WO2005122033A1 - Appareil d’information totale médicale et système d’information totale médicale - Google Patents

Appareil d’information totale médicale et système d’information totale médicale Download PDF

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Publication number
WO2005122033A1
WO2005122033A1 PCT/JP2005/010488 JP2005010488W WO2005122033A1 WO 2005122033 A1 WO2005122033 A1 WO 2005122033A1 JP 2005010488 W JP2005010488 W JP 2005010488W WO 2005122033 A1 WO2005122033 A1 WO 2005122033A1
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Prior art keywords
medical
information
patient
data
time
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PCT/JP2005/010488
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English (en)
Japanese (ja)
Inventor
Yuki Kitaoka
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Intellectual Property Bank Corp.
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Priority to JP2006514541A priority Critical patent/JPWO2005122033A1/ja
Publication of WO2005122033A1 publication Critical patent/WO2005122033A1/fr

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16B—BIOINFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR GENETIC OR PROTEIN-RELATED DATA PROCESSING IN COMPUTATIONAL MOLECULAR BIOLOGY
    • G16B50/00—ICT programming tools or database systems specially adapted for bioinformatics
    • G16B50/30—Data warehousing; Computing architectures
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16B—BIOINFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR GENETIC OR PROTEIN-RELATED DATA PROCESSING IN COMPUTATIONAL MOLECULAR BIOLOGY
    • G16B20/00—ICT specially adapted for functional genomics or proteomics, e.g. genotype-phenotype associations
    • G16B20/20—Allele or variant detection, e.g. single nucleotide polymorphism [SNP] detection
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16B—BIOINFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR GENETIC OR PROTEIN-RELATED DATA PROCESSING IN COMPUTATIONAL MOLECULAR BIOLOGY
    • G16B20/00—ICT specially adapted for functional genomics or proteomics, e.g. genotype-phenotype associations
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16B—BIOINFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR GENETIC OR PROTEIN-RELATED DATA PROCESSING IN COMPUTATIONAL MOLECULAR BIOLOGY
    • G16B50/00—ICT programming tools or database systems specially adapted for bioinformatics

Definitions

  • the present invention is a medical information system used in hospitals and clinics, and integrates an electronic medical device, a medical accounting system, medical measurement, a patient diary, and the like, so that anyone can access medical information on a patient anytime and anywhere. It relates to a system that can be used with peace of mind, and presents measures to be taken for individual patients based on accumulated medical information.
  • a part of the present invention is a system for accumulating and analyzing vital information on an individual's human body.
  • the storage of huge amounts of data like a warehouse is called a “data warehouse,” and the collection of data and analysis of more information is called “data mining.”
  • data warehouse The storage of huge amounts of data like a warehouse
  • data mining the collection of data and analysis of more information.
  • it can be described as a system that obtains medical knowledge or medical rules by data mining the accumulated information.
  • vitamin information is generally data of a human body's pulse, body temperature, and blood pressure.
  • the pulse, body temperature, and blood pressure data of the human body are time-series data. In other words, it is a series of values that are regularly collected at certain time intervals. The time at which this information was collected is also important information, and the “vital information” here always uniquely defines the time at which the information occurred and is associated with the time at which it occurred .
  • Patent Literature 1 Patent No. 30834605 discloses that when performing a medical practice in multiple places, even if the place where the medical practice is performed on the patient changes, the patient's condition can be grasped continuously and in chronological order. It is a patient information analysis management system that enables it.
  • Patent Literature 2 Patent No. 3100777 improves the processing efficiency of huge medical data, and holds diagnosis information, treatment content and examination information history for each patient, and setting condition information for displaying these information. In addition to inputting the database, diagnosis information, treatment content and examination information for each patient into the database, various kinds of patient information held in this database are extracted. This is a diagnostic support device for hospitals that can be easily used by anyone and can provide effective diagnostic support.
  • Patent Document 25 Japanese Patent Application Laid-Open No. 2005-78183 discloses that information in a database can be rewritten from a hospital terminal in order to centrally manage medical information used by a plurality of institutions.
  • Patent Document 26 JP 2005-107919 discloses a terminal installed at a plurality of patient homes in a specific area, a terminal of a clinic, a terminal of a traveling doctor, and a management server, and connected to the Internet to transmit and receive personal information. And can communicate.
  • Patent Document 1 Patent No. 3083465
  • “multiple locations” is a level of a plurality of treatment rooms, and a network for information exchange is also an image of a local area in a hospital. Can be easily extended to a large area that is spatially separated.
  • Patent Document 3 Patent No. 3493847
  • a patient present at an arbitrary place in the nation can use a remote medical service with a high degree of patient satisfaction without relying on that place, and medical-related services other than medical care. It is possible to realize a wide-area medical service system that can receive services, and it is easy to realize patient information analysis management and diagnosis support of patent documents:!
  • Patent Document 4 Japanese Patent Application Laid-Open No. 2003-076789
  • Patent Document 4 Japanese Patent Application Laid-Open No. 2003-076789
  • a hospital medical information system installed in a hospital to transfer a medical record of the patient himself / herself using a mobile phone (mobile phone).
  • mobile phone mobile phone
  • a system has been proposed.
  • the disclosure of information by the patient himself is important in preventing leakage of personal information.
  • Such information security technologies are also being established.
  • Patent Document 16 a mechanism for collecting vital data in the form of self-collecting blood is disclosed in Patent Document 16, and personal vital information (including actual blood and the like) requiring confidentiality including such a blood test sample is disclosed.
  • Patent Literature 17 discloses a service mechanism for sending a medical device to an expert or the like via mail or a communication network, and performing infection and other health checks based on the information. In such a system, it is practically important to establish a security law to prevent leakage of personal information.
  • Patent Document 4 Japanese Patent Application Laid-Open No. 2003-076789 exemplifies the use of a mobile phone.
