JPH10124601A - Distributed health management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a distributed health management system in which a terminal equipment to be set at a patient side can be further simplified, and further fine health management for each patient can be attained. SOLUTION: This system is provided with a central managing device 20, and plural terminal equipment 30 which can be connected through a communication line 15 with this central managing device 20 and assigned to each patient or facility. Then, each terminal equipment 30 is provided with a clinical examination raw data collecting part 39 or an additional heath information inputting part, and a data transmitting means which transmits clinical examination raw data collected by the clinical examination raw data collecting part 39 or additional health information data inputted from the health information inputting part to the central managing device 20. Also, the central managing device 20 is provided with a clinical data calculating part 61 which calculates clinical data from the clinical examination raw data transmitted from each terminal equipment 30, and an individual clinical data managing means 62 which manages the health information of a patient corresponding to each terminal equipment.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a distributed health care system, and more particularly, to a biochemical system transmitted via a communication line from a plurality of terminal devices distributed in a patient's home, a clinic, or the like. It is configured so that the measurement data can be managed as individual clinical data for each patient in the central management device.

[0002] Treatment of chronic diseases such as diabetes and liver disease requires a long period of time, but at present, patients are mainly managed by going to hospital. When the number of hospital visits increases if careful management is performed, the physical load on the patient increases. Can also occur.

On the other hand, as a system for managing the health of home patients and supporting home medical treatment, for example, as disclosed in JP-A-2-27956, blood glucose levels of diabetic patients are measured using a telephone line. A microcomputer that transmits and inputs data to a microcomputer, stores data for each patient, and manages the data as group data. As disclosed in Japanese Patent Application Laid-Open No. 4-63449, the output of a sensor for the body worn on the body using a modem is used. A system that sends a prescription to a host computer installed in a hospital or the like and gives a prescription. As shown in Japanese Patent Application Laid-Open No. H8-17906, an excrement inspection sensor is attached to a flush toilet at home, and the status of excretion is monitored using a telephone line. The health of the home patient is transmitted to the management center or through video and audio such as HDTV as shown in Japanese Patent Application Laid-Open No. 3-198832. Thing to diagnose the condition, and the like.

[0004]

All of the above-mentioned prior arts are for medical institutions and monitoring centers to manage the health of patients while staying at home, and can reduce the burden on patients going to hospital. The clinical data was not managed in consideration of individual differences, but was merely managed by referring to the values of healthy subjects determined in the group.
Therefore, even if the clinical data of a patient showed abnormal changes for individuals, it was difficult to prompt appropriate treatment if the changes were within the range of normal values determined for the population. .

[0005] In the prior art, the equipment to be installed in the home is a large-scale combination of a clinical test equipment, a personal computer, and peripheral devices. However, as a result, the number of samples was reduced, and it was difficult to accurately and appropriately perform statistical management of clinical data. In addition, the accuracy control of the measurement data was insufficient.

The present invention has been conceived in view of such circumstances, and makes it easier to provide a terminal device to be installed on the patient side, and provides more detailed health care for individual patients. It is an object of the present invention to provide a decentralized health management system that can perform the above.

[0007]

DISCLOSURE OF THE INVENTION In order to solve the above problems, the present invention employs the following technical means.

[0008] That is, the distributed health management system provided by the first aspect of the present invention can be connected to a central management device and this central management device via a communication line, and is assigned to each patient or facility. A plurality of terminal devices, and each terminal device includes a clinical test raw data collection unit or, in addition to this, a health information input unit, and is collected by the clinical test raw data collection unit. Data transmission means for transmitting the raw clinical test data or the health information data input from the health information input unit to the central management device in addition thereto, wherein the central management device is transmitted from each of the terminal devices. Clinical data calculation means for calculating clinical data from raw clinical test data;
Personal data management means for managing patient health information corresponding to each terminal device.

[0009] Here, the raw data collected by the clinical test raw data collection unit of each terminal device refers to output data before having meaning as clinical data. That is, it is data at a stage where an output value using an optical method, an electrochemical method, a photoacoustic method, or another method suitable for a measurement object is converted into an electric signal. The raw clinical test data collected in this way is transmitted to the central management device via a communication line by the data transmission means, and the central management device first analyzes and corrects the raw clinical test data to obtain clinical data.
Using the clinical data thus obtained, the individual clinical data management means set in the central management device centrally manages the health information of the patient corresponding to each terminal device.

