WO2005106728A1

WO2005106728A1 - Medical information utilization system

Info

Publication number: WO2005106728A1
Application number: PCT/JP2005/008215
Authority: WO
Inventors: Tokio Kano
Original assignee: Tokio Kano
Priority date: 2004-04-30
Filing date: 2005-04-28
Publication date: 2005-11-10

Abstract

A medical information utilization system comprises examination devices (2), a user terminal (3) connected to the examination devices (2) and used by a user and a data storage/reproduction section (6) storing examination data on the user collected by the examination devices. The history of the examination data on each user stored in the data storage/reproduction unit can be read by means of the user terminal.

Description

Description Medical Information Utilization System Technical Field

The present invention relates to an effective use and cooperation system of medical information related to personal health

. More specifically, the present invention relates to a system that can use optimal medical information for each individual.

Background art

[0002] In the 21st century, personal medicine is expected to develop. Medical care is based on medical evidence (EBM; Evidence Based Medicine) and medical care based on scientific evidence (EBH; Evidence Based Healthcare). The biological information that supports these EBMs and EBHs must include not only information related to the disease state but also information necessary for health management. In such comprehensive medicine, for example, an information management system for diagnosing an individual's condition by applying genetic information and constitutional information to a common medical database is applied. Japanese Patent Application Laid-Open Publication No. 2002-157339 discloses information management that provides guidance on health management for each individual by integrating test information obtained through regular follow-up surveys for a group of patients already diagnosed with lifestyle-related diseases. A system is disclosed. In this information management system, health care leaders are limited to those who have received general knowledge education that is effective for the majority.

[0003] However, the source of information used for conventional EBM or EBH guidance is limited to a shared database that comprehensively describes improvement activities such as exercise, diet, and medicine for the majority of patients. Although such a shared database can produce positive results for a patient population that is a majority with a normal distribution, it is almost impossible to apply the medical information in the shared database to a patient population that is a minority. Is invalid in some cases, and may even have negative consequences for some patient populations. Therefore, patients who do not fall into the majority (ie, those who fall into the minority) cannot properly use the above-mentioned shared improvement activities. In many cases, more than one factor is related to the condition, so there is almost no case where the majority is any of the factors! / There is no effective healthcare information system available for a spare group of patients who has a lifestyle that satisfies all the factors described below. Also, even for individuals with the same lifestyle, it is difficult to prevent future episodes or seriousness, as risk factors vary from individual to individual. Furthermore, conventional medical information systems are not suitable for use in daily health care because even the end user, such as a patient or a patient spare group, is not easily accessible. In addition, telemedicine has attracted attention as a shared database in which clinical medical information of patients is converted into electronic medical records and shared by medical facilities in remote locations. Since telemedicine is a system that supports local medical care, such as in remote areas, where the shortage of physicians is serious, it is possible that more regions will evolve into a system that links to large hospitals, such as cities, via the Internet. In telemedicine, the patient usually goes to a single medical facility, so no one other than a doctor can directly interview or palpate the patient.

[0004] As described above, since the vital information to be obtained by a patient can only be obtained by the medical treatment performed by a physician who is a strong physician, daily health management other than hospital visits can be applied to a conventional cooperative system. Is extremely difficult. In addition, patient information transmitted and received on the Internet may include so-called electronic medical record information such as clinical data and medical history as biological information that can identify the patient. It is easy to come out.

[0005] Furthermore, in the conventional continuous monitoring system for health information for health care, it was necessary to purchase test equipment required for personal health management within a price range that is economically acceptable. Rental type inspection equipment had to be borrowed at an economically acceptable price range and within the range of its own volume (size, weight, and number) that can be stored or carried at home. In any case, the economically acceptable price range is usually significantly lower than the acceptable price for treatment of serious illness. In general, the higher the specification, the higher the above-mentioned volume and the higher the maintenance cost. There is a concern that over-paying for health care will make it unfortunately impossible to bear the burden of serious illness. Economically controlled healthcare devices tend to support only a limited number of specifications (performance) and a limited number of test items. While testing equipment for health management is constantly improving and the variety of promising test items tends to increase, It is difficult for people to continuously carry out optimal health care at their own expense. Disclosure of the invention

[0006] The present invention has been made in view of the above problems, and an object of the present invention is to provide a technology for performing effective health management for a minority in a shared database. is there. Another objective is to eliminate the distinction between the majority and the minority and to provide medical information on optimal prevention or treatment for each individual. That is, in the present invention, a treatment different from that of the majority is applied to a certain factor, anyone can receive a treatment for the most effective health care, and a health care with the least risk of side effects. Provide technologies that can be realized. Further, the present invention provides a system that can be used on a daily basis by the final user such as a patient or a patient spare group. Further, the present invention provides a system for realizing comprehensive medical treatment that takes into account not only the clinical information obtained by a doctor who is involved but also information on daily health management as patient information for deciding medical actions. provide. Further, the present invention provides a system for realizing cooperative medical treatment without passing through the Internet.