  • Japanese Patent Application Laid-Open No. 2003-076789 Japanese Patent Application Laid-Open No. 2003-076789
  • Patent Document 4 Japanese Patent Application Laid-Open No. 2003-076789
  • a computerized medical remuneration statement, called a claim computer system which is the core of the medical accounting system, is becoming more and more popular.
  • [Patent Document 18] Japanese Patent Application Laid-Open No. 2003-122843
  • [Patent Document 22] Japanese Patent Application Laid-Open No. 2004-326358
  • the technology of [Patent Document 18] is to mark electronic medical records linked to the medical accounting system to determine whether medical treatment was performed by multiple departments on the same day, to determine whether a doctor is on a non-workout 'holiday' or at midnight, etc. It is possible to prevent over-billing and omission of bills by making a judgment at the first consultation.
  • Patent Literature 22 causes an omission of accounting by linking an electronic medical record with a medical accounting system and selecting items necessary for an electronic medical record on a medical support system, especially when a document such as a medical certificate is created. This is an invention for preventing such a situation.
  • Patent Document 19 (Patent 3074769) relates to a technique for recording and complementing a patient's medical examination state on a digital medical record with a television camera.
  • the electronic medical records were connected to a television camera that captures video images of patients, they were not connected to other medical measurement equipment.
  • Patent Document 6 Japanese Patent Application Laid-Open No. 2001-353130 discloses that a wearable sensor for detecting body temperature, pulse, body fat, and sweating amount is provided on a hook portion formed to be able to be locked to an auricle, and each sensor detection signal is provided. Is transmitted by wireless transmission means. This transmission information can be received remotely to make a remote diagnosis.
  • Patent Document 7 Japanese Patent Application Laid-Open No. 2004-008573
  • the noise data is transmitted from a sensor worn on the user's arm to a terminal of a specialist such as a physician in a remote place via a communication line via a user terminal.
  • Arm movement data can also be used as part of vital data to diagnose health conditions.
  • Patent Document 8 Japanese Patent Application Laid-Open No. 2004-008573
  • Patent Document 8 Japanese Patent Application Laid-Open No. 2004-008573
  • Patent Document 8 Japanese Patent Application Laid-Open No. 2004-008573
  • Patent Document 8 Japanese Unexamined Patent Application Publication No. 09-322882
  • Patent Document 11 Japanese Unexamined Patent Application Publication No. 09-322882 also provides a remote health checkup mechanism, in which a questionnaire and auscultation can be incorporated into a presentation program, and a health-related data collection device that can quickly manage according to changes in health. Is described.
  • the mounting position of the wearable sensor is determined by the ear part disclosed in Patent Document 4 (Japanese Patent Application Laid-Open No. 2003-076789) and the arm or wrist (wrist part) disclosed in Patent Document 7 (Japanese Patent Application Laid-Open No. 2004-008573). It is not limited to.
  • Patent Document 9 Japanese Unexamined Patent Application Publication No. 2003-290155
  • both a wearable biological information measuring device that can be mounted on an arbitrary part and a biological information measuring device that is installed on the environment side are linked to record the biological information of a user. In this way, we will propose a mechanism to provide more advanced biological information measurement and provide health management services that reduce the burden on users.
  • Patent Document 10 Japanese Patent Application Laid-Open No. 09-271466
  • a wearable sensor electric potential sensor of an electrocardiogram
  • an adsorber is provided so as to be attached to an arbitrary portion.
  • remote medical examination technology it is possible to obtain “locally expanded” vital information that could not be detected by conventional medical examinations, such as left and right imbalance of body surface temperature and day / night imbalance of pulse. Anomalies and “time-expanded” vital information abnormalities can also be checked and detected by remote experts as digital data. Of course, you can also view the recorded data yourself and detect it.
  • Patent Document 28 Japanese Patent Application Laid-Open No. 2004-326436 measures heart rate, blood pressure, body temperature, body weight, body fat, expiration components, urine sugar, etc. from a health management device, and uses a host server via the Internet or the like. First, information is accumulated, and the patient's findings and corresponding measures are transmitted. However, this invention does not allow doctors, nurses, users, etc. to view or write by setting multiple levels of access rights to protect personal information.
  • Patent Document 29 Japanese Patent Application Laid-Open No. 2004-358052 measures vital data such as blood pressure, pulse, body temperature, blood sugar level, triglyceride level, and cholesterol level, and transmits the data via wireless, wired, or network. It can be sent to the server, and the server can register the vital value by the program in advance and analyze whether it is out of the normal range or not. However, it is only a judgment of whether or not an individual's vital value is normal, and does not find any medical law that statistically derives the difference in efficacy between regions, genders, and ethnic groups, or the effect.
  • Patent Document 21 (USP5772585) is a network-connected electronic medical record that can manage doctors' appointments, input and output medical information, update diagnostic results rules, display allergy information, lifestyle habits and family medical history, etc. And manage vital data. It is only a judgment of whether the individual's vital value is normal or not, and does not find any medical law such as statistically deriving differences between regions, genders, ethnic groups, or medicinal effects.
  • Patent Literature 29 and [Patent Literature 21] relate only to personal health as measured from measured vital data. That is, the first conceivable method is to record in advance a numerical value and a width which are said to be normal on the server, and determine whether or not the measured value deviates from a normal region. Next, it is conceivable to register criteria such as age and gender for setting the normal area. In addition, it is easy to register conditions such as exercise or rest. These are all just judgments of the individual's health that are being measured.
  • data mining refers to accumulating data and analyzing more information
  • data warehouse refers to the accumulation of huge amounts of data like a warehouse.
  • Patent Document 5 Japanese Patent Application Laid-Open No. 2000-181981 is a medical data analysis system capable of associating records of various data tables based on a time axis, and a data extraction method using the same. It has a time range database to point to relevant records on a time axis basis. In addition, by using the time range database, the association between a disease that is not related in the medical care database and the treatment means, or the association between the disease or treatment means and the observation data is given on a time axis basis, and the disease unit or treatment means is assigned. Unit data extraction can be performed.