That is, in the above-mentioned distributed health management system of the present invention, the terminal device to be installed on the patient side basically has a function of measuring a test object and generating raw data thereof, and It is provided with a minimum function of transmitting data to a central management device on a communication line.

[0011] Such a terminal device can be significantly simplified in configuration as compared with terminal devices in a home treatment support system that have been conventionally proposed in various ways. Therefore, the terminal device according to the present invention can reduce the price, so that many patients who desire the home treatment support service and the home health care service do not have such a large financial burden. Service can be received.

[0012] In a clinic or the like, a plurality of patients can enjoy the service. This leads to an increase in the number of samples when performing statistical processing of clinical data, and more accurate clinical statistical processing becomes possible. This also contributes significantly to medical progress.

[0013] Each of the terminal devices in the distributed health management system according to the present invention may be provided with a health information input unit. That is, when a sample is set, each terminal device automatically generates raw clinical test data of the sample, transmits the raw data to the central management device as described above, calculates the clinical data, and If the patient inputs his / her health information to the health information input unit in his / her own judgment in, for example, five steps, the individual-specific clinical data management means in the central management device can further improve the patient's health. It is possible to manage the state in detail.

[0014] The central management apparatus may further include a group statistical processing means for statistically processing clinical data corresponding to a plurality of terminal devices to determine a normal range as a group.

As described above, the terminal device according to the present invention can be configured at a relatively low cost, so that a large number of terminal devices and patients corresponding thereto can be centrally managed by the central management device. In this case, for example,
By accumulating clinical data obtained from all terminal devices as a population, more accurate statistical processing of clinical data can be performed.

The individual clinical data management means may include individual statistical processing means for statistically processing individual clinical data corresponding to each terminal device to determine a normal range for each individual.

That is, even if it changes within the normal range determined on the basis of large population data, the clinical data suddenly changes according to the individual patient. Should be seen as an indication that an anomaly has occurred. By providing the individual statistical processing means as described above, fine-grained health management, such as the discovery of abnormalities on an individual basis as described above, becomes possible. By referring to the health information data sent from the health information input unit of the terminal device by inputting the information,
The discovery of anomalies on an individual basis can be performed more precisely and accurately.

The individual-specific clinical data management means may determine whether the clinical data calculated from the raw data transmitted from each terminal device is abnormal in light of the normal range of the group and / or the normal range of the individual. The personalized clinical data management means may be provided with a terminal device and / or a central management device, when the abnormality determination means makes an abnormality determination. An abnormality reporting means for issuing an abnormality report to a medical institution connectable via a communication line may be provided.

The individual-specific clinical data management means is further configured to transfer the abnormal clinical data to a medical institution which can be connected to the central management device via a communication line when the abnormality judgment means makes an abnormality judgment. It may be provided with a transfer means.

As described above, the abnormality determining means determines whether the clinical data is abnormal in light of the normal range as a group and / or the normal range for each individual. It is needless to say that the abnormality judgment can be performed in consideration of the health information data.

With the above-described configuration, detailed health care for home patients can be substantially performed.
That is, the home patient who received the above-mentioned abnormality report on the terminal device can contact the medical institution and receive an appropriate prescription, and the doctor in charge who received the above-mentioned abnormality report at the medical institution immediately receives the patient's report. Alternatively, they can contact stakeholders such as family members and make an appropriate prescription. In this case, if the abnormal clinical data is transferred to this medical institution, a more appropriate prescription can be made by the doctor in charge.

The distributed management system provided by the second aspect of the present invention has a central management device and a plurality of central management devices which can be connected to the central management device via a communication line and are assigned to each patient or facility. Each terminal device has a clinical test raw data collection unit, a visit reservation display / input unit, and the clinical test raw data collected by the clinical test raw data collection unit to the central management device. Data transmitting means for transmitting, the central management device comprises: clinical data calculating means for calculating clinical data from raw clinical test data transmitted from each of the terminal devices; and a patient health corresponding to each of the terminal devices. Personal data management means for managing information; the central management device also includes a medical institution appointment appointment to which the central management device can be connected via a communication line. A visit appointment agency means for transmitting the appointable date and time data to each terminal device with reference to, receiving the appointment appointment input data input from the appointment appointment / display input section of each terminal device, and transferring this to the medical institution. It is characterized by having.

