WO2020183727A1 - Système de carnet d'examen médical, terminal de patient et procédé de commande - Google Patents

Système de carnet d'examen médical, terminal de patient et procédé de commande Download PDF

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Publication number
WO2020183727A1
WO2020183727A1 PCT/JP2019/010677 JP2019010677W WO2020183727A1 WO 2020183727 A1 WO2020183727 A1 WO 2020183727A1 JP 2019010677 W JP2019010677 W JP 2019010677W WO 2020183727 A1 WO2020183727 A1 WO 2020183727A1
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WIPO (PCT)
Prior art keywords
patient
terminal
medical examination
treatment data
doctor
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PCT/JP2019/010677
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English (en)
Japanese (ja)
Inventor
瑞明 飯島
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瑞明 飯島
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Application filed by 瑞明 飯島 filed Critical 瑞明 飯島
Priority to PCT/JP2019/010677 priority Critical patent/WO2020183727A1/fr
Priority to JP2019543956A priority patent/JP6654274B1/ja
Publication of WO2020183727A1 publication Critical patent/WO2020183727A1/fr

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    • 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

Definitions

  • the present invention relates to a personal organizer system, a patient terminal, and a control method.
  • Patent Document 1 an electronic medical record server that integrates and manages various information related to medical operations and a large number of terminal devices are connected to a network to manage information related to operations performed in a hospital. It has been proposed that Further, it is proposed that the medical management device of Patent Document 2 can share medical information generated in various clinical departments in the hospital throughout the hospital.
  • the present invention has been made in view of such circumstances, and it is easy to manage the medical examination notebook that manages the treatment history by oneself and easily transfer the treatment data of the treatment history to other hospitals, treatment data handling companies, and research institutions. It is an object of the present invention to provide a medical examination notebook system, a patient terminal and a control method that can be disclosed.
  • the present invention includes (1) a patient terminal that is owned by an individual patient and holds treatment data of a patient's treatment history. It has an input unit for inputting information, a storage unit for storing information, a display control unit for controlling display, and an output unit for outputting information to the outside, and the input unit has treated the patient.
  • the treatment data at the time is input from the outside
  • the storage unit stores the treatment data of the patient input from the input unit as the treatment history data of the patient
  • the display control unit performs the treatment of the treatment history.
  • a medical examination notebook that can selectably display treatment data for which medical examination is desired at a different medical treatment destination from the data, and the output unit outputs the treatment data of the selected treatment history to the outside according to the operation of the patient. It is a system.
  • the input unit inputs information of a medical examination destination different from the medical examination destination that has been examined once from the outside, and the display control unit is the different medical examination destination. From the treatment data of the treatment history, the treatment data desired to be examined at a different examination destination is displayed in a selectable manner based on the information of.
  • the patient terminal further has an imaging unit and a generating unit, and the imaging unit is a predetermined diagnosis result displayed on a predetermined display unit.
  • the diagnosis result printed on paper and the examination situation at the time of examination are imaged, and the generation unit generates the treatment data of the patient based on the diagnosis result data imaged by the imaging unit, and the storage unit generates the treatment data of the patient.
  • the generated treatment data of the patient is stored.
  • the medical examination notebook system cooperates with a plurality of doctor terminals for inputting treatment data treated by a doctor when treating a patient, and the doctor terminals. It is provided with a medical examination notebook management device that manages the treatment data treated by the doctor and manages the treatment data of the treatment history of each patient in cooperation with the patient terminal.
  • the doctor terminal executes a process of providing treatment data when treating the patient to the patient terminal, and the patient terminal performs treatment of the selected treatment history. Executes the process of outputting data to the outside.
  • the medical examination notebook management device executes a process of providing data of a medical examination destination that can be examined to the patient terminal, and the patient terminal manages the medical examination notebook.
  • a process of displaying the medical examination destination in a selectable manner based on the medical examination destination data provided from the device and providing the treatment data of the selected treatment history to the doctor terminal of the selected medical examination destination is executed.
  • the medical examination notebook management device determines that there is no data of the medical examination destination that can be examined, whether or not the other doctor terminal can be examined. The inquiry is made, and a process of providing a medical examination destination that can be examined based on the inquiry result to the patient terminal is executed.
  • the patient terminal executes a process of synchronizing the patient information of the patient and the treatment data of the treatment history with the medical examination notebook management device, and the above-mentioned
  • the doctor terminal executes a process of synchronizing the doctor information of the doctor and the treatment data when the doctor treats the patient with the examination notebook management device.
  • the doctor terminal has an electronic medical record having the treatment data of the patient, and provides the treatment data of the patient in the electronic medical record to the patient terminal. Execute the process.
  • the doctor terminal performs a process of displaying or printing the treatment data of the patient in the electronic chart on a predetermined display unit, and the patient.
  • the terminal or the doctor terminal captures the displayed or printed treatment data of the patient, and generates the treatment data of the patient to be provided to the doctor terminal of the different consultation destination based on the captured treatment data of the patient. To execute.
  • the patient terminal or the doctor terminal captures an image or an image at the time of a medical examination, and based on the captured image data or the image data, the said.
  • the process of generating the treatment data of the patient to be provided to the doctor terminal of a different examination destination is executed.
  • the present invention is a method for controlling a patient terminal that holds treatment data of a treatment history of an individual patient, and includes an input step of externally inputting treatment data when the patient terminal treats the patient.
  • a step in which the patient terminal stores the treatment data of the patient input from the input unit and a treatment data in which the patient terminal desires to be examined at a different examination destination can be selected from the treatment data in the treatment history.