  • Patent Document 12 Japanese Patent Laid-Open No. 2001-357047 discloses a method of providing personal information using a personal data warehouse that centrally manages personal information distributed in various places and provides the individual in the form of electronic data. A law is disclosed. Of course, personal information includes personal vital data, and a mechanism has been proposed to prevent data leakage from the viewpoint of information security. Such information security technology will be extremely important in the future.
  • Patent Document 20 (Patent No. 3342474) secures security to support the management of medical institutions, and then compares and analyzes actual information such as receipt information in its own hospital with other information. It provides a task extraction and action plan for improving operational efficiency.
  • Patent Document 23 Japanese Patent Application Laid-Open No. 2004-287774. is capable of extracting items to be referred to in medical treatment information by performing member authentication.
  • Patent Document 24 Japanese Patent Application Laid-Open No. 2005-115917
  • Patent Document 27 Japanese Patent Application Laid-Open Publication No. 2004-344314
  • Patent Document 13 Japanese Translation of PCT International Publication No. 2003-526133 proposes a computer system for mining (exploratory discovery) and managing experimental operations on gene expression levels. Here, it would be easy to replace the mining target with personal vital data rather than performing experimental operations. It would also be easy to mine a combination of genetic information and personal vital data. It is useful to collect vast amounts of expression data from large numbers of samples. There is a strong need for techniques to efficiently mine expression data and find relevant items (information categories) in order to extract sufficient benefits from the collection and storage costs of vital data.
  • SNP Single nucleotide polymorphism
  • Non-patent document 1 (Nikkei Biobusiness, November 2003) reports that screening (data mining) for determining the genetic risk of heart disease was possible using blood data and SNP.
  • Non-Patent Document 1 states that bioinformatics has been introduced in the field of clinical medicine in order to ⁇ know the true cause of disease, '' It states that various factors can be understood, and it is possible to discover hypotheses that contradict conventional wisdom. It also proposes a new diagnostic and therapeutic methodology called clinical bioinformatics (clinical bioinformatics) and describes its potential.
  • clinical bioinformatics clinical bioinformatics
  • personal vital data is a further expansion of the information sources handled by clinical bioinformatics. Now that the gene sequence has been clarified, it is possible to discover useful knowledge from the correlation between the gene sequence and personal vital data.
  • Patent Document 14 Japanese Patent Application Laid-Open No. 2004-5588
  • Patent Document 15 Japanese Patent Application Laid-Open No. 2002-245175 are cited in the section of industrial applicability.
  • Patent Document 1 Patent No. 3083465 “Patient Information Analysis Management System and Method” Fukuda Electronics Co., Ltd.
  • Patent Document 2 Patent No. 3100777 ⁇ Hospital Diagnostic Support Device '' Toshiba Corporation
  • Patent Document 3 Patent No. 3493847 "Wide-area medical information system” Hitachi, Ltd.
  • Patent document 4 JP-A-2003-076789 "Electronic medical record system using mobile phone” Fujitsu Limited
  • Patent Document 5 Japanese Patent Application Laid-Open No. 2000-181981, "Medical Data Analysis System and Data Extraction Method Using It", IBM Japan, Ltd., President, National Cancer Center
  • Patent Document 6 Japanese Patent Application Laid-Open No. 2001-353130 "Information Detecting Body for Acquiring Physical Information” Zexel Valeo climate Controller
  • Patent Document 7 Japanese Patent Application Laid-Open No. 2004-008573, "Remote Health Diagnosis Apparatus, Diagnosis Method Thereof, and Remote Health Diagnosis Program” Seiko Instruments Inc., Synergies Co., Ltd.
  • Patent Document 8 US Patent No. 5633910 " ⁇ utpatient monitoring system” COHEN KOPEL H (US)
  • Patent Document 9 Japanese Patent Application Laid-Open No. 2003-290155 "Life support system and life support device” Toshiba
  • Patent Document 10 Japanese Patent Application Laid-Open No. 09-271466, "Biological Information Collection Device and Biological Information Processing System” Nippon System House Co., Ltd.
  • Patent Document 11 Japanese Patent Application Laid-Open No. 09-322882, "Body-Wearing Health Information Collection Device” Hitachi, Ltd.
  • Patent Document 12 Japanese Patent Application Laid-Open No. 2001-357047 "Method for Providing Personal Information Using Personal Data Warehouse” NEC Corporation
  • Patent Document 13 Japanese Translation of PCT International Publication No. 2003-526133, “Expression Data Mining 'Method and Apparatus for Providing Database and Laboratory Information Management'” Affimetrics' Incorporated
  • Patent Document 14 Japanese Patent Application Laid-open No. 2004-5588 A system for processing financial and invoice data related to Luscare and a method for processing financial data related to Luscare for patients ”Siemens Medicanore Solutions, Health Services Inc.
  • Patent Document 15 JP-A-2002-24515 "Hospital Information Analysis Support System” Hitachi, Ltd.
  • Patent Document 16 Japanese Patent Application Laid-Open No. 2001-321364 ⁇ Blood collection / separation device and serum collection method by self blood collection ''
  • Patent Document 17 Japanese Patent Application Laid-Open No. 2001-229294 "Health Advice Method and Health Advice System"
  • Patent Document 18 Toshiba; JP 2003-122843 "Medical Accounting Processing Method and Medical Accounting System” Patent Document 19: Hitachi, Ltd. Patent 3074769 "Medical Information System”
  • Patent Document 20 Sanyo Electric
  • Patent 3342474 Management support system for medical institutions and method of providing management support information to medical institutions
  • Patent Document 22 Japanese Patent Application Laid-Open No. 2004-326358 "Medical Assistance System and Program for Medical Assistance System Used in This System” Mitsubishi Electric Information Systems Co., Ltd.
  • Patent Document 23 Japanese Patent Application Laid-Open No. 2004-287774 "Medical Information Management System, Method and Method”program" Fuji Photo Film Co., Ltd.