The decentralized health management system according to the second aspect of the present invention is capable of making a reservation for a medical institution visit from a terminal device installed at a home or the like of a home patient. For example, in the decentralized health care system according to the first aspect of the present invention, when the home patient receives an abnormality report from the central management device on the terminal device, or when a doctor in charge prompts a hospital visit In such a case, a related person such as a patient or a family can make a visit reservation from the terminal device while staying at home.
Thereby, when an abnormality of a home patient is discovered, the medical response can be performed more quickly and accurately.

In a preferred embodiment, when the calculated clinical data indicates an abnormality of a patient at home, the central management device automatically refers to the state of appointment of a medical institution to make appointment date and time data. Send to the terminal device,
Make a visit notice with an abnormal report. In this case, a related person such as a home patient or a family member selects and enters a convenient visit date and time from several visit reservation possible dates and time, and the visit reservation to the medical institution is completed at that time.

Other features and advantages of the present invention will become more apparent from the detailed description given below with reference to the drawings.

[0026]

FIG. 1 shows the concept of an embodiment of a distributed health management system 10 according to the present invention.

The distributed health management system 1 according to the present invention
0 includes a central management device 20 and a plurality of terminal devices 30 connectable to the central management device 20 via the communication line 15. The central management device 20 may be installed inside a high-performance medical institution such as a university hospital, for example, or may be installed in a monitoring center independent of the medical institution.
Each terminal device 30 is installed in a patient's home in principle, but may be installed in a small medical institution such as a clinic in a depopulated area.

When the central management device 20 is made independent of a high-performance medical institution, as shown in FIG. 1, the results of the distributed health management system 10 of the present invention are promptly reflected in the patient prescription. Therefore, the central management device 20 is configured to be able to cooperate with the high-performance medical institution 100 such as a university hospital or the medical institution to which the attending physician of a specific patient belongs via the communication line 15. As the communication line 15, a public telephone line is generally used, but in some cases, a line such as the Internet may be used.

FIG. 2A is a block diagram showing a configuration of the terminal device 30. As shown in FIG.

First, the terminal device 30 has a minimum required scale, a CPU 31, a ROM 32, a RAM 33, a gate array 34, an NCU 35, a modem 36, and an EEPROM.
37, an operation unit 38, a raw clinical test data collection unit 39, and a display unit 40. CPU 31, ROM 32, RAM
33, the gate array 34, the NCU 35, the modem 36 and the EEPROM 37 are interconnected by a bus line. The gate array 34 includes an operation unit 38 and a display unit 4
0 and the raw clinical test data collection unit 39 are connected. NCU 35 is connected to modem 36 and communication line 15.

The CPU 31 controls the terminal device 30 as a whole. The ROM 32 stores various programs and the like. The RAM 33 stores various data such as data processed by the CPU 31. Gate array 34
Controls input / output to / from the CPU 31. NCU3
Reference numeral 5 is connected to a communication line and performs network control. Modem 36
Demodulates received data and modulates transmitted data. EE
The PROM 37 stores flags and the like. Operation unit 38
Consists of key switches and the like. The display unit 40 includes an LCD or the like, and performs various displays under the control of the CPU.

The clinical test raw data collection unit 39 collects raw data for analyzing a specific component in urine of a patient by, for example, a technique of spectroscopic analysis. However, in the case of the present invention, the clinical test raw data collection unit 39 does not perform calculation for quantification of a specific component, and obtains data that is significant as clinical data by calculation for quantification, as described later. In the clinical data calculation means 61 set in the central management device 20 as described above. In other words, in the present invention, the clinical test raw data collection unit 39 provided in the terminal device 30 and the clinical data calculation unit 61 set in the central management device 20 cooperate to constitute a so-called clinical test device. (See FIG. 5).

More specifically, in the case of analyzing the concentration of a specific component in urine by, for example, a spectroscopic analysis method, the raw clinical test data collection unit 39 transmits light from a light source to a cell in which urine of a patient is set. An electric signal is output which indicates the incident light intensity at the selected wavelength and the cell transmitted light intensity at each selected wavelength. The electric signal (raw data) is transmitted to the central management device 20 via the modem 36 and the communication line 15.

