JPH0984771A - Remote diagnostic system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To perform a doctor's question or measurement according to patient or symptom without having an interview with a doctor by providing the system with a memory means for storing a necessary check list for doctor's question according to the state of a user, and performing a display on a display device according to the stored check list by a main control device. SOLUTION: In a microcomputer 1 for executing various processings, as occasion demands, by the operation signal S1 from an input means 3, a nonvolatile memory means 4 having doctor's question check list data S3, input data of patient S4, measurement data of patient S5, and communication telephone number or pass word data S6 stored therein is connected. Under the control by the microcomputer 1, the stored data is read as occasion demands. A radio communication means 5 is also connected to the microcomputer 1 to impart the received signal S7 to the microcomputer 1. Further, an external connecting means 6 is connected thereto to input and output the information signal S8 from a communication equipment using telephone circuit and other information processing devices.

Description

Detailed Description of the Invention

[0001]

FIELD OF THE INVENTION This invention relates to remote diagnostic systems.

[0002]

2. Description of the Related Art As disclosed in Japanese Patent Laid-Open No. 54-114008, an electronic stethoscope or the like is installed in a patient's home to
It is convenient because the condition of a patient in a remote place can be examined through a telephone line.

By providing an inquiry function for each patient and symptom in this remote diagnosis system, there is no one that can provide a medical examination suitable for the patient outside the hospital.

[0004]

As described above, in a remote diagnosis system equipped with a measuring device, it is possible to transmit measurement data from a remote place to a doctor at a hospital and perform a face-to-face consultation, but at a remote place. It is not possible to make an inquiry and measure by taking into consideration the individual patient and the symptom.

The object of the present invention is that it is possible to carry out interviews and measurements according to the patient and symptom even when not facing a doctor. In the measurements, for example, only blood pressure, electrocardiogram, and lung sounds can be measured. It is another object of the present invention to provide a remote diagnosis system that can smoothly make a diagnosis by providing a doctor with accumulated information.

[0006]

Means for Solving the Problems Input means for performing various inputs, connection means for connecting one or more kinds of external devices, measurement means for making one or more kinds of measurements, video and A remote diagnosis system equipped with a display device that can display characters and / or characters, a main control device that controls the overall control of the system, and a main storage device that stores a checklist for an inquiry in advance. A storage means is provided for storing a checklist for the required inquiry from the storage device,
According to the stored checklist, the main control device performs a display on the display device, diagnostic information to be input by the user by the input device, and date and time information attached corresponding to the measured value, The measurement values stored in the storage device and including the blood pressure, heartbeat, and electrocardiogram measured by the measurement unit, and the date and time information attached in correspondence with the measurement values are stored in the storage device.

[0007]

The doctor, for example, selects a chuck list for inquiry according to a patient or a symptom thereof from a computer installed in a hospital and stores it in a non-volatile memory through a serial port which is a connecting means of a remote diagnosis terminal. The remote diagnosis terminal is handed to the patient, and the patient operates the input device such as the touch panel device at home to call up the inquiry checklist on the display device, and interactively inputs his or her state with this initial inquiry checklist. Can be stored in memory,
Further, according to the instruction on the display device, medical information such as blood pressure, electrocardiogram, and lung sound can be stored in the non-volatile memory of the remote medical terminal by the attached measuring device. Further, the patient can read the medical examination information stored in the non-volatile memory by a predetermined operation from the input device when necessary.

[0008]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described below with reference to FIGS. Although this embodiment is an example of application to a portable diagnostic terminal, the present invention is also applicable to a computer system including a stationary diagnostic terminal, a display device, and the like.

FIG. 1 is a block diagram of a portable diagnostic terminal which is a remote diagnostic system of this embodiment. In the figure, 1 is a microcomputer that controls the overall control of the entire system, 2 is a display device, 3 is input means, 4 is non-volatile storage means, 5 is wireless communication means, and 6
Is an external connection means.

The input means 3 is, for example, a touch panel, or buttons, dials, etc. provided on the surface of the system, and upon receipt of an operation input signal S1 from the input means 3, the microcomputer 1 executes various processes as necessary. The display device 2 is, for example, a liquid crystal display device or other appropriate display means having a light emitting property and a polarizing region, and displays based on a display control signal S2 from the microcomputer 1. The nonvolatile storage means 4 is, for example, a battery-backed RA.
M, EEPROM, or other non-volatile memory, or other suitable non-volatile storage means, including a microcomputer 1
Checklist data S3 for inquiry, patient input data S4, patient measurement data S described below under the control of
5. The communication telephone number or the connection destination and password data S6 required for communication are stored, and the stored data is read by the microcomputer 1 as needed. The wireless communication means 5 is, for example, a wireless communication means provided with an infrared ray or other suitable optical communication method, and outputs the light emission signal S7 subjected to the reception processing to the microcomputer 1. The connection means 6 is, for example, a PCMCIA slot, a device connection terminal such as RS-232C, or a connection means with an appropriate connection terminal, and is controlled by the microcomputer 1 under the control of a telephone line such as a videophone or a telephone. Communication equipment and computers and C
The information signal S8 from the information processing device having the PU can be input and can be output to them.

The microcomputer 1 is actually composed of various I / O interfaces, ROM, RAM, MPU, etc., executes various processes in accordance with various predetermined programs, and controls each section. .

FIG. 2 is a block diagram of a system for writing an inquiry checklist in the remote diagnosis terminal of this embodiment. In the figure, 10 is a remote medical terminal, 11 is a computer, 12 is a display, and 13 is an input means.

The non-volatile storage means 14 is a storage means provided with, for example, a hard disk, a magneto-optical disk, a CD-ROM, or other appropriate non-volatile medium, and stores an inquiry checklist. The non-volatile storage means 14 can also be built in the computer 11. Checklists for interviews include, for example, basic checklists, disease-specific checklists, condition-specific checklists,
There is a list of measurement items, etc., and maintenance and the like can be quickly performed by organizing the items, and it is possible to read / write from the computer 11 by the signal S14. The input unit 13 is, for example, a keyboard, a mouse, a pen, or any other input unit having an appropriate selection method. The computer 11 receives the signal S11
Through the display, information can be displayed on the display 12.

The computer 11 actually uses various I / Os.
It is configured by including an interface, a ROM, a RAM, a CPU, various non-volatile storage devices, etc., executes various processes according to various predetermined programs, and controls each unit, but the description is simplified here. For this purpose, only the temporary storage unit 11-1 of the computer 11 is shown in FIG.

Next, an example of the procedure for setting the inquiry checklist will be described with reference to FIG. The doctor (operator)
When the appropriate keys of the input means 13 are operated, the computer 1
1 determines from the information S12 from the input means 13 that it is a display request for the basic information input screen P1, and causes the display 12 to display the basic information input screen P1. In this basic information input screen P1, for example, a name, an age, a date, etc. are input by the input means 13, and when "OK" is selected by the input means 13, the computer 11 detects it and stores it in the temporary storage section 11-1. Remember your name, age and date,
The display 12 displays an inquiry checklist selection menu P2. The inquiry checklist selection menu P2 includes items such as a basic checklist, a disease-specific checklist, a condition-specific checklist, and a measurement item list and a confirmation screen P2-1. The confirmation screen P2-1 is a temporary storage unit 11-1. You can always display the information you have already entered in the memory and use it to check the customization. For example, when the "basic checklist" is selected by the input means 13 in the inquiry checklist selection menu P2, the computer 11 reads the basic checklist into the storage means 14 by the instruction of the signal S13 and sends it to the computer 11 by the signal 13. And the computer 11 displays the display 12.
To the basic checklist item P3
Is displayed. The basic checklist item P3 includes, for example, a window P3-1 for displaying the entire list, a window P3-2 for storing the selected list, and a confirmation screen P3.
There is -3. On the confirmation screen P3-3, the temporary storage unit 11-1
Always displays the information you have already entered in to help confirm your customization. In the basic checklist item P3, the appropriate key of the input means 13 is operated to move from the window P3-1 for displaying the entire list to the window P3-2 for storing the selected list, and the temporary storage unit 11-1.
To memorize. Alternatively, from the window P3-2 for storing the selected list to the window P3-for displaying the entire list
It is possible to move to 1 and delete the selected list from the temporary storage unit 11-1. In the window P3-1 for displaying the entire list, by operating the appropriate keys of the input means 13, the displayed check list can be rearranged in the Japanese syllabary order, the correction date order, or the like. In the window P3-2 storing the selected list, the display order of the checklists can be changed by operating the appropriate keys of the input means 13. When "OK" is selected by the input means 13, the computer 11 detects it, stores the checklist displayed in the window P3-2 storing the selected list in the temporary storage unit 11-1 and displays it on the display 12. An inquiry checklist selection menu P2 is displayed. In the inquiry checklist selection menu P2, similarly to the basic checklist, it is possible to select the disease-specific checklist and the condition-specific checklist.

Checklist selection menu P2 for inquiry
Then, for example, by the input means 13, "measurement item list"
When is selected, the computer 11 reads the measurement item list in the nonvolatile storage means 14 by the instruction of the signal S13 and sends it to the computer 11 by the signal 13, and the computer 11 instructs the display 12 as the signal S11 of the measurement item list P4. Display.

In the measurement item list P4, for example, items such as basic items, blood pressure management, and cardiac function are provided, and when a check item is selected by operating the appropriate keys of the input means 13, the computer 11 detects it. The mark P4-1 is displayed on the selected item. The confirmation screen P4-2 always displays the item having the mark 4-1 and is useful for confirming customization. When "OK" is selected by the input means 13, the computer 11 detects it and stores the item with the mark P4-1 in the temporary storage unit 11-1 and the display 1
The checklist selection menu P2 for inquiry is displayed in 2.

Checklist selection menu P2 for inquiry
Then, for example, when “completion” is selected by the input unit 13, the computer 11 causes the nonvolatile storage unit 14 to store the information of the temporary storage unit 11-1 by the signal S13, and the computer 11 uses the nonvolatile storage unit. The measurement item list is read from 14, and the display 12 is instructed as the signal S11 via the signal 13 to display the communication menu P5. The information stored in the non-volatile storage means 14 can be read / changed / written as needed. When "Return" is selected by the input means 13 in the communication menu P5, the computer 11 detects it and causes the display 12 to display the inquiry checklist selection menu P2. Further, when “transmission” is selected by the input means 13, the computer 11 detects it, reads the patient-specific checklist stored from the non-volatile storage means 14, and is sent as the signal S10 from the signal S13. In addition, for example, RS-232C, a telephone line, or other appropriate communication means capable of serial communication is used for transmission. At the same time, information for remotely connecting to the computer 11, such as a telephone number, password, IP
It is also possible to send an address or information necessary for communication.

The signal S10 is supplied to the microcomputer 1 through the information signal S8 connected to the external connection means 6. The microcomputer 1 stores this in the nonvolatile storage means 4 through the checklist data S3 for inquiry.

Next, an example of how to use the remote medical terminal 10 will be described with reference to FIG. For example, a patient (user)
When the remote medical terminal 10 is used at home or on the go, if the appropriate key of the input means 3 is operated, the microcomputer 1
Judges that it is a power-on request by the operation input signal S1 from the input means 3, turns on the power and causes the display device 2 to display the initial screen P10. Alternatively, based on the calendar / clock information contained in the microcomputer 1, it is possible to notify the patient (user) by a display or the like when the date / time at the time of measurement comes. The initial screen P10 includes, for example, a home medical checklist P10-1 and a regular check menu P10-2. The home medical checklist P10-1 displays, for example, patient-specific checklist information, date / time, and question items stored in the nonvolatile storage unit 4. At this time, if there is input information of a patient (user), which will be described later, which has been previously input to the non-volatile storage unit 4 by the patient (user), it can be displayed by operating an appropriate key of the input unit 3. . For example, the input information of the patient (user) is displayed as in the input information display example P11. In the home medical checklist P10-1, by operating the appropriate keys of the input unit 3, for example, items such as weight and body temperature can be manually input from the input unit 3, and similarly, the question items can be input. By operating the appropriate keys of the input means 3, the answers to the questions can be input.

For example, as shown in P12, the date / time indicates the date / time at the time of measurement based on the calendar / clock information contained in the microcomputer 1. By operating an appropriate key of the input means 3, the microcomputer 1 can display the input information at any time even during the input by the information S1 from the input means 3. By the light emission signal S7 from the wireless communication means 5 and / or the information signal S8 from the external connection means 6, the microcomputer 1 can identify the measurement value information described later and can display these inputs at any time, and the measurement value information is stored in the patient ( It is stored in the nonvolatile storage means 4 as the measurement data S5 of the user) and can be displayed on the input confirmation screen P12-1 at any time. A mark P12-2 indicates that the measurement data S5 of the patient is completely stored in the nonvolatile storage means 4. In addition, by operating the appropriate keys of the input means 3 as necessary, the microcomputer 1
Can read the measurement data S5 of the patient stored in these nonvolatile storage means 4 and can display it on the display device 2.