  • Patent Document 24 Japanese Patent Application Laid-Open No. 2005-115917 "Medical Information System and Medical Information Providing Method for Protecting Personal Information and Supporting Medical Research” Samsung Electronics Co., Ltd.
  • Patent Document 25 Japanese Patent Application Laid-Open No. 2005-78183, "Medical Information Management System” Konica Minolta MG, Inc.
  • Patent Document 26 Japanese Patent Application Laid-Open No. 2005-107919, "Medical Information System” Hitachi, Ltd.
  • Patent Document 27 Japanese Patent Application Laid-Open No. 2003-344314, "Medical Information Management System and Medical Information Management Method” Konica Minolta MG, Inc.
  • Patent Document 28 JP 2004-326436 "Health Management System” Yasuhiro Kosaka
  • Patent Document 29 Japanese Patent Application Laid-Open No. 2004-358052 "Home Health Management System” Hitachi Maxell, Ltd.
  • Non-Patent Document 1 "Special Feature: Clinical Bioinformatics, Clinical Data Utilization is Data Mining” Nikkei Bio Business, November 2003 (published October 15), p.38-p.49 BP
  • the present invention relates to a medical general information device.
  • the company has a networked electronic medical record system that can be used not only within its own hospitals, clinics and clinics, but also with multiple medical institutions such as other hospitals, clinics and clinics in the area, as well as patients' homes and places to go.
  • the contents can be safely and easily described and browsed from the regional medical unit that includes it, or within a wide area medical network that includes multiple regional medical units.
  • the electronic medical record data includes medically relevant personal data such as patient's chief complaint, medical information, test results, medical history, genetic information, lifestyle, family information, etc., and presents a treatment method according to the patient's symptoms. I do. It also includes a medical accounting system that also has methods for insurance operations, and issues claims and prescriptions.
  • the patient's condition can be measured at home, and the patient and his / her family record the patient's daily state, and detect signs of a change in the patient's physical condition in conjunction with the findings of the doctor.
  • the data in the database is analyzed to find medical laws, The purpose is to extract medical characteristics such as gender, ethnicity, etc., or to detect the efficacy of medicines.
  • the medical general information database system is as follows.
  • Patient's past medical history chief complaint in the current medical examination and medical examination result, patient's medical history 'genetic data, lifestyle, family data stored in an electronic medical record system that has means for storing by text or voice or image data And a means for storing in text or voice or image data information on the ordering of medicines by a doctor's practice, the ordering of instruments contaminated by the doctor's practice, and the treatment of medical expenses and insurance points according to the doctor's practice.
  • the data stored in the medical accounting system and the potential patient regardless of whether the potential patient is healthy and willing to collect information, Measurer's temperature 'Blood pressure' Respiratory rate 'Pulse' Triglyceride level 'Cholesterol level' Blood glucose level 'Respiratory component
  • the patient or a person concerned with the standard time can use the stored data of the medical measurement system, which has a means of storing the information in the form of letters, sounds or images together with J, as well as the information about the vital signs and the patient's own mood.
  • the present invention is characterized in that it is a comprehensive medical information device having a database having means for selectively reading stored data of a patient diary system recorded as images.
  • the medical comprehensive information database system stores the action taken by the doctor on the patient together with the standard time in the electronic medical record system by text, voice or image.
  • Means a means for self-determining that the potential patient is healthy, or a means for storing a potential patient's health time at which the potential patient is determined to be healthy by the physician, and a storage of the medical measurement value system at the health time Difference between the data at the healthy time and the data at the non-healthy time by comparing the data or the stored data of the patient diary system with the stored data of the medical measurement value system or the patient diary system at the non-healthy time And a means for presenting such information.
  • the medical general information database system provides information on a difference obtained by comparing data at a healthy time and data at a time other than a healthy time with a doctor providing a patient with information.
  • the medical integrated information device is characterized in that the integrated medical information device also has a means for presenting the stored data of the measures performed on the data in association with the time series of the standard time.
  • a medical comprehensive information database system is a system in which a plurality of the above-mentioned medical integrated information devices are connected, and is used in a local area including a patient's home.
  • Medical comprehensive information devices at multiple hospitals 'clinics' clinics are connected via a communication network, and data from an electronic medical record system, medical measurement system, or medical accounting system is sent and received between the multiple medical comprehensive information devices. It is characterized by being a comprehensive medical information system.
  • a medical comprehensive information database system is characterized in that a communication network is provided with a plurality of access levels.
  • the medical comprehensive information device of the present invention is used by a plurality of doctors and nurses to operate not only in their own hospitals, clinics and clinics but also in other hospitals, clinics and clinics in the area. It can be easily used from a regional medical unit that includes multiple medical institutions, from a wide-area medical network that includes multiple regional medical units, or from a patient's home or on-the-go.
  • Various medical information including medical examination results, health checkups at health check-ups, schools and workplaces, physical fitness measurement results at sports gyms and fitness clubs, etc.
  • the medical information and medical-related personal information such as genetic information, family medical history, genetic information, Analyzes data in the database at will or at any user's will to detect signs of patient condition changes, and extracts medical characteristics such as region-specific, age, gender, and ethnicity, Or found medical laws such as the efficacy of medicines, presented treatment methods according to the patient's symptoms, reduced insurance points and consultation costs ⁇ ⁇ liquidation of examination costs, consumption of drugs and equipment and consumables.
  • the patient's daily temperature, blood pressure, pulse, respiratory rate, and other vital signs, as well as medical measurements such as electrocardiograms can be automatically and continuously taken in as needed.
  • the diary text data in which the individual's life history can be freely written is transferred to the personal vital data storage and analysis system, and the food, bedtime, going out, the amount of exercise at the sports club, etc. are spontaneously calculated. If it is possible to write down the information, it becomes possible to search the cause of the onset from the past history when the disease becomes ill.
  • data on health examinations and medical checkups at schools and companies, physical fitness measurement data at sports clubs and fitness clubs, and treatment records at moxibustion and bone clinic are also transferred to the personal vital data storage and analysis system. From the time you die until the time you die, you save and keep records throughout your life.
