JP6604867B2 - Inspection result management apparatus and inspection result management method - Google Patents

Description

  The present invention relates to a test result management apparatus, a test result management method, and a test result management program for managing physical test results.

  2. Description of the Related Art Conventionally, a system for managing the results of a health check with a computer is known. In Patent Document 1, a test result obtained by a measuring device that measures a subject's blood pressure, pulse, body temperature, weight, and the like is acquired via a communication line, and the health condition is analyzed based on the acquired test result and the test result. A system for outputting results is disclosed.

JP 2010-224997 A

  In the conventional system, it is assumed that the individual to be inspected applies for the inspection and the individual to be inspected views the inspection result, and the inspection result is output to the computer of the person who has been inspected. However, there are cases in which a health examination is conducted by an application from an organization such as a local government or a company. When managing the results of an inspection conducted by an application from such an organization and the results of an inspection conducted by an application from an individual to be inspected in one system, It was a problem in terms of privacy if the employees of the organization could view the results freely.

  Therefore, the present invention has been made in view of these points, and provides an inspection result management apparatus, an inspection result management method, and an inspection result management program for allowing only appropriate persons to view inspection results. For the purpose.

  According to a first aspect of the present invention, there is provided an inspection result management apparatus for managing an inspection result of an inspected person, wherein the inspected person identification information for identifying the inspected person and the inspection result include the inspected person. In association with the application information indicating whether it is the first examination result obtained by the medical examination applied by the inspector or the second examination result obtained by the medical examination to which the group to which the subject belongs is applied A storage unit that stores the inspection result, a receiving unit that receives an access request to the inspection result, an attribute of a sender of the access request received by the receiving unit, and the inspection result that is stored in the storage unit And a transmission unit that transmits an inspection result selected from the first inspection result and the second inspection result based on the application information associated with the application information.

  When the sender's attribute indicates that the person to be inspected is itself, the transmitter transmits the first inspection result and the second inspection result, and the sender's attribute is the organization. In this case, the transmission unit may transmit the second inspection result without transmitting the first inspection result.

  In addition, the transmission unit transmits a message requesting permission to provide the first inspection result to the inspected person when the attribute of the sender indicates the group, and the inspected person The first test result may be transmitted to the sender on the condition that permission has been obtained from.

  In addition, when the transmitter attribute indicates the organization, the transmission unit displays the first test result on the condition that a diagnosis result indicated by the second test result is within a predetermined range. It may be transmitted to the sender.

  The storage unit stores permission information indicating a permission level corresponding to a use of the inspection result in association with the inspection result, and the receiving unit receives the access request including use information indicating the use of the inspection result. The transmission unit transmits the inspection result selected from the first inspection result and the second inspection result based on the usage information included in the access request and the permission information associated with the inspection result. May be.

  The transmission unit may transmit the first inspection result and the second inspection result when the use information indicates that the inspection result is used for creating statistical data.

  The storage unit stores the second examination result obtained by the medical examination applied for by the plurality of groups in association with group identification information for identifying the group, and the transmission unit includes the receiving unit When the access request is received from a first group of the plurality of groups, the relationship between the first group and a second group of the plurality of groups satisfies a predetermined condition, The second inspection result associated with the group identification information of the second group may be transmitted to the first group.

  The first group and the second group are local governments, and the transmitting unit is configured such that the first group is the first local government where the inspector currently resides, and the second group is the target group. The second inspection result may be transmitted to the first group on condition that the inspector is a second local government that has lived in the past.

  According to a second aspect of the present invention, there is provided a test result management method for managing a test result of a test subject executed by a computer, the step of receiving an access request for the test result, and the test subject being Inspected person identification information for identification and the inspection result are the first inspection results obtained by the medical examination that the inspected person applied for individually, or the health that the organization to which the inspected person applied applies. A step of referring to a storage unit that stores the examination result in association with application information indicating the second examination result obtained by the diagnosis, the attribute of the sender of the received access request, and the storage unit And providing a test result management method comprising: transmitting the test result selected from the first test result and the second test result based on the application information associated with the test result. .

  In the third aspect of the present invention, the computer receives a request to access the test result of the test subject, the test subject identification information for identifying the test subject, and the test result. Associated with application information indicating whether the subject is a first examination result obtained by a medical examination applied for by an individual, or a second examination result obtained by a medical examination applied by an organization to which the subject belongs. Based on the step of referring to the storage unit storing the inspection result, the attribute of the sender of the received access request, and the application information associated with the inspection result stored in the storage unit An inspection result management program for executing the step of transmitting an inspection result selected from the first inspection result and the second inspection result is provided.

  According to the present invention, there is an effect that only an appropriate person can view the inspection result.

It is a figure which shows the structure of the test result management system which concerns on 1st Embodiment. It is a figure which shows the flow until it comes to be able to confirm an inspection result after a user applies for an inspection. It is a figure which shows the structure of a test result management apparatus and a user terminal. It is a figure which shows an example of the test result database memorize | stored in the memory | storage part. It is a figure which shows an example of the test result database memorize | stored in the memory | storage part. It is a list screen of a test result. It is a screen displaying an outline of the inspection result. It is a detailed screen of an inspection result. It is a graph which shows the mode of the change of the several past test result. It is a flowchart which shows the procedure of the process in a test result management apparatus. It is a figure which shows an example of the test result database in 2nd Embodiment. It is a flowchart which shows the procedure of the process in the test result management apparatus of 2nd Embodiment.

