JP7438784B2 - Medical data provision system, medical data provision program, and medical data provision method - Google Patents

Description

The present invention relates to, for example, a medical data providing system, a medical data providing program, and a medical data providing method that utilize test data obtained from tests such as health checkups and/or medical examinations.

BACKGROUND ART Conventionally, various tests such as health checkups and medical examinations have been performed at medical institutions, and test data has been acquired. These test data are managed by electronic medical records and the like together with personal data of test subjects who are patients, and are used within medical institutions as necessary.
A system that utilizes such test data, for example, can link information about adopted drugs on electronic medical records obtained from multiple medical institution terminals with the region where the medical institution is located, create a adopted drug database, and create a database for adopted drugs by region. A system has been proposed that provides statistical information regarding adopted drugs to businesses (see Patent Document 1).
However, this system could only provide statistics on drugs adopted by region, and could not be used for various other analyses.

Japanese Patent Application Publication No. 2018-081529

In view of the above-mentioned problems, the present invention provides a medical data providing system, a medical data providing program, and a medical data providing method that can analyze test data from a large number of people from various viewpoints, and improve the satisfaction of test data users. The purpose is to improve

The present invention includes a storage means for storing medical data of a person, an extraction condition specification receiving means for accepting specification of extraction conditions for the medical data to be extracted, and corresponding data for extracting data corresponding to the extraction conditions from the medical data. A medical data providing system comprising an extraction means, a processing means for processing the extracted data extracted by the corresponding data extraction means, and an output means for outputting the processed data processed by the processing means. .

According to the present invention, test data of a large number of people can be analyzed from various viewpoints, and the satisfaction level of test data users can be improved.

FIG. 1 is a block diagram showing the system configuration of a medical data providing system. An explanatory diagram illustrating the data structure of various data. Screen configuration diagram of a search target filter screen. An explanatory diagram of a search result format selection screen and an inspection item and condition setting screen. An explanatory diagram of an inspection item selection screen and a search result table format display screen. An explanatory diagram of a search result histogram format display screen.

FIG. 1 is a block diagram showing the system configuration of a medical data providing system 1. As shown in FIG.
The medical data providing system 1 includes a personal data server 10, a data providing server 20, a plurality of data collection terminals 30, and a plurality of data usage terminals 40, which are communicably connected to the Internet 3.

The personal data server 10, the data provision server 20, the data collection terminal 30, and the data usage terminal 40 include control units 11, 21, 31, which are equipped with a CPU, ROM, and RAM and execute various arithmetic processing and control processing. 41, input units 12, 22, 32, 42, which are configured with a keyboard and mouse, etc., and receive input from an operator; and a display unit 13, which is configured with a display such as a liquid crystal display or an organic EL display, and which displays various types of information. 23, 33, 43, and communication units 14, 24, 34, 44, which are configured by communication devices such as LAN boards or wireless LAN cards, and perform wireless or wired communication with the Internet 3 through a router (not shown), etc. It has storage units 15, 25, 35, and 45, each of which is a hard disk or nonvolatile memory, for storing programs and data.

A storage unit 15 of the personal data server 10 stores a personal data management program 16 for managing personal data and medical data 17.
The storage unit 25 of the data provision server 20 processes medical data 17 to provide medical data 27, processes the medical data 27, and provides medical data 27 that meets requested conditions. A data providing program 26 is stored.

This data provision program 26 accepts the specification of search conditions (extraction conditions) and output format (table format or histogram format), and can identify individuals before outputting the search results (extraction results). If data of a person having a specific diagnostic value is included, at least the specific diagnostic value of the data is excluded. Specifically, the maximum height holder, minimum height holder, maximum weight holder, minimum weight holder, and maximum age holder within the area and gender range specified as the search conditions are at least used as the specific diagnostic values. It is configured to be excluded.

The storage unit 35 of the plurality of data collection terminals 30 stores a test data collection program 36 that collects test data from medical examination results and test results, and temporarily collected test data 37.

The storage unit 45 of the plurality of data usage terminals 40 stores a data viewing program that accesses the data providing server 20 and extracts provided medical data.

FIG. 2 is an explanatory diagram illustrating the data structure of various data. FIG. 2(A) is a data configuration diagram showing the items of medical data for provision 27, FIG. 2(B) is a data configuration diagram of personal data used by the data provision program 26, and FIG. ) is a data configuration diagram of facility data used by the data provision program 26, and FIG. 2(D) is a data configuration diagram of conversion data used by the data provision program 26.

