JP7315190B2 - telemedicine system - Google Patents

Description

The present invention relates to a telemedicine system and the like.

Conventionally, as in Japanese Patent Laid-Open No. 2002-200010, an information device or the like that acquires biological information and transmits it to another device has been proposed.

JP-A-11-282754

However, when it is used for telemedicine, it is necessary for the medical terminal side to confirm that the real patient is wearing a detection terminal that accurately acquires biological information.

SUMMARY OF THE INVENTION Accordingly, it is an object of the present invention to provide a telemedicine system that facilitates identification of a patient.

A telemedicine system according to the present invention includes a detection terminal that is worn on a patient's body and detects at least one of the patient's biological information and surrounding information, and a medical terminal that receives the information detected by the detection terminal via a network.
The diagnosis terminal determines whether the person wearing the detection terminal is the examinee based on the information detected by the detection terminal whose numerical value changes corresponding to the predetermined action of the examinee.

In a telemedicine system, by using at least one of biometric information and ambient information including numerical values that change according to predetermined actions, it is possible to easily confirm whether a person wearing a detection terminal is a patient.

Preferably, the telemedicine system further includes an aggregation terminal that receives information detected by the detection terminal and transmits the information to the medical terminal via the network.
The medical terminal transmits identity verification instruction information including an operation instruction message indicating that a predetermined action is to be performed for identity verification and the content of the predetermined action to the aggregation terminal.
At least one of the aggregation terminal and the detection terminal outputs an operation instruction message.
The determination is made based on the information detected by the detection terminal during a period from when the personal identification instruction information is received until a predetermined time has passed.

Using the image information of the examinee used in the telemedicine system, the user (examiner) of the medical terminal can visually recognize the state in which the predetermined action included in the action instruction message is actually performed (or not performed).

More preferably, the tallying terminal has an imaging unit.
The medical terminal determines whether or not a predetermined operation is being performed from the image information obtained by the imaging unit.
The tallying terminal outputs an action instruction message on top of the image information obtained by the imaging unit.
The determination is made based on the information detected by the detection terminal during the time period during which the predetermined operation is performed.

More preferably, the tallying terminal outputs the action instruction message on the image information and in an area different from the area including the human face and the area including the detecting terminal included in the image information.

This makes it possible to maintain the display of the human face and the detection terminal included in the image information while the operation instruction message is displayed.

Also, preferably, the determination is made based on past information detected by the detection terminal and information detected by the detection terminal during a period from when the personal identification instruction information is received until a predetermined time elapses.

This makes it possible to perform identity verification more accurately.

Further, preferably, the medical terminal transmits identity verification instruction information including an operation instruction message indicating that the predetermined operation is to be performed for identity verification and the content of the predetermined operation to the detection terminal.
At least one of the sensing terminals outputs an action instruction message.
The determination is made based on the information detected by the detection terminal during a period from when the personal identification instruction information is received until a predetermined time has passed.

Preferably, the information detected by the detection terminal, which is received by the diagnosis terminal, is configured in a file format in which the data of each cell can be read by spreadsheet software and cannot be written.

The file size can be made smaller than when image data is received in a file format, and an increase in communication load can be suppressed.
In addition, the medical terminal can easily read the data included in the information detected by the detection terminal, and can easily process the data.
Also, since a file in a write-disabled state is received, falsification of the received contents can be prevented.

More preferably, the information detected by the detection terminal is received by the medical terminal via file provision using a server of a cloud storage service.

In this case, even if the aggregation terminal cannot communicate, the information detected by the detection terminal can be recorded in the cloud storage service server if communication between the cloud storage service server and the aggregation terminal is possible. After that, when the aggregation terminal becomes ready for communication, the aggregation terminal can obtain the information from the server of the cloud storage service.

Also, preferably, the predetermined motion is a motion of covering the detection terminal attached to the patient's arm with a hand.
The detection terminal detects at least the radio wave intensity of the signal received by the detection terminal as the surrounding information.
The determination is made based on at least the information about the radio wave intensity among the information detected by the detection terminal.

Also, preferably, the predetermined action is at least one of an action of tapping the detection terminal worn on the arm of the patient and an action of raising the arm of the patient wearing the detection terminal.
The sensing terminal senses acceleration of the sensing terminal as at least surrounding information.
The determination is made based on at least information about acceleration among the information detected by the detection terminal.

As described above, according to the present invention, it is possible to provide a telemedicine system that facilitates identification of a patient.

1 is a configuration diagram of a telemedicine system in first to third embodiments; FIG. FIG. 4 is a diagram showing an example of contents of a patient information database in the first to third embodiments; FIG. FIG. 10 is a diagram showing a tally terminal side output unit displaying an operation instruction message according to the first embodiment; FIG. 10 is a diagram showing a tally terminal side output unit displaying a confirmation completion message according to the first embodiment; FIG. 12 is a diagram showing a tally terminal side output unit displaying image information and an operation instruction message according to the third embodiment; FIG. 12 is a diagram showing a tally terminal side output unit displaying image information and a confirmation completion message according to the third embodiment; FIG. 11 is a diagram showing a tally terminal side output unit displaying image information and a warning message according to the third embodiment;

The first embodiment will be described below with reference to the drawings.
In addition, embodiment is not restricted to the following embodiments. In addition, the contents described in one embodiment are in principle similarly applied to other embodiments. Moreover, each embodiment and each modified example can be appropriately combined.

