JP7390543B2 - Telemedicine support system - Google Patents

Description

The present invention relates to a remote medical treatment support system.

Conventionally, patients go to a nearby medical institution such as a hospital or clinic to receive treatment from a doctor. In recent years, initiatives for so-called online medical treatment, in which patients can receive medical treatment remotely from a doctor while staying at home, etc., have become popular, and systems that support efforts related to online medical treatment have been disclosed (for example, patent documents (see 1).

Patent No. 6796898

In general, patients considering receiving online medical treatment, including those described in Patent Document 1, first start by checking the homepage of the medical institution. If a special page for online medical treatment is linked to the homepage, the patient selects the link and performs operations for online medical treatment.
However, for example, if a patient does not have a family medical institution, it is not known which medical institution is providing online medical treatment. Therefore, it was necessary to access the homepage of each medical institution. Furthermore, in order to conduct online medical treatment, medical institutions must prepare a homepage that includes an online medical treatment page, so some medical institutions are reluctant to do so.

An object of the present invention is to provide a remote medical treatment support device and a remote medical treatment support system that are devised to lower the threshold for online medical treatment for both patients and medical institutions.

The present invention is a remote medical treatment support device that is communicably connected to a terminal used by a patient, and includes a designation screen that allows specifying a medical institution that includes an input area regarding a medical institution that performs remote medical treatment. a screen output means for outputting to a terminal; a receiving means for receiving from the terminal the designation of the medical institution received via the designation screen; and a reservation for remote medical treatment for the designated medical institution received by the receiving means. The present invention relates to a remote medical treatment support device, comprising: a reservation means for making a reservation;

The remote medical treatment support device further includes a patient information storage unit that stores patient identification information for identifying a patient and information related to one or more of the medical institutions in association with each other, and the screen output means stores the patient identification information In response to reception of the patient identification information, the patient information storage section may be referred to and the specification screen may be output from which the one or more medical institutions associated with the patient identification information can be selected.

Further, in the remote medical treatment support device, a medical treatment terminal having an imaging unit and an audio input/output unit used by the patient, and a medical institution terminal having a display unit and an audio input/output unit used by a doctor of the medical institution. connecting means for connecting the medical institution terminal of the designated medical institution received by the receiving means and the medical treatment terminal used by the patient; It may also include a medical institution terminal and a call processing means for making a video call between the medical institution terminal and the medical treatment terminal.

The present invention also provides a remote medical treatment support system including a remote medical treatment support device and the medical treatment terminal, wherein the medical treatment terminal includes a stethoscope that acquires audio information related to body sounds of the patient. The remote medical treatment support device is communicably connected to a biometric acquisition device that acquires biometric information of a patient, and the remote medical treatment support device receives the biometric information acquired by the biometric acquisition device via the medical treatment terminal, and The present invention relates to a remote medical treatment support system including a biological information transmitting/receiving means for transmitting the biological information to a terminal.

Further, in the remote medical treatment support system, the medical treatment terminal may be installed inside a box provided with a door through which the patient enters and exits a closed space.

Further, in the remote medical treatment support system, the medical treatment terminal is communicably connected to a printer provided inside or near the box, and the remote medical treatment support device receives prescription information from the medical institution terminal. The prescription information may include a prescription output unit that causes the printer to output the prescription by receiving the prescription information and transmitting the prescription information to the medical treatment terminal.

Furthermore, in the remote medical care support system, the box may be provided at a pharmacy.

Further, in the remote medical treatment support system, the remote medical treatment support device includes a vacant status output means for outputting the vacant status of the box to the terminal, and a vacant status output means that outputs the vacant status of the box to the terminal, and a , equipment reservation means for reserving the box, and unlocking information transmitting means for transmitting unlocking information of the box to the terminal and the box in accordance with the reservation by the equipment reservation means, comprises a locking member capable of locking and unlocking the door, and a locking control means that unlocks the locking member according to the contents of the unlocking information when the unlocking information is received. Good too.

According to the present invention, it is possible to provide a remote medical treatment support device and a remote medical treatment support system that are devised to lower the threshold for online medical treatment for both patients and medical institutions.

1 is an overall configuration diagram of a remote medical treatment support system according to the present embodiment. FIG. 2 is a functional block diagram of a remote medical treatment support server according to the present embodiment. FIG. 3 is a diagram showing an example of a storage unit of the remote medical care support server according to the present embodiment. FIG. 2 is a functional block diagram of each device included in the medical treatment box according to the present embodiment. It is a flowchart which shows the reservation process of the remote medical treatment support system based on this embodiment. It is a figure showing an example of a display on a patient terminal concerning this embodiment. It is a figure showing an example of a display on a patient terminal concerning this embodiment. It is a figure showing an example of a display on a patient terminal concerning this embodiment. It is a flowchart showing box management processing of the remote medical treatment support system according to the present embodiment. It is a flow chart showing remote medical treatment processing of the remote medical treatment support server according to the present embodiment.

Hereinafter, embodiments for carrying out the present invention will be described with reference to the drawings. Note that this is just an example, and the technical scope of the present invention is not limited to this.
(Embodiment)
[Overall configuration of remote medical care support system 100]
FIG. 1 is an overall configuration diagram of a remote medical treatment support system 100 according to this embodiment.
FIG. 2 is a functional block diagram of the remote medical care support server 1 according to this embodiment.
FIG. 3 is a diagram showing an example of the storage unit 30 of the remote medical care support server 1 according to the present embodiment.

For example, the remote medical treatment support system 100 shown in FIG. This is a system for online medical treatment by doctors in remote areas using Here, online medical treatment refers to a medical treatment in which a doctor performs medical treatment on a patient while connecting terminals and communicating remotely with the other party.