FIG. 2B shows an example of the operation / display unit of the terminal device 30 to be installed in the home of each patient. Reference numerals 381 to 385 denote health information input switches for allowing the patient to input his / her health status in five stages based on his / her own judgment. Reference numeral 380 represents a key switch for inputting various types of additional information and the like. Code 3
Reference numeral 86 denotes an input switch for making a visit reservation.
Reference numeral 41 denotes an LCD panel for performing various displays. The specific operation and usage of the operation / display unit will be described later.

FIG. 3 is a block diagram showing the configuration of the central management unit 20. The central management device 20 is basically a large computer capable of communication and data processing. That is, the processor 21, the ROM 22, and the RAM
23, a memory such as an EEPROM 24 and a hard disk 240, a gate array 25, a modem 26, an NCU 27, an operation unit 28, a display unit 29, a recording unit 50, and the like. Processor 21, ROM 22, RAM 23, hard disk 240, gate array 25, EEPROM 2
4. The modem 26 and the NCU 27 are interconnected by a bus line. The gate array 25 includes an operation unit 2
8, the display unit 29 and the recording unit 50 are connected. N
The CU 27 is connected to the modem 26 and the communication line 15.

The processor 21 controls the central management device 20 as a whole. The ROM 22 stores various programs and data. The RAM 23 stores various data such as data processed by the processor 21. The gate array 25 controls input and output to and from the processor 21. The EEPROM 24 stores flags and the like. The modem 26 demodulates received data and modulates transmitted data. The NCU 27 is connected to a communication line and performs network control. The operation unit 28 includes various input switch groups and the like.
An operation signal according to the operation of the user is output. Display 29
Comprises a CRT or the like, and performs various displays under the control of the processor 21. The recording unit 50 records various data on recording paper. The hard disk 240 is a large-capacity memory, and stores an individual clinical data file 241 and an individual statistical data file 24 for storing individual clinical data.
2, a group statistical data file 243 and the like are set.

FIG. 5 is a functional block diagram of the central management device 20 and the terminal device 30. As shown in the figure, the central management device 20 is provided with various functions substantially realized by programs. That is, first,
Clinical data calculation means 61 for calculating clinical data using the raw clinical test data sent from the terminal device 30;
Secondly, individual clinical data management means 62 for managing patient health information corresponding to each terminal device 30, and thirdly, clinical data corresponding to a plurality of terminal devices 30 are statistically processed to form a group. Group statistical processing means 6 for determining a normal range
Third, fourth, individual statistical processing means 64 for statistically processing individual clinical data corresponding to each terminal device 30 to determine a normal range for each individual, and fifth, transmitted from each terminal device 30 The clinical data calculated from the raw data obtained is input from the health information input units 381 to 385 of the terminal device in light of or in addition to the normal range as the group and / or the normal range for each individual 5 Abnormality determining means 65 for determining whether or not the patient's condition is abnormal in consideration of the health information data of the stages. Sixth, each of the terminal devices 30 and / or A reporting means 66 for reporting an abnormality to the medical institution 100 to which the central management device 20 can be connected via a communication line;
Seventh, the abnormal clinical data transfer means 67 for transferring the abnormal clinical data to the medical institution 100 connectable via the communication line by the central management device 20 when the abnormal judgment means 65 makes an abnormality judgment, 8, the central management device 20
Refers to the visit reservation status of the medical institution 100 connectable via the communication line, and transmits the reservable date and time data to each terminal 30.
, And receives the visit reservation input data inputted from the visit reservation display / input section of each terminal device 30 and is a visit reservation agency means 68 for transferring this data to the medical institution.

The terminal device 30 includes a clinical laboratory raw data collection unit 39, a health information input unit 46 for inputting patient health information in five steps, for example, and the medical institution 1
Visit reservation display that allows you to enter a visit reservation of 00
The input unit 47 and the clinical test raw data collected by the raw clinical test data collection unit 39 or the health information data input from the health information input unit 46 in addition to the raw data are transmitted to the central management device 20. A data transmitting means 45 is formed.

