JPH0896047A - Medical data management system - Google Patents

Abstract

PURPOSE: To surely grasp the check result even a different unit or reference value range of the medical check results, which are to be displayed in time series, are included. CONSTITUTION: The personal check information corresponding to the relevant check item and the information showing the standard of the check information are recorded in time series on an optical card 2 for every check item. These information are read out by a reader/writer 3 and inputted to an information processor 4. The processor 4 selects the reference information of an optional time point out of those read reference information, the selected reference information is compared with other reference information in the time series direction so that the reference information are sorted. Under such conditions, a display form is set so that the background color of a display area is changed when it is sorted as a different one. Thus, the check information is shown on a display 6 in a different background color according to its display form when the check information corresponding to the relevant check item is shown in time series after the display of the check item.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical data management system capable of easily and effectively utilizing personal consultation information and the like.

[0002]

2. Description of the Related Art Conventionally, various information recording media such as optical cards, IC cards, magnetic cards, magnetic tapes, magnetic disks, optical disks, and magneto-optical disks have been used for recording information. On the other hand, in recent years, various databases have been constructed from the viewpoint of the spread of computers and effective use of data, and enormous amounts of information have been accumulated.

[0003] For example, in the field of health, an attempt has been made to create a database of the results of medical examinations that are regularly conducted by local governments.
Such accumulated personal information has come to be used for various statistical data collection processes and health guidance to residents by doctors and public health nurses.

[0004] These health information databases are placed in centralized management organizations such as city halls and public health centers that are in charge of health services, and have a relatively large storage capacity such as magnetic tapes, magnetic disks, optical disks, and magneto-optical disks. Have been recorded on a large information recording medium. However, in using the information, unless the extensive online network is completed, it is not possible to use the stored information without going to the organization where the information is stored.

In view of the above points, by using an information recording medium such as an optical card, which has a sufficient storage capacity for recording information for one person and has excellent portability, information of each individual person can be obtained. It is possible to effectively use the information in a plurality of institutions by recording the information in these recording media and carrying it by each individual.

When recording the results of the medical examinations that are regularly performed by the local government on a recordable recording medium such as this optical card, various management methods are conceivable.
In the write-once type, since the recording arrangement of the previously recorded information cannot be changed, the information for one examination is additionally recorded as one file.

[0007] The information accumulated in this manner is used by doctors and public health nurses to provide health guidance by chronologically observing the presence or absence of previous medical examinations and the results of medical examinations during health examinations and health consultations. It was used as a standard. Incidentally, such a technique has already been disclosed in Japanese Patent Laid-Open No. 63-165958.

[0008]

However, in the technique disclosed in Japanese Patent Laid-Open No. 63-165958, it is possible to change the unit or the reference value range due to the difference in the measuring equipment or the measuring method in the same inspection item. could not. That is, in the time-series display of the inspection results, only the inspection numerical value is displayed because there is no display space for the unit and the reference value range, so it was not possible to know in which inspection the unit or reference value range was different. In addition, when looking at different units and reference values in time series, the numerical value may differ by two digits depending on the inspection item, so there is a risk that the doctor, public health nurse, etc. may make an incorrect decision.

The present invention has been made in order to solve the above problems, and an object of the present invention is to include, in a time-series display of inspection results, data in which the units of inspection results and reference value ranges are different. In this case, it is an object of the present invention to provide a medical data management system capable of promptly and accurately grasping the unit of the test result and the difference in the standard value range.

[0010]

In order to achieve the above object, the medical data management system according to the first aspect of the present invention provides, for each of a plurality of inspection items, individual inspection information corresponding to the item and the inspection information. Recording medium in which the information indicating the standard is recorded in time series, reproducing means for reading out the inspection information and information corresponding to the standard from the recording medium, and the reference information read by the reproducing means. Select the reference information at any time from the, and compare the selected reference information and other reference information in the time series direction, the classification means for classifying the reference information, and the same as the classification means. The display format of the inspection information corresponding to the other reference information which is different from the first display format when the display format is set to the second display format which is different from the first display format. Do Setting means, and a display means for displaying the inspection information based on the display format set by the setting means when displaying the inspection information corresponding to the inspection item in time series following the display of the inspection item. It is characterized by having.

In the medical data management system according to the second aspect, the setting means further compares the inspection information with reference information corresponding to the inspection information, and when the inspection information is out of the reference information, It is characterized in that a third display format different from the first and second formats is set. Further, the medical data management system according to the third aspect is characterized in that the second and third display formats change the background color of the region displaying the examination information.