The remote medical treatment support system 100 includes a remote medical treatment support server 1 (remote medical treatment support device), a patient terminal 4 (a terminal used by a patient), a medical institution terminal 5, and a medical treatment terminal 6. The remote medical care support server 1, patient terminal 4, medical institution terminal 5, and medical treatment terminal 6 are capable of data communication via a data communication network N.
Note that although FIG. 1 shows one terminal at a time, this is merely an example. Actually, a plurality of terminals are connected to the remote medical care support server 1.

[Remote medical care support server 1]
The remote medical treatment support server 1 is realized by the remote medical treatment support system 100, and is owned by a company that provides services related to online medical treatment, for example. An example of a company that provides the service is a company that provides a platform for the service, and provides the service to multiple medical institutions.

As shown in FIG. 2, the remote medical care support server 1 includes a control section 10, a storage section 30, and a data communication IF (interface) 39.
The control unit 10 is a CPU (central processing unit) that controls the entire remote medical care support server 1 . The control unit 10 cooperates with the above-mentioned hardware and executes various functions by appropriately reading and executing an OS (operating system) and application programs stored in the storage unit 30.
The control unit 10 includes a pre-medical treatment processing unit 11, an unlocking information transmitting unit 17 (unlocking information transmitting means), and an online medical treatment processing unit 21.

The medical treatment preprocessing unit 11 performs processing related to advance reservations for patients to receive medical treatment from a doctor while staying at home or the like.
The medical pre-processing section 11 includes a screen output section 12 (screen output means), a designated reception section 13 (reception means), a vacancy status output section 14 (vacancy status output means), and a reservation processing section 15 (reservation means, equipment). reservation means).

The screen output unit 12 outputs to the patient terminal 4 a designation screen on which a medical institution that performs online medical treatment can be designated. The specification screen includes an input area for, for example, a medical institution code (medical institution identification information) that identifies the medical institution. Further, the specification screen may include a list of medical institutions registered by the patient. The designation screen including a list of medical institutions is created by the control unit 10 first identifying a patient, for example, accepting a patient ID (IDentification) (patient identification information), and then the screen output unit 12 storing patient information, which will be described later. With reference to section 34, a screen from which a registered medical institution can be selected is generated as a designation screen. The patient ID may be, for example, an ID given when registering for the service related to the online medical treatment, an ID registered by the patient himself, or the patient's e-mail address.

The designation receiving unit 13 receives the designation of a medical institution from the patient terminal 4.
The availability status output unit 14 outputs the availability status of the medical treatment box B to the patient terminal 4. Further, the availability status output unit 14 outputs the availability status at the medical institution received by the designated receiving unit 13 to the patient terminal 4.
The reservation processing unit 15 makes a reservation for a medical institution and a medical treatment box B in response to receiving a reservation request from the patient terminal 4. Then, the reservation processing section 15 registers reservation information corresponding to the reservation request in the reservation information storage section 37.

The unlocking information transmitting section 17 transmits to the patient terminal 4 a passcode (unlocking information) that becomes the unlocking key for the medical treatment box B for which the reservation processing section 15 has made a reservation. Here, the passcode is key information used to unlock the medical box B, and is, for example, a four-digit number generated each time.
Further, the unlocking information transmitting section 17 transmits the passcode to the medical treatment box B. The unlocking information transmitting unit 17 may transmit the passcode immediately before using the medical box B, for example.

The online medical treatment processing unit 21 performs processing related to online medical treatment.
The online medical treatment processing section 21 includes a connection processing section 22 (connection means), a call processing section 23 (call processing means), a biological information transmission/reception section 24 (biological information transmission/reception means), and a prescription information transmission/reception section 25 (prescription output means). ).

The connection processing section 22 connects the medical institution terminal 5 of the medical institution and the medical treatment terminal 6 in the medical treatment box B based on the reservation information made by the reservation processing section 15.
The call processing unit 23 starts a video call function between the doctor and the patient using the medical institution terminal 5 and the medical treatment terminal 6.
The biometric information transmitting/receiving unit 24 receives the patient's biometric data (biometric information) acquired by the biometric acquisition device via the medical treatment terminal 6 and transmits the biometric data to the medical institution terminal 5. The biological acquisition device is a device for acquiring biological data, and includes various devices installed in the medical treatment box B, such as a stethoscope 71 and a blood pressure monitor 75, which will be described later. For example, the biological data is audio data (audio information) related to heart sounds and breathing sounds (biological sounds) in the case of the stethoscope 71, and the values of systolic and diastolic blood pressure and heart rate in the case of the blood pressure monitor 75. etc. data.
The prescription information transmitting/receiving unit 25 receives prescription data (prescription information) from the medical institution terminal 5 and transmits the prescription data to the medical treatment terminal 6. The prescription data is, for example, data for printing out a prescription using the printer 70 described later, and is, for example, a file such as PDF.

The storage unit 30 is a storage area such as a hard disk or a semiconductor memory device for storing programs, data, etc. necessary for the control unit 10 to execute various processes.
The storage unit 30 includes a program storage unit 31, a medical institution information storage unit 32, a box information storage unit 33, a patient information storage unit 34, a medical status storage unit 35, a box status storage unit 36, and a reservation information storage unit. 37.
The program storage unit 31 is a storage area that stores application programs (programs) for executing various functions performed by the control unit 10 described above.

The medical institution information storage unit 32 is a storage area that stores basic information regarding a medical institution, such as the medical department and available hours, using the medical institution code as a key.
The box information storage unit 33 is a storage area that stores basic information regarding the medical box B, such as the installation location of the medical box B and available hours, using the medical box ID that identifies the medical box B as a key.