FIG. 4 is a block diagram of a computer 110 installed in a medical institution 100 to which the central management device 20 can be connected via a communication line. This computer 1
10 is a CPU 111, a ROM 112, a RAM 113,
Gate array 114, NCU 115, modem 116, E
EPROM 117, hard disk 120, operation unit 11
8, a display unit 119, and a recording unit 124.
The hard disk 120, which is a large-capacity memory,
As shown in (b), the visit reservation data file 121,
An individual-specific clinical data file 122, a clinical statistical data file 123, and the like are provided. Visit reservation data file 1
Numeral 21 stores the medical appointment reservation data of each department in the medical institution. In addition to the reservation input operation in the medical institution, as described later, the hospital appointment appointment means 6 by the central management unit 20 is provided.
8 as needed.

Next, the terminal device 30, the central management device 20,
An example of the operation of the computer 110 in the medical institution 100 will be described with reference to a flowchart.

FIG. 6 is a flowchart showing an example of the operation of the terminal device 30 configured to be installed at the patient's home.

For example, it is determined whether or not a request for an appointment for a hospital visit has been made based on the intention of the patient by operating the key switch 380 of the operation / display unit (FIG. 2B) of the terminal device 30 (S101). . If it is determined that the visit reservation request has been made by the patient (S10
1: YES), the visit reservation request signal is sent to the central management unit 2
0 is transmitted (S113). Upon receiving the date and time data of the visit to a medical institution, which is transmitted by the operation of the central management device 20, which will be described later (S114: YE).
S), the date and time when a visit can be reserved is displayed on the display unit 40 (S).
115). The patient inputs a convenient date and time from several possible visit reservation dates and times displayed on the display unit 40 by, for example, pressing a key switch. When the visit reservation input is made in this way (S116: YES), the selected visit reservation input data is transmitted to the central management device 20 (S117).

If a request for appointment of a hospital visit is not made due to the patient's initiative (S101: NO), the procedure proceeds to a procedure for collecting raw clinical test data. That is, the terminal device 30
When the specimen is set in the raw clinical test data collection unit 39 of (S102: YES), the raw clinical test data collection unit 39 of the terminal device 30 automatically collects raw clinical test data (S103). In this case, for example, a diabetic home patient preferably sets urine collected at a fixed time every morning in the sample setting section of the terminal device 30 installed at home. More specifically, in the case of detecting the concentration of a specific component in urine by the method of spectroscopic analysis as described above, the collection of the raw data is performed by using the cell in which urine is set. And outputs an electric signal representing the incident light intensity at the selected wavelength and the cell transmitted light intensity at each selected wavelength. Next, for example, by performing a display as shown in FIG. 9A, an input notification of the patient's current health condition is issued (S10).
4). The patient inputs his / her own health condition at that time by pressing one of the five-stage input switches indicated by reference numerals 381 to 385 in FIG.
When a health condition is input (S105: YES), the input health information data is transmitted to the central management device in addition to the raw clinical test data (S106). Even if there is no input of the health status (S105: NO), the raw clinical test data is transmitted to the central management device after measuring a certain time (S107).

As will be described later, the central management unit 20 receiving the transmission of the raw clinical test data from the terminal device 30 in this manner.
Is used to obtain clinical data by calculation and provide it to individual-specific clinical data management. If there is any abnormality in clinical data, the date and time of possible visit appointment obtained as a result of referring to the visit appointment data file of the medical institution together with this abnormality report The data is returned, but when such an abnormal report and the data on the visitable reservation date and time are received (S108: YES), FIG.
A visit reservation notice is displayed as shown in (b) (S10).
9). The patient presses the visit reservation input key indicated by reference numeral 386 in FIG. If there is an intention to make an appointment for a visit, some available appointments are displayed according to the appointable date and time data,
Encourage the patient to select a convenient date and time. As described above, when the intention of the visit reservation is indicated and the visit reservation is input by selecting a convenient date and time from the visit reservation possible dates and times (S110: YES), the selected visit reservation input data Is transmitted to the central management device 20 (S1).
11). If the visit reservation is not entered (S110:
NO), for example, a notice display shown in FIG. 8E is performed (S112).

FIG. 7 is a flowchart showing an example of the operation of the central management device 20.

