WO2022123733A1 - Second opinion assistance system - Google Patents

Second opinion assistance system Download PDF

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Publication number
WO2022123733A1
WO2022123733A1 PCT/JP2020/046091 JP2020046091W WO2022123733A1 WO 2022123733 A1 WO2022123733 A1 WO 2022123733A1 JP 2020046091 W JP2020046091 W JP 2020046091W WO 2022123733 A1 WO2022123733 A1 WO 2022123733A1
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WIPO (PCT)
Prior art keywords
veterinarian
owner
opinion
nomination
terminal
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PCT/JP2020/046091
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French (fr)
Japanese (ja)
Inventor
純 岡崎
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株式会社Peco
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Priority to JP2022567976A priority Critical patent/JPWO2022123733A1/ja
Priority to PCT/JP2020/046091 priority patent/WO2022123733A1/en
Publication of WO2022123733A1 publication Critical patent/WO2022123733A1/en

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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
    • 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

Definitions

  • This disclosure relates to a second opinion support system.
  • the clinical path referred to here is, for example, medical treatment schedule data in which medical information regarding the schedule and results of medical treatment (diagnosis and treatment) given to a patient is recorded in chronological order.
  • the clinical path management system disclosed in Patent Document 1 is a doctor different from the attending physician when the patient wishes to obtain a second opinion, which is the opinion of a doctor different from the attending physician regarding the medical treatment content. It has a function to request a second opinion.
  • Patent Document 1 does not show any such needs and a specific configuration for meeting the needs.
  • one of the purposes of this disclosure is to construct a second opinion support system that can effectively correct the knowledge gap between medical professionals such as veterinarians and owners who own animal patients. ..
  • the present inventor shall construct a second opinion support system capable of effectively correcting the knowledge gap between the medical staff side and the owner side by the following configuration. We found that we could do it, and completed the present invention.
  • the present disclosure is made from the electronic medical record management unit that manages the electronic medical record information involved in the preparation by the first veterinarian, and the owner terminal related to the owner who holds the animal patient related to the electronic medical record information.
  • the second opinion acquisition request reception unit that accepts the second opinion acquisition request, which is the opinion of the second veterinarian different from the veterinarian, and the second veterinarian when the acquisition request is accepted.
  • a second opinion support system including a review request transmission unit that requests a review of electronic medical record information and a communication control unit that receives the review result of the electronic medical record information from the second veterinarian and transmits it to the owner terminal. offer.
  • the electronic medical record management department that manages the electronic medical record information that the first veterinarian was involved in creating, Accepting a second opinion acquisition request request, which is the opinion of a second veterinarian different from the first veterinarian, from the owner terminal related to the owner who owns the animal patient related to the electronic medical record information.
  • Department and A review request transmission unit that requests the second veterinarian to review the electronic medical record information when the acquisition request is received.
  • a communication control unit that receives the review result of the electronic medical record information from the second veterinarian and transmits it to the owner terminal.
  • Second opinion support system The electronic medical record management department that manages the electronic medical record information that the first veterinarian was involved in creating, Accepting a second opinion acquisition request request, which is the opinion of a second veterinarian different from the first veterinarian, from the owner terminal related to the owner who owns the animal patient related to the electronic medical record information.
  • Department and A review request transmission unit that requests the second veterinarian to review the electronic medical record information when the acquisition request is received.
  • a communication control unit that receives the review result of the electronic medical record information from the second
  • the second designated information storage unit and When a nomination is accepted from the owner to the third veterinarian stored in the second nomination destination information storage unit, a nomination notification is transmitted to the third veterinarian who is the nomination destination.
  • a nomination notification transmitter When the communication control unit receives the review result of the electronic medical record information from the third veterinarian who is the transmission destination of the nomination notification, the communication control unit transmits the review result to the owner terminal on condition that the owner is charged.
  • Second opinion support system [Item 6] ⁇ Share online medical data with another doctor for each medical record >> The second opinion support system according to any one of items 1 to 5.
  • a video call control unit for initiating a video call between the veterinarian terminal related to the first veterinarian and the owner terminal, In the video call, at least one of the text data, image data, or video data transmitted / received between the veterinarian terminal and the owner terminal is associated with the identification information that identifies the first veterinarian. Equipped with a data storage unit to store Second opinion support system.
  • the second opinion support system includes, for example, a veterinarian, a nurse, a physiotherapist, a medical worker such as a medical office worker who works in a medical facility such as a veterinary hospital, and an owner who owns an animal patient.
  • the purpose is to standardize or level the mechanism that can fill the knowledge gap between the two.
  • FIG. 1 is a diagram showing a configuration example of a second opinion support system 1 according to the first embodiment of the present disclosure.
  • the second opinion support system 1 includes an owner terminal 10 related to an owner K1 having an animal patient, a first veterinarian terminal 20 related to a first veterinarian V1, and a first veterinarian terminal 20.
  • a second veterinarian terminal 30 related to the second veterinarian V2, which is different from the first veterinarian V1, and an intermediary terminal 40 that mediates each terminal are provided.
  • the owner terminal 10, the first veterinarian terminal 20, the second veterinarian terminal 30, and the intermediary terminal 40 are communicably connected via the network NW. It should be noted that this configuration is an example, and a certain configuration may have another configuration or may include another configuration.
  • the network NW assumes the Internet.
  • the network NW is constructed by, for example, a public telephone line network, a mobile phone line network, a wireless communication network, Ethernet (registered trademark), and the like.
  • the owner terminal 10 is a terminal operated by the owner K1 of the animal patient.
  • the owner terminal 10 can be a mobile phone, a smartphone, a tablet computer, a personal computer, or the like.
  • the first veterinarian terminal 20 is a terminal owned or rented by the first veterinarian V1.
  • the first veterinarian terminal 20 can be operated by the first veterinarian V1.
  • the first veterinary terminal 20 may be a mobile phone, a smartphone, a tablet computer, a personal computer, or the like.
  • the second veterinarian terminal 30 is a terminal owned or rented by the second veterinarian V2.
  • the second veterinarian terminal 30 can be operated by the second veterinarian V2.
  • the second veterinary terminal 30 can be a mobile phone, a smartphone, a tablet computer, a personal computer, or the like.
  • the intermediary terminal 40 operates as an intermediary terminal between the owner terminal 10 related to the owner who owns the animal patient and the veterinarian terminals 20 and 30 deployed at the hospital where the animal patient is accepted.
  • the intermediary terminal 40 may be managed directly, for example, in a veterinary hospital, or in an organization that manages a veterinary hospital, a servicer that provides a second opinion support system 1 for at least one veterinary hospital.
  • the hospitals here are small hospitals such as one room in a certain building, large hospitals with multiple wards on one site, and hospitals including affiliated hospitals dispersed in multiple areas. It can be a group. In the case of a hospital group, electronic medical records may be distributed among hospitals in the group.
  • the intermediary terminal 40 may be a general-purpose computer such as a workstation or a personal computer, or may be logically realized by cloud computing.
  • FIG. 2 is a diagram showing a hardware configuration example of a computer that realizes the intermediary terminal 40 according to the present embodiment.
  • the computer includes at least a control unit 41, a memory 42, a storage 43, a communication unit 44, an input / output unit 45, and the like. These are electrically connected to each other through the bus 46.
  • the control unit 41 is an arithmetic unit that controls the operation of the entire intermediary terminal 40, controls the transmission and reception of data between each element, and performs information processing necessary for application execution and authentication processing.
  • the control unit 41 is a processor such as a CPU (Central Processing Unit), and executes each information processing by executing a program or the like stored in the storage 43 and expanded in the memory 42.
  • CPU Central Processing Unit
  • the memory 42 includes a main storage composed of a volatile storage device such as a DRAM (Dynamic Random Access Memory) and an auxiliary storage composed of a flash memory or a non-volatile storage device such as an HDD (Hard Disk Drive). ..
  • the memory 42 is used as a work area or the like of the control unit 11, and also stores a BIOS (Basic Input / Output System) executed when the intermediary terminal 40 is started, various setting information, and the like.
  • BIOS Basic Input / Output System
  • the storage 43 stores various programs such as application programs.
  • a database storing data used for each process may be built in the storage 43.
  • the communication unit 44 connects the intermediary terminal 40 to the network NW.
  • the communication unit 44 may use, for example, a wired LAN (Local Area Network), wireless LAN, Wi-Fi (Wireless Fidelity, registered trademark), infrared communication, Bluetooth (registered trademark), short-range or non-contact communication, or the like. Communicate directly with the device or via a network access point.
  • the input / output unit 45 is, for example, an information input device such as a keyboard, a mouse, and a touch panel, and an output device such as a display.
  • the bus 46 is commonly connected to each of the above elements and transmits, for example, an address signal, a data signal, and various control signals.
  • the hardware configuration of a terminal such as a computer or a smartphone that realizes the owner terminal 10, the first veterinarian terminal 20, and the second veterinarian terminal 30 according to the present embodiment is the hardware configuration of the intermediary terminal 40 shown in FIG. Since it is the same as the example, the description is omitted.
  • FIG. 3 is a diagram showing a software configuration example of the intermediary terminal 40 according to the present embodiment.
  • the intermediary terminal 40 includes an electronic medical record DB 400, an electronic medical record management unit 401, a second opinion acquisition request reception unit 402, a review request transmission unit 403, a communication control unit 404, an additional diagnosis request reception unit 405, a diagnosis request unit 406, and a first nomination. It includes a destination information storage unit 407, a first nomination notification transmission unit 408, a video call control unit 409, and a data storage unit 410.
  • the electronic medical record DB 400 can be realized as a part of the storage area provided by the memory 42 and the storage 43.
  • the electronic medical record DB 400 may be realized as a part of an external storage area provided by one or a plurality of servers other than the intermediary terminal 40.
  • Each unit 401 to 410 can be realized by the control unit 41 reading the program stored in the storage 43 into the memory 42 and executing the program.
  • the electronic medical record DB 400 is a database for managing electronic medical record information of animal patients.
  • FIG. 4 is a diagram showing an example of the electronic medical record DB 400 according to the present embodiment. As shown in FIG. 4, the electronic medical record information is managed in association with, for example, an animal patient ID which is an identifier uniquely identifying an animal patient. In addition, electronic medical record information for each animal patient is managed for each consultation day.