The patient information storage unit 34 is a storage area that stores basic information and registered medical institution information using a patient ID as a key. FIG. 3A shows examples of items in the patient information storage unit 34.
The basic information is, for example, information input by a patient at the time of new registration to use the service, and is information related to patient attributes such as the patient's name and date of birth. Note that the basic information may also store other information, such as information related to payment methods. The information related to the payment method is, for example, information that can be used for electronic payment such as credit card information, and is used to pay medical fees and test fees.
The registered medical institution information is a storage area that stores the medical institution code of the medical institution registered by the patient. Multiple medical institution codes can be registered. For example, a patient may register a medical institution code for each department, or may register multiple medical institution codes even for the same department.

The medical treatment status storage unit 35 is a storage area that stores medical treatment status at a medical institution. FIG. 3(B) illustrates the items of the medical status storage unit 35.
The medical treatment status storage unit 35 in FIG. 3(B) stores the date, time, medical institution code, and availability status in association with each other. The availability status indicates whether or not medical treatment is possible. Note that if a single medical institution is available to a plurality of doctors, branch numbers may be associated with availability statuses, such as "vacancy status-1" and "vacancy status-2."
The box status storage unit 36 is a storage area that stores the availability status of the medical treatment box B. FIG. 3C shows examples of items in the box status storage section 36.
The box status storage unit 36 in FIG. 3C stores the date, time, medical box ID, and availability status in association with each other. The availability status indicates whether or not the medical treatment box B can be used.

The reservation information storage unit 37 is a storage area that stores information related to online medical treatment reservations designated by patients. FIG. 3(D) illustrates the items of the reservation information storage section 37.
The reservation information storage unit 37 in FIG. 3(D) stores medical reservation dates and times, medical institution codes, medical box IDs, passcodes, patient IDs, and interview information in association with each other.
The medical appointment date and time is the date and time when the patient receives online medical treatment.
The medical institution code is identification information that identifies the medical institution where the patient receives treatment at the date and time of the medical appointment.
The medical treatment box ID is identification information that identifies the medical treatment box B in which the patient receives treatment at the medical reservation date and time.
The passcode is an unlocking key for unlocking the electronic lock 83 (described later) of the medical care box B.
The patient ID is identification information that identifies a patient receiving medical treatment at a medical appointment date and time.
The interview information is information related to an interview that is input by a patient before medical treatment, such as when making a reservation for online medical treatment.

Note that the data stored in the storage unit 30 is not limited to the above. For example, it may be provided in a doctor information storage unit that stores information regarding doctors who provide medical care at a medical institution. Further, for example, an electronic medical record data storage section storing patient's electronic medical record data may be provided.
Furthermore, each item from the medical institution information storage section 32, the box information storage section 33, and the patient information storage section 34 to the reservation information storage section 37 shown in FIG. 3 is an example, and there may be other items. , there may be missing items.

The data communication IF 39 in FIG. 2 is an interface with the data communication network N.
Note that a computer refers to an information processing device equipped with a control unit, a storage device, etc., and the remote medical care support server 1 is an information processing device equipped with a control unit 10, a storage unit 30, etc., and is not included in the concept of computer. It will be done.
Moreover, the remote medical care support server 1 may be realized not by one server device but by a combination of a plurality of server devices, or may be a cloud server.

[Patient terminal 4]
The patient terminal 4 in FIG. 1 is, for example, a terminal owned by a patient and used when making an online medical treatment reservation.
Although not shown, the patient terminal 4 includes a control section, a storage section, an input/output section such as a touch panel (or a display section such as a display and an input section such as a keyboard), and a data communication IF.
In FIG. 1, the patient terminal 4 is illustrated as a mobile terminal such as a smartphone or a tablet, but the patient terminal 4 is not limited thereto. The patient terminal 4 may also be, for example, a personal computer (PC).

[Medical institution terminal 5]
The medical institution terminal 5 is a terminal provided in a medical institution and used by a doctor during online medical treatment.
Although not shown, the medical institution terminal 5 includes a control unit, a storage unit, an input/output unit such as a touch panel (or a display unit such as a display, and an input unit such as a keyboard), and a microphone and a speaker (audio input/output unit). , a camera, and a data communication IF.
During online medical treatment, the medical institution terminal 5, for example, divides the display into two, displaying the patient's image on one screen, and displaying the medical record screen or an enlarged examination part taken with a separate camera on the other screen. Display images, etc.
Further, in FIG. 1, the medical institution terminal 5 is illustrated as a notebook PC, but this is just an example, and it may be another terminal. Furthermore, the medical institution terminal 5 may be, for example, a terminal for electronic medical records.

[Medical treatment box B]
As shown in FIG. 1, the medical treatment box B is provided in a pharmacy, for example, and includes a medical treatment terminal 6, a printer 70, etc. therein. Here, the medical treatment box B will be explained using an example provided in a pharmacy, but the medical treatment box B is not limited thereto. The medical treatment box B may be located within a station or a government office, for example. If a medical treatment box B is installed at a pharmacy, it is highly convenient in that patients can have prescriptions filled after medical treatment.
Further, the medical treatment box B constitutes a closed space, and is provided with a door D (door) for patients to enter and exit (see FIG. 4, which will be described later).

The medical treatment terminal 6 is installed inside the medical treatment box B and is a terminal used by a patient during online medical treatment.
FIG. 4 shows functional blocks of the medical treatment terminal 6 installed in the medical treatment box B.
The medical care terminal 6 includes a control section 60, a storage section 61, a display section 62, an audio input section 63, an audio output section 64, and a data communication IF 69.
The control unit 60 is a CPU that controls the entire medical treatment terminal 6. The control unit 60 cooperates with the above-mentioned hardware and executes various functions by appropriately reading and executing the OS and application programs stored in the storage unit 61.