<First Embodiment>
[Outline of inspection result management system S]
FIG. 1 is a diagram illustrating a configuration of an inspection result management system S according to the first embodiment. The test result management system S includes a test result management apparatus 1 provided in a test center that tests a sample collected by a subject (hereinafter referred to as “user”), and a user terminal 3 that is a communication terminal used by a user. It is configured to include. The user terminal 3 is, for example, a smartphone or a PC. A specimen is a substance collected from a user, such as blood, saliva, urine, or stool. A user who uses the test result management system S can check the test result on the user terminal 3 by mailing a test kit (test object) containing the sample collected by himself / herself to the test center. Although one user terminal 3 is shown in FIG. 1, the inspection result management apparatus 1 can provide each user's inspection result to a plurality of user terminals 3 of a plurality of users. it can.

  The test result management apparatus 1 is a server that stores a test result database including test results of specimens mailed by a user. The inspection center staff uses the computer 2 connected to the inspection result management apparatus 1 via a LAN (Local Area Network), information for identifying the user such as the user name and user ID, and the inspection of the specimen The result can be registered in the inspection result management apparatus 1.

  The user can take the inspection by applying for the inspection. At this time, the user selects the “individual application” or “group application” selection button displayed on the application screen, so that the user himself or herself can perform an inspection to pay the cost, You can choose whether to perform a costly inspection. The user can also be inspected by applying for an organization to which the user belongs. For example, as shown in FIG. 1, the local government staff in which the user lives can apply for the user's inspection using the local government terminal 4. In this case, the inspection result management apparatus 1 provides the local government terminal 4 with the result of the inspection applied using the local government terminal 4. In the following explanation, a case where a local government employee applies for a user inspection when applying for a group will be described.

  Here, the inspection result management apparatus 1 browses the inspection result depending on whether the user has applied for the inspection result by the individual application for which the user bears the cost or the group application for which the user belongs to the group. It is characterized by controlling the possible range. In the inspection result management apparatus 1, for example, the user can browse all of his / her inspection results, but the staff of the organization to which the user belongs cannot browse the results of the inspection applied by the user himself / herself, and the organization has applied. Control so that only inspection results can be viewed.

  FIG. 2 is a diagram showing a flow from when the user applies for the inspection until the inspection result can be confirmed. Hereinafter, an outline of the inspection result management system S will be described with reference to FIGS. 1 and 2.

  First, the user applies for inspection using his / her user terminal 3 (S1a). Specifically, the user can apply for an inspection by accessing an inspection service site provided by the inspection center and inputting identification information such as a user ID given to the user in advance. At this time, a screen for inputting the inquiry data is displayed on the user terminal 3, and the user can input information on lifestyle, current physical condition and the like (S2). Here, the inspection service site has been described as being provided by the inspection center, but is not limited thereto, and may be a service site provided by a management company that cooperates with the inspection center.

  On the screen, a screen for selecting an inspection fee payment method is displayed. When the user selects payment of an inspection fee by transfer, credit card or the like, the user can pay the inspection fee by inputting a credit number on the above screen. When the user performs the process of paying the inspection fee, the inspection kit is mailed from the inspection center (S3). The payment of the inspection fee is not limited to the case, and may be performed by account transfer or bill payment. The inspection kit may be mailed when necessary information is input after the payment process is completed, or the bill may be mailed at the same time as the inspection kit.

  The test kit includes, for example, a sample collection tool for collecting a sample and a sample storage container for storing the collected sample. The inspection kit is provided with a seal on which a different kit number is printed for each inspection kit. The user accesses the inspection service site using the user terminal 3 and inputs the kit number printed on the sticker. The input kit number data is transmitted from the user terminal 3 to the test result management apparatus 1 (S4). When the inspection result management apparatus 1 receives the transmitted kit number data, the inspection result management apparatus 1 registers the user ID and kit number data in association with each other in the inspection result database (S5).

  Subsequently, the user collects his / her sample using the test kit, and returns the test kit including the sample storage container storing the collected sample to the test center (S6). Note that the user may input the kit number at the inspection service site after returning the inspection kit. That is, the order in which step S4 to step S6 are performed is arbitrary.

  When the inspection kit arrives at the inspection center, the inspection center inspects the specimen stored in the specimen storage container (S7). When the test is completed, the staff of the test center inputs the test result and the kit number of the test kit in which the sample is stored in the computer 2 in association with each other. The input inspection result and kit number are transmitted to the inspection result management apparatus 1 and registered in the inspection result database (S8). When the inspection result management apparatus 1 receives the inspection result from the computer 2, the inspection result management apparatus 1 stores the user ID, the kit number, and the inspection result in association with each other.

  Thereafter, when the user accesses the inspection service site in the user terminal 3, the inspection result management apparatus 1 transmits the inspection result to the user terminal 3 of the user having the user ID corresponding to the inspection result (S9a). In this way, the user can view the inspection result on the user terminal 3. The user terminal 3 is also sent a questionnaire regarding the examination, and the result of the user answering the questionnaire is managed by the examination result management apparatus 1. Further, the input of the inquiry data is not limited to accepting at step S2, but may be accepted at any timing up to step S9a.

  Next, an inspection in which the local government where the user lives bears the cost will be described using an example in which a local government staff applies for an inspection on behalf of the user. In this case, the local government staff applies for inspection using the local government terminal 4 (S1b). Specifically, the local government staff accesses the inspection service site provided by the inspection center, and inputs the identification information such as the local government ID given to the local government in advance and the ID of the user who is subject to the inspection. Can apply for user inspection. At this time, a screen for inputting the inquiry data is displayed on the user terminal 3, and the user can input information on lifestyle, current physical condition and the like (S2). The processing from step S2 to step S8 is almost the same as the case where the user applied for the inspection.