  • the items included in the electronic medical record information include animal information, interview information, physical findings, medical history, examination information, diagnostic information, treatment / medication information, prescription information, memos, image information, and the like.
  • the animal information includes the animal species information to which the animal patient is applicable.
  • animal species information include dogs, foxes, tanukis, phenecks, cats, hamsters, guinea pigs, pigeons, shimaris, taiwan squirrels, prairie dogs, momonga, rabbits, monkeys, miniature pigs, ferret, skunks, donkeys, horses (miniature horses, farabella).
  • Interview information is subjective information (chief complaint) obtained from the owner. For example, “I don't eat much rice”, “I have scratches on my legs”, “I'm getting fat”, “I'm not feeling well”, “I have a runny nose”, etc. It is an observed symptom.
  • the interview information may be obtained from the owner using a questionnaire or a questionnaire terminal when visiting a veterinary hospital, or it may be obtained by having the owner enter it in advance using a mobile terminal or the like owned by the owner. May be good. Interviews are also conducted at the time of admission and surgery, and the interview information may be included in the hospitalization chart information and the surgery chart information.
  • Physical findings are physical information that can be examined by veterinarians at veterinary hospitals and can be expressed as objective numerical values. For example, “weight”, “body temperature”, “heart rate”, “respiratory rate” and the like.
  • Medical history is subjective information heard by veterinarians and others.
  • the medical history is often the same as the above-mentioned interview information, but it also includes items that are difficult for the owner to actually confirm, such as "red throat”.
  • the information that "hematuria is occurring” is obtained from the interview information, the current medical history that "bleeding from the anus” may be heard when examined by a veterinarian or the like.
  • the test information includes at least the contents of the tests that the animal patient has received in the past.
  • the test information may include tests that have been performed in the past visits, hospitalizations or surgery, tests that have been performed in the examination, and the like.
  • the reaction to the test (information on the acceptability / permissibility of the test itself, such as whether or not it was disliked) may be associated and stored.
  • the diagnostic information includes at least the history of diagnoses received by the animal patient in the past.
  • the diagnostic information can include information such as the name of a specific disease or injury that has occurred in the past. Diagnostic information may include information about diagnoses suspected in previous visits, hospitalizations or surgery.
  • the treatment / medication information includes information regarding the treatment or medication that the animal patient has received in the past.
  • the treatment / dosing information may be associated with and stored in response to the treatment or medication (information regarding the acceptability / tolerance of the treatment or the medication itself, such as whether or not the patient disliked it or whether it affected the physical condition).
  • the contents of the treatment include, for example, anal gland treatment, nail cutting treatment, sole treatment, ear treatment, hair removal, ophthalmic treatment, dental treatment, Elizabeth color / abdominal band, acupuncture and moxibustion treatment, indwelling, stool removal, thread removal, disinfection, oxygen.
  • Treatment emetic treatment, emergency resuscitation treatment, drainage, forced feeding, washing, exclusion, massage, microchip, trimming, catheter, rehabilitation, surgery, anesthesia, hospitalization, injection, blood transfusion, drip, examination, radiation treatment, various docks, Nursing care, hygiene treatment, shampoo, training, supplements, snacks, contraception, neutering, flea mite extermination, mad dog disease medicine, vaccines, foods, internal medicines, ear drops, nasal drops, eye drops, external medicines (ointments / creams), external use Examples include medicines (disinfectants / sprays), local medicines, and prevention of filaria, but this is not the case.
  • Prescription information includes drugs, etc. prescribed by the animal patient in the past.
  • the user's mobile terminal contains information on the acceptability / acceptability of the treatment or the medication itself, such as whether or not the drug prescribed at home could be taken, whether or not it was disliked, and whether or not it affected the physical condition. It may be acquired and added via.
  • the memo is text data input by the doctor in charge of medical examination, hospitalization or surgery, the nurse in charge, the office work in charge, etc.
  • the image information is an image of an animal patient.
  • the image information may be a still image or a moving image.
  • the electronic medical record management unit 401 has a function of managing the electronic medical record information involved in the creation by the first veterinarian V1.
  • “Involvement” means, for example, being actively or passively involved in at least a part of the procedures included in the process of creating electronic medical record information.
  • the second opinion acquisition request reception unit 402 is the opinion of the second veterinarian V2 different from the first veterinarian V1 from the owner terminal 10 related to the owner K1 who holds the animal patient related to the electronic medical record information. It has a function to accept an opinion acquisition request.
  • the review request transmission unit 403 has a function of requesting the second veterinarian V2 to review the electronic medical record information when the second opinion acquisition request reception unit 402 receives the second opinion acquisition request.
  • the term "review” as used herein means, for example, that a clinical veterinarian who diagnoses or treats in the medical field seeks advice (providing diagnostic information, etc.) from a specialist who is more experienced in the education section, or a colleague's specialist. This refers to the case of double-checking by asking for advice (providing diagnostic information, colleague evaluation, etc.).
  • the communication control unit 404 has a function of receiving the review result of the electronic medical record information from the second veterinarian V2 and transmitting it to the owner terminal 10.
  • the first veterinarian V1 performs all face-to-face medical practices such as diagnosis or treatment.
  • the second veterinarian V2 looks over the electronic medical record information that the first veterinarian V1 was involved in creating (double check). Then, at an appropriate time, as the opinion of the second veterinarian V2, for example, "I think that the findings on the heartbeat are the same as the first veterinarian V1 in my opinion, so I think it is appropriate.” "I think it's better to do it" is sent to the owner K1 in the form of a report, for example.
  • the additional diagnosis request receiving unit 405 charges the owner K1 when the owner terminal 10 requests the first veterinarian V1 or the second veterinarian V2 to make an additional diagnosis requesting a detailed diagnosis of the animal patient. It has a function to accept additional diagnosis as a condition.
  • the diagnosis request unit 406 has a function of requesting a detailed diagnosis of an animal patient from either the first veterinarian V1 or the second veterinarian V2 when the additional diagnosis request reception unit 405 accepts the additional diagnosis. Have.
  • an optional diagnostic function is provided to the owner K1 who has a concern about the medical treatment result.
  • a detailed diagnosis of an animal patient can be requested from either the first veterinarian V1 or the second veterinarian V2, subject to payment of an additional fee.
  • the first nomination destination information storage unit 407 has a function of storing information about the second veterinarian V2 who has previously understood to provide the second opinion as the nomination destination of the owner K1.
  • the first nomination notification transmission unit 408 receives a nomination from the owner K1 for the second veterinarian V2 stored in the first nomination destination information storage unit 407
  • the second nomination destination is the second. It has a function to send a nomination notification to the veterinarian V2.
  • the nomination of the second veterinarian V2 can be a condition by charging the owner K1 as a nomination fee.
  • the communication control unit 404 receives the review result of the electronic medical record information from the second veterinarian V2 to which the nomination notification is transmitted, the communication control unit 404 transmits the review result to the owner terminal 10 on condition that the owner K1 is charged. do.
  • the video call control unit 409 has a function of initiating a video call between the veterinarian terminal 20 and the owner terminal 10 related to the first veterinarian V1.
  • the data storage unit 410 identifies at least one of the text data, image data, or video data transmitted / received between the veterinary doctor terminal 20 and the owner terminal 10 in the video call to identify the first veterinary doctor V1. It has a function to store it in association with the identification information.
  • the owner K1 can use the first method when he / she desires a more accurate review result. It is possible to request the second veterinarian V2 not only to review the electronic chart information that the veterinarian V1 was involved in creating, but also to review the conversation or video included in the log information. Thus, the owner K1 may be double-checked by the first veterinarian V1 and the second veterinarian V2 not only for face-to-face medical practice by the first veterinarian V1 but also for online medical practice. It will be possible.
  • FIG. 5 is a diagram schematically showing an example of a processing flow by the second opinion support system 1 according to the first embodiment of the present disclosure.
  • the second veterinarian V2 has been nominated in advance as a reviewer of the electronic medical record information that the first veterinarian V1 was involved in creating.
  • the first veterinarian V1 provides medical care to an animal patient (step S100).
  • the medical treatment is performed by online medical treatment using a video call or the like, but of course, it may be performed face-to-face.
  • This medical result is transmitted from the veterinarian terminal 20 to the intermediary terminal 40 and stored in the electronic medical record DB 400 as the electronic medical record information that the first veterinarian V1 was involved in creating (step S102).
  • Such electronic medical record information is transmitted to the owner terminal 10 via the communication unit 44 included in the intermediary terminal 40 (step S104).
  • the owner terminal 10 receives electronic medical record information from the intermediary terminal 40 via the communication unit 14 (step S106).
  • SO second opinion
  • the second opinion acquisition request receiving unit 402 included in the intermediary terminal 40 receives a second opinion acquisition request from the owner terminal 10 (step S110).
  • the review request transmission unit 403 requests the second veterinarian V2 to review the electronic medical record information (step S112).
  • the second veterinarian V2 which is the request destination, creates a review for the electronic medical record information (step S114) and transmits it to the intermediary terminal 40 via the veterinarian terminal 30 (step S116).
  • the communication control unit 404 included in the intermediary terminal 40 receives the review result from the second veterinarian V2 (step S118) and transmits it to the owner terminal 10 (step S120).
  • the communication control unit 404 can transmit the image data showing the facial photograph of the second veterinarian V2 and the name of the second veterinarian V2 to the owner terminal 10 in association with the review result (FIG. 6). reference).
  • FIG. 6 is an explanatory diagram showing an example of the review result.
  • the face image can be displayed on the display unit of the owner terminal 10 together with the name of the second veterinarian V2.
  • the owner K1 can determine that the doctor in charge of the animal patient owned by the owner is the second veterinarian V2 who is a specialist. Therefore, it is possible to increase the sense of trust in the owner by the result of the review by a more experienced specialist or the like.
  • the operation management of the second opinion support system 1 does not complete the medical practice such as diagnosis or treatment for one animal patient by one veterinarian, but another veterinarian always relates to the animal patient.
  • a double-check system for checking electronic medical record information is in mind, so to speak, with a two-stage stance.
  • Such a two-stage medical system can give the owner of the animal patient a sense of conviction about the medical practice and reduce the anxiety of the owner as compared with the case where a single veterinarian performs the medical practice.