  • the personal vital data storage and analysis system can be said to be a life support (life save) system because it can support personal life and save lives in critical situations that are necessary.
  • the personal vital data storage and analysis system of the present invention has medical relevance that can be obtained as much as possible, such as the patient's chief complaint, medical information, test results, medical history, genetic information, lifestyle, and family information. Personal information may be input as data.
  • a personal vital data storage and analysis system that can access the obtained database from as many patients as possible, a regional medical unit that includes multiple medical institutions, and a wide area medical unit that integrates multiple regional medical units.
  • a so-called vital data data warehouse a data warehouse that allows citation browsing
  • FIG. 1 is an explanatory diagram showing a hardware structure of a medical integrated information system.
  • FIG. 2 is an explanatory diagram showing a configuration of a medical general information system.
  • FIG. 3 is an explanatory diagram showing an example of utilizing the sharing of an electronic medical record.
  • FIG. 4 is an explanatory diagram showing an example of the contents of an electronic medical record system database.
  • FIG. 5 is an explanatory diagram showing an example of database expansion by data mining.
  • FIG. 6 is an explanatory diagram showing the concept of a wide area network.
  • FIG. 7 is a diagram of an example of a medical questionnaire.
  • FIG. 8 is a diagram of an example of a clinical path.
  • 100, 101, 102, 103 Community medical units
  • 110, 120 Hospitals, clinics or medical clinics
  • 1 15 Family practitioners
  • 116 Hospitals
  • 130 Patients' homes, recuperating destinations, outbound or transportation Means
  • 701 Doctor's consultation result
  • 702 Medication and prescription record
  • 703 Test result
  • 704 School health check result
  • 705 Workplace health check result
  • 706 Health check result
  • 707 Sport gym and fitness Physical fitness measurement results at clubs
  • 708 treatment records at moxibustion bone-hospitals
  • 710 genetic information
  • 711 family medical history
  • 712 constitution
  • 713 diet
  • 714 regional characteristics
  • 801 Medication prescription
  • 802 Outcome (result and evaluation)
  • 803 Database
  • 804 Data mining
  • 805 Medical treatment template, Medical treatment guideline, Clinical path
  • FIG. 1 shows an example of a hardware structure of a medical integrated information system according to an embodiment of the present invention.
  • the example shown in Figure 1 is the hardware structure of one community health unit (100), including its own hospital, clinic or clinic (110), and other hospitals, clinics, and clinics in the area. (120), multiple forms of transportation (130), such as patient homes, Including a number of medical institutions.
  • 1 indicates a network. Wired or wireless LAN or WAN in your own hospital, clinic or clinic, or telephone lines outside your own hospital, clinic or clinic, xDSL, fiber optics, etc., the Internet, and VPN or virtual private network (virtual private network).
  • the above method is only an example and is not intended to limit the present invention.
  • the network is connected not only within its own hospital, clinic, and clinic, but also in a plurality of medical facilities such as other hospitals, clinics, clinics, patient homes, recuperating destinations, and transportation during transportation in the area. It can be connected from a regional medical unit that includes an institution or a regional medical network that includes multiple regional medical units. It can be accessed by multiple doctors or nurses, patients and their families, or third parties.
  • Ordering of medication to a pharmacy and ordering of equipment and consumables to a trader are made via the network.
  • Reference numeral 10 denotes a server.
  • 50 is a comprehensive medical information system and 70 is a comprehensive medical information database, which is included in the server 10.
  • Reference numeral 20 denotes a doctor's input / output means installed in a hospital, clinic or clinic; 26 denotes a patient input / output means installed in a hospital, clinic or clinic; 30 denotes a patient's home, medical treatment It is a means for patient input / output installed at the destination or during transportation, and is shaped as a personal computer (hereinafter abbreviated as PC), PDA, mobile phone, convenience store information terminal, touch panel, POS system, RFID, etc. (Hereinafter referred to as PCs). These are only examples of PCs and do not limit the shape in the present invention.
  • the input / output means for doctors and nurses 20, the input / output means 26 for patients, and the input / output means 30 for patients are one or more units, and are connected by the network 1.
  • the doctor / nurse input / output means 20 is an input / output means for doctors and nurses. They are mainly installed in their own hospitals, clinics, and clinics.For example, PCs connected from the patient's home to the server 10 via the Internet or other network 1 or a PHS modem from the ambulance carrying the patient Includes PCs used to access Network 1 wirelessly from.
  • the patient input / output unit 26 is a patient input / output unit, and is installed mainly in a waiting room such as a hospital or a clinic. It is also possible to have a function of accepting patients.
  • the input / output unit 30 for the patient is an input / output unit for the patient. It is mainly installed at the patient's home or at the medical treatment destination, but in some cases it also includes PCs used to access the network from inside the transporting car.
  • the details of the patient medical measuring means 31 and the medical measuring system 53 will be described in the medical general information system 50.
  • FIG. 2 is a diagram of a configuration example from a software viewpoint of a medical general information device according to the present invention.
  • the medical information system 50 according to the present invention includes an electronic medical record system 51, a medical accounting system 52, a medical measurement system 53, and a patient diary system 54.
  • the electronic medical record system 51 not only stores the results of medical examinations of doctors, but also records medication and prescriptions, test results, health checkups at medical checkups, schools and workplaces, and measures physical fitness at sports gyms and fitness clubs. As a result, a variety of medical and medically relevant personal information including family medical history, genetic information and medical history, such as treatment records at moxibustion osteopaths, etc., are stored in a database and stored as necessary. It is a system that can be used under privacy protection.
  • the electronic medical record system 51 also has functions such as patient management and referring to test results on the electronic medical record in chronological order.
  • Requests for medication and examination can be set so that orders can be placed from the electronic medical record system to the corresponding pharmacies and examination departments via the aforementioned network.