[0012]

That is, in the medical data management system according to the first aspect of the present invention, the recording medium contains, for each of a plurality of inspection items, individual inspection information corresponding to the item and information indicating a standard of the inspection information. The inspection information and the information indicating the corresponding reference are read from the recording medium by the reproducing means. Then, the classification means selects the reference information at an arbitrary time point from the reference information read by the reproduction means, compares the selected reference information with other reference information in a time series direction, and outputs the reference. When the information is classified and the setting means classifies the information as the same by the classifying means, the first display format is set, and when the information is classified as different, the inspection corresponding to the different reference information. The display format of the information is set to a second display format different from the first format. Further, when the display means displays the inspection information corresponding to the inspection item in time series following the display of the inspection item, the inspection information is displayed based on the display format set by the setting means. It

In the medical data management system according to the second aspect, the setting means further compares the examination information with the reference information corresponding thereto, and when the examination information is out of the reference information, the A third display format different from the first and second formats is set. Furthermore, in the medical data management system according to the third aspect,
In the second and third display formats, the background color of the area displaying the inspection information is changed.

[0014]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described below with reference to the drawings. FIG. 1 is a block diagram showing the configuration of a medical data management system according to an embodiment of the present invention. The medical data management system 1 collects, edits, and manages medical data. In this medical data management system 1, an information processing device 4 including a small computer such as a personal computer includes a display 6 as an output device, a keyboard 5 for inputting commands and data, and an optical card 2 as a recording medium. A reader / writer 3 for recording and reproducing information is electrically connected to each. The information processing device 4 is, in detail, a CPU
(Processor), MEM (memory), I / F for display
(Interface), I / F for keyboard, and I / F for reader / writer. When data of the keyboard 5 is input, predetermined data processing is performed or the data is edited to display the data on the display unit 6. Display, or access the reader / writer 3 to record information on the optical card 2,
Recorded information can be played back and captured.

Medical data handled by the medical data management system 1 is recorded / reproduced on the optical card 2 by the reader / writer 3 connected to the information processing device 4. The medical data can be taken into the information processing device 4 by not only the keyboard 5 but also other known input means, and is written in the optical card 2 via the reader / writer 3 under the control of the information processing device 4. . The medical data recorded on the optical card 2 is processed in the information processing device 4 and then displayed on the display 6 such as a CRT.

Here, FIG. 2 shows an example of an optical card, and a card body 21 which is a write-once type optical recording medium of approximately the size of a credit card has a large number of tracks 22. A data recording section 23 that allows additional recording of user data is provided in the central portion, and ID sections 24a and 24b containing information such as track addresses indicating the positions of the tracks 22 are provided on both sides of the data recording section 23. There is.

The data recording section 23 includes a directory area 20.
1 and a data area 202. Then, in the directory area 201, a file name indicating the name of the data body recorded in the data area 202, a recording position, and the like are recorded.

Below, the results of the medical examinations that are regularly conducted in the municipality or company, or the examinations performed in the hospital are read out from the optical card 2 using the medical data management system 1 and displayed. The operation of the processing to be performed will be described.

An example of the structure of the medical examination file recorded on the optical card 2 is as follows. That is, although the medical examination file is created for each medical examination, it consists of a file name and file contents. The file name consists of, for example, 9 characters, and its structure is screening name (2 digits) + screening year (2 digits) + consultation date (4 digits).
+ Result (1 digit).

An abbreviation consisting of two letters is used for the examination name. For example, if the examination name is a basic health examination, "HE", if it is a tuberculosis examination, "TB", if it is a lung cancer examination, "LC", and if it is a gastric cancer examination, "S".
C ", UC for uterine cancer screening, and" BC "for breast cancer screening.

The last two digits of the Christian year are used for the examination year. For example, in 1993, it becomes "93". In addition, the month and day of consultation are represented by a 2-digit month and a 2-digit day.
101 ". The abbreviation consisting of one letter of the alphabet is used for the result. For example, when the result is normal," A ",
It is “B” for observation required, “C” for guidance required, “D” for detailed examination, “E” for medical treatment, and “X” for undetermined.

Therefore, the file name is, for example, "HE91
1021. In the case of “A”, it means that the examination name is the basic health checkup, the date of the examination is October 21, 1991, and the result is normal.