[0007] The present invention also provides an invention that facilitates continuous health management with an economic burden and owned volume. More specifically, the present invention provides an invention that enables high-spec inspection equipment to perform daily health care with an acceptable economic burden and possession volume. In one aspect, there is provided a system in which a large number of individuals can share inspection equipment corresponding to a large number of inspection items on a daily basis.

[0008] A medical information use system according to one aspect of the present invention includes a plurality of test devices, a user terminal connected to the test devices and used by a user, and a user acquired by the test devices. And a data storage / reproduction unit for storing the inspection data of the present invention, wherein the user terminal can browse the history of the inspection data for each user stored in the data storage / reproduction unit.

[0009] A medical information using method according to one aspect of the present invention is a medical information using method applied to a system that uses medical information for each user, in which a user is registered in the system in advance. And acquiring the test data of the user registered in the system, and accumulating the test data for each user. Data can be browsed.

[0010] Also, the medical information utilization cooperation system according to one aspect of the present invention includes a plurality of medical facilities related to obtaining a plurality of different bio-related information, a reception unit common to the medical facilities, A plurality of terminals installed at each medical facility and capable of exchanging information within an allowable range with each other; and in the plurality of medical facilities, any two medical facilities can be used by a facility user. It is characterized in that the terminals are arranged in a reciprocating movable area and the plurality of terminals can communicate with each other in a communication environment that is cut off from the outside of the removable area in the movable area.

[0011] A medical facility according to one aspect of the present invention includes a plurality of medical institutions that perform user examination and medical treatment, and a shared room in which a plurality of common measurement devices for performing the daily inspection of the user are arranged. And a management position for managing a destination to at least one of the medical institution and the shared room.

[0012] A remote medical care system according to one aspect of the present invention includes: a first communication unit that communicably connects one or more medical treatment rooms and a plurality of remote measurement rooms including one or more shared measurement devices; A second communication means for communicatively connecting one or more consulting rooms and one or more remote information providing rooms having medical data sources effective for health promotion is provided.

[0013] A server according to one aspect of the present invention is a server capable of two-way communication with one medical institution, and is provided in one direction from one or more shared measuring instruments shared by one or more users. Only reception is possible.

Brief Description of Drawings

FIG. 1 is a configuration diagram showing a system for using medical information of the present invention.

FIG. 2 is a flowchart showing a method of using the medical information use system of the present invention.

FIG. 3 is a diagram showing a cooperation system for using medical information according to the present invention.

FIG. 4 is a flowchart showing an operation method of the cooperation system of the present invention.

FIG. 5 is a diagram showing an example in which a personal facility according to one embodiment of the present invention is provided inside a hospital.

BEST MODE FOR CARRYING OUT THE INVENTION [0015] In an embodiment of the present invention, EBM (Evidence Based Medicine)!

Evidence Based Healthcare) is not only medical information handled by physicians or pharmacists, such as diagnosis and medicinal effects, but also information necessary for daily health management of the subject, such as blood glucose and blood pressure. It contains information on constitution, such as bone, bone density, and cholesterol level. It is also possible for the subject to easily perform health management by using the equipment (and Z or reagents; hereinafter referred to as “equipment, etc.”) to obtain medical information necessary for the health management of the subject. It is. The equipment used by the subject may be purchased individually by the subject, or may be temporarily rented by paying a usage fee without purchasing it. In particular, for expensive equipment, etc., management may be performed such that multiple subjects use the equipment in order. It goes without saying that equipment for managing health does not necessarily require reagents. In addition, the information necessary for health management can be significantly increased and accumulated with the daily use of the equipment, etc., but the above equipment, etc. must be used in order for the subject to perform daily health management. It is preferable to set up a personal facility or department where you can easily use.

Embodiments of the present invention will be described below with reference to the drawings.