  • Recent deregulation has made it possible to digitize medical records and store them externally. By sharing a personal ID for one patient in one region with one electronic medical record, it becomes possible to promote cooperation between hospitals and practitioners, for example. In other words, patients are unnecessarily concentrated in hospitals, resulting in long waiting times and short and inadequate medical examinations, and the inconsistency that practitioners do not come even if they have abundant diagnostic experience and ability. This can be solved by the present invention.
  • a practicing practitioner 115 close to the patient 115 examines the patient 201, he introduces a detailed examination 202 by a highly specialized medical care to the hospital 116, which cannot be performed in his / her clinic or clinic. 211 and ask.
  • some medical comprehensive information devices according to the present invention may be electronically prompt via a network. Made easily.
  • the medical practitioner 115 receives the result 212 of the detailed inspection 202 via the network, and can give a patient an explanation based on abundant experience so that the patient can be satisfied with the time.
  • the practitioner 115 can refer to the hospital 116 and make a reservation 213 if necessary, such as hospitalization-operation 204.
  • a device having a network function and an electronic medical record according to the present invention cooperation of division of labor by sharing information can be realized. It is also favorable for the profitability of hospitals and practitioners.
  • the duplication can be prevented by managing one patient in one area with one electronic medical record as described above.
  • FIG 4 shows an example of the structure of an electronic medical record database.
  • the electronic medical record database contains the patient's medical examination results 701, medication and prescription records 702, test results 703, etc., which are traditionally recorded on the paper medical records, as well as the results of medical examinations at schools and workplaces. 704, 705), medical checkup 706, physical fitness measurement results 707 at sports gyms and fitness clubs, treatment records 708 at moxibustion osteopaths, etc., various medical information, medical history, allergies, genetic information 710, family medical history 711 Personal medical information such as physique, constitution 712, dietary life 713, etc., medically relevant personal information, regional characteristics 714, climate, etc. are stored in a database and accumulated. These are only examples and do not limit the content of the present invention.
  • Clinical path for patients A clinical path function is provided in a part of the medical general information device.
  • the clinical path is constructed from the critical paths derived from the process control technique in the concept of operation research developed in the United States in the 1950s. Efficiency, standardization. " It began with the introduction of this concept to the medical community in 1985 by Karen Zander (USA). It is described as “necessary items for achieving the ideal medical treatment that can be realized in one's hospital for the disease”, and is a management technique for improving quality and efficiency.
  • the vertical axis shows routines such as in-patient guidance, admission orientation, examination, dietary guidance, rest, and discharge guidance for patients with certain diseases.
  • Clinical paths are used, for example, as follows.
  • a result occurs in the patient in response to the treatment, and the result is different from the expected power or the expected result. Also, even if the result is as expected, there are also multiple conditional branches, and for each conditional branch, proceed to the next step and direct the appropriate medical practice etc. Guide more appropriate medical practice.
  • the device can request a reconfirmation by emitting a warning sound or the like.
  • the result of the response is a database. Accumulation of knowledge as a source may lead to the discovery of more effective and appropriate prescriptions, treatments, and side effects.
  • Some medical integrated information devices have a data mining function.
  • Data mining is a knowledge acquisition technology that discovers rules from a large-scale database.
  • data mining is accumulated as a knowledge base to discover and learn new knowledge and issues, and to predict future. It is used as a standing technique.
  • FIG. 5 shows an example.
  • the consultation and medication 801 and the outcome (result and evaluation) 802 appearing to the patient are first accumulated in the database 803.
  • Data mining 804 is performed from the data in the database 803 to find out that the drug has a previously unknown medicinal effect, the patient's results on the medication performed for the symptoms are further accumulated in the database 803, Utilization such as finding unique phenomena and so on.
  • the knowledge accumulated in the database 803 is reflected in medical templates, medical guidelines, clinical paths, etc. 805, and supports medical examination and medication 801.
  • database 803 is used as evidence (scientific and clinical basis) in cases such as cases and their treatments, as evidence in EBM, or Evidence Based Medicine (general term for appropriate medical treatment based on scientific and clinical evidence or methods for that).
  • the accumulated Clinical Pass 805 will be expanded. Based on the medical history of the patient (specific individual) as well as the general analysis, the information accumulated in the data warehouse is anonymously extracted from the past data, and the medical histories of multiple others in similar environments are extracted. By providing multiple treatment methods and their outcomes to the patient and related healthcare professionals in a tailor-made manner through data mining based on the data, the patient and related healthcare professionals can make decisions on future treatment methods and the like. It is also conceivable to use it.
  • the medical accounting system 52 performs insurance points and liquidation of examination and examination costs in accordance with orders for examinations, medications, and examinations by doctors. It has functions such as patient management and time-series reference of test results on electronic medical records.
  • the medical accounting system 52 it is also possible to manage inventory according to consumption of medicines, instruments and consumables, and to place an order with a trader according to the amount of inventory. At the same time, it is possible to analyze the management status of the hospital, clinic, clinic and the like.
  • the medical measurement system 53 can incorporate vital signs such as a patient's daily temperature, blood pressure, pulse, and respiratory rate, and medical measurements such as an electrocardiogram as necessary. Being able to know the relationship between vital data recorded by having a clock function and other factors, such as temperature and humidity measured at the same time, subjective symptoms registered by the patient himself in the diary, It is possible to associate with exercise, eating and drinking, medication, and the like. It is possible for the doctors to automatically and continuously retrieve the patient's appearance in the daily life of the patient to the server 10 via the network 1 without going to the patient's home and keeping the patient's state at home.
  • vital signs such as a patient's daily temperature, blood pressure, pulse, and respiratory rate
  • medical measurements such as an electrocardiogram
  • the medical measurement device can be attached to the patient or installed at the patient's house.
  • Measurement data can be imported from a measuring device to PCs via a wired or wireless connection, and the measured values can be input automatically by using a 31
  • the family members, doctors or nurses, or third parties, such as the power of ⁇ C may be used to manually enter the numerical values. For example, at a specific time set in advance, such as at 4 o'clock each day, or at a predetermined time interval, such as all day every 30 minutes, the body temperature and blood glucose along with the standard time. There is a use to measure the value. In the conventional method, the temperature measurement at bedtime had to wake up the patient or work for the nurse. In addition, measurement every 30 minutes requires labor, that is, labor cost. Is what you do. With the device of the present invention, these efforts and labor can be reduced. These measurement objects and methods are merely examples, and are not limited in the present invention.