  • the knowledge gap between the medical staff such as veterinarians and the owners of animal patients can be effectively corrected.
  • the second opinion support system 1 according to this embodiment can be further used as follows.
  • Veterinarian V2 may be with a first veterinarian V1.
  • the second veterinarian V2 can recognize where the first veterinarian V1 is gazing through the images taken from the perspective of the first veterinarian V1 performing the clinical surgery. .. Therefore, for example, the second veterinarian V2 answers "Isn't it dangerous?" To the first veterinarian V1 who said "Where do you want to cut?" Education can be provided to improve V1 clinical surgery skills.
  • FIG. 7 is a diagram showing a configuration example of the second opinion support system according to the second embodiment of the present disclosure.
  • the second opinion support system 2 includes an owner terminal 10 related to an owner K1 having an animal patient, a first veterinarian terminal 20 related to a first veterinarian V1, and a first veterinarian terminal 20.
  • a second veterinarian terminal 30 associated with a second veterinarian V2 separate from the first veterinarian V1 and a third veterinarian separate from the first veterinarian V1 and the second veterinarian V2.
  • a third veterinarian terminal 50 related to V3 and an intermediary terminal 40 that mediates each terminal are provided.
  • the owner terminal 10, the first veterinarian terminal 20, the second veterinarian terminal 30, the third veterinarian terminal 50, and the intermediary terminal 40 are communicably connected via the network NW. .. It should be noted that this configuration is an example, and a certain configuration may have another configuration or may include another configuration.
  • the second veterinarian V1 is involved in the creation of the electronic chart information.
  • a so-called double check system was laid down for veterinarian V2 to read, but in the second opinion support system according to the second embodiment, it is further separated from the first veterinarian V1 and the second veterinarian V2.
  • a so-called triple check system is laid down in which the third veterinarian V3 of the above reads the electronic chart information.
  • FIG. 8 is a diagram showing a software configuration example of the intermediary terminal 40 according to the present embodiment.
  • the intermediary terminal 40 includes an electronic medical record DB 400, an electronic medical record management unit 401, a second opinion acquisition request reception unit 402, a review request transmission unit 403, a communication control unit 404, an additional diagnosis request reception unit 405, a diagnosis request unit 406, and a first nomination. It includes a destination information storage unit 407, a first nomination notification transmission unit 408, a video call control unit 409, a data storage unit 410, a second nomination destination information storage unit 411, and a second nomination notification transmission unit 412.
  • the second designated information storage unit 411 is a veterinarian who has previously agreed to provide a second opinion, and is a third veterinarian V3 different from the first veterinarian V1 and the second veterinarian V2. It has a function of storing information about the owner K1 as a designated destination. As with the second veterinarian V2, the nomination of the third veterinarian V3 can be made as a condition by charging the owner K1 as a nomination fee.
  • the second nomination notification transmission unit 412 When the second nomination notification transmission unit 412 receives a nomination from the owner K1 to the third veterinarian stored in the second nomination destination information storage unit 411, the second nomination notification transmission unit 412 is the third nomination destination. It has a function to send a nomination notification to the veterinarian V3.
  • FIG. 9 is a diagram schematically showing an example of a processing flow by the second opinion support system according to the second embodiment of the present disclosure.
  • steps S100 to S120 according to the first embodiment and the steps S100 to S120 according to the present embodiment are the same in order, here, only the processing after step S120 will be described in detail. conduct.
  • the second opinion acquisition request receiving unit 402 included in the intermediary terminal 40 receives a second opinion (SO) acquisition request from the owner terminal 10 (step S122).
  • the review request transmission unit 403 requests the third veterinarian V3 to review the electronic medical record information (step S124).
  • the veterinary medical practice by the three-person system of veterinarians V1 to V3 gives a more convincing feeling to the owner who owns the animal patient, and the owner is compared with the case where the two veterinarians V1 and V2 perform the medical practice. It is possible to further reduce the anxious feelings of. As a result, it is possible to more effectively correct the knowledge gap between the medical staff such as veterinarians and the owners who own animal patients.
  • the series of processes by the apparatus described in the present specification may be realized by using any of software, hardware, and a combination of software and hardware. It is also possible to provide a computer-readable recording medium in which such a computer program is stored.
  • the recording medium is, for example, a magnetic disk, an optical disk, a magneto-optical disk, a flash memory, or the like. Further, the above computer program may be distributed, for example, via a network without using a recording medium.
  • Second opinion support system 10 Owner terminal 20 First veterinary doctor terminal 30 Second veterinary doctor terminal 40 Mediation terminal 401 Electronic chart management unit 402 Second opinion acquisition request reception unit 403 Review request transmission unit 404 Communication control unit 405 addition Diagnosis request reception unit 406 Diagnosis request unit 407 First nomination destination information storage unit 408 First nomination notification transmission unit 409 Video call control unit 410 Data storage unit 411 Second nomination destination information storage unit 412 Second nomination notification transmission Department K1 Owner V1 First Veterinary Doctor V2 Second Veterinary Doctor V3 Third Veterinary Doctor

Abstract

The purpose of the present invention is to construct a second opinion assistance system that can effectively correct a knowledge gap between the medical profession side, such as a veterinarian, and the side of an animal patient owner. The second opinion assistance system is provided with: an electronic medical chart managing unit for managing electronic medical chart information in the creation of which a first veterinarian has been involved; a second opinion acquisition request receiving unit for receiving, from an owner terminal associated with an owner of an animal patient to which the electronic medical chart information relates, an acquisition request for a second opinion which is an opinion of a second veterinarian different from the first veterinarian; a review request transmitting unit which, when the acquisition request is received, requests the second veterinarian to review the electronic medical chart information; and a communication control unit for receiving a review result of the electronic medical chart information from the second veterinarian and transmitting the review result to the owner terminal.

Description

セカンドオピニオン支援システムSecond opinion support system
　本開示は、セカンドオピニオン支援システムに関する。 This disclosure relates to a second opinion support system.
　従来、医療分野において、患者の診療情報を記録したクリニカルパスを管理するクリニカルパス管理システムが知られている。ここでいうクリニカルパスとは、例えば、患者に対して施される診療（診断及び治療）の予定と実績に関する診療情報を時系列に記録した診療スケジュールデ一タである。 Conventionally, in the medical field, a clinical path management system that manages a clinical path that records medical information of a patient is known. The clinical path referred to here is, for example, medical treatment schedule data in which medical information regarding the schedule and results of medical treatment (diagnosis and treatment) given to a patient is recorded in chronological order.
　具体的に、特許文献１に開示されたクリニカルパス管理システムは、患者が、診療内容に関して、主治医とは別の医師の意見であるセカンドオピニオンの取得を希望する場合に、主治医とは別の医師に対して、セカンドオピニオンを依頼する機能を備えている。 Specifically, the clinical path management system disclosed in Patent Document 1 is a doctor different from the attending physician when the patient wishes to obtain a second opinion, which is the opinion of a doctor different from the attending physician regarding the medical treatment content. It has a function to request a second opinion.
国際公開第２０１５／０４５９７１号International Publication No. 2015/045791
  例えば、日常生活において、患者が病気、怪我、事故等に遭遇した場合にはもちろんのこと、そのような事態に遭遇することを仮定して前もって、対処方法を予め知っておきたいというニーズが存在する。このようなニーズおよび当該ニーズに応える具体的な構成について、特許文献１には何ら示されていない。 For example, in daily life, there is a need to know in advance how to deal with illness, injury, accident, etc., as well as assuming that such a situation will be encountered. do. Patent Document 1 does not show any such needs and a specific configuration for meeting the needs.
　特に動物を患者とする診療の場合、人間の診療とは異なり、動物種又は個体差によって適応できる検査、診断、処置、投薬及び処方が根本的に異なることから、このような傾向は顕著に現れ得る。 Especially in the case of medical care with animals as patients, unlike human medical care, such a tendency becomes remarkable because the tests, diagnoses, treatments, medications and prescriptions that can be applied differ depending on the animal species or individual differences. obtain.
　そこで、本開示は、獣医師等の医療従事者側と動物患者を保有する飼主側との知識的格差を効果的に是正することのできるセカンドオピニオン支援システムを構築することを一つの目的とする。 Therefore, one of the purposes of this disclosure is to construct a second opinion support system that can effectively correct the knowledge gap between medical professionals such as veterinarians and owners who own animal patients. ..
　本発明者は、上記目的を達成するため鋭意検討した結果、下記の構成により、医療従事者側と飼主側との知識的格差を効果的に是正することのできるセカンドオピニオン支援システムを構築することができることを見出し、本発明を完成した。 As a result of diligent studies to achieve the above object, the present inventor shall construct a second opinion support system capable of effectively correcting the knowledge gap between the medical staff side and the owner side by the following configuration. We found that we could do it, and completed the present invention.
　すなわち、本開示は、第１の獣医師が作成に関与した電子カルテ情報を管理する電子カルテ管理部と、前記電子カルテ情報に係る動物患者を保有する飼主に関連する飼主端末から、前記第１の獣医師とは別の第２の獣医師の意見であるセカンドオピニオンの取得要求を受け付けるセカンドオピニオン取得要求受付部と、前記取得要求を受け付けた場合に、前記第２の獣医師に対して前記電子カルテ情報のレビューを要求するレビュー要求送信部と、前記電子カルテ情報のレビュー結果を前記第２の獣医師から受信して前記飼主端末に送信する通信制御部と、を備えるセカンドオピニオン支援システムを提供する。 That is, the present disclosure is made from the electronic medical record management unit that manages the electronic medical record information involved in the preparation by the first veterinarian, and the owner terminal related to the owner who holds the animal patient related to the electronic medical record information. The second opinion acquisition request reception unit that accepts the second opinion acquisition request, which is the opinion of the second veterinarian different from the veterinarian, and the second veterinarian when the acquisition request is accepted. A second opinion support system including a review request transmission unit that requests a review of electronic medical record information and a communication control unit that receives the review result of the electronic medical record information from the second veterinarian and transmits it to the owner terminal. offer.