(1) Configuration of Medical Information System of the Present Invention

Figure 1 shows a personal facility (or a department of a medical institution that allows a subject (hereinafter, also referred to as a `` user '') to pay a fee for equipment used by himself / herself and temporarily use it. Hereinafter, it is referred to as “facility etc.”). In FIG. 1, the number of personal facilities 1 is described as being one, but it is preferable to arrange them one by one in a predetermined area for the convenience of more users. This personal facility 1 is equipped with multiple types of testing equipment 2 for a large number of users. It is preferable that the types of the inspection equipment 2 be large. The user of the test device 2 can manage his or her medical information while operating the user terminal 3 to display information about the use. User terminal 3 can be used by registered users. When the user terminal is actually used, the user terminal is authenticated by inputting the user ID and user password, and the user terminal can be used. Can be used. Note that authentication by the user terminal 3 is performed by typing the keyboard. It can be performed by force, but is not limited to this, and may be performed by a card reader and a user's IC card, or by another personal identification method (for example, a known personal identification method such as a fingerprint or a glow).

[0017] All the inspection devices 2 are interconnected to the user terminal 3 and the data processing unit 4. Further, the data processing unit 4 is connected to all management devices or transmission / reception devices in the personal facility 1. The staff terminal 7 connected to the data processing unit 4 is a management terminal dedicated to the staff of the personal facility 1, which provides information on the health management of the user. The login to the staff terminal 7 is performed by inputting the staff ID and staff password of the staff. The method of recognizing the staff by the staff terminal 7 is the same as that of the user terminal 3, and is not limited to the typing input of the keyboard. In addition, staff members can continue to use staff terminals 7 by registering them, just like users. In addition, the personal facility 1 is provided with a data storage / reproduction unit 6, and stores personal information such as registration information of users of the personal facility 1, medical information data, and management information. The personal information and management information of the user may be stored in the data storage / reproduction unit 6 at a minimum, and may be collectively managed by, for example, a management center.

A part of the inspection device 2 may be a home device 9 that can be used at home or a portable device 10 that can be used outside. The home device 9 is connected to the personal facility 1 via a transceiver (not shown), and the portable device 10 is connected to the personal facility 1 via the transceiver 5. The connection between the home equipment 9 and the portable equipment 10 and the personal facility 1 may be wired or wireless and may be connected by any means that can be connected to the personal facility 1. . It is also desirable that the home device 9 or the portable device 10 be provided with both the function as the inspection device 2 and the function as the user terminal 3.

The data processing unit 4 can be further connected to the transmission / reception unit 12 of the public information facility 11 outside the personal facility 1 via a transmission / reception unit 8 by wire or wirelessly. The public information facility 11 includes a search database 15, a transmitting / receiving unit 12, and a terminal 14 for public information facilities. The transmission / reception unit 12 is for communicating with the personal facility 1. The terminal 14 is a terminal used by the staff of the public information facility 11 and the like, and its function is the same as that of the user terminal 3, so that the detailed description is omitted. In addition, the search database 15 This is a database for searching the public medical database 13 for desired information.

[0020] With the above configuration, the public information facility 11 searches various types of public medical databases 13 and associates a plurality of factors related to the disease state to create general correlation information, thereby obtaining personal correlation information. Provide information as required by Facility 1. The function of the public information facility 11 is preferably connected to the plurality of personal facilities 1 by a common wireless or wired line. Further, when the personal facility 1 is installed only in a specific facility such as a hospital, a university, a health center, or a public hall, the public information facility 11 may be installed in the same facility. . The location of the personal facility 1 is not limited to a specific facility.If communication is possible and personal information can be concealed, place it in a store that handles drugs or supplements, such as a pharmacy or a convenience store. It is preferable that a place that can be used by daily users without difficulty is placed in a plurality of stores or public facilities.

[0021] In the above example, it is preferable that a sufficient number of such facilities be provided so as not to hinder the operation of the power system described in the case where there is one personal facility 1.

In addition, it is preferable that the staff at the personal facility 1 be educated enough to interpret the test data for health management and give advice on the life of the user.

In addition, it is more preferable to design the system so that the reference values are calculated for each individual for all of the plurality of factors, and a warning is issued when the reference value of each factor is out of the standard.

FIG. 2 is a flowchart showing a use method of the use system of the present invention.

First, when the user uses the personal facility 1, the user is authenticated by the user terminal 3 (step Sl). The staff of the personal facility 1 is also recognized by the staff terminal 7 (step S2). Note that the order of step S1 and step S2 may be reversed even if they are reversed. If the user is correctly authenticated in step S1, the user can use the devices in the personal facility 1, and the user performs the inspection using the inspection device 2 (step S3). Then, monitoring of the inspection data is performed by the data processing unit 4 (step S4), and the inspection data is stored in the data storage / reproduction unit 6 (step S5).