When "Complete" is selected by the input means 13, the information input to the non-volatile storage means 4, for example, the displayed date / time, patient measurement data, and the information input by the input means 3 are stored. . When "End" is selected by the input means 13, the power supply of the remote medical terminal 10 can be turned off. When “communication” is selected by the input means 13, for example, the telephone number, the password, or the information necessary for communication is stored in the non-volatile storage means 4, and the external connection means 6 is connected. It is possible to connect to a doctor in a hospital with a videophone or a device capable of video / audio communication via a telephone line.
As a result, it is possible to receive a face-to-face medical examination from the doctor based on the measurement information stored in the non-volatile storage means 4 of the remote medical terminal 10. It is also possible to transmit the measurement value from the sensor terminal 20 to the doctor in the hospital in real time. At this time, the doctor may use the computer 1 if necessary.
1 to change the checklist for inquiry stored in the non-volatile storage means 4 of the remote diagnosis terminal 10 through a videophone connected to the external connection means 6 or a device capable of video / audio communication via a telephone line. To do the microcomputer 1
Can send instructions or send a checklist for a new interview. Further, by removing the nonvolatile storage means 4 from the remote diagnosis terminal 10 and delivering it to the doctor, it is possible to receive a medical examination based on the measurement information. In addition, another non-volatile storage means connected to the external connection means 6,
For example, battery-backed RAM, EEPR
It can also be stored in a non-volatile memory such as an OM, or in a storage means provided with other appropriate non-volatile media, and similarly, it can be delivered to a doctor to receive medical examination based on the measurement information. Is possible.

Next, an example of measurement of a patient (user) will be described with reference to FIG. 10 is a remote medical terminal, 20 is a sensor terminal, 20 is a sensor terminal, 21 is a microcomputer, 22 is a wireless communication means, 23 is a sensor section, S20 is a wireless information signal, S21 is transmission information, and S22 is sensor information. . For example, the sensor unit 23 is a lung sound measuring device using a high-sensitivity microphone, a blood pressure monitor, an electrocardiographic measuring sensor, glucose and / or cholesterol using non-invasive biochemical measurement, or a sensor having a medical measuring function. , And sends the measured value to the microcomputer 21 as sensor information S22. The microcomputer 21
The wireless communication means 22, which is a wireless communication means equipped with infrared communication and radio wave communication method, is controlled by the communication information S21,
The wireless information signal S20 is supplied to the external connection means 6 of the remote medical terminal 10.

[0024]

According to the present invention, for example, it is possible to perform inquiry and measurement suitable for a patient in a remote place with a portable terminal equipped with a touch panel, and it is possible to manage individual health at home or on the go. .

[Brief description of drawings]

FIG. 1 is a block diagram of a telemedicine terminal.

FIG. 2 is a block diagram of a data writing system.

FIG. 3 is a block diagram of a computer.

FIG. 4 is an explanatory diagram of a procedure for setting an inquiry checklist according to one embodiment.

FIG. 5 is an explanatory diagram of a method of using the telemedicine terminal according to the first embodiment.

FIG. 6 is a block diagram of a sensor terminal.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Microcomputer, 2 ... Display device, 3 ... Input means, 4 ... Nonvolatile memory means, 5 ... Wireless communication means, 6 ... External connection means.

Claims (7)

[Claims] 1. Input means for performing various inputs, connection means for connecting one or more kinds of external devices, measurement means for making one or more kinds of measurements, and video and / or characters. In a remote diagnostic system comprising a display device capable of displaying, a main control device for controlling the overall control of the system, and a main storage device in which a checklist for an inquiry is stored in advance, the main storage device according to the user's condition. Storage means for storing the checklist for the inquiry required from the above, the main control device displays on the display device according to the stored checklist, and causes the user to input the diagnosis by the input device. The date and time information attached in correspondence with the information and the measured value is stored in the main storage device,
A remote diagnosis system characterized in that the main memory stores the measured values including blood pressure, heartbeat, and electrocardiogram measured by the measuring means, and date and time information attached in correspondence with the measured values. . 2. The inquiry / preliminary input according to claim 1.
A storage device for storing the measurement time is provided, and the main control device senses that the current time information from its own calendar / time information and the inquiry / measurement time information stored in the storage means match, A remote diagnostic system for automatically measuring by the measuring means according to a checklist. 3. The main control unit according to claim 1, which is operated by a communication device connected to said connecting means, and is currently measuring the measurement value or checklist information stored in said storage device. A remote diagnostic system that sends measured values in real time. 4. The remote diagnosis system according to claim 1, wherein the checklist can be received by a communication device connected to the connecting means. 5. The remote diagnosis system according to claim 1, wherein the measurement value can be received from the measuring means in a wireless state. 6. The hospital according to claim 1, when the input means recognizes that a predetermined item has been selected, the stored diagnostic information is read from the storage means, and a communication device connected to the connecting means causes a hospital Remote diagnostic system to send to. 7. The inquiry / preliminary input according to claim 1,
A storage device for storing the measurement time is provided, and the main control device senses that the current time information from its own calendar / time information and the inquiry / measurement time information stored in the storage means match, A remote diagnosis system that informs the measurer.