(Telemedicine system 1)
The telemedicine system 1 in the first embodiment includes detection terminals (first detection terminal A1 to fifth detection terminal A5), aggregation terminals (first aggregation terminal B1 to third aggregation terminal B3), and diagnosis terminals (first diagnosis terminal C1 to fourth diagnosis terminal C4).

In the first embodiment, an example of configuring the telemedicine system 1 using five detection terminals, three aggregation terminals, and four diagnosis terminals is shown, but the number of each terminal is an example, and the number of detection terminals is not limited to five, the number of aggregation terminals is not limited to three, and the number of diagnosis terminals is not limited to four.

(detection terminal)
Each of the first detection terminal A1 to the fifth detection terminal A5 has a detection terminal side control section 11, a detection device 13, a detection terminal side communication section 15, a detection terminal side input section 18, and a detection terminal side output section 19. FIG.
Although FIG. 1 shows the detailed structure of the detection device 13 and the like for the first detection terminal A1, the second detection terminal A2 to the fifth detection terminal A5 also have the same structure.

(Detection terminal housing)
The housing of the detection terminal is composed of a housing of an accessory attached to the body of the user (examinee), and holds a detection terminal-side control unit 11, a detection device 13, a detection terminal-side communication unit 15, a detection terminal-side recording unit 17, a detection terminal-side input unit 18, and a detection terminal-side output unit 19.
In the first embodiment, an example in which the housing of the first detection terminal A1 is configured with a housing of a wrist watch is shown. However, the housing of the detection terminal is not limited to the housing of the wristwatch. For example, the housing of at least one of the first detection terminal A1 to the fifth detection terminal A5 may be a housing of an accessory attached to the user's body other than a wristwatch, such as a bracelet, wristwatch, necklace, anklet, ring, or prayer beads. FIG. 1 shows an example in which the housings of the first detection terminal A1, the second detection terminal A2, and the fourth detection terminal A4 are formed of wristwatch housings, and the housings of the third detection terminal A3 and the fifth detection terminal A5 are formed of anklet housings.

(Detection terminal side control unit 11)
The detection terminal side control unit 11 controls each unit of the detection terminal.
The detecting terminal-side control unit 11 operates the detecting terminal-side program P10 installed in the detecting terminal-side recording unit 17 .
The detection terminal side program P10 executes a biometric information acquisition step S11, a biometric information transmission step S12, a second action instruction message output step S13, and the like, which will be described later.

(Detection device 13)
The detection device 13 acquires the user's (patient's) biometric information and ambient information.
The biological information includes body temperature, pulse, pulsation, blood pressure, etc. of the user (examinee) wearing the detection device 13 .
The ambient information includes temperature, humidity, air pressure, specific gas concentration, noise, radio wave intensity, pressure, acceleration, and the like.
Acceleration includes acceleration in one of the horizontal directions (x-direction), a horizontal direction perpendicular to the x-direction (y-direction), and a vertical direction perpendicular to the x- and y-directions (z-direction).
Step count information, calorie consumption, and the like are calculated from the acceleration information and the like.
The detection device 13 acquires the biological information and the surrounding information every first time T1 (for example, T1=30 seconds).
In the first embodiment, an example will be described in which the detection device 13 acquires all items of the biological information and the ambient information every first time T1. However, the interval for acquiring information may be different for each item.
Also, the first time T1 is not limited to being fixed, and may vary depending on the time zone and the user. For example, a short value is set during the daytime (from 6:00 to 22:00), and a long value is set at night (from 22:00 to 6:00 the next day).

In the first embodiment, an example will be described in which the detection device 13 detects the user's (patient's) diastolic blood pressure, systolic blood pressure, and pulse as biological information, and temperature, humidity, radio wave intensity, and acceleration (x direction, y direction, z direction) as ambient information.

(Detection terminal side communication unit 15)
The detection terminal-side communication unit 15 communicates with the first aggregation terminal-side communication units 35 of the first aggregation terminal B1 to the third aggregation terminal B3, which are paired, in the first communication (near field communication).
The detection terminal side communication unit 15 transmits the information (biological information, surrounding information) obtained by the detection device 13, along with the time information and the identification information of the detection terminal, to the first totalization terminal side communication unit 35 set for pairing.

In the first embodiment, the detection terminal-side communication units 15 of the first detection terminal A1 and the second detection terminal A2 communicate with the first aggregation terminal-side communication unit 35 of the first aggregation terminal B1, the detection terminal-side communication unit 15 of the third detection terminal A3 communicates with the first aggregation terminal-side communication unit 35 of the second aggregation terminal B2, and the detection terminal-side communication units 15 of the fourth detection terminal A4 and the fifth detection terminal A5 communicate with the first aggregation terminal-side communication unit of the third aggregation terminal B3. 35 shows an example of communication.

The communication means of the first communication, in addition to the communication method of the telephone line and the RF tag, transmits its own identification information to the outside while the communication means is in the ON state.