Then, based on the test data stored in the data storage / reproduction unit 6, the staff of the personal facility 1 checks the test data (step S 6), and comments the evaluation on the test data with a comment. And return it to the user (step S7). Then, information exchange between the user and the staff is performed based on the inspection data and the evaluation of the staff (step S8). Then, when the use of the user is completed, all the authentications are released (step S9).

[0024] It is not necessary that all of the above steps be online, and some of them may be made to proceed by recording paper or real voice. In addition, if the user only needs to view his / her personal information or accumulate test data, the staff authentication process (Step S2), the check process (Step S6), It is preferable that the personal facility 1 can be used without performing the information adding step (Step S7) and the information exchanging step (Step S8). The browsing data may be statistically processed or may be data before processing, and it is preferable that the user can select a processing method and a display method as appropriate.

In addition, it is preferable that the staff perform the examinations that are usually performed and provide information on the examinations (or necessary examinations) that are preferably performed by the user. This information provision includes advice on the operation of each measuring device and terminal and how to read the information displayed on the terminal screen.

[0025] According to the medical information use system as described above, the health management information for each individual can be compiled into a database based on the stored test data groups of the individual users, so that optimal health management parameters for a plurality of health management parameters are obtained. Information about management can be obtained. In other words, a large number of users can always refer to their own, that is, their own, health management information at any time, so that health can be efficiently promoted. Furthermore, it is expected that users will continue to refer to their own test data to raise their awareness of health promotion. In addition, multiple users gathering in a personal facility can communicate with each other based on a common sense of consciousness, and can perform tests in a relaxed mental state. In addition, by linking with public information facilities that search information in various public databases, it is possible to create optimal medical information for each individual while incorporating the latest medical information. In addition, it is preferable to link personal facilities with other similar facilities. Here, as similar facilities, public facilities in which an unspecified number of individuals can freely enter and exit are preferred, such as sports centers, accommodation facilities, franchise retail stores, banks, post offices, and public halls. No. In addition, by providing test data or the contents of a personal database of a user who has fallen into a condition that cannot be handled at a personal facility to advanced medical facilities such as hospitals, medical universities, and medical research institutes, the optimal Contributes to the promotion of diagnosis and treatment.

FIG. 3 is a diagram showing a cooperation system for using medical information according to the present invention. Many private facilities 1 in Fig. 1 (three places in the figure) are set up, and one of them (facility 1 on the left side of the figure) includes operation of other branches (two personal facilities 1 on the right side of the figure). (In the following, the personal facility 1 that performs the headquarters function is referred to as the “headquarters”). In FIG. 3, the reception unit 20, a plurality of medical offices 21, an etiology analysis room 22, and an information development room 23 are described as being outside the headquarters. It has a reception unit 20, a plurality of medical offices 21, an etiology analysis room 22, and an information development room 23. The etiology analysis room 22 and the clinic room 21 share a dedicated electronic medical record server 25 that converts the medical information of the system user into an electronic medical record. Has become. The information development room 23 uses the analysis engine 26 to create, from the public database, information useful for the etiology analysis in the etiology analysis room 22 and the evaluation of individual-specific biological changes in personal facilities, using the analysis engine 26, and transmits it to various locations. I do. In the personal facility 1, a plurality of user terminals 3 are installed so that useful information provided by the information development room can be browsed at any time. Here, the pathogenesis analysis room 22 may not be provided independently and may be performed by a doctor as part of medical treatment. Further, it may have only a function as a mere database. In this case, for example, the doctor may look at the monitoring results and use it as a search database to analyze the true etiology, or consult or consult with the user or another doctor at the time of medical treatment, etc. You may try to analyze the pathogenesis!

[0027] Further, various kinds of daily inspection information sent from the personal facility 1 may be directed to the server 25 without passing through the information development room. Even in this case, the raw data stored in the server 25 can be analyzed by the etiology analysis room 22. The information from the facility 1 and the medical record information in the server 25 are stored in the server 25 in association with each user.