  However, when the local government applies for the inspection, the local government may pay the inspection fee, and in step S3, the inspection kit may be mailed to the user via the local government. In step S6, the user may return a test kit storing the collected specimen to the test center via the local government.

  Thereafter, when the local government staff accesses the inspection service site at the local government terminal 4, the inspection result management apparatus 1 transmits the inspection result to the local government terminal 4 (S9b). At this time, the test result can also be accessed from the user terminal 3. In this way, the user and the person in charge of the local government can browse the inspection result on the user terminal 3 or the local government terminal 4 or store the inspection result in the storage medium.

[Configuration of user terminal 3]
FIG. 3 is a diagram illustrating configurations of the inspection result management apparatus 1 and the user terminal 3.
First, the configuration of the user terminal 3 will be described. Since the configuration of the local government terminal 4 is the same as the configuration of the user terminal 3, a description thereof will be omitted. The user terminal 3 includes a communication unit 31, an operation unit 32, a display unit 33, a storage unit 34, and a control unit 35.

The communication unit 31 is an interface for connecting to a network that transmits and receives data to and from the inspection result management apparatus 1 and includes, for example, a LAN controller.
The operation unit 32 includes a keyboard and a mouse, and is a device operated by the user.

The display unit 33 is a liquid crystal display, for example. The display unit 33 displays the content of the inspection service site and the inspection result.
The storage unit 34 is a storage medium such as a ROM, a RAM, and a hard disk. The storage unit 34 stores a program executed by the control unit 35.

  The control unit 35 is a CPU, for example. The control unit 35 functions as a reception unit 351, a transmission unit 352, a reception unit 353, and a display control unit 354 by executing a program stored in the storage unit 34.

  The accepting unit 351 accepts an operation input by the user via the operation unit 32. For example, when the reception unit 351 receives an operation for accessing the inspection service site and a login screen to the inspection service site is displayed on the display unit 33, the reception unit 351 receives a user ID input via the login screen. The accepting unit 351 accepts a kit number input via a kit number input screen displayed after login. The reception unit 351 notifies the transmission unit 352 of the received user ID and kit number.

  The transmission unit 352 transmits various data to the inspection result management apparatus 1 via the communication unit 31. For example, the transmission unit 352 transmits a request message for accessing the inspection service site, or transmits the user ID and kit number notified from the reception unit 351 to the inspection result management apparatus 1.

  The receiving unit 353 receives the content of the inspection service site and the inspection result from the inspection result management apparatus 1. The receiving unit 353 causes the storage unit 34 to store the received content of the inspection service site and the inspection result.

  The display control unit 354 displays various contents on the display unit 33. For example, the display control unit 354 causes the display unit 33 to display the content of the inspection service site and the inspection result received by the receiving unit 353 and stored in the storage unit 34.

[Configuration of Inspection Result Management Device 1]
Next, the configuration of the inspection result management apparatus 1 will be described.
The inspection result management apparatus 1 includes a communication unit 11, a storage unit 12, and a control unit 13. The communication unit 11 is an interface for connecting to a network that transmits and receives data to and from the user terminal 3, and includes, for example, a LAN controller.

  The storage unit 12 is a storage medium such as a ROM, a RAM, and a hard disk. The storage unit 12 stores a program executed by the control unit 13. In addition, the storage unit 12 stores an inspection result database including inspection service site contents accessible by the user terminal 3 and records such as inspection results of each user and user attributes. The storage unit 12 stores the inquiry data transmitted from the user terminal 3 and the contents of the answer to the questionnaire in association with the user. Details of the contents of the inspection service site and the inspection result database will be described later.

  The control unit 13 is a CPU, for example. The control unit 13 functions as a reception unit 131, an acquisition unit 132, a management unit 133, and a transmission unit 134 by executing a program stored in the storage unit 12.

  The receiving unit 131 receives various data from the user terminal 3 to which the user ID is input and the local government terminal 4 to which the local government ID is input. For example, the receiving unit 131 receives a login request message for logging in to the inspection service site from the user terminal 3 and the municipal terminal 4. In addition, the receiving unit 131 receives an access request message for requesting permission to provide inspection results from the user terminal 3 and the municipal terminal 4.

  The receiving unit 131 receives the kit number data and the inspection date input in the user terminal 3 after the user terminal 3 logs into the inspection service site. Further, the receiving unit 131 receives the inquiry data input by the user at the user terminal 3. The receiving unit 131 stores the received inquiry data in the storage unit 12 in association with the user ID.

  The receiving unit 131 stores the kit number data and the examination date received from the plurality of user terminals 3 in the examination result database in the storage unit 12 in association with the user ID of each user terminal 3 user. In the present embodiment, the date entered by the user in the examination date input field displayed on the user terminal 3 is the examination date, but the examination date is not limited to the date entered by the user. The inspection date, such as the date when the user entered the kit number at the inspection service site, the date entered by the user on the sticker attached to the inspection kit, or the date when the inspection kit arrived at the inspection center Any relevant date can be used.

  The acquisition unit 132 acquires a test number based on a kit number attached to a test kit sent from the user and a specimen included in the test kit assigned the kit number. The acquisition unit 132 may further acquire name information indicating the name of the user. Specifically, when the inspection center staff inputs the kit number, name, and inspection result printed on the sticker attached to the inspection kit to the computer 2, the computer 2 sends the inspection result management apparatus 1 to the inspection result management device 1 via the LAN. The kit number, name information, and test result are transmitted, and the acquisition unit 132 acquires the kit number and name information via the communication unit 11.