The central management unit 2 associates the patient reservation request of S101 to S117 in FIG.
When 0 receives the hospitality reservation agency request from the terminal device 30 (S201: YES), the central management device 20 sends a hospitality reservation status reference request signal to the medical institution 100 related to the patient (S202). . As will be described later, when the medical institution 100 receives such a visit reservation status reference request, the medical institution 100 refers to the visit reservation data file of the medical institution and returns the reservation status, that is, the visit reservation available date / time data. However, when such reservation status data is received (S203: YES), the central management device 20 transmits the visitable date and time data transmitted from the medical institution 100 to the terminal device 30. (S20
4). Then, when the visit reservation input data is received from the terminal device 30 (S205: YES), the visit reservation input data input from the terminal device is transferred to the medical institution 100 (S206).

If there is no request for an appointment for a hospital visit due to the patient's own initiative as described above, the processing shifts to clinical data calculation processing using raw clinical test data from the terminal device 30. That is, when raw clinical test data is received from the terminal device 30 (S207: YES), the I
The D number is checked (S208), and calculation of clinical data is performed (S209). More specifically, regarding the analysis of urine components as described above, a plurality of urine components are simultaneously quantitatively analyzed using, for example, a multivariate regression analysis method using the raw data. As described above, the terminal device 30
From the above, in addition to the raw clinical test data as described above, health information data at the time of the patient's self-determination may be sent, but by referring to such health information data, The clinical data obtained as
Whether it is abnormal in light of the normal range for the population,
Alternatively, it is determined whether or not the patient is abnormal in light of the normal range of the patient (S210). If the patient is abnormal (S210: YES), processing relating to an abnormality report or a visit reservation notification is performed (S211 to S217). .

In the present embodiment, if the obtained clinical data indicates an abnormality, it is necessary to consult a doctor in charge of a medical institution. To the medical means 100 related to
A reservation status reference request is sent (S211). Then, when receiving the reservation status data from the medical institution, that is, the data on the date and time when the visit can be reserved (S212: YES), an abnormality report is made to the terminal device 30 (S21).
3), visitable date and time data is transmitted (S21)
4). As described above, the terminal device 30 that has received the abnormality report and the visit reservation possible date and time data from the central management device 20 performs the process for the visit reservation to the home patient as described above.

When the visit reservation input data is received from the terminal device 30 (S215: YES), the visit reservation input data, that is, the visit reservation date and time data selected by the home patient are transferred to the medical institution 100 (S216). . In addition, it is preferable that the abnormality report in S213 is also transmitted to the medical institution. In such a case, the clinical data in which the abnormality is found is sent to the medical institution in order to provide the diagnosis of the doctor in charge. It is transferred (S217).

Regardless of whether or not an abnormality is found in this way, all clinical data calculated using raw clinical test data from the terminal device 30 are subjected to individual statistical processing (S2).
18) and the group statistical processing (S219). That is, in the individual statistical processing, clinical data is accumulated for each identical ID code, and predetermined statistical processing is performed. When home treatment is performed, by accumulating the above clinical data for each individual, it becomes possible to define a normal range for the individual patient, and the normal range is usually higher than the normal range as a group. Is also narrow. Therefore, by checking the clinical data collected every time in the light of such a normal range for each individual, a change in the health condition of the home patient can be finely managed. Further, according to the group statistical processing, a predetermined statistical processing is performed for all clinical data regardless of the ID code, and a normal range as a group is defined.

FIG. 8 is a flowchart showing processing to be performed by the computer of the medical institution.

When there is a visit reservation state reference request from the central management unit 20 (S301: YES), the visit reservation state data obtained as a result of searching the visit reservation data file (121 in FIG. 4), that is, the patient is The reservable date and time data of the medical department to be consulted is transmitted to the central management device 20 (S302). The visit reservation input data selected by the patient on the terminal device 30 is stored in the central management device 20.
(S303: YES), the visit reservation data file 121 is updated (S304), and the visit reservation of the patient to the medical institution 100 is completed. Further, when the clinical data to be used for the diagnosis of the patient is received from the central management device 20 (S305: YES), the individual-specific clinical data file (122 in FIG. 4) is updated as predetermined.