(Transmission timing of biometric information, etc.)
Transmission of biometric information and the like from the detection terminal side communication unit 15 to the first totalization terminal side communication unit 35 is performed immediately after the detection device 13 acquires the information. That is, the transmission is performed every first time T1.
However, during a period when the detection terminal side communication section 15 and the first totalization terminal side communication section 35 cannot communicate, the biometric information cannot be transmitted. Therefore, the information acquired by the detection device 13 during the time period is recorded in the detection terminal side recording unit 17 . Then, when the communication between the detection terminal side communication unit 15 and the first totalization terminal side communication unit 35 becomes possible, the information acquired by the detection device 13 during the time zone and recorded in the detection terminal side recording unit 17 is transmitted.

(Detection terminal side recording unit 17)
The detecting terminal-side recording unit 17 records information (biological information, ambient information) obtained by the detecting device 13 together with time information and identification information of the detecting terminal.
A detecting terminal-side program P10 is installed in the detecting terminal-side recording unit 17 .

(Detection terminal side input unit 18)
The detection terminal side input unit 18 includes a touch panel, buttons, a microphone, and the like, and is used for input operations on the detection terminal.

(Detection terminal side output unit 19)
The detection terminal side output unit 19 includes a speaker (audio output device), a display device (image output device), and the like, and is used for output operations in the detection terminal.

(Aggregation terminal)
Each of the first tallying terminal B1 to third tallying terminal B3 has a tallying terminal-side control unit 31, a tallying terminal-side imaging unit 32, a first tallying terminal-side communication unit 35, a second tallying terminal-side communication unit 36, a tallying terminal-side recording unit 37, a tallying terminal-side input unit 38, and a tallying terminal-side output unit 39.

(Total terminal side control unit 31)
The tabulation terminal side control section 31 controls each section of the tabulation terminal.
The tabulation terminal side control section 31 operates the tabulation terminal side program P30 installed in the tabulation terminal side recording section 37 .
The tallying terminal program P30 executes a database generation step S31, a database recording step S32, a first operation instruction message output step S33, an operation instruction message transfer step S34, an identity verification data transmission step S35, a first confirmation completion message output step S36, a diagnosis data transmission step S37, a second diagnosis data output step S38, and the like, which will be described later.

(Total terminal side imaging unit 32)
The tallying terminal side imaging unit 32 acquires image information around the tallying terminal.
In the first embodiment, the collection terminal side imaging unit 32 images the detection terminal and the user (examinee) wearing the detection terminal during the personal identification operation and the medical examination via the medical terminal.

(First aggregation terminal side communication unit 35)
In the first communication, the first aggregation terminal side communication section 35 communicates with the detection terminal side communication section 15 of the first detection terminal A1 to the fifth detection terminal A5, which are paired.

(Second total terminal side communication unit 36)
The second tabulation terminal side communication unit 36 communicates with the diagnosis terminal side communication unit 56 of the first tabulation terminal side communication unit 36 specified by the user (examinee) of the second tabulation terminal side communication unit 36, among the first to fourth tabulation terminal side communication units C1 to C4.
For example, when the user (examinee) of the third detection terminal A3 undergoes medical examination at a medical institution including the second diagnosis terminal C2, the detection terminal side communication section 15 of the third detection terminal A3 and the first aggregation terminal side communication section 35 of the second aggregation terminal B2 perform communication via the first communication, and the second aggregation terminal side communication section 36 of the second aggregation terminal B2 and the diagnosis terminal side communication section 56 of the second aggregation terminal C2 communicate via the network.

The second tabulation terminal-side communication unit 36 transmits the image data obtained by the tabulation terminal-side imaging unit 32 and the data of the user (patient) of the tabulation terminal, that is, the data of the person wearing the detection terminal in the examinee information database D1, to the medical care terminal-side communication unit 56 of the medical care terminal specified by the user (patient).

In the case of identity verification, the user (patient) of the tallying terminal, i.e., the person wearing the detection terminal, in the examinee information database D1, is transmitted during a second time T2 (for example, T2=60 seconds) after the identity verification instruction information is transmitted.
In the third embodiment, which will be described later, image data obtained by the tallying terminal-side imaging unit 32 is also transmitted in the case of personal identification.

In the case of a medical examination, past data from the image data obtained by the collection terminal side imaging unit 32 and the examinee information database D1 are transmitted to the collection terminal user (examinee), i.e., the person wearing the detection terminal, for a period of time (third time T3) specified by the diagnosis terminal side user (medical worker). However, in place of or in addition to past data, current data may be transmitted at any time.

(File format of data to be sent)
The information received by the diagnosis terminal and detected by the detection terminal (examinee information database D1, etc.) may be configured in a file format of image data showing a list, or may be configured in a file format in which data in each cell can be read but not written using spreadsheet software.

The file size can be made smaller than when image data is received in a file format, and an increase in communication load can be suppressed.
Further, the medical terminal can easily read the data included in the information (examinee information database D1, etc.) detected by the detection terminal, and can easily process the data.
Also, since a file in a write-disabled state is received, it is possible to prevent falsification of the contents of the received patient information database D1.

(Transmission form of examinee information database D1)
The transmission of information detected by the detection terminal (examinee information database D1, etc.) from the second aggregation terminal-side communication unit 36 of the aggregation terminal to the medical care terminal-side communication unit 56 of the medical care terminal, and the reception of the information detected by the detection terminal by the medical care terminal communication unit 56 of the medical care terminal may be performed via file sharing using the server of the cloud storage service.

In this case, even if the aggregation terminal cannot communicate, if the communication between the server of the cloud storage service and the aggregation terminal is possible, the information detected by the detection terminal (examinee information database D1, etc.) can be recorded in the server of the cloud storage service. After that, when the aggregation terminal becomes ready for communication, the aggregation terminal can obtain the information of the examinee information database D1 from the server of the cloud storage service.

The tallying terminal side program P30 generates a patient information database D1 for each user (patient) based on the information (biological information, ambient information, identification information of the detecting terminal) received by the first tallying terminal side communication unit 35 (see FIG. 2).
The patient information database D1 includes identification information of the detection terminal worn by the user (patient), information acquisition time, biometric information (minimum blood pressure, systolic blood pressure, pulse), ambient information (temperature, humidity, radio wave intensity, acceleration).

(Total terminal side recording unit 37)
The tallying terminal side recording unit 37 records the examinee information database D1.
A tally terminal side program P30 is installed in the tally terminal side recording unit 37 .

(Record example of examinee information database D1)
In the first embodiment, the tabulation terminal-side recording unit 37 of the first tabulation terminal B1 records, as the examinee information database D1, those corresponding to the identification information (0001) of the first detection terminal A1 and those corresponding to the identification information of the second detection terminal A2.
In addition, the tallying terminal side recording unit 37 of the second tallying terminal B2 records information corresponding to the identification information of the third detection terminal A3 as the examinee information database D1.
The tallying terminal side recording unit 37 of the third tallying terminal B3 still records, as the examinee information database D1, those corresponding to the identification information of the fourth detection terminal A4 and those corresponding to the identification information of the fifth detection terminal A5.

(Total terminal side input unit 38)
The tabulation terminal side input unit 38 is composed of a touch panel, buttons, a microphone, etc., and is used for input operations on the tabulation terminal.
When receiving a medical examination using the total terminal side program P30, selection of a medical treatment terminal included in the medical institution receiving the medical examination, reservation setting of the time to receive the medical examination, etc. are performed on the total terminal side program P30 via the total terminal side input unit 38.例文帳に追加

(Total terminal side output unit 39)
The tallying terminal side output unit 39 includes a speaker (audio output device), a display device (image output device), and the like, and is used for output operations in the tallying terminal.

(Application example in which detection terminal and totalization terminal are integrated)
In the first embodiment, an example has been described in which the detection terminal and the tallying terminal are configured separately, and information is transmitted and received through communication in the first communication.
However, the detection terminal and the aggregation terminal may be integrally configured. In this case, the detection terminal includes the one corresponding to the tallying terminal side imaging unit 32 and the one corresponding to the second tallying terminal side communication unit 36, that is, the communication unit that communicates with the medical care terminal via the network.

(Medical terminal)
Each of the first to fourth medical terminals C1 to C4 has a medical terminal control section 51, a medical terminal imaging section 52, a medical terminal communication section 56, a medical terminal recording section 57, a medical terminal input section 58, and a medical terminal output section 59.
A medical terminal is provided in a medical institution.
Only one medical care terminal may be provided in one medical institution, or a plurality of medical care terminals may be provided in one medical institution.

(Medical terminal side control unit 51)
The medical terminal side control section 51 controls each section of the medical terminal.
The medical terminal side control section 51 operates the medical terminal side program P50 installed in the medical terminal side recording section 57 .
The medical terminal program P50 executes an operation instruction message transmission step S51, a predetermined operation content setting step S52, an identity confirmation step S53, a confirmation completion message output instruction step S54, a diagnosis data recording step S55, a first diagnosis data output step S56, and the like, which will be described later.

(Medical terminal side imaging unit 52)
The medical terminal imaging unit 52 acquires image information around the medical terminal.
In the first embodiment, the medical terminal side imaging unit 52 images the user (examiner) of the medical terminal at the time of examination via the medical terminal.

(Medical terminal side communication unit 56)
The medical terminal side communication unit 56 communicates with the second total terminal side communication units 36 of the first total terminal B1 to the third medical terminal B3 via the network.

(Medical terminal side recording unit 57)
The medical terminal-side recording unit 57 records data transmitted from the second tallying terminal-side communication unit 36 of the tallying terminal, such as the diagnostic data Db.
A medical terminal side program P50 is installed in the medical terminal side recording unit 57 .

(Medical terminal side input unit 58)
The medical terminal side input unit 58 is composed of a touch panel, buttons, a microphone, etc., and is used for input operations in the tallying terminal.
When the user (examiner) of the medical care terminal manually sets the contents of a predetermined operation for personal identification at the time of personal identification, which will be described later, the content of the predetermined operation is input via the medical terminal side input unit 58.

(Medical terminal side output unit 59)
The medical terminal side output unit 59 includes a speaker (audio output device), a display device (image output device), and the like, and is used for output operations in the medical terminal.

(Operating procedure)
The procedure for the user of the first detection terminal A1 to receive telemedicine by the user (examiner) of the first diagnosis terminal C1 via the first aggregation terminal B1, that is, the operation procedure of the detection terminal-side program P10 in the first detection terminal A1, the aggregation terminal-side program P30 in the first aggregation terminal B1, and the diagnosis terminal-side program P50 in the first aggregation terminal C1 will be described.
The same applies to the use of other detection terminals, other collection terminals, and other diagnosis terminals.