  The management unit 133 manages the inspection result database, registers the inspection result received from the computer 2 in the inspection result database, and transmits various data registered in the inspection result database to the computer 2. When the management unit 133 registers the test result in the test result database, first, the acquisition unit 132 acquires the plurality of kit numbers received by the reception unit 131 from the plurality of user terminals 3 and stored in the storage unit 12. Identify a kit number that matches the kit number that you entered. Then, the management unit 133 stores the test result acquired by the acquisition unit 132 in the storage unit 12 in association with the user ID corresponding to the specified kit number.

  FIG. 4 is a diagram illustrating an example of an inspection result database stored in the storage unit 12. In the inspection result database, the user ID, inspection number, kit number, application information, permission level, inspection date, and inspection result are associated with each other. In FIG. 4A, the kit number “C2014332” received by the receiving unit 131 from the user terminal 3 and the examination date “2014/8/25” input in the user terminal 3 are registered in association with the user ID “20150001”. However, the test result on August 25, 2014 indicates a state where it has not been registered yet.

  The inspection number is a number for specifying the inspection result received by the user. The inspection number is a unique number assigned to each application for inspection regardless of whether it is the result of the inspection applied by the individual user or the inspection applied by the organization to which the user belongs.

  The application information is information indicating whether the data is a medical checkup applied by the user individually or a data of a medical checkup applied by an organization to which the user belongs. The application information is stored in the storage unit 12 in association with the examination number. The management unit 133 refers to the application information so that the examination result is the examination result obtained by the user's individual medical examination or the examination result obtained by the medical examination that the organization to which the user belongs is applied. Can be identified.

  The permission level is permission information indicating a condition for accessing the inspection result, and is set by the user via the user terminal 3. When the permission level is 2, the user and the staff of the organization to which the user belongs can view the inspection result. When the permission level is 1, the user can view the test result, but the staff of the organization to which the user belongs cannot view the test result, and the specific result is used, for example, when the test result is used to create statistical data. Only in this case, the organization to which the user belongs can obtain the test result. When the permission level is “0”, the organization to which the user belongs cannot obtain any inspection result regardless of the usage.

  FIG. 4B shows a state in which the inspection result is registered after the state shown in FIG. 4A. The management unit 133 specifies the record associated with the kit number “C2014332” in the test result database illustrated in FIG. 4A in response to the acquisition unit 132 acquiring the test result corresponding to the kit number “C2014332”. Then, the management unit 133 updates the inspection result database as illustrated in FIG. 4B by registering the inspection result acquired by the acquisition unit 132 in the specified record.

  The inspection result database may include user attribute information associated with the user ID and the user's name. The user attribute information indicates characteristics related to the user's health, such as the user's age, sex, height, weight, blood type, medical history, lifestyle, and the like included in the inquiry data transmitted from the user terminal 3. It is information indicating the user's preference for the examination, such as information or a questionnaire result answered by the user.

  Moreover, the test result database may include information indicating a usage record of subsidizing health check costs provided by a public organization such as a local government, which is associated with the user ID. The test result management apparatus 1 displays a screen for inputting whether or not to use a subsidy for the health check cost provided by the local government when the user performs the process of paying the test cost at the test service site. The receiving unit 131 acquires information indicating whether or not to use a subsidy, which is input at the inspection service site, and registers the acquired information in the inspection result database as usage record information.

  When the management unit 133 determines that the kit number that matches the kit number acquired by the acquisition unit 132 is not registered in the test result database, the management unit 133 associates the user ID corresponding to the name indicated by the name information acquired by the acquisition unit 132 Thus, the inspection result may be registered in the inspection result database. In this way, the management unit 133 normally uses a kit number that has a relatively low possibility of error, and whether or not the kit number attached to the test kit is included in the test result database record. If the kit number assigned to the test kit is not included in the test result database record, the name can be used as an auxiliary.

  Returning to FIG. 3, the transmission unit 134 responds to the access request message received by the reception unit 131 from the user terminal 3 or the municipality terminal 4, and the user corresponding to the user ID associated with the inspection result. Is transmitted to the local government terminal used by the local government staff of the user terminal 3 used by the user or the local government to which the user belongs (that is, the local government corresponding to the local government ID associated with the user ID).

  Here, the transmission unit 134 accesses the inspection result selected based on the attribute of the sender of the access request message received by the reception unit 131 and the application information associated with the inspection result stored in the storage unit 12. The request message is transmitted to the terminal (user terminal 3 or local government terminal 4). The attribute of the sender is either a first attribute indicating the user himself / herself corresponding to the inspection result for which access is requested in the access request message, or a second attribute indicating the organization to which the user belongs. The transmission unit 134, based on the attribute of the sender and the application information corresponding to the examination result number of the examination requested in the access request message, the individual examination result obtained by the user's individual medical examination The test result selected from the (first test result) and the group test result (second test result) obtained by the medical examination applied by the group to which the user belongs is transmitted.

  Specifically, when the sender's attribute indicates that the user himself, that is, when the receiving unit 131 receives an access request message from the user terminal 3, the transmitting unit 134 determines whether or not the content of the application information. First, all inspection results (individual inspection results and group inspection results) are transmitted to the user terminal 3. On the other hand, when the attribute of the sender indicates that the organization belongs to the user, that is, when the reception unit 131 receives an access request message from the local government terminal 4, the transmission unit 134 displays the personal examination result. Send group inspection results without sending.