  • the condition may be different from that at home or the like and may show symptoms that do not appear in the findings at the time of medical examination. If there are measurement values such as vital signs for a certain period of time or more before consulting with the medical measurement system of the present invention, information about the transition of the patient's condition and what the current condition is can be obtained. Obtained more accurately and easily.
  • daily medical measurement is performed.
  • Daily medical measurements record the patient's symptoms and signs (awareness and symptoms) and provide predictive signs of the illness or suggest preventive measures before it develops. , Etc. become possible.
  • For hospital management even if it reduces profits from medical practice, it will be meaningful as community healthcare if the profits from the medical check-up center are reduced accordingly.
  • connection of the medical measuring means makes it possible to reduce the trouble of data input. For example, to input a patient's vital signs into an electronic medical record, nurses can manually read the patient's vital signs by equipping them with POS or RFID, etc. By connecting to a convenient nursing support terminal, the labor of nurses is simplified, work efficiency is improved, and labor costs are reduced in terms of hospital management.
  • patients, their families, nurses or third parties Freely and voluntarily fill out the daily complaint, health condition, lifestyle habits such as drinking and smoking, meal bowel movements, complexion, mood, wake-up bedtime, and the amount of physical activity at the 'going-out' sports club. It is possible to store it. Through this matter, the doctor can provide information for making a diagnosis. It is possible to record the patient's own chief complaint, etc., rather than the doctor's words.
  • the patient diary the patient, the patient's family, a nurse, or a third party is mainly responsible for the patient's daily complaints, health conditions, lifestyle habits such as drinking and smoking, eating bowel movements, complexion, mood, or getting up.
  • doctors can provide information for making diagnoses. It is possible to record the patient's own chief complaint, etc., rather than the doctors' words.
  • the software for executing the medical integrated information device according to the present invention may be in an ASP environment. Executing the medical information system of the present invention through the ASP, Application Service Provider, enables users such as doctors and patients to purchase and hold special software and other widely used home and office PCs. Alternatively, it can be used easily and inexpensively on mobile phones and PDAs.
  • Electronic medical records are related to the privacy of patients, and the contents of the medical accounting system are confidential items such as hospitals, clinics, clinics, etc., so access rights must be set for the medical information system according to the present invention for security purposes.
  • set a user ID and its password, or use a VPN It is possible to increase the security of information, the privacy of patients, and the confidentiality of information inside hospitals by means such as encryption using a single wall. These methods are only examples and do not limit the method in the present invention.
  • Access rights can be set by hardware or software.
  • An example of providing access rights by software is to assign a unique ID number and password to a doctor, a nurse, a clerk, a pharmacy, a patient and a patient's family, and a third party.
  • any of the doctor / nurse input / output means 20, the patient input / output means 26, and the patient input / output means 30 may be used.
  • the following setting division of a plurality of access levels can be considered.
  • all items can be entered and browsed, ordering of medication, etc.
  • only nurse findings can be entered and electronic medical records and medication instructions can be entered.
  • browsing and access from doctors and nurses at other hospitals only a part of the patient's medical information can be viewed and entered.Browsing the medical accounting system at other hospitals is prohibited.
  • patients and their families access, they cannot access the hospital or clinic's medical accounting system or medical records, and can access only patient diary entries. And so on. Also, it is possible to prohibit external viewing without an ID number and password.
  • the images of the operation site are relayed via a network to experienced physicians (etc.) via a camera. It is also possible to get advice.
  • FIG. 6 is a conceptual diagram of a wide area network.
  • FIG. 2 is a diagram showing that the present invention includes a wide-area medical network 1000 including a plurality of regional medical units 101, 102, and 103 shown in FIG. [0102]
  • the clinic network unit 101 at the upper left of FIG. 6 shows a network of medical institutions such as a plurality of hospitals, clinics, medical practitioners, medical examination centers, and nursing care facilities in one area.
  • 35-a and 35-b are client PCs, examples of which are installed in different medical institutions.
  • ORCA server 41 is connected to ORCA server 41 via hub 85-a.
  • ORCA server is a receipt creation software developed by the Japan Medical Association.
  • the hub 85-a is connected to the external network 1 via a TSGatelock 82-a and a modem 81-a.
  • TS Gatelock 82-a is a router that has a VPN function and a firewall function, etc., and shows only an example and is not limited to the present invention.
  • two client PCs and the ORCA server are used to create the receipt creation software.
  • this is only an example, and the present invention is not limited to this.
  • An ORCA backup server 42 and a WEB version electronic medical record application server 43 are installed in the upper right area of the medical center section 102 in Fig. 6.
  • Electronic medical record applications programs can be viewed and filled in with a browser, making them available to anyone anywhere.
  • Both servers 42 and 43 are connected to the external network 1 via hub 85-b, TSGatelock 82_b and modem 81-b.
  • the regional support hospital 103 shows an in-hospital network.
  • the medical information server 45, electronic medical record terminals 32-a and 32-b are connected to the external network 1 via hub / router 86, firewall 84, TS gate lock 83 and modem 81-c. ing.
  • FIG. 6 The lower left part of Fig. 6 shows the ORCA Support Center 44 of the Japan Medical Association Integrated Research Institute.
  • the network is connected to the clinic network section 101, the regional doctor's office section 102, the regional support hospital 103, and the like via the network 1.
  • the power of the regional medical units shown in four examples is not limited in the present invention.
  • Example 2 Example of interview table
  • FIG. 7 is an example of an inquiry table according to the present invention. From the template according to the symptoms By selecting the appropriate items using check boxes and buttons, it is possible to provide the same level of medical consultation as a well-known physician even if the user does not have sufficient skill in medical inquiry. At the same time, quick input can be achieved.
  • the inquiry items 301 are arranged vertically in the order in which they are asked, and the relevant symptoms are selected with the mouse from the column of the symptom 302 on the right and checked in order, and the next screen is displayed and the next inquiry item appears.
  • FIG. 8 shows an example of a clinical path table according to the present invention. If you select according to the symptom, the clinical path corresponding to the symptom 501 is displayed. A time axis 511 such as date and time is set in the horizontal direction of the clinical path, an event name 512 such as treatment and inspection is displayed in a vertical direction, and an event required for the date and time is displayed in the event column 513.
  • a time axis 511 such as date and time is set in the horizontal direction of the clinical path
  • an event name 512 such as treatment and inspection is displayed in a vertical direction
  • an event required for the date and time is displayed in the event column 513.
  • Figure 9 shows the clinical efficacy (clinical diagnostic numerical value) of the difference in efficacy of the new drug due to differences in arbitrary and multiple individual behavioral patterns.
  • the vertical axis in FIGS. 9 (a) and 9 (b) is the clinical score of the subject showing the target disease state of the new drug. Scoring contents are omitted.
  • the horizontal axis in Fig. 9 (a) shows two groups of individuals with different behavior patterns (behavior patterns), the "behavior A” group and the "behavior B” group. This behavioral group A and individual group behavioral group B were separated for the first time by the data analysis of the personal vital data storage and analysis system of the present invention.
  • FIG. 9 (a) The difference between the clinical scores before and after the administration of the new drug (“Before” and “After”) can be evaluated in FIG. 9 (a).
  • the horizontal axis in Fig. 9 (b) is the number of days elapsed since the administration of the new drug, and the course of the efficacy difference between the two groups of individuals with different behavioral patterns can be evaluated.
  • the effects of medication eg, type, amount, frequency, etc.
  • many subjects wear the measuring device all day and continue to automatically measure at short time intervals.
  • Fig. 9 (b) the behavior patterns of group A and group B were obtained by taking the measured values for each number of days taken (3, 7, 10, 14 days) without changing the subjects. Meanwhile, many subjects By wearing the measuring device all day for as long as 14 days, it becomes easier to measure the correct rehabilitation value without bringing the subject to the hospital. Was evaluated.
  • Figs. 9 (a) and 9 (b) graphs of daily changes of values measured at short intervals during the period are also obtained, but they are omitted.
  • Patent Document 14 Japanese Patent Application Laid-Open No. 2004-5588
  • accurate billing data for providing services related to patient health care is created, prompt confirmation and correction of billing data are supported, and billing is made to the payer.
  • a method for resolving a bill before presenting it is disclosed.
  • the combination of the proposed method and this method also enables efficient processing of financial data related to the provision of services related to patient health care to patients. In other words, even when a service such as a remote medical checkup is performed using ubiquitous technology, quick billing and quick and efficient financial data processing on the service provider side can be performed.
  • Patent Document 15 Japanese Patent Application Laid-Open No. 2002-245175 discloses a hospital information analysis support system that enables various analysis by combining various information existing in a hospital.
  • a mechanism for managing the consumption and ordering status of goods associated with the provision of healthcare-related services to individuals can be realized more efficiently.
  • early and comprehensive insights into the vital data of individuals living in the community will enable them to predict the demand for necessary medical supplies and medicines before consultation. Therefore, by collectively coordinating a plurality of medical institutions in the region, it is possible to realize efficient collective ordering and transfer of medical supplies and pharmaceuticals.
  • Individual medical institutions can conduct multi-faceted analysis of management from multiple perspectives, taking into account future prospects. A great contribution to institutional management is expected.
  • Body type Tailor-made (individual) health management according to the disease history • Diagnosis of disease • Treatment • Providing information related to provision of preventive measures.
  • Information related to risk management that is, medical actions performed on other patients in the same ward at the same time in the same ward, where the search for the cause in the event of a medical accident is simply performed by the medical staff and patients directly involved. And the condition of other patients at the same time, analyze the force that caused such an accident, including the background, and provide information on the cause of the accident. Information is obtained. For example, assuming that two night shift nurses manage a ward for 50 inpatients, including five postoperative patients, two nurses rush to exchange drip for postoperative patients. When it is too late to notice that another patient's condition has changed suddenly and it is too late, it is extremely inappropriate to rule out a nurse's duty of care. This situation can be improved.
  • critical path and clinical path Information that can be used to verify the validity of routine course medical care called critical path and clinical path is obtained. For example, it is possible to clarify where and what percentage drops out (deviation from the standard course), and it is possible to revise the medical treatment at that point and improve the quality of the standard course.

Abstract

Il est possible : de contrôler efficacement le décompte médical, la prescription de médicaments et la garde de médicaments et d’instruments ; de détecter un signe de changement de condition d’un patient et présenter un traitement adapté au symptôme du patient ; et d’extraire une règle médicale et détecter l’effet d’un médicament, en utilisant une base de données d’information totale médicale incluant des données d’enregistrement médical électronique, des données de décompte médical, des valeurs médicales mesurées, des rapports quotidiens de patient et une base de données d’information médicale ; et un appareil d’information totale médicale ayant les fonctions de : par le droit d’accès fourni à la base de données et sans tenir compte de ce qu’il existe ou non une intention d’utilisateur, à un ou plusieurs temps prédéterminés arbitrairement ensemble avec le temps standard, introduire des éléments préréglés parmi des caractères, une valeur, une image/vidéo/photo et une parole, lire des données stockées dans la base de données d’information totale médicale sans tenir compte de ce qu’il existe ou non une intention d’utilisateur, analyser les données et, en outre, enregistrer les résultats dans la base de données d’information totale médicale et sélectionner et afficher des données stockées dans la base de données d’information totale médicale.
PCT/JP2005/010488 2004-06-08 2005-06-08 Appareil d’information totale médicale et système d’information totale médicale WO2005122033A1 (fr)

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