By the way, it is considered that the terminal device 30 is often installed in the home of a home patient. However, the terminal device 30 may be installed in a small clinic in a depopulated area, for example. FIG. 11 shows an example of such an operation / display unit of the clinic terminal device 30. The operation / display unit is provided with an LCD panel 390 for performing various displays, an item selection key 391, and a key switch 392 for inputting various data. The doctor in charge at the clinic sets the specimen, and the raw clinical test data is transmitted to the central management device 2 by the terminal device 30.
In addition to being transmitted toward 0, additional information can be transmitted. That is, when the patient has a liver disease or the like, for example, GPT numerical data or GOT numerical data held by the doctor in charge can be entered from the numeric keypad 392 and transmitted to the central management device 20 as additional information. . In this case, the central management device 20 can more accurately grasp the health condition of the patient using the additional information as reference data. For such additional data, a predetermined item is selected by continuously pressing the item selection key 391, and the numerical information is changed by the key switch 392
By typing in, transmission can be easily performed.

FIG. 10 is a flowchart showing an example of the processing of the terminal device suitable for being installed in such a clinic.

When the sample is set (S401: YE)
S), the terminal device 30 automatically collects raw clinical test data (S402). When the additional data is input (S403: YES), the raw clinical test data and the additional data are transmitted to the central management device 20. Even if no additional data is input (S40
3: NO), only the raw clinical test data is
Sent to

As described above, in the distributed health management system 10 according to the embodiment, each terminal 30
The clinical test raw data collection section 39 provided in each of the above and the clinical data calculation means 61 provided in the central management device 20 cooperate to exhibit a clinical test device function. In other words, since the raw data is analyzed using a complex analysis method and the central management device has a function to give meaning as clinical data,
The terminal device 30 to be installed at the patient's home can be inexpensively configured as having a minimum necessary function such as a raw data collection function, a data transmission function, a simple input function, and a display function. Therefore, according to such a terminal device 30, this kind of home medical management service,
Alternatively, it is possible to reduce the economic burden on a patient who desires a home medical support service.

The fact that such a terminal device can be provided at low cost is extremely significant from the viewpoint of statistical processing of clinical data. That is, more accurate statistical processing of clinical data can be performed as a group of many data sent from a large number of terminal devices installed in a patient's house, a clinic, or the like.

In addition, the distributed health management system 10 according to the above-described embodiment is provided with individual statistical means 64 for statistically processing individual clinical data corresponding to each terminal device 30 and defining an individual statistical range. Abnormality determining means 65 for determining whether or not the clinical data is abnormal based on the normal range as a group and / or the normal range for each individual, and when the clinical data indicates an abnormality, sends the abnormality to the terminal device 30 and / or a medical institution. An abnormal reporting means 66 for transferring, abnormal clinical data transferring means 67 for transmitting abnormal data to a medical institution, and further, making a reservation for a visit to a related medical institution from a terminal device based on the initiative of a home patient, or if the clinical data is abnormal. When this is indicated, the home patient is automatically notified of the appointment of a visit, and the doctor automatically receives a medical appointment according to the appointment input data input from the terminal device in accordance with the notification. Is provided with the visit reservation agency means for the visit reservation of the engine, more detailed health management is substantially possible for patients at home.

In the embodiment, the terminal device 30 is provided with a health information input section for inputting the current health condition based on the self-diagnosis of the patient, so that the health status of the home patient at that time is provided. Can be grasped more minutely.

Of course, the scope of the present invention is not limited to the above embodiment. In the above embodiment, it is assumed that clinical data is obtained by analyzing characteristic components in urine, but the test items are not limited to this, and blood,
It is also possible to analyze the specific components such as breath, sweat and other body fluids to obtain clinical data.

[Brief description of the drawings]

FIG. 1 is a conceptual diagram of a distributed health management system according to the present invention.

FIG. 2A is a block diagram of a terminal device. (B) is a front view which shows an example of the operation / display part of the terminal device for home installation.

FIG. 3 is a block diagram of a central management device.

FIG. 4 is a block diagram of a computer to be installed in a medical institution.

FIG. 5 is a functional block diagram of a central management device and a terminal device.

FIG. 6 is a flowchart illustrating an example of processing of a home-installation terminal device.

FIG. 7 is a flowchart illustrating an example of processing of the central management device.