  However, even if the attribute of the sender of the access request message indicates that the sender is an organization, the transmitter 134 receives the permission of the user, and the local government that is the organization's terminal. The personal inspection result may be transmitted to the terminal 4. The transmission unit 134 transmits, for example, a message requesting permission for provision of the personal examination result to the user terminal 3, and the personal examination result is transmitted to the local government terminal 4 on the condition that permission is obtained from the user via the user terminal 3. Send to.

  In addition, when the attribute of the sender of the access request message indicates that the sender is a group, the transmitter 134 performs a personal examination on the condition that the diagnostic result indicated by the group examination result is within a predetermined range. The result may be transmitted to the municipal terminal 4. For example, the transmission unit 134 may analyze the contents of the group test result and transmit the personal test result to the local government terminal 4 when the group test result indicates that the user needs treatment. . By doing in this way, the local government staff can transmit an appropriate message such as a message recommending to go to the hospital after referring to the personal examination result.

  When the receiving unit 131 receives an access request message including usage information indicating the usage of the inspection result, the transmitting unit 134 associates the usage information included in the access request message with the inspection result in the inspection result database. The inspection result selected from the individual inspection result and the group inspection result based on the permission information indicating the given permission level may be transmitted. For example, when the usage information included in the access request message indicates that the inspection result is to be browsed, the transmission unit 134 selects the inspection result whose permission level indicates “2” from the inspection results. To the local government terminal 4.

  On the other hand, when the usage information included in the access request message indicates that the inspection result is used to create statistical data, the transmission unit 134 has the permission level “1” or “2” of the inspection result. ] Is selected and transmitted to the local government terminal 4. By doing in this way, a user can cooperate with creation of statistical data, etc., protecting privacy.

  In addition, the transmission unit 134 transmits the examination result to the user terminal 3 or transmits the questionnaire information regarding the examination to the user terminal 3 after transmitting the examination result. The transmission unit 134 may transmit, to the user terminal 3, one questionnaire information selected based on the examination result from the plurality of questionnaire information stored in the storage unit 12. The questionnaire information includes a question regarding the inspection service, a question regarding the user's behavior based on the inspection result (for example, whether or not he / she went to the hospital), and the user can answer on the questionnaire screen displayed on the user terminal 3. .

  The transmission unit 134 can also transmit various pieces of advice information generated based on the inspection result to the user terminal 3. The transmission unit 134 transmits, for example, advice information including advice related to the health of the user to the communication terminal based on the tendency of changes in a plurality of examination results corresponding to a plurality of examination days on which the user conducted examinations. In this case, the storage unit 12 stores, for each type of examination, a plurality of pieces of advice information such as names of illnesses that the user may have and lifestyle habits to be improved in association with the tendency of changes in examination results. In addition, the transmission unit 134 selects and transmits advice information corresponding to a tendency of change in the inspection result among the plurality of advice information.

  Based on the examination date and the examination result stored in association with the user ID in the storage unit 12, the transmission unit 134 decides a date recommended for the next examination (hereinafter referred to as “next examination recommended date”) and determines Advice information including the recommended next inspection date may be transmitted to the user terminal 3. For example, the transmission unit 134 determines the next recommended test date by adding the recommended value of the test interval determined in association with the test type having a problem in the test result to the most recent test date. The transmission unit 134 may increase the interval until the next recommended inspection date when the inspection result is good, and shorten the interval until the next recommended inspection date when there is a problem with the inspection result.

  The transmission unit 134 may determine a recommended next inspection date based on a tendency of changes in a plurality of past inspection results stored in the storage unit 12 in association with the user ID. For example, when a plurality of past inspection results tend to deteriorate, the transmission unit 134 determines a recommended next inspection date so that the inspection interval is shorter than the previous time. When a plurality of past test results indicate a tendency for the health condition to improve, the transmission unit 134 determines the next recommended test date so that the test interval becomes longer than the previous test result.

  The transmission unit 134 may determine an interval until the next inspection based on the rank of the latest inspection result and the tendency of the ranks of the plurality of previous inspection results to vary. For example, it is assumed that the test results are divided into four ranks: “within A reference value”, “B mild abnormal value”, “C highly abnormal value”, and “D value that requires a doctor's diagnosis”. In this case, when the latest test result is “within A reference value”, the transmission unit 134 determines the interval until the next test as a standard interval, and the latest test result is “C high abnormal value”. ", The interval until the next inspection is determined to be shorter than the standard interval. The transmission unit 134 may determine the interval until the next inspection as a short interval when the rank indicating the abnormal value continues for a predetermined number or more and the rank does not tend to improve.

  The transmission unit 134 may determine the next recommended inspection date based on the user attributes stored in the storage unit 12. For example, the transmission unit 134 shortens the interval until the next recommended examination date when the user has a past history related to the examination item having an abnormality in the examination result, compared with the case where there is no past history. In addition, the transmission unit 134 may shorten the interval until the next recommended test date when the user has a constitution or lifestyle that is likely to cause illness related to the test item having an abnormality in the test result. .

  The transmission unit 134 may determine the next recommended inspection date by combining the tendency of the variation of the inspection result and the user's attribute. For example, the transmission unit 134 identifies a disease that is likely to develop based on the attribute of the user, and recommends the next test when the tendency of the test result variation related to the identified disease indicates the possibility of onset. The interval between days can be shortened. By doing so, it is possible to promptly detect the user's illness by prompting the user to go to the hospital.

  In addition, the transmission unit 134 may determine the recommended date for the next examination based further on the use results of the medical institution's medical checkup assistance stored in the storage unit 12. For example, when the user does not use the health check expense subsidy that can be used within a predetermined period, the transmission unit 134 determines the next recommended examination date within the period in which the subsidy can be used. In this case, when the interval until the last day of the period in which the assistance can be used is shorter than the predetermined interval, the transmission unit 134 assumes that the assistance is not used and sets the next recommended inspection date as the day after the period in which the assistance can be used. You may decide to.

  Further, the transmission unit 134 may transmit the hospital name to the user terminal 3 as advice information. Specifically, the storage unit 12 stores the tendency of the change in the test result and the name of the hospital that can diagnose and treat the disease assumed by the tendency of the change in the test result, The transmission unit 134 selects a hospital corresponding to the change tendency of the user's test results, and transmits the name of the selected hospital to the user terminal 3. When a plurality of hospitals that can be selected by the transmission unit 134 are stored in the storage unit 12, the transmission unit 134 accesses the hospital server to acquire information indicating the availability of the hospital, and recommends the next recommended examination date and hospital One or more hospitals may be selected based on the availability.

  The transmission unit 134 may select a hospital that has a vacancy within a predetermined number of days from the date determined as the next recommended test date and is associated with the tendency of the test result to change. In this way, the user can receive a precise examination at a hospital where there is a high possibility that he / she will be treated for improving his / her health at a time when a moderate period has passed since the most recent examination date. it can.

[Inspection result display screen in user terminal 3]
5 to 8 are diagrams illustrating examples of display screens for examination results displayed on the display unit 33 of the user terminal 3. A similar screen is displayed on the display unit 33 of the local government terminal 4 for the inspection result applied by the local government or the inspection result having the permission level “2”.
FIG. 5 is an inspection result list screen. In the area 21, an examination date and a comprehensive evaluation for the result of the examination performed on each examination date are displayed. When the user touches the operation image “result of August 25, 2014”, the screen transitions to the display screen of FIG.

  FIG. 6 is a screen displaying an outline of the test result on August 25, 2014. In the area 22, the comprehensive evaluation of the test result on August 25, 2014 is displayed. When the user touches the operation image displayed as “hospital search”, the name of the hospital selected by the transmission unit 134 based on the examination result is displayed. When the user touches the operation image “improvement advice” in the area 23, the advice information selected by the transmission unit 134 based on the inspection result is displayed. When the user touches each operation image in the area 24, the screen is changed to a screen shown in FIG. 7 that displays details of the inspection result corresponding to the touched operation image.

  FIG. 7 is a detailed screen of the test result displayed after touching the operation image “D liver function details” on the screen of FIG. 6. In the area 25, the inspection items whose inspection results are displayed in FIG. 7 and the other inspection items are displayed in different display modes. The user can display detailed inspection results of other inspection items by touching the operation image of the other inspection items. In the area 26, detailed data of the examination result of the liver function which is the examination item selected in FIG. 6 is displayed.

  FIG. 8 is a graph showing changes in a plurality of past inspection results. FIG. 8A is a graph that can be viewed on the user terminal 3. The user can further display past inspection results by touching the operation image 27, and can display more recent inspection results by touching the operation image.

  FIG. 8A is a graph showing a change in the test result of GPT, which is a part of the liver function test, and the value within 50 (UI / L) is within the reference value. In the example shown in FIG. 8, the results of the examinations conducted on March 12, 2013, November 24, 2013, and February 23, 2014 are within the reference values. The result of the inspection showed a slight abnormal value, and the result of the inspection conducted on August 25, 2014 shows a highly abnormal value. The user visually recognizes the transition of the test result and sees the advice information according to the tendency of the change of the test result, thereby increasing the willingness to actively work on improving the health condition.

  FIG. 8B is a graph that can be viewed on the municipal terminal 4. As shown in FIG. 4B, since the permission level is set to “1” for the inspection result on February 23, 2014, the inspection result is not transmitted to the local government terminal 4. Therefore, in FIG. 8B, the inspection result on February 23, 2014 is not displayed. However, when the inspection result management apparatus 1 receives an access request message to the inspection result from the local government terminal 4, even if the permission level is “0” or “1”, the inspection result management device 1 indicates the date of the inspection. Information may be transmitted. In this case, as shown in FIG. 8B, since the date of the examination is displayed on the municipal terminal 4, it is possible for the municipal staff to make a call or send an email to the user. .

[Flowchart showing operation procedure of inspection result management apparatus 1]
FIG. 9 is a flowchart showing a processing procedure in the inspection result management apparatus 1. The flowchart of FIG. 9 starts from the time when the access request message is transmitted to the inspection result management apparatus 1.

  In S <b> 11, the reception unit 131 receives an access request message from the user terminal 3 or the municipal terminal 4. When receiving the access request message, the receiving unit 131 determines whether the sender is the user or the local government to which the user belongs by specifying the transmission source terminal of the access request message in S12.

  When the receiving unit 131 determines in S12 that the sender is the user himself / herself, the inspection result management apparatus 1 advances the process to S13, and the transmitting unit 134 transmits all the inspection results specified in the access request message. Add to list. In S14, the transmission unit 134 transmits the inspection result included in the transmission list.

  In S12, when the receiving unit 131 determines that the sender is an organization to which the user belongs instead of the user himself / herself, the transmitting unit 134 determines whether or not the inspection result can be transmitted in the order of the inspection result number. To do. In S15, the transmission unit 134 sets the inspection result number to be determined as to whether or not transmission is possible to 1, and in S16, whether or not the application information associated with the inspection result having the inspection result number 1 is a local government. Confirm.

  If the transmission unit 134 determines that the application information is a local government in S16, the transmission unit 134 adds the inspection result having the inspection result number of 1 to the transmission list in S17. If the transmission unit 134 determines in S16 that the application information is not a local government, the transmission unit 134 proceeds to S18 and determines whether or not the usage information included in the access request message is a licensed usage.

  When the usage indicated by the usage information included in the access request message is included in the usage indicated by the usage level associated with the inspection result, the transmission unit 134 proceeds to S17 and adds the inspection result to the transmission list. Then go to S20. On the other hand, if the usage indicated by the usage information included in the access request message is not included in the usage indicated by the usage level associated with the inspection result, the transmission unit 134 proceeds to S19 and transmits the inspection result to the transmission list. Without proceeding to S20.

In S20, the transmission unit 134 changes the number of the inspection result that is a target for determining whether transmission is possible, to the next inspection result number, and proceeds to S21. At this time, when the transmission unit 134 has finished the determination for all the inspection results, the process proceeds to S14, and when the transmission unit 134 has not completed the determination for all the inspection results, the process returns to S16, and S16 to S21. Repeat the above steps.
According to the above procedure, the inspection result management apparatus 1 can transmit an appropriate inspection result to the access requester based on the relationship between the requester of access to the inspection result and the applicant for inspection.

[Effect in the first embodiment]
As described above, in the inspection result management system S according to the first embodiment, the transmission unit 134 includes the attribute of the sender of the access request received by the reception unit 131 and the application information associated with the inspection result. Based on the above, an appropriate inspection result is selected and transmitted from the inspection result applied by the user and the inspection result applied by the organization to which the user belongs. By doing in this way, the test result management apparatus 1 protects the user's privacy while centrally managing the result of the test applied by the user and the result of the test applied by the mass screening by the local government where the user lives. can do.

  In addition, the inspection result management apparatus 1 has obtained permission from the user to permit the provision of the inspection result that the user has applied even when a group such as a local government requests permission to provide the inspection result. Send the test results to the organization as a condition. Therefore, the local government can support the user's health management within a range that does not affect the user's privacy.

  Moreover, the test result management apparatus 1 permits the transmission of the examination result of the medical examination applied by the user to the local government terminal 4 when the examination result of the user in the medical examination applied for by the group is bad. By doing in this way, it becomes easy to deal with a local government giving advice to a user who needs immediate treatment.

  The inspection result management apparatus 1 transmits the inspection result to the local government terminal 4 depending on the application even when a group such as a local government requests the inspection result of the medical examination that the user has applied for. By doing in this way, a test result can be used effectively for the use which does not affect a user's privacy.

<Second Embodiment>
In the first embodiment, one local government is assumed as an organization to which the user belongs. However, in the second embodiment, a case where the user has belonged to a plurality of local governments is assumed. It is different in point. In the second embodiment, it is assumed that both the first local government that lived before the user moved and the second local government that lived after the user moved applied for the user's medical examination. Yes.

  FIG. 10 is a diagram illustrating an example of an inspection result database according to the second embodiment. In FIG. 10, there is an inspection result in which the application information is “local government 1”, an inspection result that is “local government 2”, and an inspection result that is “individual”. Unlike the test result database shown, it is the same in other respects.

  As described above, the storage unit 12 of the test result management apparatus 1 of the present embodiment stores the group test results obtained by the medical examinations applied by a plurality of groups in association with the group identification information for identifying the groups. ing. The storage unit 12 stores a plurality of local governments in which the user has lived in the past.

  FIG. 11 is a flowchart illustrating a processing procedure in the inspection result management apparatus 1 according to the second embodiment. In FIG. 11, instead of S <b> 16 in FIG. 9, it is determined whether or not the test result requested for access is a test result of a medical checkup applied by the local government where the user has lived in the past or the local government where the user currently lives. Unlike the flowchart shown in FIG. 9, it is the same in other points by having S22 to determine.

  When the receiving unit 131 receives an access request from a first group (for example, a first local government) among a plurality of groups, the transmission unit 134 and a second group (for example, a plurality of groups) The group inspection result associated with the group identification information of the second group is transmitted to the first group on condition that the relationship with the second municipality satisfies a predetermined condition. For example, the transmission unit 134 indicates that the first organization is the first local government where the inspected person currently resides and the second organization is the second local government in which the inspected person has resided in the past. As a condition, the group inspection result is transmitted to the first group.

[Effects of Second Embodiment]
As described above, the test result management apparatus 1 according to the second embodiment is not the test result of the medical examination that the local government has applied for, but the medical examination that the user has applied for and received by the local government where the user has lived in the past. If it is the inspection result, it is possible to access. By doing in this way, even if a user moves, since the test result management apparatus 1 can grasp | ascertain the test result of the medical examination which groups, such as a local government, received in the past, the health of the user who has just moved It becomes possible to provide support for promotion.

  As mentioned above, although this invention was demonstrated using embodiment, the technical scope of this invention is not limited to the range as described in the said embodiment. It will be apparent to those skilled in the art that various modifications or improvements can be added to the above embodiment. In particular, the specific embodiments of the distribution / integration of the devices are not limited to those illustrated above, and all or a part thereof may be added in arbitrary units according to various additions or according to functional loads. It can be configured functionally or physically distributed and integrated.