[0028] In the present specification, "biological information" refers to biological information obtained from various types of inspection equipment installed in a personal facility, or a public medical information obtained from a terminal installed in a public information facility. It includes information from the medical treatment DB and clinical biological information obtained from medical consultations. Also living organism A “biological sample test” to obtain relevant information is essentially a biological reaction between a biological sample such as cells, proteins, etc. contained in blood, saliva, urine, or biological tissue, and a corresponding reagent. This is the required inspection. That is, there is no test information that can be associated with an individual's biological type, such as genetic information (for example, SNP gene) obtained by genetic reagents containing nucleic acids such as DNA and RNA. As described above, standard health information can be provided based on the fluctuation data for each measurement date obtained from the sample test. Furthermore, even if there is no test information such as enzyme activity, antibody amount, and antigen activity as a result of the reaction with the corresponding biochemical reagent or immunological reagent, even if there is no The increase or decrease in health can be evaluated based on the results. In some cases, biospecimen testing may include standard, absolute or relative changes in health based on health-related information that can change on a daily basis (such as temperature, blood pressure, blood glucose, body weight, vital capacity, and vision). It may be performed to assist. However, it is preferable to grasp the tendency of diseases that are likely to be caused by genetic information, and prepare test menus according to the tendency to use for daily health management and prevention of lifestyle-related diseases.

[0029] In health care, test items that require continuous monitoring include weight, blood pressure, body temperature, autonomic nervous system, body balance (central sway, lower limb load, walking stability), expiration (spirometry, Odor), excretion components, and blood glucose levels (with personal equipment and low-spec equipment that is acceptable for use at home). In the present invention, in addition to the above-described test items, all test items that can be health managed by continuous monitoring are targeted. Some of the biochemical test parameters that require the collection of biological samples (eg, enzyme activity, holmon concentration, blood glucose levels (with advanced spec equipment intended for use in laboratories or hospitals)) Some of the hematological test items (eg, hemoglobin concentration, white blood cell count, blood image), some of the immunological test items (eg, antiglobulin concentration, drug sensitivity), and one of the genetic tests There is also a need for continuous monitoring of some test items (eg, specific gene expression level, chromosome damage level). Preferably, the purpose of the present invention is maximized in a test item that is performed by a painless or minimally invasive test device that does not use a device with physical distress such as a syringe or a catheter.

[0030] One of the user terminals is a staff terminal operated by a staff member providing guidance on health promotion. It is connected and can transmit and receive biological information. Doctors of the same or different specialties are resident in multiple clinics, and doctor terminals 7 and user terminals 3 among staff terminals are connected one-to-one. The system is shut off so that each terminal in the personal facility 1 cannot transmit / receive to / from any terminal in the headquarters except for the reception unit 20. The Information Development Office will only receive information when inquired or provided by the Personal Facility 1 (also referred to as a “selfcare station” or “health station”) or the etiology analysis room 22. Other than that, the public database is always transmitting useful information that can be obtained using the analysis engine to health stations. A large number of user terminals 3 installed at the health station can display medical information useful for personal health management at any time, so that users can learn and exchange information with each other. It has the meaning of urging an information provider who is a staff member of personal facility 1 (also referred to as a “health nurse” or “health information nurse”) to request information provision. The etiology analysis room 22 checks the presence or absence of abnormal fluctuations in various reference values unique to the individual based on the test data of daily biological information temporarily disclosed by the user, and determines by the doctor. Monitor and evaluate changes in biological information caused by prescription drugs. The results of the checks and monitoring obtained in the etiology analysis room 22 are diagnosed by the doctor (or nurse) in the clinic about the true etiology, and the user can receive daily advice and treatment that suits him / her. it can. As described above, the etiology analysis room 22 has a close relationship with the medical office 21 and the information development room 23, and provides useful information from the public database 13 (medical database 13) provided by the information development room 23 and dedicated servers. It has a function to strongly support the medical treatment of doctors based on electronic medical record information from. In all departments except the Information Development Room 23, staff and doctors and users perform various types of information processing via terminals, and all these terminals are portable storage media with authentication functions such as IC chips. The security card 50 is installed and removed. The portable storage medium may be a stick-shaped storage medium or a non-contact type storage medium. The security card 50 also serves as a certificate for certifying that the user is a system user. Only the security card 50 for the user has a storage area capable of storing the contents of examination, medical treatment, and health promotion guidance of the biological information obtained by the system. Such a security card 50 has a personal identification in the IC chip of the user who is the card owner. By storing and carrying information and biometric information, there is an advantage that personal identification information and biometric information are not released from all terminals in the headquarters and security cards 50 of all staff members. The user displays the information in the card on the display screen of the staff terminal only when the card reader 55 reads the IC card 50 worn by the user and authenticates the user in each terminal of the medical office 21 or the etiology analysis room 22. It can be displayed. Here, it is preferable to prevent the display content from being stolen by limiting the authentication period to a certain time or only the use time of the terminal. The display can be released at any time by removing the portable storage medium or by turning off the authentication state.

