequences, and the like can be appropriately changed without departing from the spirit of the present invention.

M Measuring instrument 1 Patient tablet terminal (patient portable terminal)
2 Doctor tablet terminal (doctor mobile terminal)
3 Examination reception terminal 4 Patient management server 5 Content management server 6 Product management server 7 Doctor tablet terminal (second doctor portable terminal)
DESCRIPTION OF SYMBOLS 11 Patient information browsing permission part 12 Measurement value acquisition part 13 Measurement value transmission part 14 Medical examination recommendation information reception part 15 Medical examination hope information transmission part 16 Content acquisition request part 17 Order information transmission part 21, 71 Patient information browsing part 22, 72 Medical examination recommendation Information transmission part 23, 73 Examination reservation information transmission part 31 Examination reservation information acquisition part 32 Content introduction part 33 Call notification part 34 Examination electronic payment processing part 51 Distribution schedule creation part 61 Merchandise electronic payment processing part

Claims (5)

A patient portable terminal used by a patient, a doctor portable terminal used by a doctor in a hospital, and a patient management server for storing and managing patient information for health management of the patient, which are communicably connected on a network; A hospital use support system for supporting the use of the hospital by the patient,
The control unit of the patient portable terminal is
A patient information browsing permission unit that permits the doctor to browse the patient information using the doctor portable terminal;
A measurement value acquisition unit that acquires the measurement value from a measuring instrument that measures the measurement value indicating the health state of the patient;
A measurement value transmission unit that transmits the measurement value as the patient information to the patient management server;
A recommended diagnosis information receiving unit that receives from the doctor portable terminal diagnosis recommendation information including an abnormality in the health condition of the patient and a date and time when the patient can be examined in the hospital.
Execute the process so as to function as a medical examination request information transmission unit that transmits medical examination request information including a medical examination desired date and time to the doctor portable terminal,
The control unit of the doctor portable terminal is
The patient management server stores the patient information browsing unit for browsing the patient information permitted from the patient,
Recommended diagnosis information transmission unit for transmitting the recommended diagnosis information to the patient portable terminal,
Process to function as a diagnosis reservation information transmitting unit that transmits the diagnosis reservation information including the diagnosis reservation date and time and the patient identification information of the patient determined for the diagnosis request date and time included in the diagnosis request information to the patient portable terminal. Run
The storage unit of the patient management server is
As the patient information, the measurement value received from the patient portable terminal is stored ,
The hospital use support system further includes a nurse portable terminal that is used by nurses of the hospital and is not permitted to view the patient information.
The nurse portable terminal transmits photographing data when photographing the patient to the doctor portable terminal, and displays the patient information of the patient received from the doctor portable terminal on a screen.
A hospital use support system characterized by this. A diagnosis reception terminal that performs a process for reception of a diagnosis, and a content management server that stores and manages content distributed to the patient portable terminal at a predetermined date and time,
The control unit of the examination reception terminal
A medical examination reservation information acquisition unit for acquiring the medical examination reservation information from the patient portable terminal within a predetermined distance from the medical examination reception terminal;
When the distribution request for the content is made from the patient portable terminal to the content management server by the patient waiting for a medical examination, the content that can be distributed to the patient portable terminal is displayed on the patient portable terminal. Content introduction section to introduce,
A call notification unit for performing a call notification for a diagnosis at a predetermined timing with respect to the patient portable terminal,
In the accounting of the doctor's examination and the accounting of the medicine prescribed by the doctor, a process is performed so as to function as an examination electronic payment processing unit that processes electronic payment through the patient portable terminal,
The storage unit of the patient management server is
The hospital utilization support system according to claim 1, further comprising a medical examination result of the doctor as the patient information. A product management server that stores and manages product information of products sold to the patient who is admitted to the hospital, and further comprising a product management server that can communicate on the network,
The control unit of the patient portable terminal is
The processing is performed to function as an order information transmission unit that transmits order information including the product ordered by the patient to the product management server,
The control unit of the product management server includes:
In response to the order information received from the patient mobile terminal, for the ordered product,
The hospital use support system according to claim 2, wherein the processing is performed so as to function as a merchandise electronic payment processing unit that processes electronic payment via the patient portable terminal. The control unit of the content management server includes:
4. The hospital according to claim 3, wherein the content requested to be distributed from the patient portable terminal to the content management server by the patient admitted to the hospital is distributed to the patient portable terminal. Use support system. A second doctor portable terminal used by a second doctor of a second hospital permitted to browse the patient information by the patient information browsing permission unit of the patient portable terminal;
The storage unit of the patient management server is
As the patient information, the results of the operation that the patient who was discharged from the hospital undergoes during the hospitalization are further stored,
The control unit of the second doctor portable terminal is
The said patient management server memorize | stores and performs a process so that it may function as a 2nd patient information browsing part which browses the said patient information permitted from the said patient. 4. The hospital use support system according to 4.

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