DESCRIPTION OF SYMBOLS 1 Test result management apparatus 2 Computer 3 User terminal 11 Communication part 12 Storage part 13 Control part 131 Reception part 132 Acquisition part 133 Management part 134 Transmission part 31 Communication part 32 Operation part 33 Display part 34 Storage part 35 Control part 351 Reception part 352 Transmission unit 353 Reception unit 354 Display control unit S Inspection result management system

Claims (10)

An inspection result management device for managing the inspection result of the inspected person,
The inspected person identification information for identifying the inspected person and the inspection result are the first inspection result obtained by the medical examination that the inspected person applied for individually, or the inspected person belongs A storage unit for storing the test result in association with application information indicating whether the second test result obtained by the medical examination applied by the group;
A receiving unit that receives an access request to the inspection result;
From the first inspection result and the second inspection result based on the attribute of the sender of the access request received by the receiving unit and the application information associated with the inspection result stored in the storage unit A transmission unit for transmitting the selected inspection result;
Have a,
The transmission unit transmits the first inspection result on the condition that the diagnosis result indicated by the second inspection result is within a predetermined range when the attribute of the sender indicates the group. Test result management device to be sent to the person . An inspection result management device for managing the inspection result of the inspected person,
Inspected person identification information for identifying the inspected person, and the inspection result is a first inspection result obtained by a medical examination applied by the inspected person individually, or the inspected person belongs A storage unit that stores application information indicating whether or not the second test result obtained by the medical examination applied by the group and permission information indicating a permission level according to the use of the test result in association with the test result;
A receiving unit for receiving an access request to the test result, including use information indicating a use of the test result;
In the attribute of the sender of the access request received by the receiving unit, the application information associated with the inspection result stored in the storage unit, the use information included in the access request, and the inspection result A transmission unit for transmitting an inspection result selected from the first inspection result and the second inspection result based on the associated permission information;
A test result management apparatus having An inspection result management device for managing the inspection result of the inspected person,
The inspected person identification information for identifying the inspected person and the inspection result are the first inspection result obtained by the medical examination that the inspected person applied for individually, or the inspected person belongs The test result is stored in association with the application information indicating whether the second test result obtained by the medical examination applied by the group, and the second test result obtained by the medical examination applied by a plurality of the groups, A storage unit for storing in association with group identification information for identifying a group;
A receiving unit that receives an access request to the inspection result;
From the first inspection result and the second inspection result based on the attribute of the sender of the access request received by the receiving unit and the application information associated with the inspection result stored in the storage unit A transmission unit for transmitting the selected inspection result;
Have
When the receiving unit receives the access request from the first group of the plurality of groups, the transmission unit has a predetermined relationship between the first group and the second group of the plurality of groups. A test result management apparatus that transmits the second test result associated with the group identification information of the second group to the first group on condition that the condition is satisfied . When the sender's attribute indicates that the person to be inspected is itself, the transmitter transmits the first inspection result and the second inspection result, and the sender's attribute is the organization. The transmitter transmits the second inspection result without transmitting the first inspection result,
The inspection result management apparatus according to any one of claims 1 to 3 . The transmitting unit transmits a message requesting permission to provide the first inspection result to the inspected person when the sender's attribute indicates the organization, and permits from the inspected person. The first test result is transmitted to the sender on the condition that
The inspection result management apparatus according to claim 4 . The transmission unit transmits the first inspection result and the second inspection result when the usage information indicates that the inspection result is used to create statistical data.
The inspection result management apparatus according to claim 2 . The first group and the second group are local governments,
In the transmitting unit, the first group is a first local government in which the person to be inspected currently resides, and the second group is a second local government in which the inspector has previously resided. On condition that the second inspection result is transmitted to the first organization,
The inspection result management apparatus according to claim 3 . A test result management method for managing test results of an inspected person executed by a computer,
Receiving an access request to the inspection result;
The inspected person identification information for identifying the inspected person and the inspection result are the first inspection result obtained by the medical examination that the inspected person applied for individually, or the inspected person belongs Referring to a storage unit that stores the examination result in association with application information indicating whether the examination result obtained by the medical examination applied by the group;
When the attribute of the sender of the received access request indicates that the organization is the group, the first inspection result is transmitted on the condition that the diagnosis result indicated by the second inspection result is within a predetermined range. Sending to the user ,
A test result management method. A test result management method for managing test results of an inspected person executed by a computer,
  Receiving an access request to the test result, including use information indicating a use of the test result;
  Inspected person identification information for identifying the inspected person, and the inspection result is a first inspection result obtained by a medical examination applied by the inspected person individually, or the inspected person belongs Reference is made to a storage unit that stores application information indicating whether or not the second test result obtained by the medical examination applied by the group and permission information indicating a permission level according to the use of the test result in association with the test result. Steps,
  The attribute of the sender of the received access request, the application information associated with the inspection result stored in the storage unit, the usage information included in the access request, and the inspection information associated with the inspection result Transmitting an inspection result selected from the first inspection result and the second inspection result based on permission information;
  A test result management method. A test result management method for managing test results of an inspected person executed by a computer,
  Receiving an access request to the inspection result;
  The inspected person identification information for identifying the inspected person and the inspection result are the first inspection result obtained by the medical examination that the inspected person applied for individually, or the inspected person belongs The test result is stored in association with application information indicating whether the second test result obtained by the medical examination applied by the group, and the second test result obtained by the medical examination applied by the plurality of groups Referring to a storage unit that associates and stores group identification information for identifying the group;
  When the access request is received from a first group of the plurality of groups, the relationship between the first group and a second group of the plurality of groups satisfies a predetermined condition, Transmitting the second inspection result associated with the group identification information of a second group to the first group;
  A test result management method.