FIG. 4 is a flowchart for operating the cooperation system for using medical information according to the present invention.

This cooperative system repeats the cycle of reception or clinic A or clinic B → daily inspection at a personal facility → medical care → etiological analysis → medical treatment (treatment) → daily testing at a personal facility. It is a mechanism to ensure that secondary prevention of lifestyle-related diseases can be implemented.

[0032] According to the flowchart of Fig. 4, first, the user performs the reception (step S11), and depending on whether to perform medical treatment or perform a daily examination, the user enters the medical office or the personal facility. go. If this is the first reception, you will be treated. Here, when performing medical treatment, the user goes to the medical office (step S13) and receives medical treatment by a doctor. The physician conducts medical treatment based on the results of daily tests (step S14), and if it is determined that the etiology needs to be analyzed as a result of the medical treatment (YES in step S15), the data is sent to the etiology analysis room. Then, the etiology is analyzed in the etiology analysis room (step S17). In step SI6, as mentioned above, in a case where the etiology analysis can be performed by a doctor who is in charge of the etiology analysis, the etiology analysis room serves as a database. If the doctor determines in step S15 that the etiology analysis is not necessary, the process is terminated and the situation is monitored until the next reception.

[0033] When performing a daily inspection in step S11, the user goes to a personal facility (step S18) and performs a daily inspection (step S19). Information about the results of the inspection at the personal facility is provided to the user by the staff who is the information provider (step (S20) _o According to the content of this information provision, the user determines whether it is necessary to perform medical treatment by a doctor earlier than planned, and by re-accepting (S11), the user can receive medical treatment by a doctor in the medical office. It is good to see the situation as it is, the ability to see the situation until the next reception, or to measure the number of times scheduled, or to repeat only the measurement at the personal facility until the number of days has passed. As described above, according to the present system, information can be provided according to the test result, so that health can be improved on a daily basis.

FIG. 5 is a diagram showing an example in which a personal facility according to one embodiment of the present invention is provided inside a hospital. In Fig. 5, the user's power is received at the reception counter provided near the entrance. In this case, the user selects whether to perform a daily examination, a doctor's ability to perform medical treatment, or both, and receives a desired examination or medical treatment. When performing medical treatment, as in a normal clinic or hospital, a doctor consults the doctor and if necessary, receives necessary treatment in the treatment room.

[0035] When the user desires a daily test, he enters an empty measurement room, performs a desired test, and receives information on the result from a health information specialist in the health information room. Based on this information, the user can choose whether to continue only routine tests or to consult a physician. In addition, a laboratory technician is on standby near the measurement room, and provides appropriate guidance and assistance on how to use the measurement equipment according to the user's questions. With such a configuration, it is possible to keep the cooperation between the personal facility and the doctor smooth. If a medical institution does not have a personal facility in this way, depending on the health condition and physical condition, the personal facility related to the examination (whether or not the facility is located in a medical institution, whether there is a medical institution nearby, etc.) If you select "), you will be able to respond immediately when something is wrong.

According to the cooperation system for using medical information as described above, it is possible to directly and promptly respond to individual users, which cannot be performed by telemedicine, at each medical-related facility. In addition, means for maintaining both security and privacy protection, such as an IC card, can be applied evenly to the entire system, so that various decision flows can be carried out using only the information in the IC chip, and leakage of personal information. Is prevented as much as possible. In addition, various medical institutions are located in the same facility or on the same premises, and reception Power Since all health management and medical treatment can be unified, users can avoid inconvenience of transportation and enjoy an accounting system that is economically advantageous. Furthermore, since all necessary medical institutions are systemized in a communication environment that is isolated from the outside, much more security can be maintained compared to geographically widespread cooperative systems such as telemedicine.

[0037] The present invention is not limited to the above-described various examples, and various modifications can be made based on the essential concept of the present invention. For example, all information provided in the distribution according to the present invention may use one or more of the Internet, a LAN, a satellite line, a telephone line, or the like as a network. As for information to be distributed, any confidential information such as personal information relating to the privacy of patients or specimens and attribute information that can be used specially such as ethnicity, religion, and family history is appropriately changed from distribution information. By removing, deleting, masking, encrypting, dumming, and the like, the information may be partially distributed and specially sized to include the required data and distributed.