The provided medical data 27 shown in FIG. 2(A) includes a data number, data acquisition date, subject identification code, facility identification code, region, date of birth, gender, height, weight, Waist circumference, Waist circumference (navel), ALT(GPT), AST(GOT), Creatinine, Diastolic blood pressure (1st), Diastolic blood pressure (2nd), Diastolic blood pressure (average), eGFR, Fasting blood sugar, Gamma GTP, Inspection method of Gamma GTP, HbA1c( JDS), HbA1c(NGSP), HDL cholesterol, LDL cholesterol, Postprandial blood sugar, Syotolic blood pressure (1st), Syotolic blood pressure (2nd), Syotolic blood pressure (average), Trigliceride, Trigliceride(fasting), Trigliceride(Postprandial) , uric acid, Urine protein, Urine sugar, Medication 1(blood pressure), Medication 2(blood sugar), Medication 3(lipid), ECG findings, ECG findings / Presence, Past Medical history 1 (stroke), Past Medical history 2 (heart disease), Past Medical history 3 (kidney disease), Health guidance level, Hope for health guidance, Drinking, Alcohol consumption, How to eat 1 (fast eating), and How to eat 2 (before sleep) It has each item.

Each of these items includes measurement data obtained by measuring with a tape measure or scale, blood test data obtained by blood tests, urine test data obtained by urine tests, and test equipment such as echo diagnosis, MRI, and X-rays. It includes data obtained by various methods, such as inspection equipment data that can be used.

With this provided medical data 27, it is possible to use data such as how old a man or woman was when and where a test was taken, and what the test value was at that time. Additionally, since personal information such as the individual's name and address has been removed, it can be used as anonymized test data.

The personal data shown in FIG. 2(B) includes the following items: subject number, subject identification code, name, address, telephone number, e-mail address, date of birth, and gender. This makes it possible to link test data and personal data using a subject identification code, and to access an individual who has specific test data when it is necessary to contact that individual. Note that the connection (linkage) between the personal data and the provided medical data 27 is not limited to the method using the subject identification code, but can be performed by an appropriate method using encryption or the like.

The facility data shown in FIG. 2C includes the following items: facility number, facility identification code, facility name, and facility address. This makes it possible to identify which facility each piece of medical data for provision 27 was acquired from based on the facility number. Therefore, if you want to access a facility (medical institution) that has acquired certain test data, you can do so.

The conversion data shown in FIG. 2(D) includes each item: data number, facility identification code, individual facility item, and corresponding common item. As a result, in a case where the same item of inspection data is managed under a different name (facility individual item) for each facility, this name can be converted into a common name (common item). By configuring the provided medical data 27 with such shared data, a wide variety of data from a large number of medical institutions can be shared and used conveniently.

FIG. 3 is a screen configuration diagram of the search target filter screen 101.
The search target filter screen 101 includes a region selection section for selecting a region, a medical data source selection section for selecting a medical data source from health examinations and/or hospitals, and specific health examinations, general health examinations, special health examinations, and school children. A screening course selection section for selecting a medical examination course from a medical examination, a period specification section for specifying the year or period (range), a gender selection section for selecting gender from male, female, or both, and age in 10-year increments. It has an age range specification section for specifying by generation or age range.

Further, the search target filter screen 101 includes a search condition cancellation button 102 and a next button 103 to proceed to the next screen.

FIG. 4A is a screen configuration diagram of the search result format selection screen 110.
The search result format selection screen 110 includes a display format selection section for selecting whether to display search results in a table format or a histogram format, a back button 111 for returning to the previous screen, and a next button for proceeding to the next screen. A button 112 is provided.

FIG. 4(B) is a screen configuration diagram of the inspection item and condition setting screen 120.
The test item and condition setting screen 120 includes a test item list selection section 121, a test item addition button 122 for adding the test item selected in the test item list selection section 121 to the selected test item list display section, and a selected test item list selection section 121. It includes an item list display section, a back button 128, and a next button 129.

The selected test item list display area includes a selection check box 123 provided on the left side of the selected test item, a lower limit designation part 124 and an upper limit designation part 125 provided for each test item, and when there are many selected test items. It has a scroll bar 126 for moving the displayed content up and down.

Here, test items whose appropriate values are common for both men and women (e.g., AST (GOT), etc.) are configured in one column, and test items whose appropriate values are different for men and women (e.g., AST (GPT), etc.) are configured in one column. It consists of two columns, one for men and one for women. That is, when the search target addition button 122 is pressed once, in the selected test item list display section, search items whose appropriate values are common to both men and women are added one row, and test items whose appropriate values are different for men and women are added to the list for men. Add two levels for women.

Furthermore, in this example, three identical test items are added, such as weight(1), weight(2), and weight(3). When the same inspection items are added in this way, they are numbered and added. For the same test item, by setting different upper and lower limits, it is possible to set the data to be viewed in different ranges, such as weight below 40 kg, 41 kg to 70 kg, and 71 kg or above.

FIG. 5(A) is a screen configuration diagram of the inspection item selection screen 130.
The test item selection screen 130 includes a test item selection section 131, a scroll bar 132, a back button 138, and a next button 139.
The test item selection section 131 displays a list of test items, and is configured to allow selection and cancellation of selection using the selection buttons on the left side.

FIG. 5(B) is a screen configuration diagram of the search result table format display screen 140.
The search result table format display screen 140 has a common information display section 141, a search condition display section 142, and a detailed result display section 143.

The common information display section 141 displays search execution information such as system name and version, search execution date and time, ID and name. This makes it possible to specify when and what the search is for.

The search condition display section 142 displays the contents specified on the search target filter screen 101, such as prefecture names, medical data sources, and medical examination courses.

The detailed result display section 143 displays a list of each item and its value specified on the test item and condition setting screen 120 for the provided medical data 27 that corresponds to the search condition specified in the search condition display section 142 in a table format. do. Further, if the value is less than a predetermined number of people (for example, 10 or less, or 5 or less), a number of people non-display mark 143a is displayed instead of the number of people. This number of people non-display mark 143a can be displayed as an appropriate symbol such as "*" or "〇".

FIG. 6A is a screen configuration diagram of the search result histogram format display screen 150.
The search result histogram format display screen 150 has a common information display section 151, a search condition display section 152, and a detailed result display section 153.

The common information display section 151 and the search condition display section 152 are the same as the common information display section 141 and the search condition display section 142, so a detailed explanation thereof will be omitted. In the illustrated example, the prefecture name, medical data source, medical examination course, year, gender, age, and test items and condition values are displayed.

The detailed result display section 153 displays the search results in a histogram format. In the illustrated example, the weight range from 40 kg to 100 kg is expressed as a bar graph in units of 10 kg, and the number of people in each range is displayed as the height of the bar graph.

FIGS. 6(B) to 6(E) are other examples of histograms displayed on the detailed result display section 153 described above.
FIG. 6(B) is an example in which the age of the screening recipient is displayed in a vertical bar graph format, FIG. 6(C) is an example in which the age of the screening recipient is displayed in the horizontal bar graph format, and FIG. , is an example in which the distribution of creatinine is displayed in a vertical bar graph format, and FIG. 6(E) is an example in which the distribution of creatinine is displayed in a horizontal bar graph format.

With the above configuration and operation, test data of a large number of people can be analyzed from various viewpoints, and the satisfaction level of test data users can be improved.

Since the data is anonymized, users of the test data (e.g. researchers, medical professionals, etc.) can freely analyze the test data of a large number of people without the risk of handling personal information. can.

For test items that have different appropriate ranges for men and women, upper and lower limits can be specified separately for men and women, making it possible to perform appropriate analysis for each gender.

In addition, the test data of a person who has a specific diagnostic value that can identify the individual is at least excluded or displayed in such a way that the specific diagnostic value cannot be identified, so it is possible to prevent the individual from being identified from the test data. . In other words, for example, if the tallest person in the area is found within the search conditions, and the data of the tallest person is displayed as one item in the histogram or table, the tallest person's data will be displayed as one item in the histogram or table. Since it is data, it can be seen that the data belongs to that person, and it is possible to prevent checking other data, especially for the person with the maximum height.

Note that the present invention is not limited to only the configuration of the above-described embodiments, and many embodiments can be obtained.

INDUSTRIAL APPLICATION This invention can be utilized in the industry which utilizes the test|inspection data obtained from a person's health checkup, medical test|inspection, etc. for analysis etc.

1...Medical data provision system

Claims (4)

a storage means for storing medical data of a person;
extraction condition specification reception means for accepting specification of extraction conditions for the medical data to be extracted;
Applicable data extraction means for extracting data corresponding to the extraction conditions from the medical data;
processing means for processing the extracted data extracted by the corresponding data extraction means;
and output means for outputting processed data processed by the processing means ,
The extraction condition specification reception means is
For extraction items that have different appropriate values for men and women, it has a male extraction condition specification section that specifies extraction conditions for men and a female extraction condition specification section that specifies extraction conditions for women.
Medical data provision system. The processing means is
2. The medical data providing system according to claim 1, wherein when there is a small group item in which the number of people is less than a predetermined number in the processed data, an alternative mark is displayed for the small group item without displaying the number of people. computer,
a storage means for storing medical data of a person;
extraction condition specification reception means for accepting specification of extraction conditions for the medical data to be extracted;
Applicable data extraction means for extracting data corresponding to the extraction conditions from the medical data;
processing means for processing the extracted data extracted by the corresponding data extraction means;
Function as an output means for outputting processed data processed by the processing means ,
The extraction condition specification reception means is
For extraction items that have different appropriate values for men and women, it has a male extraction condition specification section that specifies extraction conditions for men and a female extraction condition specification section that specifies extraction conditions for women.
Medical data provision program. Storing a person's medical data in a storage means,
Accepting the specification of extraction conditions for the medical data to be extracted by an extraction condition specification reception means,
Extracting data corresponding to the extraction conditions from the medical data by a corresponding data extraction means,
Processing the extracted data extracted by the corresponding data extraction means using a processing means,
The processed data processed by the processing means is outputted by the output means.
The extraction condition specification reception means is
For extraction items that have different appropriate values for men and women, it has a male extraction condition specification section that specifies extraction conditions for men and a female extraction condition specification section that specifies extraction conditions for women.
Medical data provision method.

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