As a file structure corresponding to a medical examination file having such a file name structure, for example, "item name", "data", "unit", "reference value lower limit", and "reference value upper limit" are arranged in order. There is a method, and examples of screening data include “height”, “140.6”, “cm”, “”, “” “weight”, “34.4”, “kg”, “”, “” “max. "Blood pressure", "137", "mmHg", "90", "140""minimum blood pressure", "81", "mmHg", "60", "90""electrocardiogram","noabnormality","","","""Totalcholesterol","215","mg / dl", "130", "230""neutralfat","69","mg / dl", "35", "180""GOT","37","IU / l", "5", "35""GPT","17"," U / l ”,“ 3 ”,“ 30 ”“ ALP ”,“ 93 ”,“ IU / l ”,“ 30 ”,“ 130 ”“ γGTP ”,“ 12 ”,“ IU / l ”,“ 0 ” , “50” “Urea nitrogen”, “19.2”, “mg / dl”, “0”, “20” “Uric acid”, “3.2”, “mg / dl”, “0”, “5” .2 "" blood glucose "," 98 "," mg / dl "," 70 "," 140 "" red blood cell count "," 413 "," / mm3 "," 427 "," 570 "" hemoglobin amount ", The inspection target item name and the inspection value are lined up such as “13.3”, “g / dl”, “12”, “15”.

The directory area 201 is divided into a plurality of sectors, and each sector has one file name and a data area 2 of a medical examination file corresponding to the file name.
The recording position at 02 is recorded.

Next, with reference to the flow chart of FIG. 4, the operation of the process of reading out the information from the optical card 2 and displaying a list of 16 inspection items for 10 times of the inspection as shown in FIG. 3 will be described. In FIG. 3, the date of the examination is displayed on the top of the display 6 and the examination results corresponding to the item numbers and the item names are displayed in a matrix.

As shown in FIG. 4, when the operator receives the optical card 2 carried by the examinee and inserts the optical card 2 into the reader / writer 3 (step S1), the reader / writer
The writer 3 reads the personal information from the optical card 2,
The information is transferred to the information processing device 4 (step S
2). In the data area 202 of the optical card 2, personal information related to the individual, such as the name and address of the owner of the optical card, is recorded when the optical card 2 is issued, for example, at the first medical examination. Therefore, when the optical card 2 is set in the reader / writer 3, the information processing device 4 issues a read command to the reader / writer 3, reads the personal information recorded in the optical card 2, and displays it on the display 6. The character information is displayed on (steps S2 to S3).

The operator confirms his / her identity from the information displayed on the display 6 and performs a confirmation operation using the keyboard 5 or the like (step S4). In this way, when it is confirmed that the user is the “person”, the CP of the information processing device 4
U retrieves the latest examination file from the directory area 201 of the optical card 2, reads the examination file from the data area 202, and sends it to the information processing device 4 (step S).
5).

In the information processing device 4, the CPU temporarily stores information such as this file in the MEM. Then, the CPU of the information processing device 4 substitutes 0 into the loop variable N (step S6), searches the directory area of the optical card 2 for the latest N-th previous examination file, and retrieves the corresponding examination file from the data area. Is read out and sent to the information processing device 4 (step S7). Since N is 0 at the beginning, the latest examination file is read again. Next, the CPU of the information processing device 4 substitutes 1 into the loop variable M (step S8), and retrieves the item name of the Mth display item from the latest examination file and the latest N examination files. (Step S9). Since M is 1 at the beginning, FIG.
On the display screen of, the item name will search for height.

Next, it is compared whether the unit of the latest Mth item name (first height) is the same as the unit of the latest Nth previous Mth item name (first height) (step). S1
0), if they are different, the background color of the display of the Mth item N times before the latest is set to gray (step S1).
4). If the units are the same, then it is compared whether or not the lower limit of the reference value is the same (step S11).
If the lower limit of the reference value is different, the background color of the display of the Mth item N times before the latest number is set to gray (step S14).

Next, when the lower limit of the reference value is the same,
Next, it is compared whether the upper limit of the reference value is the same (step S12).
If the upper limit of the reference value is different, the background color of the display of the Mth item N times before the latest number is set to gray (step S14). If the unit, the reference value lower limit, and the reference value upper limit are all the same, the background color of the display of the Mth item N times before the latest number is set to white (step S13). When the background color is determined in this way, the data is displayed in a table (step S1).
5).

Subsequently, it is determined whether the loop variable M is 16 (step S16), and comparison is made for all item units, the reference value lower limit value, and the reference value upper limit value. If the loop variable M is not 16, 1 is added to M (step S17), the process returns to step S9, and the next display item is similarly compared.

When the loop variable M becomes 16 and the comparison of all items is completed, it is judged whether the loop variable N is 9 (step S18), and the display items of the examinations from the latest time to the 9th time before the latest time are displayed. Check if the comparison is complete. here,
If the loop variable N is not 9, add 1 to N (step S
19) and returns to step S7, and the next examination file is similarly compared. In this way, when all the comparisons are completed and the background color and the data are displayed, they are displayed until the display end key is pressed (step S20), and when the display is completed, the operator ejects the optical card (step S21).

From FIG. 3 shown above, the ALP of the medical examination on October 17, 1987, which is four times before the latest time, the latest time is 8 times.
ALP for the screening on October 13, 1983, which is the previous time, and A for the screening on October 12, 1982, which is the latest 9 times before the screening.
It can be seen that the unit of LP or the reference value range is different.

Therefore, in this embodiment, when the unit or the reference value range is different, the background color is changed so that the unit or the reference value range is visually grasped even if the unit or the reference value range is not displayed. It becomes possible to make an accurate judgment of time series data.

Next, a sequence of a modified example of the present invention is shown in FIG. 5 and will be described. Steps S1 to S14 are the same as those shown in FIG. After the background color is determined by this sequence, it is compared whether the data is smaller than the lower limit of the reference value (step S30). Here, if the data is smaller than the lower limit of the reference value, it is not within the reference value range, so the data is set to red (step S33). On the other hand, if the data is not smaller than the lower limit of the reference value, then it is compared whether the data is larger than the upper limit of the reference value (step S32). here,
If the data is larger than the lower limit of the reference value, it is not within the reference value range, so the data is set to red (step S33).
If the data is not larger than the upper limit of the reference value, the data is set to black (step S32). When the background color and the display color of the data are determined in this way, the data is displayed in a table (step S15). After that, the sequence of steps S15 to S21 described above is performed.

In this modification, the background color is changed when the unit or reference value range is different, and the unit or reference value range is not displayed by changing the display color of the data when the data is out of the reference value range. Also, it is possible to visually understand that the units and the range of reference values are different, and it is possible to see at a glance whether the data is within the reference value, and it is possible to accurately judge the time series data.

Although the embodiment of the present invention has been described above, the present invention is not limited to this, and it goes without saying that various improvements and modifications can be made without departing from the spirit of the invention. For example, in the above-described embodiment, the background color is two colors of white and gray, but the unit, the reference value lower limit, and the reference value upper limit may be classified into a plurality of colors, and each color may be changed and displayed.

In the above embodiment, the optical card is used as the information recording medium, but in addition to this, an IC card, a magnetic card, a magnetic tape, a magnetic disk, an optical disk,
Of course, a magneto-optical disk or the like may be used. Further, in the above embodiment, as shown in FIG. 3, 16 items of data are displayed for 9 samples.
The number of items and the number of samples can be increased or decreased without being limited to this.

Finally, the summary of the present invention is summarized as follows. (1) For each of a plurality of inspection items, a recording medium on which personal inspection information corresponding to the item and information indicating a reference of the inspection information are recorded in time series, and the inspection information from the recording medium and the corresponding information A reproducing means for reading out information indicating a reference and reference information at an arbitrary time point is selected from the reference information read by the reproducing means, and the selected reference information and other reference information are compared in a time series direction. However, when the classification means for classifying the reference information is classified as the same by the classification means, the first display format is set, and when classified as different, the different reference information is classified as different. Setting means for setting a display format of the corresponding inspection information to a second display format different from the first format, and displaying the inspection information corresponding to the inspection item in time series following the display of the inspection item Niso Medical data management system and a display means for displaying on the basis of the inspection information to the set display format by the setting means.

Here, the correspondence relationship between each of the above configurations and the configurations in the embodiments is as follows. That is, the inspection item corresponds to the height, weight, maximum blood pressure, minimum blood pressure, etc. in the examples. The reference information is a unit of the numerical value of the inspection item (c
m, kg, mmHg, etc.), the upper limit value, the lower limit value, etc. of the reference value of the numerical value of the inspection item. The classification means includes steps S6 to S12 and steps S16 to S19 in FIG.
Steps S6 to S12, Steps S16 to S19, and Steps S30 to S31 are applicable. The setting means is shown in FIG.
Steps S13 to S14 of FIG. 5 and Steps S13 to S of FIG.
14 and steps S32 to S33 correspond.

In such a configuration, when a recording medium in which personal inspection information corresponding to each of a plurality of inspection items and information indicating the reference of the inspection information are recorded in time series is inserted into the reproducing means, The information recorded on the recording medium is read out and the reference information is classified. Based on the classification, the display format of the inspection information corresponding to the reference information on the display means is as follows. Is set. That is, the inspection information corresponding to the reference information having the same classification is set in the first display format, and when different, is set in the second display format different from the first format. As a result, when the inspection information corresponding to the inspection item is displayed in chronological order on the display means following the display of the inspection item, when the classification of the reference information is the same, the inspection information is first. Is displayed in the display format, and when different, the second display format is used.

Therefore, when the classification of reference information is the same,
The inspection information is displayed in the first display format, and when it is different, it is displayed in the second display format, so that the inspection results are displayed in time series, and the inspection result unit and reference value range are different. However, since the difference can be visually recognized, an accurate judgment can be made. (2) The setting means further compares the inspection information with the corresponding reference information, and when the inspection information deviates from the reference information, a third format different from the first and second formats is used. The medical data management system according to (1) above, wherein the display format is set.

This corresponds to S13 to S14 and S32 in FIG.
~ S33 is applicable. In such a configuration, when the inspection information is out of the reference information, the third display format different from the first and second display formats is set. Based on the third display format, the degree of deviation of the inspection information from the reference information is displayed on the display means.

Therefore, the degree of deviation of the inspection information from the reference information on the display means is different from that of the first and second formats.
By displaying in the display format, the degree of deviation of the inspection information from the reference information can be visually distinguished among the different reference information, and more accurate determination of the time-series display can be made. (3) The medical data management system according to (1) or (2), wherein the second display format has a plurality of display formats.

This corresponds to the description in the additional part of the embodiment. In such a configuration, the display format of the inspection information is changed according to the difference of the inspection information and displayed on the display means.
Therefore, when the reference information has a plurality of types, the difference can be clearly recognized visually. (4) The medical data management system according to any one of (1) to (3), wherein the second display format changes the background color of the area displaying the examination information.

This corresponds to the embodiment shown in FIG. In such a configuration, the difference in the reference information is displayed on the display means by changing the background color of the area of the inspection information. Therefore, by changing the background color of the area of the reference information, the difference from the other areas can be visually expressed more clearly, and more accurate determination of the time series data becomes possible. (5) The medical data management system according to (1) to (4), wherein the recording medium is a write-once recording medium.

This corresponds to the embodiment shown in FIGS. 1 to 5. In such a configuration, the information recorded on the recording medium is not erased from the recording medium unless overwritten and overwritten, and the information is additionally recorded and accumulated. Therefore, the reliability of the information recorded on the recording medium can be improved. (6) The medical data management system according to (5), wherein the recording medium is an optical card.

This corresponds to the embodiment shown in FIGS. 1 to 5. In such a configuration, the optical card is a card-shaped write-once type recording medium capable of recording a large amount of information and is excellent in portability. Therefore, by recording the information of each individual on the optical card and carrying it by each individual, the information can be effectively used in a plurality of institutions.

[0049]

As described in detail above, according to the present invention,
If the time-series display of test results includes data with different units or reference range of test results, quickly and accurately grasp the difference in units or reference range of the test results. It is possible to provide a medical data management system that can do this.

[Brief description of drawings]

FIG. 1 is a block diagram showing a configuration of a medical data management system according to an embodiment.

FIG. 2 is a diagram showing a configuration of an optical card.

FIG. 3 is a diagram showing a state in which 16 examination items and 10 examinations are displayed in a list.

FIG. 4 is a flowchart showing an operation of the medical data management system according to the embodiment.

FIG. 5 is a flowchart showing an improved example of the sequence of FIG.

[Explanation of symbols]

1 ... Medical data management system, 2 ... Optical card, 3 ... Reader / writer, 4 ... Information processing device, 5 ... Keyboard, 6 ...
display.

Claims (3)

[Claims] 1. A recording medium in which personal inspection information corresponding to each of a plurality of inspection items and information representing a standard of the inspection information are recorded in time series, the inspection information from the recording medium, and the recording medium. Reproduction means for reading the information indicating the corresponding reference, and reference information at an arbitrary time point is selected from the reference information read by the reproduction means, and the selected reference information and other reference information are stored. A classifying unit that classifies the reference information by comparing in the direction of the series, and sets the first display format when the classifying unit classifies as the same, and sets another display standard when the classifying unit classifies as different. Setting means for setting a display format of inspection information corresponding to the information to a second display format different from the first format; and, following the display of the inspection item, the inspection information corresponding to the inspection item is displayed in time series. You Medical data management system characterized by having a display means for displaying on the basis of, on the set display format the inspection information in the setting unit when. 2. The setting means further compares the inspection information with reference information corresponding to the inspection information, and when the inspection information deviates from the reference information, the first and second formats differ from each other. The medical data management system according to claim 1, wherein the display format of No. 3 is set. 3. The medical data management system according to claim 1, wherein the second and third display formats change a background color of an area displaying the examination information.