The storage unit 61 is a storage area such as a hard disk or a semiconductor memory element for storing programs, data, etc. necessary for the control unit 60 to execute various processes.
The display unit 62 is a display device typified by a display such as a liquid crystal display device.
The audio input unit 63 is a device that inputs audio, typified by a microphone.
The audio output unit 64 is a device that outputs audio, typically a speaker.
The data communication IF 69 is an interface between the data communication network N and each device installed in the medical treatment box B.

In FIG. 4, the medical treatment box B includes, in addition to the medical terminal 6, a printer 70, a stethoscope 71, a first camera 72 (photographing section), a second camera 73 (photographing section), a light 74, and a blood pressure A total of 75 and a pulse oximeter 76 are installed.
The printer 70 is a printing device that outputs prescriptions. The printer 70 is communicably connected to the medical care terminal 6, receives prescription data output from the medical care terminal 6, and prints the prescription.

The stethoscope 71 is a device for acquiring audio data such as heart sounds and breathing sounds of a patient. The stethoscope 71 is communicably connected to the medical care terminal 6 and transmits acquired audio data such as the patient's heart sounds and breathing sounds to the medical care terminal 6 . The stethoscope 71 may be, for example, a wireless stethoscope.
The first camera 72 is a camera that can photograph the entire medical treatment box B. The first camera 72 is installed at a position where it can photograph the entire area including the door D, for example.
The second camera 73 is a high-performance camera that can confirm details. The second camera 73 is provided, for example, near the display section 62 of the medical treatment terminal 6.
The light 74 is a light for illuminating the details of the patient. The light 74 is provided near the second camera 73, for example, and illuminates the range photographed by the second camera 73.

The first camera 72 and the second camera 73 are communicably connected to the medical treatment terminal 6 and transmit captured images to the medical treatment terminal 6. Using the image taken by the first camera 72, the movement of the patient's whole body can be observed, and the entry and exit of the patient into and out of the medical treatment box B can be confirmed. On the other hand, the image taken by the second camera 73 clearly shows parts of the patient, such as the patient's eyes, tongue, and skin, making it possible to confirm, for example, diseased parts of the patient.
The sphygmomanometer 75 is a device that measures and obtains the patient's blood pressure and heart rate. The blood pressure monitor 75 is communicably connected to the medical care terminal 6 and transmits acquired numerical data such as the patient's blood pressure and heart rate to the medical care terminal 6.
The pulse oximeter 76 is a device that measures and obtains the oxygen concentration in the patient's blood. The pulse oximeter 76 is communicably connected to the medical care terminal 6 and transmits the obtained numerical data such as the patient's oxygen concentration to the medical care terminal 6.

Further, a door D is installed at the entrance/exit of the medical treatment box B. The door D unlocks and locks the medical treatment box B using an electronic lock 83 (lock member).
The medical treatment box B includes a control section 80 (lock control means), a storage section 81, an input section 82, an electronic lock 83, and a data communication IF 89.
The control unit 80 is, for example, a processor. The control unit 80 implements various functions such as control of the electronic lock 83 and communication functions by executing programs stored in the storage unit 81.
The storage unit 81 is, for example, a computer-readable recording medium such as a semiconductor memory, and stores various programs and data necessary for executing the various programs. The various data include, for example, a passcode (unlock information).

The input unit 82 is, for example, a numeric keypad, and is a device that accepts input from the user. The input unit 82 is not limited to a numeric keypad, and may be, for example, a keyboard.
The electronic lock 83 is a lock that is attached to the door D and is electrically locked and unlocked.
The data communication IF 89 is an interface between the medical care terminal 6 and the data communication network N.
Note that the door D may be provided with a display section, for example. Further, if a display section is provided, a touch panel display integrated with the input section 82 may be used.

[Processing explanation]
Next, processing in the remote medical care support system 100 will be explained.
As a preliminary process, first, a patient who uses the service provided by the remote medical care support system 100 uses the patient terminal 4 to access, for example, a web page related to the service and performs new registration.

Furthermore, each medical institution connects to the remote medical care support server 1 using the medical institution terminal 5 and sets the date and time when online medical treatment is possible. By doing so, the control unit 10 of the remote medical care support server 1 updates the medical status storage unit 35 based on the settings.
Note that this process is an example. For example, the system for managing doctors' attendance and attendance may be linked with the remote medical care support server 1 to reflect the date and time when online medical treatment is possible in the medical treatment status storage unit 35.

Next, processing related to online medical treatment reservations will be explained.
FIG. 5 is a flowchart showing the reservation process of the remote medical care support system 100 according to the present embodiment.
6 to 8 are diagrams showing display examples on the patient terminal 4 according to the present embodiment.
First, a patient who wants to receive medical treatment from a doctor online accesses the web page related to the service from the patient terminal 4, and in step S (hereinafter simply referred to as "S") 11 of FIG. 5, remote medical treatment support is provided. The control unit 10 (screen output unit 12) of the server 1 transmits the medical institution designation screen to the patient terminal 4.

FIG. 6(A) shows an example of the medical institution designation screen 41 displayed on the patient terminal 4.
The medical institution specification screen 41 is a screen for specifying a medical institution that performs online medical treatment for reservation, and includes a button 41a, an input field 41b, and a button 41c.
The button 41a is an operation button for displaying medical institutions in which the patient has already registered.
The input field 41b is an area for the patient to input a designated medical institution code.
The button 41c is an operation button that is selected to proceed to the next step after inputting in the input field 41b.

When the button 41a is selected on the medical institution designation screen 41, the patient ID is transmitted from the patient terminal 4 to the remote medical care support server 1. By doing so, the control unit 10 (screen output unit 12) of the remote medical care support server 1 can refer to the patient information storage unit 34 and select the medical institution corresponding to the medical institution code associated with the patient ID. The medical institution designation screen 42 is sent to the patient terminal 4.