FIG. 8 is a flowchart illustrating an example of processing by a computer to be installed in a medical institution.

FIG. 9 is an explanatory diagram of a display example to be displayed on the operation display unit of the home terminal device.

FIG. 10 is a flowchart illustrating an example of a process performed by a terminal device for installing a clinic.

FIG. 11 is a front view showing an example of an operation / display unit of the terminal device for setting a medical office.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 10 Distributed health management system 15 Communication line 20 Central management device 241 Individual clinical data file 242 Individual statistical data file 243 Group statistical data file 30 Terminal device 38 Operation unit 381-185 Health information input unit 386 Visit reservation display / input Unit 39 Clinical laboratory raw data collection unit 40 Display unit 61 Clinical data calculation means 62 Individual clinical data management means 63 Statistical processing means for groups 64 Individual statistical processing means 65 Abnormality judgment means 66 Reporting means 67 Abnormal clinical data transfer means 68 Visit Appointment agency means 100 Medical institution 110 Computer 121 Visit reservation data file 122 Individual clinical data file 123 Clinical statistical data file

Claims (9)

[Claims] 1. A central management device and a plurality of terminal devices connectable to the central management device via a communication line and assigned to each patient or facility. A raw data collection unit or, in addition thereto, a health information input unit, and the clinical test raw data collected by the clinical test raw data collection unit or the health input from the health information input unit in addition thereto Data transmission means for transferring information data to the central management device, the central management device comprising: clinical data calculation means for calculating clinical data from raw clinical test data transmitted from each of the terminal devices; An individualized clinical data management means for managing a health condition of a patient corresponding to the device, a distributed health management system. 2. The central management device further includes statistical processing means for a group for statistically processing clinical data corresponding to a plurality of terminal devices to determine a normal range as a group.
The distributed health care system according to claim 1. 3. The individual clinical data managing means includes individual statistical processing means for statistically processing individual clinical data corresponding to each terminal device to determine a normal range for each individual. A decentralized health care system according to item 1. 4. The individual-specific clinical data managing means, wherein the clinical data calculated from the clinical raw data transmitted from each terminal device is abnormal in light of the normal range of the group and / or the normal range of the individual. 4. The distributed health management system according to claim 3, further comprising an abnormality determination unit that determines whether or not the condition is true. 5. The distributed health management system according to claim 4, wherein said abnormality determination means makes a determination in consideration of health information data transmitted from each terminal device. 6. The personalized clinical data management means, when the abnormality determination means makes an abnormality determination, provides a corresponding terminal device and / or a medical institution to which the central management device can be connected via a communication line. The distributed health management system according to claim 4, further comprising an abnormality reporting unit that issues an abnormality report. 7. The individual clinical data managing means, wherein the abnormal clinical data is transferred to a medical institution to which the central management device can be connected via a communication line when the abnormality determining means makes an abnormality determination. Equipped with data transfer means,
The distributed health management system according to claim 4, 5 or 6. 8. A central management device, and a plurality of terminal devices connectable to the central management device via a communication line and assigned to each patient or facility. A raw data collection unit, a visit appointment display / input unit, and data transmission means for transmitting the raw clinical test data collected by the raw clinical test data collection unit to the central management device; Has clinical data calculation means for calculating clinical data from raw clinical test data transmitted from each of the terminal devices, and personalized clinical data management means for managing patient health information corresponding to each of the terminal devices. The central management device also transmits reservable date and time data to each terminal device by referring to the visit reservation status of a medical institution to which the central management device can be connected via a communication line. A decentralized health care system, comprising: a hospitality appointment agency means for receiving a hospitality appointment input data input from a visit appointment display / input unit of the apparatus and transferring the data to the medical institution. 9. A central management device and a plurality of terminal devices connectable to the central management device via a communication line and assigned to each patient or facility, wherein each terminal device has a The central management device has a display / input unit, and when the terminal management device requests a hospitality reservation agency, the central management device refers to a visitation status of a medical institution that can be connected to the central management device via a communication line. A visit reservation appointment means for transmitting the reservation appointment date and time data to each terminal device, receiving the visit reservation input data inputted from the visit reservation display / input section of each terminal device, and transferring this to the medical institution. A decentralized health care system characterized by the following: