JP6447594B2 - Medical examination information processing apparatus, medical examination information processing method, program - Google Patents

Description

  The present invention relates to a medical examination information processing system, a medical examination information processing apparatus, a medical examination information processing method, and a program, and more particularly to a technique for displaying the progress status of a medical examination.

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

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

JP-A-11-213061

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

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

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

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

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

  Therefore, an object of the present invention is to provide a mechanism for notifying a patient or the like of correct information even when information cannot be written on a recording medium such as an IC card.

  The present invention is a medical examination information processing apparatus communicable with an external device in which information indicating the progress status of a medical examinee is stored, the detection means for detecting a recording medium carried by the medical examinee, and detection by the detection means Recording medium information acquisition means for acquiring information indicating the progress of the examinee from the recorded recording medium, external device information acquisition means for acquiring information indicating the progress of the examinee from the external apparatus, and acquisition of the recording medium information A determination unit that determines which is correct information by comparing the progress status acquired by the unit and the progress status acquired by the external device information acquisition unit, and information that is determined to be correct information by the determination unit And recording means for recording on the external device or the recording medium which is a medium on which the correct information is not recorded.

  Further, the present invention is a medical examination information processing method in a medical examination information processing apparatus communicable with an external apparatus in which information indicating the progress status of the examinee is stored, and the detection means of the medical examination information processing apparatus includes: A detection step of detecting a recording medium carried by the examinee, and a recording in which the recording medium information acquisition means of the medical examination information processing apparatus acquires information indicating the progress status of the examinee from the recording medium detected by the detection step Medium information acquisition step, external device information acquisition means of the medical examination information processing apparatus acquires information indicating the progress status of the examinee from the external device, and determination of the medical examination information processing apparatus A determination step of determining which is correct information by comparing the progress acquired by the recording medium information acquisition step with the progress acquired by the external device information acquisition step; A recording step in which the recording means of the medical examination information processing apparatus records the information determined to be correct information by the determination step in the external device or the recording medium that is a medium in which the correct information is not recorded; It is characterized by providing.

  The present invention also relates to a program executed in a medical examination information processing apparatus that can communicate with an external apparatus in which information indicating the progress status of the medical examinee is stored, and the medical examination information processing apparatus is carried by the medical examinee. Detecting means for detecting the recording medium to be recorded, recording medium information acquiring means for acquiring information indicating the progress of the examinee from the recording medium detected by the detecting means, and information indicating the progress of the examinee from the external device External device information acquisition means for acquiring information, a determination means for determining which is correct information by comparing the progress status acquired by the recording medium information acquisition means and the progress status acquired by the external device information acquisition means And information determined to be correct information by the determination means is recorded on the external device or the recording medium which is a medium on which the correct information is not recorded. Characterized in that to function as a recording means that.

  According to the present invention, even when information cannot be written to a recording medium such as an IC card, it is possible to provide a mechanism for notifying correct information to a patient or the like.

It is a figure which shows an example of a structure of the information processing system of this invention. It is a figure which shows an example of the hardware constitutions of the reception terminal 100 of FIG. 1, a medical examination apparatus, a medical examination process terminal, the management terminal 150, the recording medium 160, and the server 190. It is a flowchart which shows the procedure of the reception process which the reception terminal 100 performs. It is a flowchart which shows the procedure of the medical examination result recording process which a medical examination process terminal performs It is a flowchart which shows the procedure of the control processing which a medical examination process terminal performs. It is a flowchart which shows the procedure of the collection process which the management terminal 150 performs. It is a flowchart which shows the procedure of the charge calculation process which the management terminal 150 performs. It is an example of the table which shows the medical examination scheduled item memorize | stored in the recording medium 160 It is an example of the table which shows whether each terminal memorize | stored in the server 190 is a medical examination item which is in charge, and an online terminal. It is an example of an associated information file recorded in each medical examination process terminal It is an example of an associated information file recorded in each medical examination process terminal It is a figure which shows an example of the initial menu screen displayed on a medical examination process terminal. It is a figure which shows an example of the screen which shows the determination result of whether it has been consulted displayed on a management terminal It is a figure which shows an example of the reception input screen displayed on the reception terminal 100 It is a figure which shows an example of the screen displayed on a medical examination process terminal in FIG.4 S412. It is a figure which shows an example of the examinee list information which a reception terminal reads from the outside It is a figure which shows an example of the charge table which shows the medical examination basic charge and the additional charge for every medical examination item. It is a flowchart which shows the procedure of the progress display process which a medical examination process terminal performs. It is an example of the table which shows a medical examination result and a medical examination scheduled item It is an example of the screen on which the progress status displayed on the medical examination process terminal is displayed

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

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

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

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

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

  In the memory 202 (FIG. 2) of the medical examination process terminals A (111) to N (129) (medical examination information processing apparatus), the control program shown in FIG. 5, the medical examination process processing program shown in FIG. Screen information used in the program (data for displaying the screen of FIG. 15 and the like on the display 205 and may be included in each program), the menus shown in FIGS. Association information file for associating, device setting information of each medical examination device (setting information of medical examination process terminals A (111) to N (129)), and communication used for exchanging data with each medical examination device A program (a communication program corresponding to each communication procedure or protocol such as Bluetooth (registered trademark), IrDA, TSP / IP) is stored.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  Next, the CPU 201 of the reception terminal 100 collates the examiner ID obtained by scanning the examination slip with the examiner ID included in the examinee list information stored in the memory 202 in step S303, and receives the examinee. It is determined whether or not the ID exists in the examinee list information (FIG. 16) (step S306).

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

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

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

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

  When the controller of the recording medium 160 receives from the terminal 100 the information on the user (examiner) corresponding to the consultation form received from the terminal 100 in step S308, the storage unit (not shown) of the recording medium 160 receives the received information on the examinee. Write (memorize). In this way, the examinee information (FIG. 8) of the examinee can be stored in the recording medium 160.

  FIG. 5 is a flowchart showing a procedure of a control process (a process for associating a medical examination device with a medical examination process device) executed by each medical examination process terminal in FIG. This process is realized by the CPU 201 of each medical examination process terminal (medical examination process terminals A (111) to N (129)) reading out and executing a program stored in the memory 202 (that is, health examination process terminals A (111) to N (129)). Corresponding to the processing (under the control of the CPU 201 of the diagnosis process terminal). Moreover, below, although the control process which the medical examination process terminal A111 performs is demonstrated, the same process is performed also in another medical examination process terminal.

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

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

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

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

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

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

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

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

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

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

  In step S509, the CPU 201 of the medical examination process terminal A111 determines whether the CPU 201 is an online terminal (a terminal that executes a medical examination process in a state where it can communicate with the server 190), and is the online terminal? Information indicating whether or not is sent to the server 190. In addition, information indicating the medical examination item that the user is in charge of (the medical examination item corresponding to the program executed in step S507) is transmitted to the server 190.

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

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

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

  Further, which medical examination item each medical examination process terminal is in charge of, and whether each medical examination process terminal is communicable with the server 190 when executing the medical examination process (online terminal or offline) Terminal) can be shared by all medical examination process terminals.

  Next, the medical examination result recording process performed by the medical examination process terminal in the embodiment of the present invention will be described with reference to FIG.

  Note that the process shown in the flowchart of FIG. 4 is a process in which the CPU 201 of the medical examination process terminal A111 reads and executes a predetermined control program.

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

  In step S402, the CPU 201 of the medical examination process terminal A111 acquires the medical examination result and the scheduled medical examination items of the examinee from the recording medium 160 detected in step S401.

  An example is shown in FIG. 19 about the medical examination result and the medical examination schedule item currently recorded on the recording medium 160. FIG.

  FIG. 19 shows the medical checkup items (for example, height / weight, blood pressure, abdominal circumference, visual acuity, etc.), medical checkup results, etc. that have to be checked for each checker ID and name, course ID, checker ID. Has been.

  In FIG. 19, medical checkup items that must be examined are represented by “◯”, and items that are not scheduled to be consulted are represented by “x”.

  Further, for example, consultation order information may be set such that the patient is examined in the order of “height / weight”, “blood pressure”, “abdominal circumference”, “sight”, and “electrocardiogram”.

  In step S403, the CPU 201 of the medical examination process terminal A111 determines whether communication with the server 190 is possible (whether it is an online terminal or an offline terminal).

  If it is determined that communication with the server 190 is possible (an online terminal) (step S403: YES), the process proceeds to step S404.

  If it is determined that communication with the server 190 is impossible (offline terminal) (step S403: NO), the process proceeds to step S407.

  In step S <b> 404, the CPU 201 of the medical examination process terminal A <b> 111 acquires the medical examination result and the scheduled medical examination items of the examinee from the server 190.

  In step S405, the CPU 201 of the medical examination process terminal A111 converts the medical examination result / scheduled medical examination item acquired from the recording medium 160 in step S402 and the medical examination result / scheduled medical examination item acquired from the server 190 in step S404. Determine if there is a difference.

  When it is determined that there is a difference, that is, when the medical examination process terminal in charge of the previously examined medical examination item is an offline terminal or the result of the previously examined medical examination item is written in the recording medium 160 If not completed (step S405: YES), the process proceeds to step S406.

  If it is determined that there is no difference (step S405: NO), the process proceeds to step S407.

  In step S <b> 406, the CPU 201 of the medical examination process terminal A <b> 111 synchronizes the medical examination result / scheduled medical examination item recorded in the recording medium 160 with the medical examination result / scheduled medical examination item recorded in the server 190. .

  Here, when the medical examination result / scheduled medical examination item acquired from the recording medium 160 in step S402 is newer data (that is, the medical examination process terminal in charge of the previous medical examination item cannot communicate with the server 190). The data recorded on the recording medium 160 is transmitted to the server 190, and the data of the server 190 is updated.

  On the other hand, if the medical examination result / scheduled medical examination item acquired from the server 190 in step S404 is newer data (that is, the medical examination process terminal in charge of the previous medical examination item performs a medical examination on the recording medium 160). When the result cannot be written), the data recorded in the server 190 is written in the recording medium 160.

  In step S407, the CPU 201 of the medical examination process terminal A111 displays the screen shown in FIG. 20, and displays the progress status of the medical examination (lower part of the screen shown in FIG. 20).

  Details of the progress status display processing will be described later with reference to the flowchart shown in FIG.

  In step S <b> 408, the CPU 201 of the medical examination process terminal A <b> 111 accepts input of measurement values (medical examination results) from the medical examination device. In addition, in the medical examination process terminal which is not connected to the medical examination device like the medical examination process terminal C115 in FIG. 1, the measurement value input by the measurer is accepted.

  In step S409, the CPU 201 of the medical examination process terminal A111 writes the medical examination result input in step S408 in the recording medium 160 such as an IC card.

  In step S410, the CPU 201 of the medical examination process terminal A111 determines whether the medical examination result has been successfully written in the recording medium 160 in step S409.

  If it is determined that the writing is successful (step S410: YES), the process proceeds to step S412.

  If writing has failed (writing has failed) (step S410: NO), the process proceeds to step S411.

  In step S <b> 411, the CPU 201 of the medical examination process terminal A <b> 111 gives an error notification that writing of the medical examination result to the recording medium 160 has failed. Then, the process goes to step S415.

  In step S415, the CPU 201 of the medical examination process terminal A111 determines whether communication with the server 190 is possible. That is, it is determined whether or not the medical examination result can be written to the server 190.

  If it is determined that communication with the server 190 is possible (step S415: YES), the process proceeds to step S416.

  If it is determined that communication with the server 190 is impossible (step S415: NO), the process proceeds to step S417.

  In step S416, the CPU 201 of the medical examination process terminal A111 records information such as a medical examination result on the server 190. Then, the process shown in this flowchart is terminated.

  In step S417, the CPU 201 of the medical examination process terminal A111 displays an error screen (FIG. 15) and a warning screen indicating that the recording medium 160 should be changed. That is, if NO is determined in step S415, neither the recording on the recording medium 160 nor the recording on the server 190 can be performed, so that the medical examination result or the like cannot be recorded. For this reason, a notification to the effect is issued by changing the recording medium 160 or the like. Then, the process shown in this flowchart is terminated.

  In step S412, the CPU 201 of the medical examination process terminal A111 determines whether communication with the server 190 is possible. That is, it is determined whether or not the medical examination result can be written to the server 190.

  If it is determined that communication with the server 190 is possible (step S412: YES), the process proceeds to step S413.

  When it is determined that communication with the server 190 is impossible (step S412: NO), the process proceeds to step S414.

  In step S 413, the CPU 201 of the medical examination process terminal A 111 records information such as a medical examination result on the server 190. Then, the process shown in this flowchart is terminated.

  In step S414, the CPU 201 of the medical examination process terminal A111 displays an error screen and cannot communicate with the server 190 and notifies the server 190 of an error indicating that the medical examination result cannot be recorded. And the process which this flowchart shows is complete | finished.

  Next, a progress display process (corresponding to step S407) performed by the medical examination process terminal A111 in the embodiment of the present invention will be described with reference to FIG.

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

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

  First, the CPU 201 of the medical examination process terminal A111 displays the examination ID (0001), the examination number (999999), and the examination person information such as the examination person name and sex on the screen (step S1801).

  In step S1802, the medical examination process terminal A111 displays the medical examination items scheduled for medical examination in an identifiable manner.

  In step S1803, the medical examination process terminal A111 displays medical examination items that are not scheduled to be examined in an identifiable manner.

  Here, the determination of whether or not there is a medical examination schedule is made based on the information on the medical examinee (FIG. 19).

  Specifically, for items for which “○” is set as the health check item in the examinee information, it is determined that there is a medical checkup schedule, and for items for which “×” is set, it is determined that there is no medical checkup plan. .

  In addition, as information on the examinee used for the presence / absence of a visit schedule, information obtained after synchronizing the information on the server 190 and the information on the recording medium 160 in step S406 in FIG. 4 is used.

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

  In step S1804, the medical examination process terminal A111 discriminates the medical examination items that have already been examined based on the received medical examination result information (FIG. 19), and displays “O” for the medical examination items that have been judged to have been examined. To do.

  Note that whether or not a medical examination has been completed is determined based on whether or not a result or a reason for missing information is recorded in the medical staff information shown in FIG.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Claims (5)

Health in a system consisting of a health check information processing device installed for each health check subject, a server device that records the health check result of the examinee, and a portable recording medium that records the result of the health check A medical information processing device,
Recording a medical examination result relating to the medical examination subject on the portable recording medium, and further, if communication with the server device is possible, recording means for recording the medical examination result on the server device ;
The medical examination result is obtained from the portable recording medium, and further, if communication with the server device is possible, obtaining means for obtaining the medical examination result also from the server device ,
About the medical examination result acquired by the acquisition means, there is a record in the medical examination result acquired from the portable recording medium, and there is a medical examination subject that is not recorded in the medical examination result acquired from the server device, Update means for updating the medical examination result recorded in the server device by recording the medical examination result related to the medical examination subject acquired from the portable recording medium in the server device;
A medical examination information processing apparatus comprising:   2. The information processing apparatus according to claim 1, further comprising notification means for notifying that the recording means cannot be recorded when the medical check result of the examinee cannot be recorded on the server device or the portable recording medium. The medical examination information processing apparatus described in 1. The notification means further includes
When the recording means cannot record the medical checkup result of the examinee in the portable recording medium and cannot record the medical checkup result of the examinee in the server device, a notification is made to prompt the user to replace the portable recording medium. The medical examination information processing apparatus according to claim 2. Health in a system consisting of a health check information processing device installed for each health check subject, a server device that records the health check result of the examinee, and a portable recording medium that records the result of the health check An information processing method in a medical information processing apparatus,
When the recording unit of the medical examination information processing apparatus records the medical examination result relating to the medical examination subject on the portable recording medium and further can communicate with the server apparatus, the server apparatus also includes the health examination information. A recording process for recording the examination results;
The acquisition unit of the medical examination information processing apparatus acquires the medical examination result from the portable recording medium, and further acquires the medical examination result from the server apparatus when communication with the server apparatus is possible. Acquisition process;
Regarding the medical examination result acquired by the acquisition process by the updating unit of the medical examination information processing apparatus, the medical examination result acquired from the portable recording medium has a record, and the medical examination result acquired from the server apparatus records An update step of updating the medical examination result recorded in the server device by recording the medical examination result related to the medical examination subject acquired from the portable recording medium in the server device when there is a medical examination subject not having When,
An information processing method comprising: Health in a system consisting of a health check information processing device installed for each health check subject, a server device that records the health check result of the examinee, and a portable recording medium that records the result of the health check A program that can be executed in the medical information processing apparatus
The medical examination information processing apparatus
Recording a medical examination result relating to the medical examination subject on the portable recording medium, and further, if communication with the server device is possible, recording means for recording the medical examination result on the server device ;
The medical examination result is obtained from the portable recording medium, and further, if communication with the server device is possible, obtaining means for obtaining the medical examination result also from the server device ,
About the medical examination result acquired by the acquisition means, there is a record in the medical examination result acquired from the portable recording medium, and there is a medical examination subject that is not recorded in the medical examination result acquired from the server device, The program for functioning as an update means which updates the medical examination result recorded on the server apparatus by recording the medical examination result which concerns on the said medical examination subject acquired from the portable recording medium in the said server apparatus.

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