[0038] In addition, in the case of complying with appropriate international regulations such as import / export provisions through procedures such as registration, any organization in any location, domestic or overseas, can participate in the distribution method. Therefore, the nationality of each of the medical labs, information management institutions, and research institutes for drug discovery is arbitrary. Combinations). In addition, even if they are the same type of organization or related organizations, if they meet the same purpose, a combination of institutions of different nationalities (e.g., medical care in the country of origin of the infectious disease and the country of import / export / import) A combination of laboratories). Further, based on the gist of the present invention, in addition to the above-mentioned various organizations, a third organization such as support, contracting, and branch offices may further intervene, and in some cases, the provider of the medical information may be provided. It may be an agent such as an individual patient or their family. Further, according to the gist of the present invention, the present invention provides software, a program, and a program for controlling each means for executing various functions on a network used for the above-described method of distributing medical information. It is a medium that stores or codes these software or programs (magneto-optical disks, electronic programs).

The following inventions can be extracted from the above embodiments. Each of the following inventions may be applied independently, or may be applied in appropriate combinations. [0040] The medical information utilization system according to one aspect of the present invention includes a plurality of examination devices, a user terminal connected to the examination devices and used by a user, and a user acquired by the examination devices. And a data storage / reproduction unit for storing the inspection data of the present invention, wherein the user terminal can browse the history of the inspection data for each user stored in the data storage / reproduction unit.

[0041] In the above medical information utilization system,

(1) It further comprises a staff terminal for presenting the history of the test data of a given user to an information provider who provides information provision to the health management of the user, and according to the history of the test data, provides the user with a health management service. Perform processing to provide information.

(2) A home device or a portable device having at least the function of an inspection device must be able to communicate via the transmission / reception unit. Here, home devices and portable devices must also have the functions of user terminals.

(3) Personal facilities must be able to communicate with public information facilities and other personal facilities, and exchange data with each other. Here, public information facilities shall be equipped with terminals and a search database. In addition, public information facilities must be able to access multiple external medical databases based on the information in the search database.

Is preferred.

[0042] The medical information use method according to one aspect of the present invention is a medical information use method applied to a system that uses medical information for each user, the step of registering the user in the system in advance, Acquiring the test data of the user registered in the system and storing the test data for each user, so that the user can browse the stored test data of the user himself / herself. It is characterized.

[0043] The cooperation system for using medical information according to one aspect of the present invention includes a plurality of medical-related facilities for obtaining a plurality of different biological-related information, a common reception unit for the medical-related facilities, A plurality of terminals installed in medical facilities and capable of exchanging information within an allowable range with each other, and capable of reciprocating between any two facilities for users of the facilities in the medical facilities. In addition to being located in the service area, the plurality of terminals can communicate with each other in the service area in a communication environment that is cut off from outside the service area. It is characterized by that.

[0044] In the above-mentioned medical information utilization cooperation system,

(1) The range in which multiple terminals can communicate is limited according to the type of biological information acquired by the medical facility to which they belong.

(2) A number of medical-related facilities must search for at least one personal facility for examining individual ecological information of users, at least one medical facility for medical treatment, and search for etiology based on biometric information of users. Any combination of two or more at least one etiological analysis facility to be performed.

Is preferred.

[0045] Another cooperative system for using medical information according to one aspect of the present invention performs health management through daily inspections using inspection devices arranged at a plurality of inspection facilities, and periodically or abnormally due to the daily inspection. If it occurs, the doctor receives medical treatment based on the results of the daily inspection. In this case, it is preferable to set the test content based on the genetic information using the genetic information.

[0046] The medical facility according to one aspect of the present invention includes a plurality of medical institutions for performing examinations and medical care of a user, and a shared room in which a plurality of shared measuring devices for performing the daily examination of the user are arranged. And a management position for managing a destination to at least one of the medical institution and the shared room. Such a management position is preferably provided on a server capable of two-way communication with a terminal in a medical institution. By providing an administrative position, the location of each user can be grasped in real time, the health condition can be centrally managed, and the desired user can be contacted and called accurately.

[0047] The remote medical care system according to one aspect of the present invention includes: a first communication unit that communicably connects one or more medical treatment rooms and a plurality of remote measurement rooms including one or more shared measurement devices; A second communication means for communicatively connecting one or more consulting rooms and one or more remote information providing rooms having medical data sources effective for health promotion is provided.

According to the present invention, a database of health management information for each individual can be created based on the stored test data groups of the individual users. Therefore, it is possible to obtain information on optimal health management for a plurality of health management parameters. In other words, many users However, each individual can refer to their own health management information at any time, and can improve their health efficiently.

