WO2003091920A1 - System of medical information community, and assisting method and apparatus - Google Patents

Abstract

A system in which a medical service provider provides patients and local residents with information on medical treatment and relevant necessary information at required times so that the patients and local residents can share information, and patients and local residents can communicate information to the medical service provider so as to readily exchange information. A medical service provider device is connected to a patient client TV terminal through an electric communication line.

Description

 Medical information community systems, support methods and equipment f

Technical field

 The present invention relates to a service system for sharing information between a medical service provider and a patient, and providing medical and other information. Background art

 Conventionally, the means for patients to collect information in hospitals are mainly oral communication from hospital receptionists, nurses, doctors, etc., and paper media. Other means of collecting information for inpatients include the provided TV, waiting room phone, etc. Conversely, nurse calls are exclusively used as a means of communication from patients to the hospital.

 Also, in community medicine, the means by which residents contact communication with medical institutions are mainly through telephone. The applicant has already proposed Japanese Patent Application No. 2000-149937, “Electronic Virtual Home Health Care Service System”.

 As shown in Fig. 2, between the medical service provider 1 and the patient 2, even if information is provided from the patient 2, the communication from the medical service provider 1 is often insufficient, and the patient The anxiety and dissatisfaction of 2 were increasing.

The problem of lack of information distribution is shown in the example of a hospital that is a medical service provider1. In other words, a rental TV monitor, which often exists beside the bed of inpatients, only broadcasts general television broadcasts, and is not effectively used as a means of providing information to patients. We are in a situation that is hard to say. In addition, the patient was blocked from information other than television, and was unable to obtain necessary related information when needed. For this reason, Japanese Patent Application Laid-Open Nos. 2000-285181 and 2001-282933 propose a bedside terminal as a method for providing information to a patient.

 Japanese Patent Application Laid-Open No. 2000-285181 provides necessary information for inpatients and medical staff at the bedside. However, arranging a device having a plurality of components on the current bedside is complicated, and there is a need for a device that is easy to operate due to the difficulty of the hand, especially for some patients.

 Japanese Patent Application Laid-Open No. 2001-282933 proposes a bedside terminal as a device for providing schedule information on medical practice. However, in addition to the complexity of arranging multiple devices on the bedside, it is not sufficient to share information only with schedule guidance by e-mail or the like.

 In addition, at present, a television installed on a bed is arranged, and there is a need for a proposal for a device that replaces the television in a form that can be economically established.

 Therefore, an object of the present invention is to provide a medical service provider with a patient or a local resident with medical and necessary relevant information at a required time, thereby sharing the relevant information with the patient or the local resident, The aim is to provide a medical information community system in which information can be easily exchanged by transmitting information from local residents to medical service providers, as well as supporting methods and providing terminals that are compact and highly operable. Disclosure of the invention

In order to achieve the above object, in the medical information community system according to the present invention, a medical service provider device and a patient client TV terminal are connected by an electric communication line. The medical service provider device consists of a hospital server, doctor terminal, secretariat terminal, personal information database and hospital information database, so that patients can communicate with doctors and obtain personal medical information. As a result, so-called informal outlets will also be smoothly carried out. The patient client TV terminal may have a monitor display unit and an operation unit which are composed of a body. Further, the patient client TV terminal may have a monitor display unit, a text display unit, a TV selection means, a personal information selection means, and information. By including the search and selection means, the communication board display means, and the guide selection means, it is possible to easily obtain the relevant information required on the evening panel on the bed.

 The personal information database consists of information on the name of the patient's disease, treatment policy information, medication information, test result information, and post-discharge care information, and can be viewed only by the individual or a person with specific authority. The patient can know detailed information about medical care by being configured. The hospital information database is made up of in-hospital facility rules, hospital map information, and hospital publicity information, so that patients can access hospital information.

 The medical service provider device is further connected to an antenna via a tuner, thereby enabling distribution of a TV program to a patient client TV terminal.

 The medical service provider device is further connected to at least one of the partner physician terminal, the service providing terminal, and the discharged patient terminal to share information with the partner physician who is in charge of the discharged patient after the patient is discharged and to exchange information with the discharged patient. Enable sharing.

 The medical service provider device is further connected to the nurse terminal, the contact board database, the advertisement database, the pharmaceutical manufacturer terminal, the care recipient terminal, and the examinee terminal, thereby establishing a connection with the nurse. It enables the sharing of information with patients, the sharing of information between patients and hospitals through contact boards, and the distribution of advertisements to patient client TV terminals.

 The medical information community support method according to the present invention promotes communication between a doctor and a patient by connecting the medical service provider device and the patient client TV terminal via an electric communication line.

The patient client TV terminal according to the present invention comprises a monitor display unit, a text display unit, a TV selection unit, a personal information selection unit, an information search selection unit, a communication board display unit, and a guide selection unit. Furthermore, at least one of a microphone, a camera, a storage medium read / write device, an authentication device, a telecommunication line connection device, and a charge storage card slot may be provided. BRIEF DESCRIPTION OF THE FIGURES

 FIG. 1 is a configuration diagram of a first embodiment of a medical information community system according to the present invention, FIG. 2 is a block diagram showing a flow of other medical information,

 FIG. 3 is a front view of a first embodiment of a patient client TV terminal used in the medical information community system according to the present invention,

 FIG. 4 is a configuration diagram of a second embodiment in which the medical information community system according to the present invention is applied to a hospital,

 FIG. 5 is a front view of a second embodiment of the patient client TV terminal used in the medical information community system according to the present invention,

 FIG. 6 is a block diagram of a second embodiment of the patient client TV terminal used in the medical information community system according to the present invention,

 FIG. 7 is a configuration diagram of a third embodiment in which the medical information community system according to the present invention is applied to a hospital,

 FIG. 8 is a block diagram of a third embodiment of the patient client TV terminal used in the medical information community system according to the present invention,

 FIG. 9 is a service and cash flow diagram of the third embodiment of the medical information community system according to the present invention, and a best mode for carrying out the invention.

 Other detailed configurations of the present invention, and advantages and features will be made clear by the embodiments described below with reference to the accompanying drawings.

(Example 1) First Embodiment A medical information community system according to a first embodiment of the present invention will be described with reference to FIGS.

 FIG. 1 shows a block diagram of a medical information community system according to the present invention. The medical information community system is installed in a hospital having a sickbed and has a hospital server 3 and each patient client TV terminal 4 existing on the sickbed of an inpatient. Connected using telecommunication lines.

 The hospital server 3 further includes a doctor terminal 6, a nurse terminal 8, an office terminal 10, a tuner 12, a personal database 14, a hospital database 16, a contact board database 18, and an advertisement database 20. Connected via a telecommunication line. Outside, the hospital server 3 is connected to the discharged patient terminal 24, the service provider terminal 26, and the partner medical terminal 28 via the external electric communication line 22. Further, the tuner 12 is connected to the antenna 30. The hospital server 3 sends the data corresponding to the request to the patient client TV terminal 4 and the discharged patient terminal 24 in the personal database 14, the hospital database 16, the communication board database 18, and the advertisement data. It has a function to distribute from base 20.

 Further, the hospital server 3 distributes the television information received from the tuner to the patient client TV terminal 4 and the discharged patient terminal 24. This distribution may use either an analog signal such as an RGB signal and a composite signal or a digital signal such as an MPEG signal.

 As shown in Fig. 3, the patient client TV terminal 4 has a monitor screen 32, a text display section 34, a television switch 36, a personal information switch 38, an information search switch 40, a communication switch 42, and a guide switch 4. 4 and connection lines 4 and 6 are provided.

The monitor screen 32 is composed of a thin monitor such as a liquid crystal television, a plasma display television, and an organic EL television, and the switch is provided as a touch panel. It has a function of displaying necessary related information on the monitor screen 32 by selecting these switches as necessary. The text display section 34 is configured to scroll and display information transmitted from the hospital and advertisement information in a part of the monitor screen. This display mainly has a function that the hospital server automatically distributes information from the advertisement database or the hospital database. It has a function to display relevant information required by the patient.

 The TV switch 36 has a function of displaying the TV on the mobile screen 32 by selecting and touching it when receiving a TV. The television signal is received from the antenna 30, input to the hospital server via the tuner 12, and transmitted to the patient client TV terminal 4. In the area where cable TV is subscribed, the hospital server 3 does not necessarily need the antenna 30 and the tuner 112, and it is possible to input directly from the cable TV receiver.

 The personal information switch 38 has a function of displaying personal information on the monitor screen 32 by selecting and touching it when it is desired to obtain personal information. Personal information includes illness explanations, treatment methods, medication details, test results, and post-discharge care information. When the personal information switch 38 is selected, a screen for selecting which personal information is to be obtained is displayed on the monitor screen 32, and a request for necessary related information can be made. This information is for personal privacy—information only and can be viewed only by you and your doctor and the relevant ones. An accessible area is set for each ID, and only the accessible area can be browsed.

 The disease description indicates a precise description of the condition of the patient from the doctor. This is to give the patient an accurate description of his or her medical condition.

 The description of the treatment method will disclose the treatment method and treatment period information to be implemented in order to cure the disease.

 The contents of the medication indicate the type of all drugs used for treatment, their contents and precautionary explanations, their use, how to take them, and information on side effects.

Inspection results are collected as soon as possible after the test, with the result information and supplementary information. To display.

 The post-discharge care information indicates the expected date of discharge of the patient and the method of specific post-discharge care. After discharge, sharing the patient's medical record with the partner physician will enable both the hospital physician and the partner physician to support the patient.

 The information verification switch 40 is a means for searching information obtained by the patient client TV terminal 4 by text.

 The communication board switch 42 is a switch for displaying a communication from a hospital or a doctor using a bulletin board.

 Guide switch 4 4 publishes hospital information and other provided service information. Hospital information includes in-hospital use time such as interview time and bedtime, in-hospital map, hospital facility regulations, nurse station information, in-hospital information, and in-hospital staff information including doctors and nurses. On the other hand, other services provided include opening banks and post offices, making reservations for courier service, applying for purchase and delivery of books, purchasing music and video data, attending cultural education courses, Obtain e-mail address, send and receive e-mail, request office service agency, apply for cleaning of clothing, etc., apply for taxi dispatch, make reservations for business trips to beauty salons, chat in hospitals Reservation system for booths, bathing service reservation system, convenience store delivery service It provides services such as application, mental clinic reservation application and nursing care reservation application after discharge.

 The in-hospital use time, such as interview time and bedtime, is a service that clearly indicates the use time of each facility used by patients during hospitalization.

 The in-hospital map provides the location of emergency evacuation exits and each facility in the hospital, and provides map information for each floor if there are multiple floors.

The hospital facility regulations display rules and the like stipulated by the hospital and are notified in advance to patients and the like. Nurse station information indicates information from the nurse station to the patient and procedure information. The notification information in the hospital is information to be transmitted from the hospital to the patient, and indicates information such as the doctor's duty information and procedures.

 The in-hospital staff information indicates detailed information of the person, such as the doctor's specialty and the past work history. With this information, patients can get more information about who cares for them.

 To open a bank or post office, a virtual store is opened on the monitor screen 32 so that the patient can use transfer and the like. In addition, we will provide services to confirm the application of the contents of life insurance and accident insurance that patients have enrolled.

 The delivery and delivery reservation for courier service refers to a service that requests that the goods be delivered to the hospital to be delivered and delivered to the hospital when the courier service is dispatched.

 The purchase application and delivery request for books and flowers indicate a service in which a patient applies for purchase of books and flowers from a store on the monitor screen 32 and requests delivery.

 Music and video data can be purchased using a telecommunication line to purchase and download music data, download music music video data, and download movie data you want to watch. On demand screen to be displayed on the monitor screen 32. In addition, for the cleaning store, a virtual store is opened on the monitor screen 32 so that it is possible to apply for a cleaning request and a pick-up request, and for the taxi dispatch request, the virtual store is displayed on the monitor screen 32. By opening a store. It also provides a service that registers partner hospitals in each region for patients who need to be transferred, and allows them to search for partner hospitals near the patient's relocation destination.

 Participation in cultural education courses means that students take the power curriculum of a university, graduate school, or other educational institution for a certain period of time while they are in the hospital, and receive credits, completion, or qualifications. The lectures cover all genres, from cultural and liberal to practical.

Patients are admitted to the hospital to be able to create, send, and receive emails on the monitor screen 32. A mail address is issued every time. In particular, it is issued to business patients and other applicants to facilitate communication with companies.

 The office service agency request is a service to act on behalf of a businessman patient. For example, a patient who is unable to operate the keyboard by himself or herself gives a verbal explanation and requests services such as creating business materials on behalf of the patient. Although you can operate the keyboard by yourself, if you have difficulty setting the environment of the terminal, you may request a service to set the environment on your behalf.

 The on-site beauty salon reservation is displayed on the monitor screen 32 when a beauty salon or barber shop clerk comes to the hospital and sets a haircut or hair for a patient who is hospitalized and cannot go to a beauty salon or barber shop. Open a virtual store to make reservations. In addition, if the visit of the visitor is known in advance, a chat booth use reservation corner is provided on the monitor screen 32 so that the visitor can use the chat booth to handle the visitor.

 In addition, in order to enable patients who have difficulty in bathing to reserve bathing services, a bathing reservation service will be provided on the monitor screen 32 to make reservations. Regarding massage, the reservation service for shoulder, waist, and facial massages can be similarly reserved. A virtual convenience store is set up on the monitor screen 32 so that patients can purchase products that are not sold at hospital shops or hospitals that do not have a shop inside the hospital. Provided.

 In addition, we will provide a rental service of play equipment such as games for inpatients to use their spare time for relatively mild illness, and establish a virtual store so that the application can be made on the monitor screen 32.

In addition, a virtual consultation corner is provided on the monitor screen 32 as a consultation place by religious organizations including churches and by power companies to provide mental care for patients. The patient client TV terminal 4 is connected to the hospital server 3 via a connection line 46. The connection is not limited to a wired connection, but is not limited to optical fiber or wireless. You may connect by wireless methods, such as LAN.

 Further, the patient client TV terminal 4 may be connectable to a keyboard @ printer or the like. Further, a central processing unit, a memory device, and e-mail software equivalent to a business personal computer, a spreadsheet software, and a word processor software may be provided, and a terminal capable of performing work at a hospital may be provided.

 The doctor terminal 6 is connected to the patient client TV terminal 4 via the hospital server 3 as shown in FIG. The doctor terminal 6 may be any device that can be connected to the Internet, such as a personal computer, a PDA, a mobile phone, and the like. It is a terminal for doctors to input personal information to the personal database 14 including disease explanations, treatment methods, medication details, test results, and information needed for post-discharge care. In addition, when the patient or the patient belongs to a company, an organization, or the like, the medical treatment status report may be distributed to the company, the organization, or the like.

 The nurse terminal 8 is a terminal connected to the hospital server 3 and for inputting nurse center information to the hospital database 16. The nurse terminal 8 may be any device that can be connected to the Internet, such as a personal computer, a PDA, and a mobile phone. The secretariat terminal 10 is connected to the hospital server 3 and is a terminal for inputting hospital information to the hospital database 16 and managing the contact board database 18 and the advertisement database 20. The secretariat terminal 10 may be any device that can be connected to the Internet, such as a personal computer, a PDA, and a mobile phone.

 The tuner 12 is electrically connected to the antenna 30 and the hospital server 3 and has a function of receiving a television signal with the antenna 30 and demodulating the TV signal with the tuner 12. The demodulated signal is compressed into a digital signal such as MPEG or transmitted to the hospital server as an RGB signal.

The antenna 30 is electrically connected to the tuner and has a shape and a size suitable for receiving a television broadcast. The shape is a Yagi antenna for the VHF and UHF frequency bands, and a parabolic antenna for telecommunications broadcasts using ordinary communication satellites and broadcast satellites. It is preferred to use an antenna. Note that a signal may be received from a cable television company instead of the antenna 30.

 The personal database 14 shows that personal information is information on disease explanations, treatment methods, medications, test results, post-discharge care and medical records. The data input to the personal database 14 is performed by the doctor or a person requested by the doctor from the doctor terminal 6. The data can be read out by the physician, the person requested by the physician, and the patient who has been authenticated with the ID and password given at the time of admission. Using this database, information can be shared between doctors and patients. Here, the sharing of information is between the patient who has the ID and password and the doctor in charge or the person requested by the doctor, and cannot be shared by others who do not have viewing authority. Patient privacy information is protected from unauthorized viewing. In addition, the browsing authority has a designated browsing range, and patients and physicians can also browse within the scope of the authority.

Personal de - evening - scan 1 to _4, after discharge also store personal data及Pi medical record information. This de

—The presence of the evening enables data retrieval of past illnesses when patients need to be hospitalized again. Also, when a patient is transferred due to relocation, etc., it is easy to transfer the existing data to the next hospital. Further, it is possible to exchange and manage information on patients between hospitals. Even if a patient is discharged from the hospital, admissions for health management and aftercare from the hospital doctor can be included. If a patient has any concerns or needs to be consulted after discharge, the patient can contact the hospital and take immediate action because the patient data is available.

The hospital database 16 is composed of in-hospital hours such as interview time and bedtime, in-hospital maps, hospital facility rules, nurse station information, in-hospital information, and in-hospital staff information including doctors and nurses. Only nurse station information is entered and recorded from nurse terminal 8. Other hospital information is input from the secretariat terminal 10 and recorded. The hospital database 16 can be read from any terminal connected to the medical information community system and can share information. In particular Patients are able to obtain in-hospital information without inquiries even if they are unfamiliar with the hospital.

 The communication board database 18 is an electronic bulletin board system that displays and uses messages from hospitals and doctors as a bulletin board, and also allows postings from patients. This electronic bulletin board data is stored in this database.

 The advertisement database 20 is a database for providing text advertisement information to the text display unit 34 of the patient client TV terminal 4. In the text display unit 34, the hospital server 3 distributes the data recorded in the advertisement database, mainly the local advertisement, to the respective patient client TV terminals 4, and displays the data on the text display unit 34.

 By executing the advertisement, the system can be operated at low cost because the advertiser takes over the cost of the system.

 The discharged patient terminal 24 is the same terminal as the patient client TV terminal 4 and is connected to the hospital server 3 via the external electric communication line 22. That is, it includes a monitor screen 32, a text display section 34, a television switch 36, a personal information switch 38, an information search switch 40, a communication board switch 42, and a guide switch 44. These functions are the same as those of the patient client TV terminal 4 described above. Normally, it is a terminal for communicating with patients who have left the hospital with this medical information community system. That is, using this terminal, the discharged patient can use the medical information community system in the same way as when admitted.

 The service provider terminal 26 is a terminal used by a company or an organization that provides services other than the services provided by the hospital. The service provider terminal 26 is also a terminal that is connected to the hospital server 3 via the external electric communication line 22 and has a function of notifying the service contents to the patient and a function of receiving a service order from the patient.

The service contents of the service provider terminal 26 include opening a bank and post office, making a reservation for delivery to home. Delivery service, applying for purchase and delivery of books, etc., purchasing music and video data overnight, Participate in cultural education courses, obtain e-mail addresses, send and receive e-mails, These services include a service request, a cleaning application for clothing, a taxi dispatch application, a business trip beauty salon reservation, a hospital consultation booth reservation system, a bathing service reservation system, a convenience store delivery service application, and a mental clinic reservation application. Each of these service providers has a service provider terminal 26.

 The partner medical terminal 28 is used by a doctor who is close to the patient's home and who has received medical services before admission to the hospital, or who provides services after leaving the hospital Terminal. This terminal is a terminal for a partner physician who requests medical treatment after the patient leaves the hospital, and is connected to the hospital server 3 via the external electric communication line 22.

 Next, the operation of the medical information community system according to the present invention will be described. First, patients, doctors, nurses, and patients who use the patient client TV terminal 4, doctor terminal 6, nurse terminal 8, secretariat terminal 10, discharged patient terminal 24, service provider terminal 26, and affiliated doctor terminal 28 Authentication IDs and passwords are issued to those who connect the terminal to this system, such as clerks, discharged patients, service providers, and partner physicians.

 All functions except for telepi are always available after each user is authenticated by inputting the authentication ID and password to the terminal.

 The clerk registers the hospital information in the hospital information database 24, the communication board system in the communication board database 18 and the advertisement information in the advertisement database 20 from the office terminal 10 in advance.

 When a patient is diagnosed, a physician inputs information on the patient's illness description, treatment method, medication content, test results, and post-discharge care from the doctor terminal 6 to the personal information database. On the other hand, the patient can operate the patient client TV terminal 4 except for bedtime and when there is a restriction by a doctor. If you want to browse the TV, you can browse the TV on the monitor screen 32 by selecting the TV switch 36.

If the patient wants to view the personal information 36, select the personal information switch 38 to By entering the ID and password, personal information can be displayed on the monitor screen 32. Personal information consists of a description of the patient's medical condition and other illnesses, future treatment methods and medications in line with treatment policies, recent test results, and information on post-discharge care if discharge is planned. Necessary related information can be browsed at any time

 If the storage location of the necessary related information is not known, the information search switch 40 is used. The information search switch 40 extracts necessary related information by keyword search or the like. When a patient wants to receive personal information and contact a doctor or the like, he / she uses a communication board. To display the contact board, select the contact board switch 4 2 to display it on the monitor screen 32, and specify the doctor who wants to contact the destination. Warehouse g.

 In addition, guides 45 are selected for patients to obtain out-of-hospital services. If you select Guide 45, the monitor will display multiple names for each service. For example, opening stores at banks and post offices, making reservations for courier service, applying for purchase and delivery of books, purchasing music and video data, attending cultural education courses, obtaining e-mail addresses and sending e-mails. Request for office service, application for cleaning of clothing etc., application for taxi dispatch and business trip beauty Reservation system for hospitals, chat booth reservation system, bathing service reservation system, convenience store delivery service application, mental healthcare It is a service such as reservation application. From among these services, the application form for the required service of the patient is displayed on the monitor screen 32, and the order is accepted by filling out the form and sending it to the service providing terminal. .

 In addition, the text display section distributes text-format advertisements, hospital information, and news information and displays them on the monitor screen 32.

 <Example 2>

Further, a second embodiment of the medical information community system and the patient client TV terminal according to the present invention will be described with reference to FIGS. Same configuration as the first embodiment JP02 / 04281

Fifteen

Are given the same numbers, and points different from Example 1 are emphasized.

 FIG. 4 is a configuration diagram showing a second embodiment in which the medical information community system according to the present invention is applied to a hospital. This medical information community system is composed of an in-hospital LAN 61 and an external telecommunication line 22 which is the Internet. The connection between the LAN 61 in the hospital and the external telecommunications line 22 may be either a dedicated line, an ISDN line, or a general public line, and the physical wiring form uses a general coaxial line or telephone cable. XD SL, optical fiber, wireless, etc. may be used. In the hospital LAN 61, an internal communication line 48 and a backbone communication line 62 are further connected via a gateway 63.

 The gateway 63 is a device that connects a plurality of different LANs. This is because the information transferred on the backbone communication line 62 is more important and confidential than the information transferred on the internal communication line 48, and is directly connected to the Internet. It is provided to cut off the connection with the internal communication line 48 to prevent intrusion of others.

 The internal communication line 48 mainly includes the hospital server 3, the patient client TV terminal 4, the doctor terminal 6, the nurse terminal 8, the secretariat terminal 10, the pharmacy terminal 49, and the laboratory terminal 50. The in-hospital shop terminal 51 is connected.

 Furthermore, the internal communication line 48 is connected to the discharged patient terminal 24, the partner doctor terminal 28, the dispensing pharmacy terminal 52, the rehabilitation facility terminal 54, and the nursing care terminal 5 via the external telecommunication line 22. 6, specialty hospital terminal 58, and related store Z office terminal 60 are connected.

 On the other hand, the backbone communication line 62 consists of a backbone system server 64, a budget management system 66, a facility management system 68, an accounting system 70, an electronic medical record system 72, and a patient information search system 7. 4, the examination support system 76, and the diagnosis support system 78 are connected.

The hospital supervisor 3 connected to the internal communication line 48 includes a personal database 14 not shown, a disease and 及 び information database 104, a staff information database 106, and a store database デ ー タ 0 8, regional information database 110, and hospital information database 1 Connected to 1 and 2. In addition, a TV tuner and mail distribution means are built in the hospital server 3.

 The personal database 14 is a database in which personal information is accumulated, and the personal information is a disease description, a treatment method, a medication content, a test result, and post-discharge care information.

 The Disease and Drug Information Database 104 is a database consisting of general information about the disease, descriptions of all kinds of drugs, their contents and precautions, and how to use, take, and side effects information.

 The staff information database 106 shows detailed information on human beings, such as doctors and other specialty fields, and work history so far.

 The store database 108 includes homepage data or link information of stores that provide products and services that are frequently used by patients. This homepage data is provided with functions such as introduction of stores and products, order placement, and electronic payment. These products and services mainly include information from in-hospital shops 26 and related stores Z office 60.

 The Regional Information Database 110 is a database composed of homepage data or link information of local practitioners, dispensing pharmacies, rehabilitation facilities, nursing homes, specialty hospitals, and related store Z establishments.

 The in-hospital information database 1 1 2 is a database of in-hospital information that includes in-hospital usage time such as interview time and bedtime, in-hospital maps, hospital facility rules, nurse station information, and in-hospital information.

 The TV tuner amplifies or converts a composite TV signal, which is transmitted via an antenna cable from a separately provided TV antenna via an antenna cable, to an analog signal such as an RGB signal, or a digital signal such as an MPEG signal. It has the function of converting the data to the patient client and delivering it to the TV terminal 4.

The e-mail delivery means is a device that delivers e-mail sent from the patient client TV terminal 4 and other internal terminals to another e-mail server connected via the Internet. And a function of delivering an electronic mail addressed to a terminal connected to the internal communication line 48 delivered from another electronic mail to each terminal.

 Although the details will be described later, the patient client TV terminal '4 has a TV reception function, a personal information display function, a disease information display function, a staff information display function, an e-mail function, a store information display function, It has a regional information display function and a hospital information display function. The doctor terminal 6, the nurse terminal 8, and the secretariat terminal 10 are the same as in the first embodiment. The pharmacy terminal 49 is provided at a pharmacy provided in the hospital, and has an e-mail function so that prescriptions can be received as electronic data and that doctors can be contacted by e-mail when there are items to check on prescriptions. .

 The examination room terminal 50 is installed in a room where examinations such as X-ray examination, electrocardiogram measurement, and MRI measurement are performed, and is connected to the internal communication line 48. In addition, it is connected to each measurement device such as X-ray examination, electrocardiogram measurement, and MRI measurement, and the measurement data is stored in the personal database 14 connected to the hospital server 3. Therefore, the doctor can read the measurement data from the doctor terminal 6. Further, the examination room terminal 50 is capable of exchanging information on examination methods and special features during or before examination with a doctor by writing information in an e-mail or on a hospital server 3 homepage.

 The in-hospital shop terminal 51 is a store terminal provided in the hospital. When an order is received from an inpatient via the patient client TV terminal 4, a function to receive the information as an e-mail is provided.

 The discharged patient terminal 24 and the partner doctor terminal 28 perform the same functions as in the first embodiment.

 The dispensing pharmacy terminal 52 is provided in a pharmacy outside the hospital where the medical information community system according to the present invention is installed, and is connected to the external electric communication line 22. An e-mail function is provided so that prescriptions can be received via e-mail instantly, and if there are any items to be checked for prescriptions, they can be transmitted to doctor terminal 6 by e-mail.

The rehabilitation facility terminal 54 is provided with the medical information community system according to the present invention. JP02 / 04281

18

It is provided at a rehabilitation facility outside the hospital and is connected to an external telecommunications line 22. The rehabilitation required item information is received by e-mail from the doctor terminal 6 or from the homepage information of the hospital server 3 and the rehabilitation contents and the result information are transmitted to the doctor terminal 6 by e-mail or the hospital server 3 To the personal database 14.

 The nursing facility terminal 56 is provided at an out-of-hospital installation where the medical information community system according to the present invention is installed, and is connected to the external electric communication line 22. Receives e-mail from the doctor's terminal 6 for the content information to be careful in patient care, or receives from the homepage information of the hospital server 3, and transmits the point information to note when nursing to the doctor's terminal 6 by e-mail. Or communicate to the personal database 14 of the hospital server 3.

 The specialty hospital terminal 58 is a terminal provided at a hospital specializing in its specialty outside the hospital where the medical information community system according to the present invention is installed and where a dedicated doctor is on standby. Line 2 Connected to 2. The specialized hospital terminal 58 has an e-mail function for transmitting and receiving specialized treatment information to and from the doctor terminal 6 according to the present invention.

 Related store Z office terminal 60 is a terminal provided in a store or office related to medical care and nursing care, and is connected to the external telecommunication line 22. An e-mail function is provided to enable the patient to send and receive e-mail for confirmation when ordering products and making electronic payments from the patient client TV terminal 4.

On the other hand, the backbone system server 64 connected to the backbone communication line 62 is a server that manages data and tasks for systems for backbone business, including hospital management, recruitment management, power management, etc. . The budget management system β 6 manages the budget, the facility management system 68 is a facility abnormality notification monitor, and the accounting system 70 is a system for creating book information including daily payments as electronic data. Yes, the electronic medical record system 72 is a system that records and saves medical records as electronic data without using paper media. The patient information search system 74 is a system for creating and managing personal information including patient history information as electronic data in conjunction with the electronic medical record system 72. The inspection support system 76 A diagnostic support system 78 is a system for creating data necessary for creating test data of a patient, and a system for searching for related information when a doctor inputs a diagnostic situation when making a diagnosis.

 Next, FIG. 5 shows a front view of the patient client TV terminal 4 according to the present invention. The patient client TV terminal 4 includes a monitor screen 32 and a frame 33.

 The monitor screen 32 is composed of a touch panel provided with an input device on the surface of a thin display device such as a liquid crystal panel. The monitor screen 32 has a text display section 34 at the top, a text display section 34 at the top, and a TV switch 36 and channel up button 80, a channel display section 82, and a channel display at the bottom left. Down button 84, personal information switch 38, illness Z medicine switch 86, staff switch 88, letter switch 42, stall switch 90, regional information switch 44, hospital information Switches 92 and are arranged. Each of these switches is a temporary switch drawn on the monitor screen 32. An image display unit is provided on the right side of these switches. These displays are usually drawn at a fixed size and defined position, but can be changed as appropriate.

 The text display section 34 displays doctor information and hospital information related to each patient client TV terminal 4 user. For this purpose, the data is distributed from the hospital server 3. The TV switch 36 is a switch for displaying TV information on the video display unit. The data is transmitted from the hospital server 3 as an analog signal such as a composite signal and an RGB signal or a digital signal such as an MPEG signal and displayed on the video display unit.

 The channel up button 80 has a function of changing the channel of the television being displayed by this button during television display to a value having a large number of channels. Pressing this button 80 on the maximum channel returns to the minimum channel.

 The channel display section 82 displays the status of the currently displayed television channel.

The channel down button 84 has a function of changing the channel of the television being displayed by this button during television display to a smaller value of the number of channels. Book button with minimum channel 8 4 Press to return to the maximum channel.

 By pressing this button, the personal information switch 38 will be able to browse the patient's own illness description, treatment methods, medication details, test results, and post-discharge care information.

 The illness / medicine switch 86 is connected to the illness and medicine information database 104 of the hospital supervisor 3 when the button is pressed, and provides general information on the illness, all kinds of medicines and their contents. You can search and browse the database consisting of explanations and instructions for use and how to take and how to take it.

 When the button is pressed, the staff switch 8 8 is connected to the staff information database of the hospital server 3-evening base 106, and displays detailed information about the person, such as the doctor's specialty and previous work history, on the video. Shown in the section.

 Letter Switch 42 is an email function. That is, it has a function of receiving an e-mail from the hospital server 3, a function of transmitting an e-mail, and a function of displaying an e-mail and creating an e-mail.

 When the button is pressed, the shop switch 90 displays homepage data or link information of a shop that provides a product / service of the hospital server 3 that is frequently used by patients. This homepage data is provided with functions for introducing stores, merchandise, ordering, and electronic settlement. For these products and services, information from the in-hospital shop 26 is mainly posted on the video display unit.

 When the button is pressed, the homepage or link information of the local practitioner, dispensing pharmacy, rehabilitation facility, nursing home, specialty hospital, and related store Z office is displayed on the video display section.

 When the button is pressed, the in-hospital information switch 92 displays in-hospital information consisting of in-hospital use time such as interview time and bedtime, in-hospital map, hospital facility rules, nurse station information, and in-hospital notification information. Will be displayed.

The frame 33 that forms the patient client TV terminal 4 has a power switch on its side. A switch 94, a volume control 96, an earphone terminal 98 and a power slot 100 are provided.

 The power switch 94 is a switch for turning on / off the power of the patient client TV terminal 4, the volume control 96 is a switch for adjusting the volume of TV sound and other sounds, and the earphone jack 98 is Hole for connecting an earphone terminal or a headphone terminal.

 The card slot 100 is a slot into which a personal authentication card 102 is inserted. The patient client TV terminal 4 authenticates the user as an authorized user by inserting the personal authentication card 102 as well as turning on the power by the power switch. For this reason, personal authentication information in electronic settlement is recorded on the personal authentication card 102.

 Next, FIG. 6 shows an internal block diagram of the patient client TV terminal 4 according to the present invention. The patient client TV terminal 4 is composed of a CPU 114, a power slot 1 16, a touch panel 118, a tuner 120, and a monitor 1 to peripheral control devices 122 including bus wiring. 24, the storage device 126, the sound card 128, and the network input device 130 are electrically connected.

 The CPU 114 is the central processing unit, and the other power slots 1 16, the touch panel 118, the tuner 120, the monitor 122, the storage device 126, and the sound It is a device that controls the power supply 128 and the network input device 130.

 The card slot 1 16 is a slot for inserting a personal authentication card 102, and the device operates when a personal authentication force conforming to a predetermined standard is inserted into the device. When the personal authentication card is connected to a specific standardized terminal, a terminal connection circuit of a specific standard may be provided instead.

The touch panel 118 is a pen or other device for recognizing a human finger input such as a tablet, and may be any of a surface acoustic wave recognition type, an electromagnetic recognition type, and a resistance value recognition type. This panel is provided on monitor 124 and operates in synchronization with the image drawn on monitor 124. Need to be done.

 The tuner 120 is a device that demodulates and reproduces a television image when a television signal is transmitted as a composite signal from the hospital server 3. It is not necessarily an essential component and is not particularly necessary if it is transmitted from hospital server 3 in digital data. In the case of inputting an RGB signal, an RGB signal demodulation circuit is separately required.

 The peripheral control device 122 includes a path wiring, a DMA wiring, a digital wiring, a control device, and the like, and performs data control between the CPU 114 and other circuits.

 The monitor 124 is composed of a thin image display device such as a liquid crystal display circuit and a plasma display circuit as an output circuit of the present circuit, and has a sunset panel 118 disposed on the surface thereof. The storage device 126 includes both a magnetic storage device and a semiconductor storage device, and is a device that stores a program for operating BIOS and OS, and an application program that operates on this device.

 The sound card 128 is a circuit for synthesizing audio, and further connected to a speaker 132 microphone circuit and a volume control element to convert an audio digital signal transmitted to the apparatus into an analog audio signal. Circuit.

 The network input device 130 is a circuit for connecting the present device to the internal communication line 48, and for example, a network card circuit for Ethernet is suitable.

 <Example 3>

 Further, a third embodiment of the medical information community system and the patient client TV terminal according to the present invention will be described with reference to FIGS. The same components as those in the first embodiment are denoted by the same reference numerals, and differences from the first embodiment are mainly shown.

FIG. 5 shows a block diagram of a medical information community system according to a third embodiment of the present invention. The medical information community system is installed in a hospital having a sickbed, and is installed in a delivery server 134 and a hospitalized patient's sickbed. It is connected to the patient client TV terminal 4, public line 135 and hospital backbone LAN 136 using a telecommunication line. The distribution server 13 4 is further electrically connected to the doctor terminal 6, the nurse terminal 8, the secretariat terminal 10, the tuner 12, the personal database 14, the hospital database 16, the contact board database 18, the advertisement database 20, and the like. Connected via a line. Externally, the hospital server 3 is connected to the discharged patient terminal 24, the service provider terminal 26, the affiliated doctor terminal 28, the observation terminal 13 8, and the examinee terminal via the external telecommunication line 22. The terminal 140 is connected to the care recipient terminal 14 2 and the local government terminal 14 3. Further, the tuner 12 is connected to the antenna 30.

 The distribution server 13 4 sends data corresponding to the request to the patient client TV terminal 4 and the discharged patient terminal 24, the personal database 14, the hospital database 16, and the communication board data overnight. It has a function of distributing from 18 and the advertisement database 20.

 In addition, the distribution server 134 distributes the television information received from the tuner to the patient client TV terminal 4 and the discharged patient terminal 24. This distribution may use either an analog signal such as an RGB signal and a composite signal or a digital signal such as an MPEG signal.

 The distribution server 1 34 has its hardware composed of a personal computer, its personal ware is equipped with an OS, and as application software that runs on its OS, the web server function, the mail transfer function, the proxy function, and the like. It has a DHC P function.

 The web super function is a function for registering home page data and disclosing it to clients.

The mail transfer function is a function for delivering mail on the Internet. The functions of the mail server differ from the function of delivering the e-mail sent by the user to the recipient specified by the e-mail address, and the function of sorting the e-mail delivered to the mail server to the user's mailbox and storing it. The ability to relay between delivery systems, and mail from mailboxes to the user's mail program at the user's request It has a sending function.

 The proxy function is located at the boundary between the Internet and the intranet, and is a function that substitutes the Internet connection request of the client on the intranet side. In addition, a cache function is provided to increase the response to Web access by reusing transmitted homepage data and to reduce communication costs.

 The DHCP function is a function that registers the IP address and the address of the default gateway, and each terminal issues a request to the DHCP server when it starts up, and acquires the IP address. In this way, network information can be automatically distributed to each device.

 The distribution server 134 is further connected to a public line 135 such as an ISDN line or an analog public line.

 The public line 1 3 5 is a line connected to a telephone exchange. This is the line to connect to when the distribution server 134 receives a voice telephone connection request and a videophone connection request from a connection terminal. The distribution server 134 and each terminal may be connected using a public network line in addition to the connection via the network.

 The delivery server 134 is connected to the hospital's backbone LAN 136.

 The hospital backbone LAN 1336 is a system that includes a server that performs data management and task management for systems for core businesses, including hospital management, facility management, and chart management. The delivery server 1 3 4 is connected to the pharmaceutical manufacturer terminal 1 3 8, the examinee terminal 1 4 0, the care recipient terminal 1 4 2, and the local government terminal 1 4 3 via the external telecommunication line 2 2. You.

 Pharmaceutical maker terminals 1 3 8 are terminals for exchanging information with doctor terminal 6 via e-mail and the web when a pharmaceutical maker conducts a new drug test in the medical information community system.

The subject terminal 10 is a terminal for exchanging e-mails and information via the web between the subject who undergoes the trial at the time of conducting the trial and the doctor terminal 6. The care recipient terminal 1 4 2 is a terminal that allows patients who are covered by long-term care insurance and who receive treatment by a physician in this medical information community system to exchange information with the physician terminal 6 via e-mail and the web. It is.

 The local government terminal 144 has a function to publish medical administration information for sharing with local residents as an e-government function.

 Next, FIG. 8 shows an internal block diagram of the patient client TV terminal 4 according to the third embodiment of the present invention. The patient client TV terminal 4 includes a CPU 114, a tuner 120, a storage device 126, a sound card 128, and a control unit 1 in a peripheral control device 122 including bus wiring. 4 4 and display unit 1 4 6, LAN adapter 1 4 8, hardware adapter 1 5 0, Yuichi Mina adapter 1 5 2, microphone 1 5 4, camera 1 5 6, card slot 1 5 and 8 are electrically connected.

 Here, the blocks newly added in comparison with FIG. 6 are described.

 The control unit 144 is an input device for operating the patient client TV terminal 4 according to the present invention. The control unit 144 may be either a touch panel or a keypad.

 The evening panel may be either a panel built in the display device in advance or a type used in combination with an external type. The signal line is connected to the peripheral control device 122. For this operation, a special evening panel control program is registered in the storage device 126 in advance, and the program is operated and used.

 The keyport is used in combination with a pointing device. In addition to the connection between the keypad and the peripheral control device using a conductor, either a connection method using radio waves in the VHF band or a method using infrared rays may be used. The pointing device is a mouse or a trackball, and may be a connection method using a wire connection or a connection method using radio waves in the VHF band, or a method using infrared rays.

If the display unit 1 4 6 is a thin video panel, Either a plasma display or an EL display may be used. The external shape of the display may be a stationary type, an arm type which is fixed to a supportable and rotatable column, a portable type, and a single type in front of each eye similarly to an eyeglass. Any of the HUD type which arranges small displays one by one may be used.

 The LAN adapter 148 is a device for connecting 10BASE-T or 100BASE-T standardized by IEEE802.3 to a personal computer. When connecting to another network, another connection device may be used.

 The hardware key 150 is composed of a device for physically authenticating. The authentication devices include a USB key that authenticates only the authorized user's USB key by connecting to the USB terminal, an electromagnetic induction tag recognition device, a fingerprint authentication device, an iris authentication device, and other biometrics. Any of the devices may be used. If the device is not properly authenticated, the power supply of the patient client TV terminal 4 may be cut off within a few minutes. The terminal adapter 152 is a connection device for connecting the patient client TV terminal 4 and an ISDN to a general telephone, a videophone, or a server connectable via the ISDN.

 The microphone 154 includes a condenser microphone and the like, and is connected to the peripheral control device 122. Microphone 154 is used for inputting voice in voice recognition function, general telephone function, and videophone function.

 The camera 156 is a camera element including a CCD or CMOS image sensor, and may be incorporated in the patient client TV terminal 4 in advance or externally. Camera 156 is used to input video in the videophone function.

 The card slot 158 is a force reading and writing device. Examples of the stress resistance include a magnetic card such as a JIS type or a JIS type, a PET card, an optical power source, and an IC power source using an LSI. For the input slot 158, a read-only device or a read / write device is used.

Storage medium read / write device 160 is CD-R.〇M, CD-RW, DVD-R OM, D 02 04281

 27

It is a read / write device such as VD-RAM or DVD-RW, but the storage medium is not limited to these, and includes a nonvolatile semiconductor storage device.

 In the above configuration, the patient client TV terminal 4 of the third embodiment according to the present invention has 11 functions added to the other embodiments.

 The first function is the automatic recognition function. The speech recognition function is a function that automatically recognizes human speech and recognizes and outputs phoneme text (uttered character strings). The voice is input using the microphone 154 provided on the patient client TV terminal 4, and the voice input by the program registered in the storage device 126 is analyzed and displayed in text. Handicapped patients can be used because they can input only by voice.

 The second function is the videophone Z regular telephone function. Video and audio can be input by the camera 156 and the microphone 154, and video and audio can be output by the display unit 146 and the speaker 132. The connection method includes a method using an ISDN line directly via a terminal adapter, a method of transmitting and receiving video and audio information as bucket data to the distribution server 134, and a method of connecting the public line to the distribution server 134 from the distribution server 134. A program is installed to enable the method of sending and receiving using 135.

 The third function is a character agent function. This function is a voice guidance function using characters. The character uses a moving image based on a mascot animation of an animal or the like to explain the operation of the patient client TV terminal 4 and read out an e-mail. In addition, they will explain how to use them by voice and explain how to operate them by voice so that anyone can use them without a manual.

 The fourth function is an authentication and billing system. Means of authentication include the use of ID passwords, the use of dedicated passwords, the use of USB keys, the use of credits, other passwords, and the use of biometrics.

 The use of an ID password is a method of inputting a predetermined ID and password and authenticating with, for example, an IUS supervisor.

To use the exclusive card, you need to charge a certain amount in advance to the exclusive card key, This is a method of authentication and charging by inputting a password into the first slot 1 58. By charging in this way, it has the same or better function as the TV on the bedside.

 The use of the USB key is authorized only when the USB key is inserted by using the Hachi-Dou-Aki-150 as the USB female connector. The billing method is a method in which the connection time or usage amount is measured by the distribution server 13 4 and deducted from the registered credit card or bank account.

 Using a credit card is a method of swiping a credit card with a force slot, authenticating the user by inputting a PIN number on the screen, and performing a credit card settlement.

 Other uses of force and the use of piometrics include authentication methods using other cards, authentication of fingerprints and irises with a reader as a method of personal authentication, and registration of credit cards or other financial institutions registered in advance. This is a method of making payment from an account.

 The fifth function is the clinical trial function. When the investigational drug can be introduced into the patient's treatment, it is a function to connect the pharmaceutical manufacturer's terminal 13 and the doctor's terminal 6 and the patient's terminal 140 and the doctor's terminal 6 to exchange information.

 The sixth function is the video mail function. This function is a function to send the video captured by the camera 156 by e-mail, but it is effective for the patient to capture and transmit the video of the affected area.

 The seventh function is a TV recording function. This is a function to make a reservation and save the video data in the storage device when the video that the patient wants to view cannot be viewed by surgery or the like. The eighth function is a function of reproducing a DVD or the like with the storage medium read / write device 160. It enables viewing of not only TV but also other videos.

The ninth function is the online library / manga reading function. It is a function to browse books and comics published on the Internet for a fee. The viewing tool is registered in the storage device 126 in advance. The tenth function is the network 'game function. Register to the distribution server 1 3 4 Enable games and play games with other patient client TV terminal 4 users. —Also possible.

 The first function is to connect with local government terminals and share information on medical administration with local residents.

 Next, Fig. 9 shows the flow of funds, services and products for operating the system according to the present invention. Here, the flow of logistics and services is designated as A number, and the cash flow is designated as B number. The medical information community system provider 162 provides the hosting service to the hospital 166 as a system service (A2). Hospital 166 pays the system management fee to the medical information community system provider 162 as the cost

(B 2).

 In addition, the medical information community system provider 16 2 sells the patient client TV terminal 4 as a product to the patient client TV terminal rental company 16 4 (A 4). The patient client TV terminal rental company 16 4 pays the patient client TV terminal 4 fee to the medical information community system provider 16 2 (B 4).

 Furthermore, the reseller 164 purchases the right to install the patient client TV terminal 4 on the bedside of the hospital 166, installs the patient client TV terminal 4 and provides the advertiser's advertisement ( A 6). Patient client TV terminal rental company 16 4 pays hospital client 16 6 installation fee for patient client TV terminal 4 (B 6)

 In addition, the hospital 166 provides information, communication tools, delivery services, and medical information disclosure to patients 168 by providing the patient client TV terminal 4 (A 8). The patient 168 pays the television viewing fee and the information service fee to the patient client TV terminal rental company 164 (B8).

 Then, the advertisement provider 170 pays the advertisement fee to the patient client TV terminal rental company 164 (B10). From the above, the funds, services, and product flows for operating the system according to the present invention have been clarified.

The method for paying the client TV terminal usage fee is the hardware usage described above. It is also possible to record the time spent using the service, and to charge the total amount together with other medical expenses at the time of discharge from the hospital.

 Although the preferred embodiments of the present invention have been described above, various modifications can be made without departing from the spirit of the present invention described in each claim.

 By using the medical information community system according to the present invention, medical service providers can share information by providing medical care and necessary related information to patients and local residents at necessary times, By transmitting information from the residents to medical service providers and exchanging information easily, patients who are in a mentally and physically difficult situation can concentrate on treatment with peace of mind. In addition, so-called informed consent will be carried out smoothly.

 In addition, patients can view their medical information while staying on the bed. In addition, discharged patients can view the same contents at home by using this system.

 Furthermore, by using a terminal device that has a simple input method with all functions integrated, it is not possible to secure sufficient space for installing the terminal on the sickbed because the body part is inconvenient. Even in such cases, information can be provided to patients.

Claims

The scope of the claims

 1. A medical information community system in which medical service provider devices and patient client TV terminals are connected via telecommunication lines.

 2. The medical information community system according to claim 1, wherein the medical service provider device comprises a hospital server, a doctor terminal, an office terminal, a personal information database, and a hospital information database.

 3. The medical information community system according to claim 1, wherein the patient terminal of the TV terminal includes a monitor display unit and an operation unit.

 4. The medical information according to claim 3, wherein the patient client TV terminal further comprises a text display unit, a TV selection unit, a personal information selection unit, an information search selection unit, a communication board display unit, and a guide selection unit. Community system.

 5.The personal information database consists of information on the disease name of the patient, treatment policy information, medication information, test result information, and post-discharge care, and can be viewed only by the individual or a person with specific authority. 3. The medical information community system according to claim 2.

 6. The medical information community system according to claim 2, wherein the hospital information database includes in-hospital facility rules, hospital map information, and hospital publicity information.

 7. The medical information community system according to claim 2, wherein the hospital server is further connected to an antenna via a tuner.

 8.Hospital support is further characterized by being connected to at least one of partner physician terminal, service providing terminal, discharged patient terminal, awakening terminal, care recipient terminal, subject terminal, and local government terminal. 3. The medical information community system according to claim 2, wherein

 9. The medical information community system according to claim 2, wherein the hospital server is further connected to at least one of a nurse terminal, a communication board database, and an advertisement database.

10. Connect the medical service provider device and the patient client TV terminal via a telecommunication line A method of supporting the medical information community that facilitates communication between physicians and patients by doing so.

 1 1. The medical service provider device comprises a hospital server, a doctor terminal, a secretariat terminal, a personal information database, and an evening information base and a hospital information database, and shares information between the patient terminal and the hospital worker device. 0 described medical information community support method.

 13. The medical information communi- cation according to any one of claims 10 to 12, wherein a patient client terminal composed of a monitor display unit and an operation unit is arranged on a bed to provide an It report to a patient. Niti support method.

 1 3. A patient / personal client TV terminal characterized in that the monitor display unit and the operation unit are composed of a body.

 14. The patient client TV terminal according to claim 13, comprising TV selection means, personal information selection means, information search selection means, communication board display means, and guide selection means.

 15. The patient client TV according to claim 14, further comprising at least one of a microphone, a camera, a storage medium read / write device, an authentication device, a telecommunication line connection device, and a fee storage slot. Terminal.