(Startup of patient's terminal)
A user (examinee) of the first detection terminal A1 wears the first detection terminal A1 on himself/herself.
The user (examinee) of the first detection terminal A1 activates the detection terminal-side program P10 of the first detection terminal A1, and activates the totalization terminal-side program P30 of the second totalization terminal B1.

The activation of the detection terminal-side program P10 is not limited to being manually performed by the user (examinee), but may be performed automatically at a predetermined time such as a scheduled medical examination time, or may be continuously activated while the detection terminal is powered on.
Similarly, the start-up of the total terminal-side program P30 is not limited to manual operation by the user (examinee), but may be performed automatically at a predetermined time such as a scheduled medical examination time, or may be continuously started while the power of the total terminal is turned on.

(Information acquisition, transmission)
The detection device 13 of the first detection terminal A1 acquires biometric information and surrounding information every first time T1 (biometric information acquisition step S11).
The user (examinee) of the first detection terminal A1 brings the first detection terminal A1 and the second tallying terminal B1 close to each other to enable communication in the first communication.

The detection terminal-side communication unit 15 of the first detection terminal A1 communicates with the first aggregation terminal-side communication unit 35 of the first aggregation terminal B1, and transmits the information (biological information, surrounding information) obtained by the detection device 13, along with the time information and the identification information of the detection terminal, to the first aggregation terminal-side communication unit 35 of the first aggregation terminal B1 (biological information transmission step S12).
The tallying terminal-side program P30 of the first tallying terminal B1 generates the examinee information database D1 corresponding to the identification information of the user (patient) of the first detecting terminal A1 based on the information received by the first tallying terminal-side communication unit 35, and records it in the tallying terminal-side recording unit 37 of the first tallying terminal B1 (database generation step S31, database recording step S32).

(Activation on the examiner's side)
The user (examiner) of the first medical care terminal C1 starts the medical care terminal program P50.
The start-up of the medical terminal-side program P50 is not limited to being manually performed by the user (examiner), but may be performed automatically at a predetermined time such as a scheduled medical examination time, or may be in a state of being constantly started while the power of the medical terminal is turned on.

(Identification)
The medical care terminal-side communication unit 56 of the first medical care-side terminal C1 transmits personal identification instruction information including an operation instruction message M1 containing "a predetermined operation for personal identification and details of the predetermined operation" to the second tabulation terminal-side communication unit 36 of the first tabulation terminal B1 (operation instruction message transmission step S51).
The tallying terminal side output unit 39 of the first tallying terminal B1 outputs the action instruction message M1 (first action instruction message output step S33).
FIG. 3 shows an example in which the predetermined action is "the action of covering the first detection terminal A1 with the hand" and an action instruction message M1 prompting the "action of covering the first detection terminal A1 with the hand" is displayed on the tallying terminal-side output unit 39 of the first tallying terminal B1.

(predetermined action)
The predetermined action is set such that the information (numerical value) of at least one of the items detected by the detecting terminal changes significantly as a result of performing the predetermined action.
For example, the radio field strength of the signal received by the detection terminal side communication unit 15 of the detection terminal is weakened by the "action of covering the detection terminal with the hand".
In addition, the value of the acceleration detected by the detection device 13 of the detection terminal increases due to the action of tapping (hitting) the detection terminal with a finger several times and the action of raising the arm on which the detection terminal is worn.
The content of the predetermined operation may be automatically set by the medical terminal-side control unit 51 of the first medical terminal C1 on the medical terminal-side program P50 (predetermined operation content setting step S52), or may be set by the user (examiner) of the first medical terminal C1 by inputting characters or voice via the medical terminal-side input unit 58.

(Application example of output of operation instruction message M1)
The first aggregation terminal-side communication unit 35 of the first aggregation terminal B1 may transmit (transfer) the operation instruction message M1 from the first aggregation terminal-side communication unit 35 of the first aggregation terminal B1 to the detection terminal-side communication unit 15 of the first detection terminal A1 (operation instruction message transfer step S34).
In this case, the detection terminal side output unit 19 of the first detection terminal A1 outputs the action instruction message M1 (second action instruction message output step S13).
In this case, the tally terminal side output unit 39 of the first tally terminal B1 may omit the output of the action instruction message M1 (first action instruction message output step S33).
That is, the operation instruction message M1 is output by at least one of the detection terminal and the totalization terminal.

(Send identity verification data Da)
The second tabulation terminal-side communication unit 36 of the first tabulation terminal B1 transmits, from the examinee information database D1, data corresponding to the identification information of the first detection terminal A1 and from when the second tabulation terminal-side communication unit 36 of the first tabulation terminal B1 receives the identification instruction information including the operation instruction message M1 until the second time T2 elapses (identity verification data Da) to the diagnosis terminal-side communication unit 56 of the first medical terminal C1 (identity verification data transmission step S35). .

(identity verification decision)
The medical terminal-side control unit 51 of the first medical terminal C1 performs personal identification based on the personal identification data Da received by the medical terminal-side communication unit 56 of the first medical terminal C1 (identical identification step S53).
Specifically, the medical care terminal-side control unit 51 of the first medical care terminal C1 determines whether or not the biometric information or peripheral information of the personal identification data Da received by the medical care terminal-side communication unit 56 of the first medical care terminal C1 includes a numerical value that has changed corresponding to the predetermined action included in the action instruction message M1.

(Threshold for determination of identity verification)
A threshold value for judging whether or not the data Da for personal identification includes a numerical value changed corresponding to the predetermined operation included in the operation instruction message M1 is set according to the content of the predetermined operation.
The setting of the threshold value may be automatically set by the medical care terminal-side control unit 51 of the first medical care terminal C1 on the medical care terminal-side program P50, or may be set by the user (examiner) of the first medical care terminal C1 by inputting characters or voice via the medical care terminal-side input unit 58.

For example, when the predetermined action is "the action of covering the detecting terminal with a hand", the radio field intensity threshold is set as the threshold.
When some of the numerical values of the radio wave intensity contained in the personal identification data Da are equal to or less than the radio wave intensity threshold value, it is determined that the numerical value changed corresponding to the predetermined operation is included.
Further, when the predetermined action is "a motion of tapping (hitting) the sensing terminal with a finger several times" or "a motion of raising an arm wearing the sensing terminal", an acceleration threshold is set as the threshold.
Then, when some of the absolute values of acceleration included in the personal identification data Da are equal to or greater than the acceleration threshold, it is determined that a numerical value changed corresponding to the predetermined motion is included.

(Medical examination after identification)
If a numerical value changed in accordance with the predetermined action is included, it is determined that the person wearing the first detection terminal A1 is the patient to be examined.
In this case, the medical care terminal-side control unit 51 of the first medical care terminal C1 outputs a confirmation completion message M2 to the effect that “personal identification has been completed and medical examination will start” to the tabulation terminal-side output unit 39 of the first tabulation terminal B1 (see FIG. 4, confirmation completion message output instruction step S54, first confirmation completion message output step S36).
The second tallying terminal-side communication unit 36 of the first tallying terminal B1 transmits data (diagnostic data Db) corresponding to the identification information of the first detection terminal A1 in the examinee information database D1 and in a time period preceding the third time T3 from the time when the second tallying terminal-side communication unit 36 of the first tallying terminal B1 received the identity verification completion information including the confirmation completion message M2 (diagnostic data Db) to the medical care terminal-side communication unit 56 of the first medical terminal C1 (diagnostic data transmission step S37). .

The medical terminal recording unit 57 of the first medical terminal C1 records the medical examination data Db or information obtained by processing the medical examination data Db (diagnostic data recording step S55).

The diagnostic terminal-side output unit 59 of the first diagnostic terminal C1 outputs the diagnostic data Db or information obtained by processing the diagnostic data Db, and the image captured by the tally terminal-side imaging unit 32 of the first tally terminal B1 (first diagnostic data output step S56).
The positional relationship between the user (patient) and the first tallying terminal B1 is adjusted so that the face of the user (patient) wearing the first detecting terminal A1 can be imaged by the tallying terminal-side imaging unit 32 of the first tallying terminal B1.
The user (examiner) of the first medical terminal C1 performs remote medical examination while viewing the medical data Db output to the medical terminal-side output unit 59 of the first medical terminal C1, or information obtained by processing the medical data Db, and the image captured by the collection terminal-side imaging unit 32 of the first collection terminal B1.

The total terminal-side output unit 39 of the first total terminal B1 outputs the diagnostic data Db or information obtained by processing the diagnostic data Db, and the image captured by the diagnostic terminal-side imaging unit 52 of the first diagnostic terminal C1 (second diagnostic data output step S38).
A person wearing the first detection terminal A1, that is, a user (examinee) of the first tallying terminal B1 performs telemedicine consultation while viewing the diagnostic data Db output to the tallying terminal side output unit 39 of the first tallying terminal B1, or information obtained by processing the diagnostic data Db, and the image captured by the diagnostic terminal side imaging unit 52 of the first diagnostic terminal C1.

(Effects of identity verification using biometric information, etc.)
In a telemedicine system 1, by using at least one of biometric information and surrounding information including numerical values that change corresponding to predetermined actions, it is possible to easily confirm whether a person wearing a detection terminal is a patient.

(Effect of Outputting Image Information and Operation Instruction Message M1)
Using the image information of the examinee used in the telemedicine system 1, the user (examiner) of the medical terminal can visually recognize the state in which the predetermined action included in the action instruction message M1 is actually performed (or not performed).

(Application example 1 of identity verification judgment, past information utilization)
In the first embodiment, it is determined whether or not the person wearing the detection terminal is a patient to be examined based on the personal identification data Da, that is, the personal identification step S53 is executed.
However, based on the personal identification data Da and the past medical examination data Db, it may be determined whether or not the person wearing the detection terminal is a patient to be examined (second embodiment).
Specifically, among the data included in the personal identification data Da and the past diagnostic data Db, data such as pulse, pulsation, acceleration, etc., whose numerical values tend to form a pattern unique to each user over time are used.

For example, regarding the pattern of time change of the acceleration in the x direction, when what is included in the personal identification data Da is similar to what is included in the past medical examination data Db, and when the personal identification data Da includes a numerical value that has changed corresponding to the predetermined operation included in the operation instruction message M1, it is determined that the person wearing the detection terminal is the examinee to be examined.
This makes it possible to perform identity verification more accurately.

(Application example 2 of personal identification judgment, image information utilization)
In the first embodiment, the personal identification data Da is used to determine whether or not the person wearing the detection terminal is a patient to be examined, that is, the personal identification step S53 is executed.
In the second embodiment, the personal identification data Da and the past medical examination data Db are used to determine whether or not the person wearing the detection terminal is a patient to be examined, that is, the personal identification step S53 is executed.
However, it may be determined whether or not the person wearing the detection terminal is a patient to be examined by using the personal identification data Da and the image data obtained by the tallying terminal-side imaging unit 32 of the tallying terminal (third embodiment, see FIGS. 5 to 7).

In the third embodiment, the tallying terminal-side program P30 executes a database generation step S31, a database recording step S32, an operation instruction message transfer step S34, an identity verification data transmission step S35, a diagnosis data transmission step S37, a second diagnosis data output step S38, a third operation instruction message output step S39, an operation instruction message display position adjustment step S40, a second confirmation completion message output step S41, a warning output step S42, and the like.
In the third embodiment, the medical terminal program P50 executes an operation instruction message transmission step S51, a predetermined operation content setting step S52, an identity confirmation step S53, a confirmation completion message output instruction step S54, a diagnosis data recording step S55, a first diagnosis data output step S56, a person detection step S57, a warning instruction step S58, a face confirmation step S59, and the like.

Hereinafter, a mode of determining whether or not a person wearing a detection terminal is a patient to be examined by using personal identification data Da and image data obtained by the tallying terminal-side imaging unit 32 of the tallying terminal will be described.
However, it may be determined whether or not the person wearing the detection terminal is a patient to be examined by using the personal identification data Da, the past medical examination data Db, and the image data obtained by the collection terminal side imaging unit 32 of the collection terminal.

A specific example will be described with reference to a procedure in which the user of the first detection terminal A1 receives telemedicine from the user (examiner) of the first diagnosis terminal C1 via the first aggregation terminal B1, that is, the operating procedure of the detection terminal-side program P10 in the first detection terminal A1, the aggregation terminal-side program P30 in the first aggregation terminal B1, and the diagnosis terminal-side program P50 in the first aggregation terminal C1.

The medical care terminal-side control unit 51 of the first medical care terminal C1 determines whether or not the image information obtained by the tallying terminal-side imaging unit 32 of the first tallying terminal B1 includes a person wearing the detection terminal (human detection step S57).

When the person wearing the detection terminal is included in the image information obtained by the tallying terminal-side imaging unit 32 of the first tallying terminal B1, the medical terminal-side communication unit 56 of the first tallying terminal C1 transmits the personal identification instruction information including the operation instruction message M1 to the second tallying terminal-side communication unit 36 of the first tallying terminal B1 (operation instruction message transmission step S51).

The tallying terminal side output unit 39 of the first tallying terminal B1 outputs the action instruction message M1 on top of the image information obtained by the tallying terminal side imaging unit 32 (see FIG. 5, third action instruction message output step S39).

At this time, it is desirable that the operation instruction message M1 is displayed in an area (for example, an area between the human face and the detection terminal) that is different from the area where the person's face is located and the area where the detection terminal is located so that the operation instruction message M1 does not overlap with the area where the person's face is located and the area where the detection terminal is located (operation instruction message display position adjustment step S40).
This makes it possible to maintain the display of the human face and the detection terminal included in the image information while the operation instruction message M1 is being displayed.

The medical terminal program P50 determines whether or not the predetermined action included in the action instruction message M1 is being performed from the image information obtained by the collection terminal imaging section 32, and determines whether or not the biometric information or peripheral information in the personal identification data Da received by the medical terminal side communication section 56 of the first medical terminal C1 includes a numerical value that has changed in response to the predetermined action included in the action instruction message M1 (identity confirmation step S53). .

When the biometric information or peripheral information of the personal identification data Da corresponding to the time period includes a numerical value changed in accordance with the predetermined operation, it is determined that the person wearing the first detection terminal A1 is the examinee to be examined.
In this case, the medical terminal-side control unit 51 of the first medical terminal C1 outputs the confirmation completion message M2 to the tabulation terminal-side output unit 39 of the first tabulation terminal B1 (see FIG. 6, confirmation completion message output instruction step S54, second confirmation completion message output step S41).
In the second confirmation completion message output step S41, the confirmation completion message M2 is output on top of the image information obtained by the tallying terminal side imaging section 32. FIG.

When it is determined that the person wearing the detection terminal is not included in the image information obtained by the tallying terminal-side imaging section 32 (at least one of the human face and the sensing terminal is not included), the medical care terminal-side control section 51 of the first medical terminal C1 instructs the first tallying terminal A1 to be worn correctly or the relative position of the first tallying terminal A1 and the user via the tallying terminal-side output section 39 of the first tallying terminal B1 or the detection terminal-side output section 19 of the first detection terminal A1. is output (see FIG. 7, warning instruction step S58, warning output step S42).

In addition, information regarding the face of the user (examinee) wearing the first detection terminal A1 is recorded in advance by the medical terminal side recording unit 57 of the first medical terminal C1, and the medical terminal side control unit 51 of the first medical terminal C1 executes a face confirmation step S59 for determining whether or not the information regarding the face recorded in the medical terminal side recording unit 57 matches the face of the image information obtained by the collection terminal side imaging unit 32 of the first collection terminal B1. S53 may be executed.

While several embodiments of the invention have been described, these embodiments have been presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and modifications can be made without departing from the scope of the invention. These embodiments and their modifications are included in the scope and spirit of the invention as well as the scope of the invention described in the claims and equivalents thereof.

1 Telemedicine system 11 Detecting terminal-side control unit 13 Detecting device 15 Detecting terminal-side communication unit 17 Detecting terminal-side recording unit 18 Detecting terminal-side input unit 19 Detection terminal-side output unit 31 Aggregation terminal-side control unit 32 Aggregation terminal-side imaging unit 35 First aggregation terminal-side communication unit 36 Second aggregation terminal-side communication unit 37 Aggregation terminal-side recording unit 38 Aggregation terminal-side input unit 39 Aggregation terminal-side output unit 51 Medical terminal side control section 52 Medical terminal side imaging section 56 Medical terminal side communication section 57 Medical terminal side recording section 58 Medical terminal side input section 59 Medical terminal side output section A1 to A5 First detection terminal to fifth detection terminal B1 to B3 First total terminal to third total terminal C1 to C4 First medical terminal to fifth medical terminal D1 Patient information database Da Personal identification data Db Medical examination data M1 Operation instruction message M2 Confirmation completion message M3 Warning message T1 First time (interval between acquisition of biometric information and ambient information)
T2 Second time (time width of identity verification data Da)
T3 Third time (time width of diagnostic data Db)

Claims (11)

a detection terminal that is worn on the body of a patient and detects at least one of biometric information of the patient and surrounding information;
a medical terminal that receives information detected by the detection terminal via a network,
The telemedicine system, wherein the diagnostic terminal determines whether or not the information detected by the detection terminal includes a numerical value changed in response to a predetermined action by the patient. further comprising a tallying terminal that receives information detected by the detection terminal and transmits the information to the medical care terminal via the network;
The medical care terminal transmits to the tallying terminal personal identification instruction information including an operation instruction message indicating that the predetermined operation is to be performed for personal identification and an operation instruction message including the content of the predetermined operation,
at least one of the aggregation terminal and the detection terminal outputs the operation instruction message;
when the detection terminal outputs the operation instruction message, the detection terminal receives the operation instruction message from the aggregation terminal;
2. The telemedicine system according to claim 1, wherein said determination is made based on the information detected by said detection terminal until a predetermined time elapses after said personal identification instruction information is received by said aggregation terminal. The tallying terminal has an imaging unit,
Image information obtained by the imaging unit is transmitted from the aggregation terminal to the medical care terminal via the network,
The medical terminal determines whether the predetermined operation is being performed from the image information obtained by the imaging unit,
The tallying terminal outputs the operation instruction message on the image information obtained by the imaging unit,
3. The telemedicine system according to claim 2, wherein said judgment is made based on the information detected by said detection terminal during a time period during which said predetermined action is being performed. 4. The telemedicine system according to claim 3, wherein the aggregation terminal outputs the operation instruction message on the image information and in an area different from an area including a human face included in the image information and an area including the detection terminal. 4. The telemedicine system according to claim 2 or 3, wherein the determination is made based on past information detected by the detection terminal and information detected by the detection terminal during a period from when the personal identification instruction information is received until a predetermined time elapses. The medical care terminal transmits to the detection terminal identity verification instruction information including an action instruction message indicating that the predetermined action is to be performed for identity verification and an action instruction message including the content of the predetermined action,
at least one of the aggregation terminal and the detection terminal outputs the operation instruction message;
when the detection terminal outputs the operation instruction message, the detection terminal receives the operation instruction message from the aggregation terminal;
3. The telemedicine system according to claim 2 , wherein said determination is made based on information detected by said detection terminal during a period from when said personal identification instruction information is received until a predetermined time elapses. The telemedicine system according to any one of claims 1 to 6, wherein the information detected by the detection terminal, which is received by the medical care terminal, is configured in a file format in which data in each cell can be read but not writable by spreadsheet software. 8. The telemedicine system according to claim 7, wherein the reception of the information detected by the detection terminal by the diagnosis terminal is performed via file supply using a server of cloud storage service. the predetermined action is an action of covering the detection terminal attached to the patient's arm with a hand;
The detection terminal detects, as at least the surrounding information, radio wave intensity of a signal received by the detection terminal,
9. The telemedicine system according to any one of claims 1 to 8, wherein said determination is made based on at least information relating to said radio wave intensity among information detected by said detecting terminal. the predetermined action is at least one of an action of tapping the detection terminal attached to the arm of the examinee and an action of raising the arm of the examinee wearing the detection terminal;
The sensing terminal senses acceleration of the sensing terminal as at least the surrounding information,
9. The telemedicine system according to any one of claims 1 to 8, wherein said determination is made based on at least information regarding said acceleration among information detected by said detection terminal. a step of receiving, via a network, at least one of biometric information of the patient and surrounding information detected by a detection terminal attached to the body of the patient;
determining whether or not the information detected by the detection terminal includes a numerical value changed in response to a predetermined action by the patient.

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