[0049] Further, according to the present invention, the concept of majority or minority is eliminated, and the present invention can be applied to preventive medicine in which various disease states are prevented from developing or becoming serious after the onset. is there.

When the present invention is compared with the conventional business without a health management system, there are the following new specific advantages.

(1) Economic benefits: The set of test items for health care prepared by medical institutions in advance is too large or too detailed for some test items. On the other hand, the present invention is economically very appropriate because it is possible to obtain inspection results corresponding to desired inspection items and specifications for each user.

(2) Enrichment of test results: Medical examination equipment used in medical institutions is limited to test items that are measured only for a specified period (for example, one to several times a year). On the other hand, the present invention aims to conduct health management based on bio-related information that can fluctuate on a daily basis. The equipment for measuring is prepared for sharing. Therefore, sufficient test items can be selected in daily health care.

(3) High quality of health management: Test items for health care performed by medical institutions and those for health care performed at private facilities specialized in health care are managed and comprehensively analyzed so that they can be linked. Not. In the present invention, the medical institution and the personal facility are in a communication environment in which they can cooperate. Preferably, information development or etiological analysis is performed to provide information that can be used by the medical institution for each user. It can be carried out. On the other hand, since health management is performed using individual reference values, average values, or fluctuation patterns based on daily fluctuation data for each user, truly accurate health promotion can be achieved for each individual.

[0051] The present invention is not limited to the above embodiments, and various modifications can be made in the implementation stage without departing from the spirit of the invention. Furthermore, the above embodiments include inventions at various stages, and various inventions can be extracted by appropriately combining a plurality of disclosed constituent features.

[0052] For example, all the constituent requirements shown in each embodiment are also deleted from the configuration. However, if the problems described in the section of the problem to be solved by the invention can be solved and the effects described in the effects of the invention can be obtained, the configuration from which this configuration requirement is deleted is extracted as the invention. Can be done.

Industrial applicability

The present invention relates to the effective use of medical information related to personal health 'related system

Claims

The scope of the claims

[1] A plurality of medical-related facilities for obtaining a plurality of different bio-related information, a reception unit common to the medical-related facilities, and information installed in each medical-related facility and within a mutually allowable range. A plurality of exchangeable terminals,

In the plurality of medical-related facilities, any two medical-related facilities for a user of the facility are arranged in an operable area in which the user can reciprocate, and the plurality of terminals are located outside the operable area in the operable area. A communication system using medical information, characterized by being able to communicate with each other in a communication environment in which communication is blocked.

[2] The medical information utilization cooperation system according to claim 1, wherein the plurality of terminals limit a communicable range according to a type of living body related information acquired by a medical facility to which the terminal belongs. Cooperation system of medical information use.

[3] In the medical information use linking system according to claim 1, the plurality of medical-related facilities include at least one personal facility for examining individual user's ecological information and at least one medical facility for performing medical treatment. A medical information utilization coordination system, characterized by a combination of two or more medical facilities and at least one pathological analysis facility that searches for the etiology based on the biological information of the user.

[4] multiple medical institutions that perform user consultations and medical treatments,

A common room in which a plurality of common measuring instruments are arranged for performing the user's daily inspection,

A medical facility comprising: a management position for managing a destination to at least one of the medical institution and the shared room.

[5] The medical facility according to claim 4, wherein each of the plurality of shared measuring devices includes an individual authentication unit.

6. The medical facility according to claim 4, wherein each of the medical institution and the common room is provided with one or more communicable terminals provided with individual authentication means.

[7] a first communication means for communicably connecting one or more medical institutions and a plurality of remote measurement rooms having one or more shared measurement devices,

One or more remote offices with one or more clinics and effective medical data sources A second communication means for communicably connecting the database to a database.

[8] Health management is carried out by daily inspections using inspection equipment located at a plurality of inspection facilities, and when an abnormality occurs regularly or when the above-mentioned daily inspections occur, medical treatment by a physician based on the results of the above-mentioned daily inspections is performed. A medical information use cooperation system characterized by receiving.

[9] The medical information utilization cooperation system according to claim 8, wherein the genetic information is used to set a test content based on the genetic information.

[10] A server capable of two-way communication with one medical institution, characterized by being able to receive in one direction only one or more shared measuring instruments shared by one or more users Server.

11. The server according to claim 10, wherein the server stores medical chart information for a plurality of users for each user, and associates test information received from a shared measuring instrument with the chart information for each user. A server characterized by storing.