  • the patient terminal has a display step for outputting the treatment data of the selected treatment history according to the operation of the patient, and an output step for outputting the treatment data to the outside.
  • a medical examination notebook system and a patient terminal that can manage a medical examination notebook that manages the treatment history by oneself and easily disclose the treatment data of the treatment history to other hospitals, treatment data handling companies, and research institutions. And control methods can be provided.
  • FIG. 1 is a diagram for explaining a medical examination notebook system 1 according to an embodiment of the present invention.
  • the medical examination notebook system 1 includes a plurality of patient terminals 10a and 10b, a plurality of doctor terminals 20a to 20c, and a medical examination notebook server (medical examination notebook management device) 30.
  • the medical examination notebook system 1 is for making the patient terminal 10 function as a medical examination notebook for a patient.
  • the patient can manage his / her treatment history and medication history by using the patient terminal 10.
  • the patient terminal 10 can be operated to share the treatment status and treatment history at the time of medical examination at different medical institutions, and can also be used for managing prescriptions.
  • the patient terminals 10a and 10b are owned by individual patients, and hold treatment data of the patient's treatment history.
  • the patient terminals 10a and 10b are composed of devices that can be connected to a network such as a smartphone or a tablet terminal.
  • the patient terminals 10a and 10b may be, for example, a notebook PC or the like.
  • the user can use the patient terminals 10a and 10b owned by the user as a medical examination notebook to function the terminals.
  • the plurality of doctor terminals 20a to 20c are for inputting the treatment data treated by the doctor when the patient is treated, and for viewing the treatment history data when the patient is examined by another doctor. ..
  • the doctor terminals 20a to 20c can be connected to a network such as a desktop PC, and are composed of a notebook PC, a smartphone, a tablet terminal, and the like.
  • the medical examination notebook server 30 manages the treatment data treated by the doctor in cooperation with the doctor terminals 20a and 20b, and manages the treatment data of the treatment history of each patient in cooperation with the patient terminals 10a and 10b.
  • the medical examination notebook server 30 is composed of a device that can be connected to a network such as a business server. Further, for example, it may be a desk-type PC or the like, and any device capable of the processing described below may be used.
  • FIG. 2 is a block diagram of a patient terminal, a doctor terminal, and a medical examination notebook server constituting the medical examination notebook system 1 of the present embodiment according to the present invention. Only one patient terminal 10 and doctor terminal 20 are shown.
  • the patient terminals 10a and 10b include a medical examination notebook application (hereinafter, "MEN unit") 11 used by the patient, a patient terminal OS unit 12 which is an operation system of the patient terminal, and an arithmetic unit 13 for executing various calculations.
  • a display unit 14 for performing various displays, an input unit / camera unit 15 for inputting various information, a communication unit 16, and a memory unit 17 as a storage unit for storing information are provided. ..
  • the calculation unit 13 also functions as a display control unit that controls the display on the display unit 14, an output unit that outputs information to the outside, and a generation unit.
  • the input unit / camera unit 15 functions as a function of inputting treatment data when treating a patient from the outside and as an imaging unit.
  • the memory unit 17 has patient information 110, treatment data 111, MEN 20 information 114, photo data 118, and moving image data 119. Further, the memory unit 17 stores the patient's treatment data input from the input unit 15 as the patient's treatment history data.
  • the doctor terminals 20a to 20c include a medical examination notebook application (hereinafter, "MEN section") 21 used by doctors, nurses, etc., an electronic medical record 21a, a doctor terminal OS section 22 which is an operation system of the doctor terminal, and various types.
  • a calculation unit 23 for executing a calculation, a display unit 24 for performing various displays, an input unit / camera unit 25 for inputting various information, a communication unit 26, and a memory unit 27 are provided. There is.
  • the calculation unit 23 also functions as a display control unit that controls the display on the display unit 24, an output unit that outputs information to the outside, and a generation unit.
  • the input unit / camera unit 25 functions as a function of inputting treatment data when treating a patient from the outside and as an imaging unit.
  • the electronic medical record 21a is an application of the electronic medical record and has the treatment data of the patient.
  • the memory unit 27 has doctor information 112, treatment data 113, MEN 21 information 115, and electronic medical record data 117.
  • the medical examination notebook server 30 includes a medical examination notebook application (hereinafter, "MEN section") 31 for the medical examination notebook server, a medical examination notebook DB unit 31a which is a database for the medical examination notebook, and a server OS unit 32 which is an operation system of the server.
  • MEN section medical examination notebook application
  • a medical examination notebook DB unit 31a which is a database for the medical examination notebook
  • a server OS unit 32 which is an operation system of the server.
  • a calculation unit 33 for executing various calculations, a display unit 34 for performing various displays, an input unit 35 for inputting various information, a communication unit 36, and a memory unit 37 are provided. There is.
  • the medical examination notebook DB unit 31a has a table of patient information 110, a table of treatment data 111, a table of doctor information 112, and a table of treatment data 113.
  • the memory unit 37 has information 115 of the MEN unit 31 of the medical examination notebook server.
  • the patient information 110 of the patient and the treatment data 111 of the treatment history up to now are managed by the MEN unit 11 of the patient terminal 10 and linked with the MEN unit 31 of the examination notebook server 30 on the Internet to the examination notebook DB unit 31a.