FIG. 6(B) shows an example of the medical institution designation screen 42 displayed on the patient terminal 4.
The medical institution specification screen 42 is a screen for specifying a medical institution that performs online medical treatment for reservation, and includes a specification area 42a and a button 42b.
The designation area 42a is an area in which a medical institution to make a reservation among registered medical institutions can be specified.
The button 42b is an operation button that is selected to proceed to the next step after designation in the designation area 42a.
Note that by selecting the "Back" button, it is possible to return to the previous screen (medical institution designation screen 41).

A medical institution code is entered in the input field 41b of the medical institution specification screen 41 in FIG. 6(A) and the button 41c is selected, or a medical institution is selected in the specified area 42a of the medical institution specification screen 42 in FIG. When the button 42b is designated and the button 42b is selected, the control unit of the patient terminal 4 transmits the medical institution code to the remote medical care support server 1. Then, the control unit 10 of the remote medical care support server 1 transmits the confirmation screen 43 to the patient terminal 4.

FIG. 7(A) shows an example of the confirmation screen 43 displayed on the patient terminal 4.
The confirmation screen 43 is a screen for confirming the designation of a medical institution, and includes check fields 43a and 43b and a button 43c.
The check box 43a is to be checked when making a reservation for the medical treatment box B as well.
The check box 43b is checked when registering the displayed medical institution in the patient information storage section 34.
The button 43c is an operation button selected to proceed to the next step after specifying the check fields 43a and 43b.

By selecting the button 43c on the confirmation screen 43, in S12 of FIG. Send to.
The control unit 10 (designated reception unit 13) of the remote medical care support server 1 receives the medical institution code and additional information from the patient terminal 4. Next, in S13 of FIG. 5, if the received additional information includes registration of a medical institution code, the control unit 10 of the remote medical care support server 1 registers the medical institution code in the patient information storage unit 34. Further, the control unit 10 (vacancy status output unit 14) transmits the availability status of the specified medical institution to the patient terminal 4. Further, if the received additional information includes a reservation for the medical box B, the control unit 10 (vacancy status output unit 14) transmits the vacant status of the medical box B to the patient terminal 4.

More specifically, when making a reservation for a medical institution and medical treatment box B, the control unit 10 refers to the medical status storage unit 35 and extracts the availability status of the received medical institution code. Further, the control unit 10 refers to the box status storage unit 36 and extracts the availability status of the medical treatment box B. Then, the control unit 10 generates a reservation designation screen 44 including the extracted availability status of the medical institution and the availability status of the medical treatment box B, and transmits it to the patient terminal 4. Note that in the following explanation, an example that includes a reservation for medical treatment box B will be explained.

FIG. 7(B) shows an example of the reservation designation screen 44 displayed on the patient terminal 4.
The reservation designation screen 44 is a screen for designating the date and time for reserving a medical treatment and the medical treatment box B, and includes a date designation section 44a, a selection field 44b, and a button 44c.
The date designation section 44a is for designating the date for reservation, and by selecting the marks on the left and right of the date, the date can be changed forward or backward corresponding to the left or right.
The selection column 44b is a list of the selected medical institutions and available times of the medical treatment box B, and allows the medical treatment box B to be specified. This example is a case where online medical treatment is performed in medical treatment box B. When medical treatment box B is empty and medical treatment is available, a selectable circle is output. Note that when medical treatment box B is not used, only the medical treatment column is output, and a circle indicating an empty medical treatment column becomes selectable.
The button 44c is an operation button selected to proceed to the next step after selecting the selection field 44b.

When the button 44c is selected on the reservation designation screen 44, the control unit of the patient terminal 4 remotely specifies the reservation date and time and the treatment box B in S14 of FIG. It is sent to the medical care support server 1.
When the control unit 10 of the remote medical care support server 1 receives the reservation date and time and the designation of the medical treatment box B from the patient terminal 4, in S15 of FIG. 5, the control unit 10 (reservation processing unit 15) performs reservation processing. More specifically, the control unit 10 updates the availability status of the corresponding date, time, and medical institution code in the medical treatment status storage unit 35 to reserved. Further, the control unit 10 updates the corresponding date, time, and availability status of the medical treatment box ID in the box status storage unit 36 to “reserved”. Furthermore, the control unit 10 generates a passcode. The passcode is, for example, a four-digit number generated by randomly selecting numbers. Then, the control unit 10 adds a record to the reservation information storage unit 37 and adds values to each item from the medical reservation date and time to the patient ID.

In S16 of FIG. 5, the control unit 10 (reservation processing unit 15, unlocking information transmission unit 17) transmits a reservation completion screen including a passcode to the patient terminal 4.
FIG. 8 shows an example of the reservation completion screen 45 displayed on the patient terminal 4.
The reservation completion screen 45 includes the date and time when the reservation was completed, the medical treatment box B, and a passcode 45a for unlocking the door D of the medical treatment box B. It also includes a button 45b for transitioning to a screen (not shown) for inputting medical interview information.

When the patient selects the button 45b on the reservation completion screen 45 output on the patient terminal 4, an interview input screen (not shown) is output on the patient terminal 4, so the patient can input interview information. , perform the operation for sending. By doing so, in S17 of FIG. 5, the control unit of the patient terminal 4 transmits the interview information to the remote medical care support server 1.
In the remote medical care support server 1, upon receiving the interview information, the control unit 10 (reservation processing unit 15) registers the interview information in the reservation information storage unit 37 in S18. After that, the control unit 10 ends this process.

In this manner, the remote medical care support system 100 outputs a designation screen for specifying a medical institution to the patient terminal 4, so that the patient can specify a medical institution from among various medical institutions to receive online medical treatment. This makes it easier for patients to receive online medical treatment.
Furthermore, when making a reservation at a medical institution, it is also possible to make a reservation for medical treatment box B, which is convenient.