  • the doctor information 112 of the doctor and the treatment data 113 treated by the doctor are managed by the MEN unit 21 of the doctor terminals 20a to 20c, and cooperate with the MEN unit 31 of the examination notebook server 30 on the Internet to cooperate with the examination notebook DB unit 31a. Record in.
  • the Internet communication 40 is composed of mobile phone 3G / 4G communication, Internet line modem communication, and the like.
  • the wired communication or wireless communication 41 is composed of Bluetooth communication, wired LAN communication, Wifi communication, and the like. It is assumed that the communication, information terminals, and servers used are sufficiently secure.
  • FIG. 3 is a diagram showing patient information, treatment data, and MEN section information of the patient terminal of the embodiment according to the present invention.
  • the patient information 110 includes the patient name, address, date of birth, gender, telephone number, e-mail address, names of a plurality of insurance groups, insurance card numbers corresponding to each, emergency contact name and emergency contact name. Has information such as contact phone numbers.
  • the table of treatment data (treatment history data) 111 includes identification number, date, hospital name, medical examination fee, doctor's name, disease name, symptom, medical examination result, treatment method, medication status, treatment status, insurance organization, insurance certificate. It has information such as the number and the path / file name of the image file.
  • the information 114 of the MEN 11 is information that is not disclosed to the user, and has the user authentication ID, the user authentication password, the identification number of the MEN unit 11 of the patient terminal, and the domain information of the MEN unit 32 of the medical examination notebook server.
  • FIG. 4 is a diagram showing doctor information, treatment data, and MEN section information of the doctor terminal of the embodiment according to the present invention.
  • the doctor information 112 includes information such as a doctor's name, date of birth, gender, hospital name, medical examination fee, telephone number, and address.
  • the table of treatment data 113 shows the identification number, date, identification number of MEN part 11 of the patient terminal, patient name, address, date of birth, gender, disease name, symptom, examination result, test result, treatment method, medication. It has information such as status, treatment status, insurance organization, and insurance certificate number.
  • the information 115 of the MEN section 21 is information that is not disclosed to the user, and is information on the user authentication ID, the user authentication password, the identification number of the MEN section 21 of the doctor terminal, the connection code, and the domain of the MEN section 22 of the medical examination notebook server. And so on.
  • FIG. 5 is a diagram showing patient information, treatment data, doctor data, and information of the MEN section of the medical examination notebook system according to the embodiment of the present invention.
  • the table of patient information 110 shows the identification number, patient name, address, date of birth, gender, telephone number, email address, multiple insurance stages, and each insurance certificate of the MEN unit 11 of the patient terminal. It has information such as a number, contact name, contact telephone number, user authentication ID, and user authentication password.
  • the table of treatment data 111 shows T11 identification, identification number of MEN part 11 of patient terminal, identification number of treatment data 111, date, hospital name, medical examination fee, doctor's name, disease name, symptom, medical examination result, treatment method, medication status. , Treatment status, insurance organization, insurance certificate number, etc.
  • the table of doctor information 112 has an identification number, a doctor's name, a date of birth, a gender, a hospital name, a medical examination fee, a telephone number, an address, a user authentication ID, a user authentication password, and the like of the MEN section 21 of the doctor terminal.
  • the table of treatment data 113 includes T13 identification, identification number of MEN section 21 of the doctor terminal, identification number and date of treatment data 113, identification number of MEN section 11 of patient terminal, disease name, symptom, examination result, treatment method, medication. Has status, treatment status, insurance organization, insurance certificate number, etc.
  • the information 116 of the MEN section 31 has an administrator authentication ID, an administrator authentication password, an identification number of the MEN section 31 of the medical examination notebook server, a domain of the MEN section 31 of the medical examination notebook server, and the like.
  • FIG. 6 is a diagram for explaining user authentication and data synchronization between the patient terminal and the medical examination notebook server according to the embodiment of the present invention.
  • the synchronization between the patient terminal 10 and the medical examination notebook server 30 is started by the user authentication application of the patient terminal 10.
  • the MEN unit 31 of the examination notebook server 30 receives the user authentication application from the patient terminal 10 via the Internet, it executes the user authentication process and notifies the patient terminal 10 of the user authentication result.
  • the MEN unit 11 of the patient terminal 10 sends a data synchronization command to the medical examination notebook server 30 based on the user authentication result.
  • the MEN unit 31 of the medical examination notebook server 30 executes the synchronization permission process for the patient terminal 10, and notifies the patient terminal 10 of the synchronization permission when the synchronization permission is given.
  • the MEN unit 11 of the patient terminal 10 Upon receiving the synchronization permission from the medical examination notebook server 30, the MEN unit 11 of the patient terminal 10 sends the patient information 110 and the treatment data 111 of the treatment history to the medical examination notebook server 30.
  • the MEN unit 31 of the medical examination notebook server 30 receives the patient information 110 and the treatment data 111 from the patient terminal 10, it extracts the difference between the patient information 110 and the treatment data 111, and sends the patient information 110 and the treatment data 111 to the patient terminal 10. Send the difference.
  • the MEN unit 11 of the patient terminal 10 When the MEN unit 11 of the patient terminal 10 receives the difference data between the patient information 110 and the treatment data 111 from the medical examination notebook server 30, it integrates the patient information 110 and the treatment data 111 managed by itself to obtain the latest patient information 110.
  • the treatment data 110 is sent to the examination notebook server 30.
  • the MEN unit 31 of the medical examination notebook server 30 receives the latest patient information 110 and treatment data 111, and the synchronization process between the patient terminal 10 and the medical examination notebook server 30 is completed.
  • FIG. 7 is a diagram for explaining user authentication and data synchronization between the doctor terminal and the medical examination notebook server according to the embodiment of the present invention.
  • the synchronization between the doctor terminal 20 and the medical examination notebook server 30 is started by the user authentication application of the doctor terminal 20.
  • the medical examination notebook server 30MEN unit 31 receives the user authentication application from the doctor terminal 20 via the Internet, it executes the user authentication process and notifies the doctor terminal 20 of the user authentication result.
  • the MEN unit 21 of the doctor terminal 20 sends a data synchronization command to the medical examination notebook server 30 based on the user authentication result.
  • the MEN unit 31 of the medical examination notebook server 30 executes the synchronization permission process for the doctor terminal 20, and notifies the doctor terminal 20 of the synchronization permission when the synchronization permission is given.
  • the MEN unit 21 of the doctor terminal 20 Upon receiving the synchronization permission from the medical examination notebook server 30, the MEN unit 21 of the doctor terminal 20 sends the doctor information 112 and the treatment data 113 of the treatment history to the medical examination notebook server 30.
  • the MEN unit 31 of the medical examination notebook server 30 receives the doctor information 112 and the treatment data 113 from the doctor terminal 20, it extracts the difference between the doctor information 112 and the treatment data 113, and sends the doctor information 112 and the treatment data 113 to the doctor terminal 20. Send the difference.
  • the MEN unit 21 of the doctor terminal 20 When the MEN unit 21 of the doctor terminal 20 receives the difference data between the doctor information 112 and the treatment data 113 from the medical examination notebook server 30, it integrates the doctor information 112 and the treatment data 113 managed by itself to obtain the latest doctor information 112.
  • the treatment data 113 is sent to the medical examination notebook server 30.
  • the MEN unit 31 of the medical examination notebook server 30 receives the latest doctor information 112 and treatment data 113, and the synchronization process between the doctor terminal 20 and the medical examination notebook server 30 is completed.
  • the communication method of the medical examination notebook system of the present embodiment includes a method of Peer-to-Peer communication between the patient terminal 10 and the doctor terminal 20 by wired communication or wireless communication, and a method via a medical examination notebook server 30 on the Internet.
  • a communication method for Peer-to-Peer communication between the patient terminal 10 and the doctor terminal 20 by wired communication or wireless communication will be described.
  • FIG. 8 is an explanatory diagram of data communication of the doctor terminal 20 of the patient terminal 10 via wired communication or wireless communication.
  • the connection code of the MEN section 21 of the doctor terminal 20 is input to the MEN section 11 of the patient terminal 10. This is performed by transmitting a connection code from the MEN unit 11 of the patient terminal 10 to the MEN unit 21 of the doctor terminal 20 via wired communication or wireless communication.
  • the MEN unit 21 of the doctor terminal 20 determines the connection permission based on the connection code received from the patient terminal 10, and when the connection is permitted, transmits the connection permission information to the patient terminal 10.
  • the MEN unit 11 of the patient terminal 10 transmits the patient information 110 and the treatment data 111 of the treatment history selected by the patient to the doctor terminal 20.
  • the MEN unit 21 of the doctor terminal 20 transmits the doctor information 112 and the treatment data 113 of the patient to be communicated with to the patient terminal 10. This allows the patient to be examined for a medical condition by a doctor different from the one who treated the patient once.
  • FIG. 9 is an explanatory diagram of data communication between the patient terminal 10 and the doctor terminal 20 via the Internet.
  • the MEN 11 of the patient terminal 10 applies for user authentication to the medical examination notebook server 30 via the Internet
  • the MEN 31 of the medical examination notebook server 30 applies.
  • the user authentication result is transmitted to the patient terminal 10.
  • the MEN 21 of the doctor terminal 20 applies for user authentication to the examination notebook server 30, and the MEN 31 of the examination notebook server 30 transmits the user authentication result to the doctor terminal 20. It is done by.
  • the connection code of the MEN section 21 of the doctor terminal 20 is input to the MEN section 11 of the patient terminal 10, and the MEN section 11 of the patient terminal 10 is input. This is performed by transmitting a connection code from the doctor terminal 20 to the MEN 21 of the doctor terminal 20 via the examination notebook server 30.
  • the MEN unit 21 of the doctor terminal 20 determines the connection permission based on the connection code received from the medical examination notebook server 30, and when the connection is permitted, transmits the connection permission information to the patient terminal 10 via the medical examination notebook server 30. ..
  • the MEN unit 11 of the patient terminal 10 transmits the patient information 110 and the treatment data 111 to the doctor terminal 20 via the medical examination notebook server 30.
  • the MEN unit 21 of the doctor terminal 20 transmits the doctor information 112 and the treatment data 113 to the patient terminal 10 via the medical examination notebook server 30.
  • FIG. 10 is a diagram illustrating a connection code input method according to the embodiment of the present invention.
  • the connection code of the MEN section 21 of the doctor terminal 20 can be directly input to the MEN section 11 of the patient terminal 10, but as shown in FIG. 10, the connection of the MEN 21 of the doctor terminal 20 can be directly input.
  • the code can also be input by a camera image of a two-dimensional bar code.
  • the MEN unit 21 of the doctor terminal 20 displays a two-dimensional bar code as a connection code on the display unit 24 of the doctor terminal 20.
  • the patient terminal 10 can take a picture of the two-dimensional bar code displayed on the display unit 24 of the doctor terminal 20 with a camera by the input unit / camera unit 15, and input the connection code as an image.
  • the MEN unit 21 of the doctor terminal 20 can print a two-dimensional bar code as a connection code on paper.
  • the patient terminal 10 can take a picture of the two-dimensional bar code printed on the paper with the camera by the input unit / camera unit 15, and input the connection code as an image.
  • FIG. 11 is an explanatory diagram of an electronic medical record import method according to an embodiment of the present invention.
  • the treatment data of the patient is in the electronic medical record 21a of the doctor terminal 20 and the treatment data can be exported from the electronic medical record 21a
  • the treatment data is exported from the electronic medical record 21a and the electronic medical record data is output as a file.
  • This electronic medical record data file can be imported into the MEN unit 21 of the doctor terminal 20 or the MEN unit 11 of the patient terminal 10, and the imported treatment data can be format-converted into the treatment data 113 or the treatment data 111.
  • the doctor terminal 20 executes a process of providing the converted treatment data of the patient's electronic medical record 21a to the patient terminal 10.
  • FIG. 12 is a diagram for explaining the transition from the display of the electronic medical record and the paper medical record to the treatment data in the camera image.
  • the treatment data of the electronic medical record is displayed on the display unit 24 of the doctor terminal 20 or as shown in FIG. Print.
  • the examination result displayed on the display unit 24 of the doctor terminal 20 or the examination result printed on paper is photographed by the input unit / camera unit 15 of the patient terminal 10 or the input unit / camera unit 25 of the doctor terminal 20.
  • the calculation unit 13 of the patient terminal 10 or the calculation unit 23 of the doctor terminal 20 treats the MEN unit 11 of the patient terminal 10 as character data obtained by optically recognizing photographic data and photographic data based on the photographed patient's diagnosis result.
  • the data 111 or the treatment data 113 of the MEN unit 21 of the doctor terminal 20 can be generated and stored and captured in the memory unit 17 of the patient terminal 10 or the memory unit 27 of the doctor terminal 20.
  • the patient terminal 10 or the doctor terminal 20 can be the treatment data of the patient who provides the generated treatment data 111 or the treatment data 113 to the doctor terminals of different examination destinations.
  • the treatment content of the patient is a handwritten medical record
  • the handwritten paper medical record is photographed by the camera unit 25 of the patient terminal 10 or the doctor terminal 20.
  • the patient terminal 10 or the doctor terminal 20 uses the treatment data 111 of the MEN unit 11 of the patient terminal 10 or the MEN of the doctor terminal 20 as character data obtained by optically recognizing the photographic data and the photographic data based on the photographed patient's chart data.
  • the treatment data 113 of the unit 21 can be generated and stored in the memory unit 17 of the patient terminal 10 or the memory unit 27 of the doctor terminal 20 and taken in.
  • the patient terminal 10 or the doctor terminal 20 can be the treatment data of the patient who provides the generated treatment data 111 or the treatment data 113 to the doctor terminals of different examination destinations.
  • FIG. 13 is a diagram for explaining the transition from the data obtained by photographing the medical examination to the treatment data.
  • the patient terminal 10 captures a medical examination situation at the time of a medical examination with a camera of the input unit / camera unit 15 of the patient terminal 10 as an image or an image with the permission of a doctor.
  • the calculation unit 13 of the patient terminal 10 can generate the treatment data 111 of the patient to be provided to the doctor terminal 20 of a different examination destination based on the captured video data or the image data, and register the treatment data 111 in the memory unit 17.
  • the patient can export the treatment data 111 as clinical data from the MEN section 11 of the patient terminal 10 or the MEN section 31 of the examination notebook server 30.
  • the input unit / camera unit 25 of the doctor terminal 20 captures a moving image of a medical examination or treatment, and the patient's treatment data 113 can be generated and registered based on the captured video data or image data. it can.
  • the electronic medical record 21a may be a system different from the doctor terminal 20.
  • the electronic medical record 21a may replace the MEN unit 21 of the doctor terminal.
  • FIG. 14 is a diagram for explaining a processing flow of a personal organizer system and a control method according to an embodiment of the present invention.
  • FIG. 15 is an explanatory view of a screen of a patient terminal of a personal organizer system according to an embodiment of the present invention.
  • the doctor when the doctor examines the patient, the doctor inputs the treatment data when treating the patient into the doctor terminal 20.
  • the doctor terminal 20 executes a process of providing the treatment data when treating the patient to the patient terminal 10 (step S1).
  • the treatment data may be provided to the patient terminal 10 directly by the doctor terminal 20, by the medical examination notebook server 30, or by the patient terminal 10.
  • the medical examination notebook server 30 or the doctor terminal 20 executes a process of providing the data of the medical examination destinations that can be examined to the patient terminal 10 (step S2).
  • the input unit 15 of the patient terminal 10 inputs information on a medical examination destination different from the medical examination destination that has been examined once from the external medical examination notebook server 30 or the doctor terminal 20.
  • the calculation unit 13 of the patient terminal 10 selectively displays the treatment data desired to be examined at a different examination destination from the treatment data of the treatment history on the display unit 14 (step S3).
  • the patient can operate his / her own patient terminal 10 that functions as a medical examination notebook and select the treatment data that he / she wishes to have a medical examination at a different medical examination destination from the treatment data of the treatment history so far. ..
  • the display unit 14 of the patient terminal 10 is displayed so that the treatment data desired to be examined can be selected from the treatment data in the treatment history at a different examination destination.
  • the patient terminal 10 displays on the display unit 14 a medical examination destination that can be examined based on the provided data of the medical examination destination (step S4).
  • the patient can operate the patient terminal 10 to select a medical examination destination to be examined.
  • the display unit 14 of the patient terminal 10 is displayed so that a different examination destination for which examination is desired can be selected.
  • the patient terminal 10 uses the treatment data of the selected treatment history as the selected medical treatment destination doctor terminal based on the treatment data of the treatment history selected according to the operation of the patient and the selected medical examination destination.
  • the patient terminal 10 can directly cooperate with the doctor terminal 20, and can also provide information to the doctor terminal 20 via the medical examination notebook server 30.
  • the patient can also operate the patient terminal 10 so that he / she can make an appointment for a medical examination to a medical examination destination at the same time before or after step S5.
  • the medical examination notebook server 30 determines that there is no medical examination destination data that can be examined, it makes an inquiry to another doctor terminal 20 as to whether or not it is possible to examine, and provides the medical examination destination data that can be examined to the patient terminal 10. To execute.
  • the doctor terminal 20 responds to an inquiry from the medical examination notebook server 30 whether or not the medical examination is possible, and the medical examination notebook server 30 is registered as a medical examination destination that can be examined based on the answer result from the doctor terminal 20. To do.
  • the patient terminal 10 executes a process of providing treatment data of the treatment history to the outside according to the operation of the patient (step S8).
  • the patient terminal 10 can provide treatment data of the treatment history to the outside according to the operation of the patient.
  • treatment data could not be provided to the outside by this processing, but treatment data can be provided to the outside at the request of the patient and used as medical accidents or clinical data.
  • FIGS. 16 and 17 are flowcharts of the MEN unit 11 of the patient terminal 10 of the personal organizer system according to the embodiment of the present invention. As shown in FIGS. 16 and 17, the MEN unit 11 of the patient terminal 10 performs the user authentication process of the MEN unit 11 (step S101).
  • the MEN unit 11 of the patient terminal 10 confirms whether or not the user authentication of the MEN unit 11 is established, and if the user authentication of the MEN unit 11 is established (step S102: YES), the MEN of the medical examination notebook server 30.
  • the authentication process of unit 31 is executed (step S103).
  • the MEN section 11 of the patient terminal 10 synchronizes the patient information 110 and the treatment data 111 of the MEN section 11 and the MEN section 31. Is executed (step S105).
  • the MEN unit 11 of the patient terminal 10 terminates the MEN unit 11 (step S106: YES)
  • the MEN unit 11 executes the termination process of the MEN unit 11 (step S107).
  • the MEN unit 11 of the patient terminal 10 connects the MEN unit 21 of the doctor terminal 20 (step S110), registers the patient information 110 (step S130), displays the treatment data 111 (step S140), captures a camera (step S150), and so on. It waits for which of the image registration (S154) to be processed.
  • the MEN unit 11 of the patient terminal 10 receives a connection request for the MEN unit 21 of the doctor terminal 20 (step S110: YES)
  • the MEN unit 11 executes an input process of the connection code of the MEN unit 21 of the doctor terminal 20 (step S111).
  • the MEN section 11 of the patient terminal 10 determines whether or not it is via the MEN section 31 of the medical examination notebook server 30, and if it is not via the MEN section 31 (step S112: NO), the MEN section 21 of the doctor terminal 20 is directly connected.
  • the process is executed (step S114).
  • step S112 When it is determined that the MEN unit 11 of the patient terminal 10 is via the MEN unit 31 of the medical examination notebook server (step S112: YES), the connection process of the MEN unit 21 of the doctor terminal 20 is performed via the MEN unit 31 of the medical examination notebook server. Is executed (step S113).
  • the MEN unit 11 of the patient terminal 10 selects the treatment data for which the medical examination is desired at a different medical examination destination from the treatment data of the treatment history on the display unit 14. It is displayed as possible, and the selection process of the patient information 110 and the treatment data 111 is executed (step S115).
  • step S116 when the MEN unit 11 of the patient terminal 10 transmits the patient information 110 and the treatment data 111 of the selected treatment history to the target MEN unit 21 (step S116: YES), the patient information 110 and the selected material history
  • the treatment data 111 is transmitted to the MEN unit 21 of the doctor terminal 20 or the transmission application process to the MEN unit 31 of the medical examination notebook server 30 (step S117).
  • the patient terminal 10 executes a process of providing the treatment data of the selected treatment history to the doctor terminal 20 of the selected medical examination destination based on the treatment data of the selected treatment history and the selected medical examination destination.
  • the MEN unit 11 of the patient terminal 10 receives the doctor information 112 and the treatment data 113 from the doctor terminal 20 or the examination notebook server 30 (step S118: YES), the doctor information 112 and the treatment from the MEN unit 21 of the doctor terminal 20
  • the reception process of the data 113 or the reception process from the MEN unit 31 of the medical examination notebook server 30 is executed (step S119).
  • the connection termination of the MEN unit 21 of the doctor terminal 20 is requested (step S120: YES)
  • the MEN unit 11 of the patient terminal 10 executes the connection termination processing of the MEN unit 21 (step S121).
  • the MEN unit 11 of the patient terminal 10 When the MEN unit 11 of the patient terminal 10 receives a request for registration of the patient information 110 (step S130: YES), the MEN unit 11 executes the input process of the patient information 11 (step S131) and executes the registration process of the patient information 110 (step S131). Step S132). When the MEN unit 11 of the patient terminal 10 requests the display of the treatment data 111 according to the operation of the patient (step S140: YES), the MEN unit 11 executes the display process of the treatment data 111 (step S141).
  • step S142 when the MEN unit 11 of the patient terminal 10 receives a request to export the treatment data 111 (step S142: YES), the selection process of the treatment data 111 is executed (step S143), and the export destination designation process is executed. Then (step S144), a process of sending an export command to the MEN unit 31 of the medical examination notebook server 30 is executed (step S145).
  • the MEN unit 11 of the patient terminal 10 determines whether or not to capture the still image, and when the still image is captured (step S151: YES), the still image capturing process. Is executed (step S152).
  • the MEN unit 11 of the patient terminal 10 is not shooting a still image (step S151: NO)
  • the MEN unit 11 executes a moving image shooting process (step S153).
  • the MEN unit 11 of the patient terminal 10 executes an image file selection process (step S155) when registering an image (S154: YES) instead of taking a picture with a camera (step S150: NO).
  • step S156 the MEN unit 11 of the patient terminal 10 executes the registration process of the treatment data 111 of the image file.
  • the MEN unit 11 of the patient terminal 10 determines that the optical character recognition of the still image is performed (step S157: YES)
  • the optical character recognition process is executed (step S158)
  • the treatment data 111 of the character recognition data is executed.
  • the registration process of (step S159) is executed.
  • the MEN unit 11 of the patient terminal 10 generates and captures the treatment data 111 by using the photographic data and the character data obtained by optical character recognition of the photographic data based on the photographed treatment data of the patient. Can be done.
  • the patient terminal 10 can be a patient's treatment data 111 that provides the generated treatment data 111 to doctor terminals at different examination destinations.
  • FIG. 18 and 19 are flowcharts of the MEN section 21 of the doctor terminal 20 of the personal organizer system according to the embodiment of the present invention.
  • the MEN unit 21 of the doctor terminal 20 executes the user authentication process of the MEN unit 21 (step S201).
  • step S202: YES the MEN unit 21 of the doctor terminal 20 executes the user authentication process of the MEN unit 31 (step S203).
  • step S204 When the user authentication of the MEN unit 31 is established (step S204: YES), the MEN unit 21 of the doctor terminal 20 executes synchronous processing of the doctor information 112 and the treatment data 113 of the MEN unit 21 and the MEN unit 31 (step S205). ).
  • step S206 When the MEN section 21 of the doctor terminal 20 terminates the MEN section 21 (step S206: YES), the MEN section 21 executes the termination process of the MEN section 21 (step S207).
  • the MEN unit 21 of the doctor terminal 20 requests the connection of the MEN unit 11 of the patient terminal 10 (step S210), the registration request of the doctor information 112 (step S230), and the input request of the treatment data 113 (step S210).
  • S240 which processing of the electronic medical record data import request (step S250) is requested is monitored.
  • the MEN unit 21 of the doctor terminal 20 is a process of displaying the connection code of the MEN unit 21 when the patient requests a medical examination and the connection of the MEN unit 11 of the patient terminal 10 is requested (step S210: YES). Is executed (step S211).
  • step S212 NO
  • the MEN section 21 of the patient terminal 10 is directly connected to the MEN section 11 (step S214).
  • the connection process of the MEN unit 21 is executed via the MEN unit 31 of the medical examination notebook server 30 (step S213).
  • step S215 When the MEN unit 21 of the doctor terminal 20 receives the patient information 110 and the treatment data 111 (step S215: YES), the reception process of the patient information 110 and the treatment data 111 from the MEN unit 11 of the patient terminal 10 or the medical examination notebook. The reception process from the MEN unit 31 of the server 30 is executed (step S216). As a result, the doctor terminal 20 can obtain the treatment data 111 desired by the patient and can examine the patient.
  • the MEN unit 21 of the doctor terminal 20 When the MEN unit 21 of the doctor terminal 20 is requested to display the patient information and the treatment data 111 (step S217: YES), the MEN unit 21 of the doctor terminal 20 displays the treatment data of the patient in the electronic medical record 21a (step S217: YES). The process of displaying on the predetermined display) 24 is executed (step S218). As described above, the MEN unit 21 of the doctor terminal 20 can also perform a process of printing the treatment data of the patient in the electronic medical record 21a on paper.
  • the MEN unit 21 of the doctor terminal 20 executes the input process of the treatment data 113 in the case of the request for creating the treatment data 113 (step S219: YES) (step S220).
  • the MEN unit 21 of the doctor terminal 20 executes an electronic medical record data import process (step S222), and executes a process of saving the imported data as treatment data 113. (Step S223).
  • the MEN unit 21 of the doctor terminal 20 executes the selection process of the treatment data 113 (step S225).
  • the MEN unit 21 of the doctor terminal 20 executes a process of providing the doctor information 112 and the treatment data 113 when the patient is treated to the patient terminal 10, and transmits the doctor information 112 and the treatment data 113. Or, the transmission application process from the MEN unit 31 is performed.
  • the MEN unit 21 of the doctor terminal 20 determines that it is not a request for transmission of the doctor information 112 and the treatment data 113 (step S224: NO), and determines that the connection of the MEN unit 11 of the patient terminal 10 is completed.
  • the connection termination process of the MEN unit 11 of the patient terminal 10 is executed (step S228).
  • step S210 the MEN unit 21 of the doctor terminal 20 is not requested to connect to the MEN unit 11 (step S210: NO), and is requested to register the doctor information 112 (step S230: YES). , The input process of the doctor information 112 (step S231) and the registration process of the doctor information 112 (step S232).
  • step S240 determines that the treatment data 113 is input
  • step S241 the treatment data 113 input process
  • step S242 the treatment data 113 registration process is executed.
  • step S242 the treatment data 113 registration process is executed.
  • step S252 the electronic medical record data import process
  • FIG. 20 and 21 are flowcharts of the MEN section 31 of the medical examination notebook server 30 of the medical examination notebook system according to the embodiment of the present invention.
  • the MEN unit 31 of the medical examination notebook server 30 executes the administrator authentication process of the MEN unit 31 (step S301).
  • step S303: YES the MEN section 31 executes the termination process of the MEN section 31 (step S304).
  • the MEN unit 31 of the medical examination notebook server 30 receives the received data from the MEN unit 11 of the patient terminal 10 (step S305: YES), and receives the user authentication of the MEN unit 11 of the patient terminal 10 (step S305: YES).
  • Step S306: YES) the user authentication determination process of the MEN unit 11 of the patient terminal 10 is executed (step S307), and the transmission process of the user authentication result of the MEN unit 11 of the patient terminal 10 is executed (step S308).
  • the MEN unit 31 of the medical examination notebook server 30 has determined that the MEN unit 11 of the patient terminal 10 has already been user-authenticated (step S309: YES), and has received the synchronization command of the MEN unit 11 of the patient terminal 10.
  • step S310: YES the synchronous processing of the patient information 110 and the treatment data 111 with the MEN unit 11 of the patient terminal 10 is executed (step S311).
  • the MEN section 31 of the medical examination notebook server 30 receives the connection code of the MEN section 21 of the doctor terminal 20 (step S312: YES)
  • the MEN section 31 executes the extraction process of the target MEN section 21 from the connection code (step S313).
  • the MEN unit 31 of the medical examination notebook server 30 determines that the target MEN unit 21 has been authenticated (step S314: YES)
  • the MEN unit 31 executes a process of transmitting the connection code to the doctor terminal 20 of the target MEN unit 21 (step S314: YES). Step S315).
  • the MEN section 31 of the medical examination notebook server 30 receives an application for transmission of the patient information 110 and the treatment data 11 (step S316: YES) and determines that the target MEN section 21 has been authenticated (step). S317: YES), the patient information 110 and the treatment data 111 are transmitted to the doctor terminal 20 of the target MEN unit 21 (step S318).
  • step S320 the MEN section 31 of the medical examination notebook server 30 is the case where there is data received from the MEN section 21 of the doctor terminal 20 (YES), and further, the MEN section of the doctor terminal 20.
  • step S321: YES the user authentication determination process of the MEN unit 21 of the doctor terminal 20 is executed (step S322), and the user authentication result transmission process of the MEN unit 21 is executed (step). S323).
  • the MEN section 31 of the medical examination notebook server 30 determines that the user authentication of the MEN section 21 has been completed (step S330: YES), and determines that the synchronization command of the MEN section 21 of the doctor terminal 20 has been received. In the case (step S331: YES), the synchronous processing of the doctor information 112 and the treatment data 113 with the MEN unit 21 of the doctor terminal 20 is executed (step S332).
  • the MEN unit 31 of the medical examination notebook server 30 receives the connection permission from the MEN unit 11 (step S340: YES)
  • the MEN unit 31 executes the process of transmitting the connection permission to the target MEN unit 11 (step S341).
  • the MEN section 31 of the medical examination notebook server 30 is when there is an application for transmission of the doctor information 112 and the treatment data 113 (step S350: YES), and when it is determined that the connection to the target MEN section 11 has been completed (step S351). : YES), the doctor information 112 and the treatment data 113 are transmitted to the patient terminal of the target MEN unit 11 (step S352).

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

L'invention concerne un système de carnet d'examen médical, un terminal de patient et un procédé de commande, qui sont capables de gérer un carnet d'examen médical pour gérer un historique de traitement médical, et divulguer facilement des données de traitement médical relatives à l'historique de traitement médical à d'autres hôpitaux, à des sociétés de traitement de données de traitement médical et à des instituts de recherche.　Un système de carnet d'examen médical (1) selon la présente invention comprend : une pluralité de terminaux de médecin (20) qui entrent des données de traitement médical concernant un traitement médical exécuté par le médecin lors du traitement d'un patient ; un terminal de patient (10) qui est tenu par un patient individuel et qui possède des données de traitement médical relatives à l'historique de traitement médical du patient ; et un serveur de carnet d'examen médical (30) qui gère les données de traitement médical concernant le traitement médical exécuté par le médecin en coopération avec le terminal de médecin, et gère les données de traitement médical relatives à l'historique de traitement médical de chaque patient en coopération avec le terminal de patient. Le terminal de médecin (20) exécute un processus de fourniture, au terminal de patient, de données de traitement médical lors du traitement du patient, et le terminal de patient exécute un processus d'affichage sélectif de données de traitement médical pour lesquelles un examen médical doit être effectué au niveau d'un lieu d'examen médical différent, parmi les données de traitement médical relatives à l'historique de traitement médical, et de fourniture des données de traitement médical relatives à l'historique de traitement médical sélectionné au terminal de médecin (20) du lieu d'examen médical différent.
PCT/JP2019/010677 2019-03-14 2019-03-14 Système de carnet d'examen médical, terminal de patient et procédé de commande WO2020183727A1 (fr)

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JP2019543956A JP6654274B1 (ja) 2019-03-14 2019-03-14 診察手帳システム、患者端末及び制御方法

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