Next, processing related to medical treatment box B will be explained.
FIG. 9 is a flowchart showing box management processing of the remote medical care support system 100 according to the present embodiment.
In S31 of FIG. 9, the control unit 10 (unlocking information transmitting unit 17) of the remote medical care support server 1 refers to the reservation information storage unit 37, for example, and transmits the passcode to the medical treatment box B at an appropriate timing. . The appropriate timing is, for example, 10 minutes before the reservation time.
In S32, upon receiving the passcode, the control unit 80 of the medical treatment box B stores the received passcode in the storage unit 81.

In S33, the control unit 80 receives the passcode input by the patient via the input unit 82.
In S34, the control unit 80 determines whether the received passcode and the passcode stored in the storage unit 81 match. If they match (S34: YES), the control unit 80 moves the process to S35. On the other hand, if the passcodes do not match (S34: NO), the control unit 80 moves the process to S33. Note that if the passcode is entered incorrectly for a predetermined number of times or more, for example, three or more times, the control unit 80 notifies the remote medical care support server 1 of this fact, and the control unit 10 of the remote medical care support server 1 (Unlocking information transmitting section 17) may generate a new passcode and transmit it to medical box B and patient terminal 4.

In S35, the control unit 80 performs unlocking processing. Specifically, the control unit 80 causes the electronic lock 83 of the door D to be unlocked.
In S36, the control unit 80 transmits the entry information to the remote medical care support server 1. Upon receiving the admission information, the control unit 10 (online medical treatment processing unit 21) of the remote medical care support server 1 performs remote medical treatment processing in S40. The remote medical treatment process will be described later.

In S37, the control unit 80 determines whether the specified time has elapsed. Here, the designated time refers to the end time of the reserved medical treatment time. If the specified time has elapsed (S37: YES), the control unit 80 moves the process to S38. On the other hand, if the designated time has not elapsed (S37: NO), the control unit 80 remains in this process until the designated time has elapsed.
In S38, the control unit 80 performs a locking process. Specifically, the control unit 80 causes the electronic lock 83 to be locked.
In S39, the control unit 80 deletes the passcode stored in the storage unit 81. After that, the control unit 80 ends this process.

In the above processing flow, it has been explained that the locking process is performed on the condition that the specified time has elapsed, but the locking process is performed on the condition that the first camera 72 in the medical treatment box B detects that the patient leaves Good too.
Further, the medical treatment box B may be equipped with a device for sterilizing the space, and the inside of the medical treatment box B may be sterilized after the locking process is performed.

Next, the processing when performing online medical treatment will be explained.
FIG. 10 is a flowchart showing remote medical treatment processing by the remote medical care support server 1 according to the present embodiment.
In S51 of FIG. 10, the control unit 10 (connection processing unit 22) of the remote medical care support server 1 refers to the reservation information storage unit 37 based on the received admission information, and connects the medical institution terminal 5 of the designated medical institution. and the medical treatment terminal 6.
In S52, the control unit 10 (call processing unit 23) starts video call processing between the connected medical institution terminal 5 and the medical treatment terminal 6.

Here, the doctor using the medical institution terminal 5 instructs the patient to open his mouth and stick out his tongue facing the second camera 73, so that the patient can face the second camera 73. with your tongue sticking out. Alternatively, the doctor using the medical institution terminal 5 may instruct the patient to, for example, turn his/her eyes toward the second camera 73 , and the patient may In contrast, use your fingers to pull down your lower eyelids so that your eyes are open. This allows doctors to check the condition of a patient's tongue and eyes using high-quality images.

Further, the doctor using the medical institution terminal 5 explains to the patient how to operate the stethoscope 71. For example, a place to apply the stethoscope 71 is specified. By doing so, in S53, the control unit 10 (biological information transmitting/receiving unit 24) receives audio data (biometric data) regarding the sound captured by the stethoscope 71 from the medical care terminal 6. Then, in S54, the control unit 10 (biological information transmitting/receiving unit 24) transmits the received audio data to the medical institution terminal 5. By doing so, the doctor using the medical institution terminal 5 can check the patient's heart sounds and the like. Similarly, regarding the blood pressure monitor 75 and pulse oximeter 76, the control unit 10 (biological information transmitting/receiving unit 24) receives data acquired by the blood pressure monitor 75 and pulse oximeter 76 from the medical care terminal 6, and It can be transmitted to terminal 5.

When the online medical treatment by the doctor is completed and the doctor inputs and transmits information regarding the prescription using the medical institution terminal 5, the control unit 10 (prescription information transmitting/receiving unit 25) receives prescription data in S55.
In S56, the control unit 10 (prescription information transmitting/receiving unit 25) transmits the received prescription data to the medical care terminal 6. After that, the control unit 10 ends this process.
The control unit 60 of the medical care terminal 6 that has received the prescription data from the remote medical care support server 1 sends the prescription data to the printer 70, and the printer 70 prints and outputs the prescription.

In this way, with remote medical treatment processing, medical treatment can be performed using each device installed in medical treatment box B, so medical treatment can be performed using more detailed data that cannot be obtained only from images or the patient's voice and story. Can be done. Therefore, the precision of medical treatment can be improved.
Further, by transmitting prescription data to the medical treatment terminal 6, the prescription can be printed from the printer 70.

[Application example]
Patients generally use telemedicine using Medical Box B when they are not feeling well or when they wish to regularly obtain prescription medication.
However, it is of course possible to use it for other purposes.
For example, it is possible to conduct a medical examination by a medical examiner, which is necessary when purchasing insurance such as life insurance, through remote medical examination using the medical examination box B. In this case, for example, it is necessary to undergo an examination by a medical examiner commissioned by each life insurance company. Therefore, the examining doctor may perform remote medical treatment using the medical treatment box B.
More specifically, for example, on the medical institution designation screen (see Figure 6 (A)), it is possible to select the consultation at the time of purchasing life insurance, and when that consultation is selected, a screen for selecting a life insurance company is displayed. Output. Once the user selects the life insurance he/she wishes to enroll in, the user will proceed to make an appointment with an examining doctor commissioned by the selected life insurance company.
By doing so, it is convenient for those who wish to enroll in life insurance etc. to receive a medical examination using the medical examination box B located within their living area.

As described above, the remote medical care support system 100 of this embodiment has the following effects.
(1) The remote medical care support server 1 outputs a designation screen including an input area for the medical institution code that performs online medical treatment to the patient terminal 4, and receives the designation of the medical institution code from the patient terminal 4. Make reservations for online medical treatment at medical institutions.
Therefore, if the patient knows the medical institution code, he or she can easily make a reservation at the medical institution using the patient terminal 4. In addition, it is only necessary to specify the medical institution code, and there is no need to search the homepage of each medical institution and make a reservation. Furthermore, each medical institution does not need to prepare its own homepage for making reservations. Therefore, the threshold for online medical treatment can be lowered for both patients and medical institutions.

(2) When the remote medical care support server 1 receives the patient ID, it refers to the patient information storage unit 34 and outputs a designation screen from which one or more medical institutions associated with the patient ID can be selected.
Therefore, if a patient registers his/her own medical institution etc. in the patient information storage section 34, for example, a designation screen from which one or more medical institutions can be selected can be output simply by logging in, so that it is possible to output a specification screen from which one or more medical institutions can be selected. It is convenient and requires less effort.
(3) The remote medical care support server 1 connects the medical institution terminal 6 used by the patient and the medical institution terminal 5, and performs a video call between the medical institution terminal 5 and the medical institution terminal 6.
Therefore, the patient can use the medical treatment terminal 6 to receive online medical treatment with a doctor who uses the medical institution terminal 5.

(4) The medical care terminal 6 is communicably connected to a device that acquires the patient's biometric data including voice data obtained from the stethoscope 71, and the remote medical care support server 1 transmits the biometric data to the medical care terminal 6. and transmits it to the medical institution terminal 5.
Therefore, the doctor can perform medical treatment using a device that acquires biometric data, and since the medical institution terminal 5 receives various data output from the device, the doctor can perform medical treatment using various devices. Therefore, online medical treatment can be performed in an environment that is more similar to actual face-to-face medical treatment.
(5) The medical treatment terminal 6 is installed inside a medical treatment box B equipped with a door D through which a patient enters and exits the closed space.
Therefore, the patient can receive medical treatment without worrying about others.

(6) The medical care terminal 6 is communicably connected to the printer 70 provided inside the medical care box B, and the remote medical care support server 1 receives prescription data from the medical institution terminal and sends it to the medical care terminal 6. By transmitting the prescription data, the printer 70 is caused to output the prescription.
Therefore, it is convenient for the patient to be able to receive a prescription immediately after the online medical treatment.
(7) Since the medical treatment box B is provided in the pharmacy, it is convenient because the prescription output from the printer 70 can be immediately submitted to the pharmacist and the prescription can be received. Furthermore, it is possible to encourage patients to purchase medicines at the pharmacy while they are waiting for their prescriptions, thereby increasing the profits of the pharmacy.

(8) The patient terminal 4 is convenient because it is possible to make a reservation for the medical treatment box B together with a reservation for a medical institution.
The remote medical care support server 1 transmits the passcode of the medical box B to the patient terminal 4 in accordance with the reservation, and when the medical box B receives the passcode, the medical box B locks the electronic lock 83 according to the contents of the passcode. Since the box is unlocked, it is possible to create a system in which only patients who have made a reservation can use the medical treatment box B.

Although the embodiments of the present invention have been described above, the present invention is not limited to the embodiments described above. Furthermore, the effects described in the embodiments are merely a list of the most preferable effects resulting from the present invention, and the effects of the present invention are not limited to those described in the embodiments. Note that the embodiments described above and the modifications described below can be used in appropriate combinations, but detailed explanations will be omitted.

(Deformed form)
(1) In the present embodiment, the specification screen is described using an example in which a medical institution code is input, but the specification screen is not limited to this. It is only necessary to input information regarding a medical institution, for example, the name of a medical institution may be input. In the case of a medical institution name, for example, search results may be extracted by partial matching, or a part of the address such as the prefecture may be further input.

(2) In this embodiment, a stethoscope, a blood pressure monitor, and a pulse oximeter are exemplified as biological information acquisition devices installed in a medical treatment box, but the present invention is not limited to these. For example, it may be equipped with various biological information acquisition devices, such as a device that can perform echo testing.

(3) In this embodiment, various devices installed in the medical treatment box have been described, but the present invention is not limited thereto. It may also be equipped with an emergency button, etc. In particular, from the perspective of providing medical care to patients, it is desirable that the medical treatment box be constructed so that it cannot be viewed from outside. On the other hand, there is a problem that the inside of the medical treatment box becomes a closed room. Therefore, by providing an emergency button, a pharmacy clerk or the like can respond in an emergency, giving patients a sense of security.

(4) In this embodiment, the printer is described as being provided in the medical treatment box, but the present invention is not limited to this. It may be provided outside the medical treatment box, for example, at a position near the medical treatment box. By doing so, for example, when a plurality of medical treatment boxes are installed in one pharmacy or the like, it is not necessary to provide a printer in each medical treatment box, and the system can be constructed at a lower cost.

(5) In this embodiment, when making a reservation for a medical box, there are no particular restrictions on the medical box, but the installation location of the medical box is displayed, for example, on a map, and the patient can see the medical box B itself, The installation range of the medical treatment box may be selected. This is convenient because it allows the patient to specify a medical treatment box that is easily accessible.

(6) In this embodiment, a case where a passcode is used to unlock the door has been described as an example, but the present invention is not limited to this. Any other method may be used as long as information for unlocking is notified to the patient and the medical treatment box so that unlocking and locking can be managed.For example, a method using a two-dimensional code may be used.

(7) Although this embodiment has been described using an example in which various types of information are stored in the storage unit of the remote medical care support server, the present invention is not limited to this. The various types of information stored in the storage section are examples. Additionally, an external device connected to the remote medical care support server may contain various information.

1 Remote medical care support server (remote medical care support device)
4 Patient terminal 5 Medical institution terminal 6 Medical terminal 10, 60, 80 Control unit 11 Pre-medical treatment processing unit 12 Screen output unit 13 Designation receiving unit 14 Availability status output unit 15 Reservation processing unit 17 Unlocking information transmission unit 21 Online medical treatment processing unit 22 Connection processing unit 23 Call processing unit 24 Biological information transmission/reception unit 25 Prescription information transmission/reception unit 30, 61, 81 Storage unit 31 Program storage unit 32 Medical institution information storage unit 33 Box information storage unit 34 Patient information storage unit 35 Medical status storage unit 36 Box status storage unit 37 Reservation information storage unit 39, 69, 89 Data communication IF
41, 42 Medical institution designation screen 62 Display section 63 Audio input section 64 Audio output section 70 Printer 71 Stethoscope 72 First camera 73 Second camera 74 Light 75 Blood pressure monitor 76 Pulse oximeter 82 Input section 83 Electronic lock 100 Remote medical care support System N Data communication network

Claims (7)

A remote medical care support device that is communicably connected to the terminal used by the patient ,
screen output means for outputting to the terminal a designation screen on which the medical institution can be specified, including an input area regarding the medical institution that performs remote medical treatment;
receiving means for receiving the designation of the medical institution received via the designation screen from the terminal;
Reservation means for making a reservation for remote medical treatment at the specified medical institution received by the receiving means;
means for outputting to the terminal a screen for answering whether or not the box can be used in a box provided with a door for the patient to enter and leave a closed space, regarding whether or not the patient will receive remote medical treatment;
means for receiving, from the terminal, additional information regarding availability of the box received via the screen;
availability status output means for outputting the availability status of the box to the terminal when the additional information is related to the use of the box;
equipment reservation means for reserving the box in response to receiving a reservation request for the box from the terminal ;
Unlocking information transmitting means for transmitting unlocking information of the box to the terminal and the box in accordance with the reservation made by the equipment reservation means;
Equipped with
A medical terminal having an imaging unit and an audio input/output unit used by the patient, and a medical institution terminal having a display unit and an audio input/output unit used by the doctor of the medical institution, respectively, to the remote medical care support device. communicably connected,
The medical treatment terminal is installed inside the box,
The box is
a locking member capable of locking and unlocking the door;
a lock control means that unlocks the lock member according to contents of the received unlock information and the received unlock information when receiving the input of the unlock information;
A remote medical care support system . The remote medical care support system according to claim 1 ,
The remote medical treatment support device includes:
comprising a patient information storage unit that stores patient identification information for identifying a patient and information related to one or more of the medical institutions in association with each other;
In response to receiving the patient identification information, the screen output means refers to the patient information storage unit and displays the designation screen on which the one or more medical institutions associated with the patient identification information can be selected. A remote medical care support system that outputs. In the remote medical treatment support system according to claim 1 or claim 2 ,
The remote medical treatment support device includes:
connection means for connecting the medical institution terminal of the designated medical institution received by the receiving means and the medical treatment terminal used by the patient;
call processing means for making a video call between the medical institution terminal connected by the connection means and the medical treatment terminal;
A remote medical care support system . In the remote medical treatment support system according to any one of claims 1 to 3 ,
The medical treatment terminal is communicably connected to a biological acquisition device that acquires biological information of the patient, including a stethoscope that acquires audio information related to biological sounds of the patient,
The remote medical treatment support device is a remote medical treatment support system comprising a biological information transmitting/receiving means for receiving the biological information acquired by the biological acquisition device via the medical treatment terminal and transmitting the biological information to the medical institution terminal. . In the remote medical treatment support system according to any one of claims 1 to 4 ,
The medical treatment terminal is communicably connected to a printer provided inside or near the box,
The remote medical treatment support device is a remote medical treatment support system comprising a prescription output means for receiving prescription information from the medical institution terminal and transmitting the prescription information to the medical treatment terminal to cause the printer to output the prescription. . In the remote medical treatment support system according to any one of claims 1 to 5 ,
The box is a remote medical care support system installed in a pharmacy. A remote medical care support device that is communicably connected to the terminal used by the patient,
When a designation of a medical institution that conducts remote medical treatment is received from the terminal, the availability status related to remote medical treatment at the medical institution and the availability status of a box equipped with a door for the patient to enter and exit the closed space. and vacancy status output means for outputting the information.
means for making a reservation in response to receiving a remote medical treatment and reservation request for the box from the terminal;
Unlocking information transmitting means for transmitting unlocking information of the box to the terminal and the box according to the reservation;
Equipped with
A medical terminal having an imaging unit and an audio input/output unit used by the patient, and a medical institution terminal having a display unit and an audio input/output unit used by the doctor of the medical institution, respectively, to the remote medical care support device. communicably connected,
The medical treatment terminal is installed inside the box,
The box is
a locking member capable of locking and unlocking the door;
a lock control means that unlocks the lock member according to contents of the received unlock information and the received unlock information when receiving the input of the unlock information;
A remote medical care support system .

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