　本開示によれば、獣医師等の医療従事者側と動物患者を保有する飼主側との知識的格差を効果的に是正することのできるセカンドオピニオン支援システムを構築することができる。 According to this disclosure, it is possible to construct a second opinion support system that can effectively correct the knowledge gap between the medical staff such as veterinarians and the owners who own animal patients.
本開示の第１の実施形態に係るセカンドオピニオン支援システムの構成例を示す図である。It is a figure which shows the configuration example of the second opinion support system which concerns on 1st Embodiment of this disclosure. 本開示の第１の実施形態に係る仲介端末を実現するコンピュータのハードウェア構成例を示す図である。It is a figure which shows the hardware configuration example of the computer which realizes the intermediary terminal which concerns on 1st Embodiment of this disclosure. 本開示の第１の実施形態に係る仲介端末のソフトウェア構成例を示す図である。It is a figure which shows the software configuration example of the intermediary terminal which concerns on 1st Embodiment of this disclosure. 本開示の第１の実施形態に係る電子カルテＤＢの一例を示す図である。It is a figure which shows an example of the electronic medical record DB which concerns on 1st Embodiment of this disclosure. 本開示の第１の実施形態に係るセカンドオピニオン支援システムによる処理の流れの一例を概略的に示す図である。It is a figure which shows the example of the process flow by the 2nd opinion support system which concerns on 1st Embodiment of this disclosure schematically. レビュー結果の一例を示す説明図である。It is explanatory drawing which shows an example of a review result. 本開示の第２の実施形態に係るセカンドオピニオン支援システムの構成例を示す図である。It is a figure which shows the configuration example of the second opinion support system which concerns on the 2nd Embodiment of this disclosure. 本開示の第２の実施形態に係る仲介端末の機能ブロック構成図である。It is a functional block block diagram of the intermediary terminal which concerns on the 2nd Embodiment of this disclosure. 本開示の第２の実施形態に係るセカンドオピニオン支援システムによる処理の流れの一例を概略的に示す図である。It is a figure which shows the example of the flow of the process by the second opinion support system which concerns on the 2nd Embodiment of this disclosure schematically.
　本開示の実施形態の内容を列記して説明する。本開示は、以下のような構成を備える。
［項目１］《ダブルチェック》
　第１の獣医師が作成に関与した電子カルテ情報を管理する電子カルテ管理部と、
　前記電子カルテ情報に係る動物患者を保有する飼主に関連する飼主端末から、前記第１の獣医師とは別の第２の獣医師の意見であるセカンドオピニオンの取得要求を受け付けるセカンドオピニオン取得要求受付部と、
　前記取得要求を受け付けた場合に、前記第２の獣医師に対して前記電子カルテ情報のレビューを要求するレビュー要求送信部と、
　前記電子カルテ情報のレビュー結果を前記第２の獣医師から受信して前記飼主端末に送信する通信制御部と、を備える、
セカンドオピニオン支援システム。
［項目２］《レビューした先生の名前と顔をユーザに送る》
　項目１に記載のセカンドオピニオン支援システムであって、
　前記通信制御部は、前記第２の獣医師の顔写真を示す画像データと前記第２の獣医師の名前とを前記レビュー結果に関連付けて前記飼主端末に送信する、
セカンドオピニオン支援システム。
［項目３］《第１の獣医師か第２の獣医師のどちらかに追加詳細診断》
　項目１又は項目２に記載のセカンドオピニオン支援システムであって、
　前記飼主端末から前記第１の獣医師又は前記第２の獣医師に対して前記動物患者の詳細な診断を求める追加診断を要求された場合に、前記飼主に対する課金を条件に前記追加診断を受け付ける追加診断要求受付部と、
　前記追加診断を受け付けた場合に、前記第１の獣医師及び前記第２の獣医師の何れかに対して前記動物患者の詳細な診断を求める診断要求部と、を備える、
セカンドオピニオン支援システム。
［項目４］《レビュー医師の指名制度》
　項目１乃至項目３の何れか一項に記載のセカンドオピニオン支援システムであって、
　前記セカンドオピニオンを提供することを予め了解した前記第２の獣医師に関する情報を前記飼主の指名先として記憶する第１の指名先情報記憶部と、
　前記第１の指名先情報記憶部に格納されている第２の獣医師に対して前記飼主から指名を受け付けた場合に、その指名先である第２の獣医師に対して指名通知を送信する第１の指名通知送信部と、を備え、
　前記通信制御部は、前記指名通知の送信先である第２の獣医師から前記電子カルテ情報のレビュー結果を受信した場合に、前記飼主に対する課金を条件として前記レビュー結果を前記飼主端末に送信する、
セカンドオピニオン支援システム。
［項目５］《トリプルチェックも可能》
　項目１乃至項目４の何れか一項に記載のセカンドオピニオン支援システムであって、
　前記セカンドオピニオンを提供することを予め了解した獣医師であって、前記第１の獣医師並びに前記第２の獣医師とは別の第３の獣医師に関する情報を前記飼主の指名先として記憶する第２の指名先情報記憶部と、
　前記第２の指名先情報記憶部に格納されている第３の獣医師に対して前記飼主から指名を受け付けた場合に、その指名先である第３の獣医師に対して指名通知を送信する第２の指名通知送信部と、を備え、
　前記通信制御部は、前記指名通知の送信先である第３の獣医師から前記電子カルテ情報のレビュー結果を受信した場合に、前記飼主に対する課金を条件として前記レビュー結果を前記飼主端末に送信する、
セカンドオピニオン支援システム。
［項目６］《オンライン診療データを別の医師にカルテごと共有》
　項目１乃至項目５の何れか一項に記載のセカンドオピニオン支援システムであって、
　前記第１の獣医師に関連する獣医師端末と前記飼主端末との間でビデオ通話を開始させるビデオ通話制御部と、
　前記ビデオ通話において、前記獣医師端末と前記飼主端末との間で送受信されたテキストデータ、画像データ、又は、ビデオデータの少なくとも１つを、前記第１の獣医師を識別する識別情報に関連付けて記憶するデータ記憶部を備える、
セカンドオピニオン支援システム。 The contents of the embodiments of the present disclosure will be listed and described. The present disclosure comprises the following configurations.
[Item 1] << Double check >>
The electronic medical record management department that manages the electronic medical record information that the first veterinarian was involved in creating,
Accepting a second opinion acquisition request request, which is the opinion of a second veterinarian different from the first veterinarian, from the owner terminal related to the owner who owns the animal patient related to the electronic medical record information. Department and
A review request transmission unit that requests the second veterinarian to review the electronic medical record information when the acquisition request is received.
A communication control unit that receives the review result of the electronic medical record information from the second veterinarian and transmits it to the owner terminal.
Second opinion support system.
[Item 2] << Send the name and face of the reviewed teacher to the user >>
The second opinion support system described in item 1, which is the second opinion support system.
The communication control unit transmits the image data showing the face photograph of the second veterinarian and the name of the second veterinarian to the owner terminal in association with the review result.
Second opinion support system.
[Item 3] << Additional detailed diagnosis to either the first veterinarian or the second veterinarian >>
The second opinion support system according to item 1 or item 2.
When the owner terminal requests the first veterinarian or the second veterinarian to make an additional diagnosis requesting a detailed diagnosis of the animal patient, the additional diagnosis is accepted on condition that the owner is charged. Additional diagnosis request reception department and
A diagnosis requesting unit that requests a detailed diagnosis of the animal patient from either the first veterinarian or the second veterinarian when the additional diagnosis is accepted.
Second opinion support system.
[Item 4] << Review doctor nomination system >>
The second opinion support system according to any one of items 1 to 3.
A first nomination information storage unit that stores information about the second veterinarian who has previously agreed to provide the second opinion as the owner's nomination destination.
When a nomination is accepted from the owner to the second veterinarian stored in the first nomination destination information storage unit, a nomination notification is transmitted to the second veterinarian who is the nomination destination. With a first nomination notification transmitter,
When the communication control unit receives the review result of the electronic medical record information from the second veterinarian to whom the nomination notification is transmitted, the communication control unit transmits the review result to the owner terminal on condition that the owner is charged. ,
Second opinion support system.
[Item 5] << Triple check is also possible >>
The second opinion support system according to any one of items 1 to 4.
A veterinarian who has previously agreed to provide the second opinion and stores information about the first veterinarian and a third veterinarian different from the second veterinarian as the owner's nomination destination. The second designated information storage unit and
When a nomination is accepted from the owner to the third veterinarian stored in the second nomination destination information storage unit, a nomination notification is transmitted to the third veterinarian who is the nomination destination. With a second nomination notification transmitter,
When the communication control unit receives the review result of the electronic medical record information from the third veterinarian who is the transmission destination of the nomination notification, the communication control unit transmits the review result to the owner terminal on condition that the owner is charged. ,
Second opinion support system.
[Item 6] << Share online medical data with another doctor for each medical record >>
The second opinion support system according to any one of items 1 to 5.
A video call control unit for initiating a video call between the veterinarian terminal related to the first veterinarian and the owner terminal,
In the video call, at least one of the text data, image data, or video data transmitted / received between the veterinarian terminal and the owner terminal is associated with the identification information that identifies the first veterinarian. Equipped with a data storage unit to store
Second opinion support system.
＜実施の形態の詳細＞
　以下、本開示の実施の形態について、図面を参照しながら説明する。なお、本明細書及び図面において、実質的に同一の機能構成を有する構成要素については、同一の符号を付することにより重複説明を省略する。 <Details of the embodiment>
Hereinafter, embodiments of the present disclosure will be described with reference to the drawings. In the present specification and the drawings, components having substantially the same functional configuration are designated by the same reference numerals, so that duplicate description will be omitted.
＜概要＞
　本開示の実施の形態に係るセカンドオピニオン支援システムは、例えば、動物病院等の医療施設に勤務する獣医師、看護師、理学療法士、医療事務等の医療従事者と、動物患者を保有する飼主との間の知識的格差を埋め得る仕組みの標準化又は平準化を図るものである。 <Overview>
The second opinion support system according to the embodiment of the present disclosure includes, for example, a veterinarian, a nurse, a physiotherapist, a medical worker such as a medical office worker who works in a medical facility such as a veterinary hospital, and an owner who owns an animal patient. The purpose is to standardize or level the mechanism that can fill the knowledge gap between the two.
＜第１の実施形態＞
　図１は、本開示の第１の実施形態に係るセカンドオピニオン支援システム１の構成例を示す図である。図示するように、本実施形態に係るセカンドオピニオン支援システム１は、動物患者を保有する飼主Ｋ１に関連する飼主端末１０と、第１の獣医師Ｖ１に関連する第１の獣医師端末２０と、第１の獣医師Ｖ１とは別の第２の獣医師Ｖ２に関連する第２の獣医師端末３０と、各端末を仲介する仲介端末４０と、を備える。飼主端末１０と、第１の獣医師端末２０と、第２の獣医師端末３０と、仲介端末４０とは、ネットワークＮＷを介して通信可能に接続されている。なお、本構成は一例であり、ある構成が他の構成を兼ね備えていたり、他の構成が含まれていたりしてもよい。 <First Embodiment>
FIG. 1 is a diagram showing a configuration example of a second opinion support system 1 according to the first embodiment of the present disclosure. As shown in the figure, the second opinion support system 1 according to the present embodiment includes an owner terminal 10 related to an owner K1 having an animal patient, a first veterinarian terminal 20 related to a first veterinarian V1, and a first veterinarian terminal 20. A second veterinarian terminal 30 related to the second veterinarian V2, which is different from the first veterinarian V1, and an intermediary terminal 40 that mediates each terminal are provided. The owner terminal 10, the first veterinarian terminal 20, the second veterinarian terminal 30, and the intermediary terminal 40 are communicably connected via the network NW. It should be noted that this configuration is an example, and a certain configuration may have another configuration or may include another configuration.
　本実施形態においてネットワークＮＷはインターネットを想定している。ネットワークＮＷは、例えば、公衆電話回線網、携帯電話回線網、無線通信網、イーサネット（登録商標）などにより構築される。 In this embodiment, the network NW assumes the Internet. The network NW is constructed by, for example, a public telephone line network, a mobile phone line network, a wireless communication network, Ethernet (registered trademark), and the like.
　飼主端末１０は、動物患者の飼主Ｋ１が操作する端末である。例えば、飼主端末１０は、携帯電話、スマートフォン、タブレットコンピュータ又はパーソナルコンピュータ等であり得る。 The owner terminal 10 is a terminal operated by the owner K1 of the animal patient. For example, the owner terminal 10 can be a mobile phone, a smartphone, a tablet computer, a personal computer, or the like.
　第１の獣医師端末２０は、第１の獣医師Ｖ１が所有する又は貸与されている端末である。第１の獣医師端末２０は、第１の獣医師Ｖ１により操作され得る。例えば、第１の獣医師端末２０は、携帯電話、スマートフォン、タブレットコンピュータ又はパーソナルコンピュータ等であり得る。 The first veterinarian terminal 20 is a terminal owned or rented by the first veterinarian V1. The first veterinarian terminal 20 can be operated by the first veterinarian V1. For example, the first veterinary terminal 20 may be a mobile phone, a smartphone, a tablet computer, a personal computer, or the like.
　第２の獣医師端末３０は、第２の獣医師Ｖ２が所有する又は貸与されている端末である。第２の獣医師端末３０は、第２の獣医師Ｖ２により操作され得る。例えば、第２の獣医師端末３０は、携帯電話、スマートフォン、タブレットコンピュータ又はパーソナルコンピュータ等であり得る。 The second veterinarian terminal 30 is a terminal owned or rented by the second veterinarian V2. The second veterinarian terminal 30 can be operated by the second veterinarian V2. For example, the second veterinary terminal 30 can be a mobile phone, a smartphone, a tablet computer, a personal computer, or the like.
　仲介端末４０は、動物患者を保有する飼主に関連する飼主端末１０と、動物患者の受入先となる病院に配備された獣医師端末２０、３０と、を仲介する端末として動作する。仲介端末４０は、例えば、動物病院において直接的に管理されてもよいし、動物病院を経営する組織、少なくとも一の動物病院に係るセカンドオピニオン支援システム１を提供するサービサーにおいて管理されてもよい。ここでの病院とは、ある建物の一室と言った小規模の病院から、一つの敷地内に複数の病棟が配置された大規模病院、さらには、複数地域に分散した系列病院を含む病院グループであってよい。病院グループの場合、電子カルテは、グループ内の病院毎に分散して配置され得る。仲介端末４０は、例えば、ワークステーション又はパーソナルコンピュータのような汎用コンピュータとしてもよいし、或いはクラウドコンピューティングによって論理的に実現されてもよい。 The intermediary terminal 40 operates as an intermediary terminal between the owner terminal 10 related to the owner who owns the animal patient and the veterinarian terminals 20 and 30 deployed at the hospital where the animal patient is accepted. The intermediary terminal 40 may be managed directly, for example, in a veterinary hospital, or in an organization that manages a veterinary hospital, a servicer that provides a second opinion support system 1 for at least one veterinary hospital. The hospitals here are small hospitals such as one room in a certain building, large hospitals with multiple wards on one site, and hospitals including affiliated hospitals dispersed in multiple areas. It can be a group. In the case of a hospital group, electronic medical records may be distributed among hospitals in the group. The intermediary terminal 40 may be a general-purpose computer such as a workstation or a personal computer, or may be logically realized by cloud computing.
＜ハードウェア構成＞
　図２は、本実施形態に係る仲介端末４０を実現するコンピュータのハードウェア構成例を示す図である。コンピュータは、少なくとも、制御部４１、メモリ４２、ストレージ４３、通信部４４及び入出力部４５等を備える。これらはバス４６を通じて相互に電気的に接続される。 <Hardware configuration>
FIG. 2 is a diagram showing a hardware configuration example of a computer that realizes the intermediary terminal 40 according to the present embodiment. The computer includes at least a control unit 41, a memory 42, a storage 43, a communication unit 44, an input / output unit 45, and the like. These are electrically connected to each other through the bus 46.
　制御部４１は、仲介端末４０全体の動作を制御し、各要素間におけるデータの送受信の制御、及びアプリケーションの実行及び認証処理に必要な情報処理等を行う演算装置である。例えば制御部４１は、ＣＰＵ（Ｃｅｎｔｒａｌ　Ｐｒｏｃｅｓｓｉｎｇ　Ｕｎｉｔ）等のプロセッサであり、ストレージ４３に格納されメモリ４２に展開されたプログラム等を実行して各情報処理を実施する。 The control unit 41 is an arithmetic unit that controls the operation of the entire intermediary terminal 40, controls the transmission and reception of data between each element, and performs information processing necessary for application execution and authentication processing. For example, the control unit 41 is a processor such as a CPU (Central Processing Unit), and executes each information processing by executing a program or the like stored in the storage 43 and expanded in the memory 42.
　メモリ４２は、ＤＲＡＭ（Ｄｙｎａｍｉｃ　Ｒａｎｄｏｍ　Ａｃｃｅｓｓ　Ｍｅｍｏｒｙ）等の揮発性記憶装置で構成される主記憶と、フラッシュメモリ又はＨＤＤ（Ｈａｒｄ　Ｄｉｓｃ　Ｄｒｉｖｅ）等の不揮発性記憶装置で構成される補助記憶と、を含む。メモリ４２は、制御部１１のワークエリア等として使用され、また、仲介端末４０の起動時に実行されるＢＩＯＳ（Ｂａｓｉｃ　Ｉｎｐｕｔ／Ｏｕｔｐｕｔ　Ｓｙｓｔｅｍ）、及び各種設定情報等を格納する。 The memory 42 includes a main storage composed of a volatile storage device such as a DRAM (Dynamic Random Access Memory) and an auxiliary storage composed of a flash memory or a non-volatile storage device such as an HDD (Hard Disk Drive). .. The memory 42 is used as a work area or the like of the control unit 11, and also stores a BIOS (Basic Input / Output System) executed when the intermediary terminal 40 is started, various setting information, and the like.
　ストレージ４３は、アプリケーション・プログラム等の各種プログラムを格納する。各処理に用いられるデータを格納したデータベースがストレージ４３に構築されていてもよい。 The storage 43 stores various programs such as application programs. A database storing data used for each process may be built in the storage 43.
　通信部４４は、仲介端末４０をネットワークＮＷに接続する。通信部４４は、例えば、有線ＬＡＮ（Local　Area　Network）、無線ＬＡＮ、Ｗｉ－Ｆｉ（Wireless　Fidelity、登録商標）、赤外線通信、Ｂｌｕｅｔｏｏｔｈ（登録商標）、近距離または非接触通信等の方式で、外部機器と直接またはネットワークアクセスポイントを介して通信する。 The communication unit 44 connects the intermediary terminal 40 to the network NW. The communication unit 44 may use, for example, a wired LAN (Local Area Network), wireless LAN, Wi-Fi (Wireless Fidelity, registered trademark), infrared communication, Bluetooth (registered trademark), short-range or non-contact communication, or the like. Communicate directly with the device or via a network access point.
　入出力部４５は、例えば、キーボード、マウス、タッチパネル等の情報入力機器、及びディスプレイ等の出力機器である。 The input / output unit 45 is, for example, an information input device such as a keyboard, a mouse, and a touch panel, and an output device such as a display.
　バス４６は、上記各要素に共通に接続され、例えば、アドレス信号、データ信号及び各種制御信号を伝達する。 The bus 46 is commonly connected to each of the above elements and transmits, for example, an address signal, a data signal, and various control signals.
　本実施形態に係る飼主端末１０、第１の獣医師端末２０、第２の獣医師端末３０を実現するコンピュータ又はスマートフォン等の端末のハードウェア構成は、図２に示す仲介端末４０のハードウェア構成例と同様であるため、説明を省略する。 The hardware configuration of a terminal such as a computer or a smartphone that realizes the owner terminal 10, the first veterinarian terminal 20, and the second veterinarian terminal 30 according to the present embodiment is the hardware configuration of the intermediary terminal 40 shown in FIG. Since it is the same as the example, the description is omitted.
＜ソフトウェア構成＞
　図３は、本実施形態に係る仲介端末４０のソフトウェア構成例を示す図である。仲介端末４０は、電子カルテＤＢ４００、電子カルテ管理部４０１、セカンドオピニオン取得要求受付部４０２、レビュー要求送信部４０３、通信制御部４０４、追加診断要求受付部４０５、診断要求部４０６、第１の指名先情報記憶部４０７、第１の指名通知送信部４０８、ビデオ通話制御部４０９、データ記憶部４１０を備える。 <Software configuration>
FIG. 3 is a diagram showing a software configuration example of the intermediary terminal 40 according to the present embodiment. The intermediary terminal 40 includes an electronic medical record DB 400, an electronic medical record management unit 401, a second opinion acquisition request reception unit 402, a review request transmission unit 403, a communication control unit 404, an additional diagnosis request reception unit 405, a diagnosis request unit 406, and a first nomination. It includes a destination information storage unit 407, a first nomination notification transmission unit 408, a video call control unit 409, and a data storage unit 410.
　電子カルテＤＢ４００は、メモリ４２及びストレージ４３が提供する記憶領域の一部として実現され得る。なお、電子カルテＤＢ４００は、仲介端末４０以外の一または複数のサーバが提供する外部の記憶領域の一部として実現されてもよい。各部４０１～４１０は、制御部４１がストレージ４３に記憶されているプログラムをメモリ４２に読み出して実行することにより実現され得る。 The electronic medical record DB 400 can be realized as a part of the storage area provided by the memory 42 and the storage 43. The electronic medical record DB 400 may be realized as a part of an external storage area provided by one or a plurality of servers other than the intermediary terminal 40. Each unit 401 to 410 can be realized by the control unit 41 reading the program stored in the storage 43 into the memory 42 and executing the program.
　電子カルテＤＢ４００は、動物患者の電子カルテ情報を管理するためのデータベースである。図４は、本実施形態に係る電子カルテＤＢ４００の一例を示す図である。図４に示すように、電子カルテ情報は、例えば、動物患者を一意に特定する識別子である動物患者ＩＤと関連づけて管理される。また、動物患者毎の電子カルテ情報は、受診日毎に管理される。 The electronic medical record DB 400 is a database for managing electronic medical record information of animal patients. FIG. 4 is a diagram showing an example of the electronic medical record DB 400 according to the present embodiment. As shown in FIG. 4, the electronic medical record information is managed in association with, for example, an animal patient ID which is an identifier uniquely identifying an animal patient. In addition, electronic medical record information for each animal patient is managed for each consultation day.
　電子カルテ情報に含まれる項目には、図４に示すように、動物情報、問診情報、身体所見、病歴、検査情報、診断情報、処置／投薬情報、処方情報、メモ、画像情報などがある。 As shown in FIG. 4, the items included in the electronic medical record information include animal information, interview information, physical findings, medical history, examination information, diagnostic information, treatment / medication information, prescription information, memos, image information, and the like.
　動物情報には、当該動物患者が該当する動物種情報が含まれる。動物種情報の例としては、イヌ、キツネ、タヌキ、フェネック、ネコ、ハムスター、モルモット、ハツカネズミ、シマリス、タイワンリス、プレーリードッグ、モモンガ、ウサギ、サル、ミニブタ、フェレット、スカンク、ロバ、ウマ（ミニチュアホース、ファラベラ）、九官鳥、ジュウシマツ、セキセイインコ、オカメインコ、ワカケホンセイインコ、文鳥、鳩、ミズガメ、リクガメ、ヤモリ、トカゲ、ヘビ、ワニ、カエル、サンショウウオ、金魚、錦鯉、熱帯魚、エビ、カブトムシ、クワガタムシ、スズムシ、水生昆虫、カマキリ、クモ、サソリ、サソリモドキ、ウデムシ、ヒヨケムシ、ムカデ、ヤスデなどが例示されるがこの限りではない。更に、イヌにおいても、犬種（犬の品種）等の下位概念が存在し得る。動物情報は、診察カルテ情報、入院カルテ情報及び手術カルテ情報の全てに含まれうる。 The animal information includes the animal species information to which the animal patient is applicable. Examples of animal species information include dogs, foxes, tanukis, phenecks, cats, hamsters, guinea pigs, pigeons, shimaris, taiwan squirrels, prairie dogs, momonga, rabbits, monkeys, miniature pigs, ferret, skunks, donkeys, horses (miniature horses, farabella). ), Nine Government Birds, Juushimatsu, Budgerigar, Okamainko, Rose-ringed Parakeet, Bungo, Pigeon, Mizugame, Rikugame, Gecko, Sauria, Snake, Crocodile, Frog, Sanshouo, Goldfish, Nishikigoi, Tropical Fish, Shrimp, Beetle, Examples include aquatic insects, parakeets, spiders, scorpions, budgerigars, parakeets, rose-ringed parakeets, mucades, and spiders, but this is not the case. Furthermore, even in dogs, there may be subordinate concepts such as dog breeds (dog breeds). Animal information can be included in all of the medical record information, the hospitalized medical record information and the surgical chart information.
　問診情報は、飼い主から取得する主観的な情報（主訴）である。例えば、「ご飯をあまり食べていない」「足に擦り傷ができている」「太ってきた」「元気がない」「鼻水が出ている」等であり、飼い主が所有する動物を見たときに観察される症状である。問診情報は、動物病院に来院した際に問診表又は問診用端末等を利用して飼い主から取得することとしてもよいし、飼い主が所有する携帯端末等で事前に入力してもらい取得することとしてもよい。入院時及び手術時においても問診は行われ、入院カルテ情報及び手術カルテ情報にも問診情報は含まれうる。 Interview information is subjective information (chief complaint) obtained from the owner. For example, "I don't eat much rice", "I have scratches on my legs", "I'm getting fat", "I'm not feeling well", "I have a runny nose", etc. It is an observed symptom. The interview information may be obtained from the owner using a questionnaire or a questionnaire terminal when visiting a veterinary hospital, or it may be obtained by having the owner enter it in advance using a mobile terminal or the like owned by the owner. May be good. Interviews are also conducted at the time of admission and surgery, and the interview information may be included in the hospitalization chart information and the surgery chart information.
　身体所見は、動物病院等において獣医師等が調べることができ、客観的な数値で表せる身体情報である。例えば「体重」「体温」「心拍」「呼吸数」等である。 Physical findings are physical information that can be examined by veterinarians at veterinary hospitals and can be expressed as objective numerical values. For example, "weight", "body temperature", "heart rate", "respiratory rate" and the like.
　病歴とは、獣医師等が聴取した主観的な情報である。病歴は、上述した問診情報と同一になる場合も多いが、例えば「喉が赤い」というように飼い主だけでは実際に確認するのが困難な項目も含まれている。また、問診情報では「血尿が出ている」という情報が取得されたとしても、獣医師等によって診察したところ「肛門から出血している」という現病歴が聴取されることもある。 Medical history is subjective information heard by veterinarians and others. The medical history is often the same as the above-mentioned interview information, but it also includes items that are difficult for the owner to actually confirm, such as "red throat". In addition, even if the information that "hematuria is occurring" is obtained from the interview information, the current medical history that "bleeding from the anus" may be heard when examined by a veterinarian or the like.
　検査情報には、少なくとも当該動物患者が過去に受けた検査の内容を含んでいる。検査情報には、過去の通院、入院又は手術において受けたことのある検査、検診において受けたことのある検査などを含めることができる。その際に、検査に対する反応（嫌がったかどうか等、検査自体の受容性・許容性に関する情報）を関連付けて記憶することとしてもよい。 The test information includes at least the contents of the tests that the animal patient has received in the past. The test information may include tests that have been performed in the past visits, hospitalizations or surgery, tests that have been performed in the examination, and the like. At that time, the reaction to the test (information on the acceptability / permissibility of the test itself, such as whether or not it was disliked) may be associated and stored.
　診断情報には、少なくとも当該動物患者が過去に受けた診断の履歴が含まれている。診断情報には、過去に罹患した具体的な疾患名又は怪我等の情報を含めることができる。診断情報には、過去の通院、入院又は手術において疑われた診断に関する情報を含めてもよい。 The diagnostic information includes at least the history of diagnoses received by the animal patient in the past. The diagnostic information can include information such as the name of a specific disease or injury that has occurred in the past. Diagnostic information may include information about diagnoses suspected in previous visits, hospitalizations or surgery.
　処置／投薬情報には、当該動物患者が過去に受けた処置または投薬に関する情報を含んでいる。処置／投薬情報には、処置または投薬に対する反応（嫌がったかどうか、体調に影響を来たしたか等、処置又は投薬自体の受容性・許容性に関する情報）を関連付けて記憶することとしてもよい。処置の内容としては、例えば、肛門腺処置、爪切処置、足裏処置、耳処置、毛抜き、眼科処置、歯科処置、エリザベスカラー・腹帯など、鍼灸処置、留置、便出し、抜糸、消毒、酸素処置、催吐処置、緊急蘇生処置、水抜き、強制給餌、洗浄、圧排、マッサージ、マイクロチップ、トリミング、カテーテル、リハビリ、手術、麻酔、入院、注射、輸血、点滴、検査、放射線治療、各種ドック、介護、衛生処置、シャンプー、しつけ、サプリメント、おやつ、避妊、去勢、ノミダニ駆除、狂犬病薬、ワクチン、フード、内用薬、点耳薬、点鼻薬、点眼薬、外用薬（軟膏・クリーム）、外用薬（消毒薬・スプレー）、外用薬、フィラリア予防などが例示できるがこの限りではない。 The treatment / medication information includes information regarding the treatment or medication that the animal patient has received in the past. The treatment / dosing information may be associated with and stored in response to the treatment or medication (information regarding the acceptability / tolerance of the treatment or the medication itself, such as whether or not the patient disliked it or whether it affected the physical condition). The contents of the treatment include, for example, anal gland treatment, nail cutting treatment, sole treatment, ear treatment, hair removal, ophthalmic treatment, dental treatment, Elizabeth color / abdominal band, acupuncture and moxibustion treatment, indwelling, stool removal, thread removal, disinfection, oxygen. Treatment, emetic treatment, emergency resuscitation treatment, drainage, forced feeding, washing, exclusion, massage, microchip, trimming, catheter, rehabilitation, surgery, anesthesia, hospitalization, injection, blood transfusion, drip, examination, radiation treatment, various docks, Nursing care, hygiene treatment, shampoo, training, supplements, snacks, contraception, neutering, flea mite extermination, mad dog disease medicine, vaccines, foods, internal medicines, ear drops, nasal drops, eye drops, external medicines (ointments / creams), external use Examples include medicines (disinfectants / sprays), local medicines, and prevention of filaria, but this is not the case.
　処方情報は、当該動物患者が過去に処方された薬剤等を含む。処方情報には、自宅にて処方された薬剤を服用できたか否か、嫌がったかどうか、体調に影響を来たしたか等、処置又は投薬自体の受容性・許容性に関する情報をユーザの携帯端末を介して取得して追加するようにしてもよい。 Prescription information includes drugs, etc. prescribed by the animal patient in the past. In the prescription information, the user's mobile terminal contains information on the acceptability / acceptability of the treatment or the medication itself, such as whether or not the drug prescribed at home could be taken, whether or not it was disliked, and whether or not it affected the physical condition. It may be acquired and added via.
　メモは、診察、入院又は手術の担当医、担当看護師、担当事務などにより入力されたテキストデータである。画像情報は、動物患者の様子を撮影した画像である。画像情報は、静止画像であっても動画像であってもよい。 The memo is text data input by the doctor in charge of medical examination, hospitalization or surgery, the nurse in charge, the office work in charge, etc. The image information is an image of an animal patient. The image information may be a still image or a moving image.
　電子カルテ管理部４０１は、第１の獣医師Ｖ１が作成に関与した電子カルテ情報を管理する機能を有する。「関与」するとは、例えば、電子カルテ情報の作成過程に包含される少なくとも一部の手順に能動的に又は受動的に関わることをいう。 The electronic medical record management unit 401 has a function of managing the electronic medical record information involved in the creation by the first veterinarian V1. "Involvement" means, for example, being actively or passively involved in at least a part of the procedures included in the process of creating electronic medical record information.
　セカンドオピニオン取得要求受付部４０２は、電子カルテ情報に係る動物患者を保有する飼主Ｋ１に関連する飼主端末１０から、第１の獣医師Ｖ１とは別の第２の獣医師Ｖ２の意見であるセカンドオピニオンの取得要求を受け付ける機能を有する。 The second opinion acquisition request reception unit 402 is the opinion of the second veterinarian V2 different from the first veterinarian V1 from the owner terminal 10 related to the owner K1 who holds the animal patient related to the electronic medical record information. It has a function to accept an opinion acquisition request.
　レビュー要求送信部４０３は、セカンドオピニオン取得要求受付部４０２がセカンドオピニオンの取得要求を受け付けた場合に、第２の獣医師Ｖ２に対して電子カルテ情報のレビューを要求する機能を有する。ここでいう「レビュー」とは、例えば、医療現場で診断又は治療を行う臨床獣医師が、その教育係のより経験が豊かな専門医にアドバイス（診断情報の提供等）を求めたり、同僚の専門医に対してアドバイス（診断情報の提供、同僚評価等）を求めたりしてダブルチェックを行う場合のことをいう。 The review request transmission unit 403 has a function of requesting the second veterinarian V2 to review the electronic medical record information when the second opinion acquisition request reception unit 402 receives the second opinion acquisition request. The term "review" as used herein means, for example, that a clinical veterinarian who diagnoses or treats in the medical field seeks advice (providing diagnostic information, etc.) from a specialist who is more experienced in the education section, or a colleague's specialist. This refers to the case of double-checking by asking for advice (providing diagnostic information, colleague evaluation, etc.).
　通信制御部４０４は、電子カルテ情報のレビュー結果を第２の獣医師Ｖ２から受信して飼主端末１０に送信する機能を有する。本実施形態では、診断又は治療等の対面での医療行為全般を第１の獣医師Ｖ１が行う。その後、第１の獣医師Ｖ１が作成に関与した電子カルテ情報に第２の獣医師Ｖ２が目を通す（ダブルチェック）。そして、適当なタイミングで、第２の獣医師Ｖ２の意見として、例えば、「心拍に対する所見は私の考えとしても第１の獣医師Ｖ１と同じなので適切だと思います」、「体温はもう少し調べた方がいいと思います」といった内容が飼主Ｋ１に対して、例えばレポート形式で送られてくる仕組みとなっている。 The communication control unit 404 has a function of receiving the review result of the electronic medical record information from the second veterinarian V2 and transmitting it to the owner terminal 10. In this embodiment, the first veterinarian V1 performs all face-to-face medical practices such as diagnosis or treatment. After that, the second veterinarian V2 looks over the electronic medical record information that the first veterinarian V1 was involved in creating (double check). Then, at an appropriate time, as the opinion of the second veterinarian V2, for example, "I think that the findings on the heartbeat are the same as the first veterinarian V1 in my opinion, so I think it is appropriate." "I think it's better to do it" is sent to the owner K1 in the form of a report, for example.
　追加診断要求受付部４０５は、飼主端末１０から第１の獣医師Ｖ１又は第２の獣医師Ｖ２に対して動物患者の詳細な診断を求める追加診断を要求された場合に、飼主Ｋ１に対する課金を条件に追加診断を受け付ける機能を有する。診断要求部４０６は、追加診断要求受付部４０５が追加診断を受け付けた場合に、第１の獣医師Ｖ１及び第２の獣医師Ｖ２の何れかに対して動物患者の詳細な診断を求める機能を有する。 The additional diagnosis request receiving unit 405 charges the owner K1 when the owner terminal 10 requests the first veterinarian V1 or the second veterinarian V2 to make an additional diagnosis requesting a detailed diagnosis of the animal patient. It has a function to accept additional diagnosis as a condition. The diagnosis request unit 406 has a function of requesting a detailed diagnosis of an animal patient from either the first veterinarian V1 or the second veterinarian V2 when the additional diagnosis request reception unit 405 accepts the additional diagnosis. Have.
　かくして、本実施形態に係るセカンドオピニオン支援システム１では、診療結果に気掛かりな点が存在する飼主Ｋ１に対して、オプション診断機能が付与されている。このオプション診断機能では、追加料金の支払いを条件として、第１の獣医師Ｖ１及び第２の獣医師Ｖ２の何れかに対して動物患者の詳細な診断を求めることができる。 Thus, in the second opinion support system 1 according to the present embodiment, an optional diagnostic function is provided to the owner K1 who has a concern about the medical treatment result. In this optional diagnostic function, a detailed diagnosis of an animal patient can be requested from either the first veterinarian V1 or the second veterinarian V2, subject to payment of an additional fee.
　第１の指名先情報記憶部４０７は、セカンドオピニオンを提供することを予め了解した第２の獣医師Ｖ２に関する情報を飼主Ｋ１の指名先として記憶する機能を有する。第１の指名通知送信部４０８は、第１の指名先情報記憶部４０７に格納されている第２の獣医師Ｖ２に対して飼主Ｋ１から指名を受け付けた場合に、その指名先である第２の獣医師Ｖ２に対して指名通知を送信する機能を有する。第２の獣医師Ｖ２の指名は、指名料金としての課金を飼主Ｋ１に対して行うことをもってその条件とすることができる。そして、通信制御部４０４は、当該指名通知の送信先である第２の獣医師Ｖ２から電子カルテ情報のレビュー結果を受信した場合に、飼主Ｋ１に対する課金を条件としてレビュー結果を飼主端末１０に送信する。 The first nomination destination information storage unit 407 has a function of storing information about the second veterinarian V2 who has previously understood to provide the second opinion as the nomination destination of the owner K1. When the first nomination notification transmission unit 408 receives a nomination from the owner K1 for the second veterinarian V2 stored in the first nomination destination information storage unit 407, the second nomination destination is the second. It has a function to send a nomination notification to the veterinarian V2. The nomination of the second veterinarian V2 can be a condition by charging the owner K1 as a nomination fee. Then, when the communication control unit 404 receives the review result of the electronic medical record information from the second veterinarian V2 to which the nomination notification is transmitted, the communication control unit 404 transmits the review result to the owner terminal 10 on condition that the owner K1 is charged. do.
　ビデオ通話制御部４０９は、第１の獣医師Ｖ１に関連する獣医師端末２０と飼主端末１０との間でビデオ通話を開始させる機能を有する。データ記憶部４１０は、当該ビデオ通話において、獣医師端末２０と飼主端末１０との間で送受信されたテキストデータ、画像データ、又は、ビデオデータの少なくとも１つを、第１の獣医師Ｖ１を識別する識別情報に関連付けて記憶する機能を有する。 The video call control unit 409 has a function of initiating a video call between the veterinarian terminal 20 and the owner terminal 10 related to the first veterinarian V1. The data storage unit 410 identifies at least one of the text data, image data, or video data transmitted / received between the veterinary doctor terminal 20 and the owner terminal 10 in the video call to identify the first veterinary doctor V1. It has a function to store it in association with the identification information.
　このように、ビデオ通話を通して獣医師によるカウンセリングが行われた場合にそのカウンセリング結果を示すログ情報を記憶しておくことで、飼主Ｋ１は、より精度の高いレビュー結果を望む場合に、第１の獣医師Ｖ１が作成に関与した電子カルテ情報のレビューのみならず、ログ情報に含まれる会話又は映像等のレビューも第２の獣医師Ｖ２に求めることが可能となる。かくして、飼主Ｋ１は、第１の獣医師Ｖ１による対面での医療行為に限らず、オンラインでの医療行為についても、第１の獣医師Ｖ１及び第２の獣医師Ｖ２によるダブルチェックを受けることが可能となる。 In this way, by storing the log information indicating the counseling result when the veterinarian counseling is performed through the video call, the owner K1 can use the first method when he / she desires a more accurate review result. It is possible to request the second veterinarian V2 not only to review the electronic chart information that the veterinarian V1 was involved in creating, but also to review the conversation or video included in the log information. Thus, the owner K1 may be double-checked by the first veterinarian V1 and the second veterinarian V2 not only for face-to-face medical practice by the first veterinarian V1 but also for online medical practice. It will be possible.
＜処理の流れ＞
　続いて、図５を参照しながら、本実施形態のセカンドオピニオン支援システム１が実行する処理の流れについて説明する。図５は、本開示の第１の実施形態に係るセカンドオピニオン支援システム１による処理の流れの一例を概略的に示す図である。なお、この例では、第１の獣医師Ｖ１が作成に関与した電子カルテ情報のレビュアーとして第２の獣医師Ｖ２が予め指名済みであるものとする。 <Processing flow>
Subsequently, with reference to FIG. 5, the flow of processing executed by the second opinion support system 1 of the present embodiment will be described. FIG. 5 is a diagram schematically showing an example of a processing flow by the second opinion support system 1 according to the first embodiment of the present disclosure. In this example, it is assumed that the second veterinarian V2 has been nominated in advance as a reviewer of the electronic medical record information that the first veterinarian V1 was involved in creating.
　まず、第１の獣医師Ｖ１は、動物患者に対して診療を行う（ステップＳ１００）。この例では、診療はビデオ通話等を用いたオンライン診療で行われるが、もちろん対面で行われてもよい。 First, the first veterinarian V1 provides medical care to an animal patient (step S100). In this example, the medical treatment is performed by online medical treatment using a video call or the like, but of course, it may be performed face-to-face.
　この診療結果は、第１の獣医師Ｖ１が作成に関与した電子カルテ情報として、獣医師端末２０から仲介端末４０に送信されて電子カルテＤＢ４００に格納される（ステップＳ１０２）。かかる電子カルテ情報は、仲介端末４０が備える通信部４４を介して飼主端末１０に送信される（ステップＳ１０４）。 This medical result is transmitted from the veterinarian terminal 20 to the intermediary terminal 40 and stored in the electronic medical record DB 400 as the electronic medical record information that the first veterinarian V1 was involved in creating (step S102). Such electronic medical record information is transmitted to the owner terminal 10 via the communication unit 44 included in the intermediary terminal 40 (step S104).
　飼主端末１０は、通信部１４を介して仲介端末４０から電子カルテ情報を受信する（ステップＳ１０６）。第１の獣医師Ｖ１とは別の第２の獣医師Ｖ２の意見であるセカンドオピニオン（ＳＯ）の取得を希望する飼主Ｋ１は、飼主端末１０を介して、かかるセカンドオピニオンの取得要求を仲介端末４０に送信する（ステップＳ１０８）。 The owner terminal 10 receives electronic medical record information from the intermediary terminal 40 via the communication unit 14 (step S106). The owner K1 who wishes to acquire a second opinion (SO), which is the opinion of the second veterinarian V2 different from the first veterinarian V1, requests the acquisition of the second opinion via the owner terminal 10 as an intermediary terminal. It is transmitted to 40 (step S108).
　仲介端末４０が備えるセカンドオピニオン取得要求受付部４０２は、飼主端末１０から、セカンドオピニオンの取得要求を受け付ける（ステップＳ１１０）。これを受けて、レビュー要求送信部４０３は、第２の獣医師Ｖ２に対して電子カルテ情報のレビューを要求する（ステップＳ１１２）。 The second opinion acquisition request receiving unit 402 included in the intermediary terminal 40 receives a second opinion acquisition request from the owner terminal 10 (step S110). In response to this, the review request transmission unit 403 requests the second veterinarian V2 to review the electronic medical record information (step S112).
　要求先である第２の獣医師Ｖ２は、電子カルテ情報に対するレビューを作成し（ステップＳ１１４）、獣医師端末３０を介して仲介端末４０に送信する（ステップＳ１１６）。仲介端末４０が備える通信制御部４０４は、かかるレビュー結果を第２の獣医師Ｖ２から受信すると共に（ステップＳ１１８）、飼主端末１０に送信する（ステップＳ１２０）。 The second veterinarian V2, which is the request destination, creates a review for the electronic medical record information (step S114) and transmits it to the intermediary terminal 40 via the veterinarian terminal 30 (step S116). The communication control unit 404 included in the intermediary terminal 40 receives the review result from the second veterinarian V2 (step S118) and transmits it to the owner terminal 10 (step S120).
　このとき、通信制御部４０４は、第２の獣医師Ｖ２の顔写真を示す画像データと第２の獣医師Ｖ２の名前とをレビュー結果に関連付けて飼主端末１０に送信することができる（図６参照）。図６は、レビュー結果の一例を示す説明図である。これにより、飼主端末１０の表示部に対し、第２の獣医師Ｖ２の名前と共に顔画像を表示させることができる。この表示を通して、飼主Ｋ１は、自らが保有する動物患者の担当医が専門医である第２の獣医師Ｖ２であることを判別できる。従って、より経験が豊かな専門医等のレビュー結果ということで、飼主に対する信頼感を増加させることができる。 At this time, the communication control unit 404 can transmit the image data showing the facial photograph of the second veterinarian V2 and the name of the second veterinarian V2 to the owner terminal 10 in association with the review result (FIG. 6). reference). FIG. 6 is an explanatory diagram showing an example of the review result. As a result, the face image can be displayed on the display unit of the owner terminal 10 together with the name of the second veterinarian V2. Through this display, the owner K1 can determine that the doctor in charge of the animal patient owned by the owner is the second veterinarian V2 who is a specialist. Therefore, it is possible to increase the sense of trust in the owner by the result of the review by a more experienced specialist or the like.
　本実施形態に係るセカンドオピニオン支援システム１の運用管理は、一動物患者に対する診断又は治療等の医療行為を一人の獣医師によって完結させるのではなく、必ず、別の獣医師もその動物患者に係る電子カルテ情報をチェックするいわば二段構えによるダブルチェック体制が念頭に置かれている。かかる二段構えによる医療体制は、動物患者を保有する飼主に医療行為に対する納得感を与え、単に一人の獣医師が医療行為を行う場合と比べて飼主の不安な感情を軽減することができる。ひいては、獣医師等の医療従事者側と動物患者を保有する飼主側との知識的格差を効果的に是正することができる。 The operation management of the second opinion support system 1 according to the present embodiment does not complete the medical practice such as diagnosis or treatment for one animal patient by one veterinarian, but another veterinarian always relates to the animal patient. A double-check system for checking electronic medical record information is in mind, so to speak, with a two-stage stance. Such a two-stage medical system can give the owner of the animal patient a sense of conviction about the medical practice and reduce the anxiety of the owner as compared with the case where a single veterinarian performs the medical practice. As a result, the knowledge gap between the medical staff such as veterinarians and the owners of animal patients can be effectively corrected.
　本実施形態に係るセカンドオピニオン支援システム１には、さらに次のような使用例が考えられる。 The second opinion support system 1 according to this embodiment can be further used as follows.
＜獣医師間での教育という観点＞
　すなわち、例えば眼鏡型のウェアラブル機器を第１の獣医師Ｖ１に装着させる等により撮影した、第１の獣医師Ｖ１の目線のリアルタイムな画像と、音声とによる通信、連絡、会話等を第２の獣医師Ｖ２は第１の獣医師Ｖ１との間で行い得る。具体的に、第２の獣医師Ｖ２は、臨床手術を行う第１の獣医師Ｖ１の目線で撮影された画像を通して、第１の獣医師Ｖ１がどこを注視しているかを認識することができる。従って、例えば、「どこそこを切ろうと思う」と発話した第１の獣医師Ｖ１に対して、第２の獣医師Ｖ２が「それ危ないんじゃないか」と回答することで、第１の獣医師Ｖ１の臨床手術のスキルを向上させるための教育を施すことができる。 <From the perspective of education among veterinarians>
That is, for example, a real-time image of the line of sight of the first veterinarian V1 taken by attaching a glasses-type wearable device to the first veterinarian V1 and communication, communication, conversation, etc. by voice are the second. Veterinarian V2 may be with a first veterinarian V1. Specifically, the second veterinarian V2 can recognize where the first veterinarian V1 is gazing through the images taken from the perspective of the first veterinarian V1 performing the clinical surgery. .. Therefore, for example, the second veterinarian V2 answers "Isn't it dangerous?" To the first veterinarian V1 who said "Where do you want to cut?" Education can be provided to improve V1 clinical surgery skills.
　また、透明性のあるオープンな環境で教育を促進する観点で、第２の獣医師Ｖ２が出したレビューを第１の獣医師Ｖ１も見ることができるような仕組みが構築されることが好ましい。 Also, from the viewpoint of promoting education in a transparent and open environment, it is preferable to construct a mechanism that allows the first veterinarian V1 to see the reviews issued by the second veterinarian V2.
＜第２の実施形態＞
　以下、図７～図９に基づいて、本開示の第２の実施形態に係るセカンドオピニオン支援システムについて説明する。この実施形態では、上述した第１の実施形態で説明した要素（図１）と同一の要素について同じ符号を付し、詳細な説明を省略する。 <Second embodiment>
Hereinafter, the second opinion support system according to the second embodiment of the present disclosure will be described with reference to FIGS. 7 to 9. In this embodiment, the same elements as those described in the first embodiment described above (FIG. 1) are designated by the same reference numerals, and detailed description thereof will be omitted.
　図７は、本開示の第２の実施形態に係るセカンドオピニオン支援システムの構成例を示す図である。図示するように、本実施形態に係るセカンドオピニオン支援システム２は、動物患者を保有する飼主Ｋ１に関連する飼主端末１０と、第１の獣医師Ｖ１に関連する第１の獣医師端末２０と、第１の獣医師Ｖ１とは別の第２の獣医師Ｖ２に関連する第２の獣医師端末３０と、第１の獣医師Ｖ１並びに第２の獣医師Ｖ２とは別の第３の獣医師Ｖ３に関連する第３の獣医師端末５０と、各端末を仲介する仲介端末４０と、を備える。飼主端末１０と、第１の獣医師端末２０と、第２の獣医師端末３０と、第３の獣医師端末５０と、仲介端末４０とは、ネットワークＮＷを介して通信可能に接続されている。なお、本構成は一例であり、ある構成が他の構成を兼ね備えていたり、他の構成が含まれていたりしてもよい。 FIG. 7 is a diagram showing a configuration example of the second opinion support system according to the second embodiment of the present disclosure. As shown in the figure, the second opinion support system 2 according to the present embodiment includes an owner terminal 10 related to an owner K1 having an animal patient, a first veterinarian terminal 20 related to a first veterinarian V1, and a first veterinarian terminal 20. A second veterinarian terminal 30 associated with a second veterinarian V2 separate from the first veterinarian V1 and a third veterinarian separate from the first veterinarian V1 and the second veterinarian V2. A third veterinarian terminal 50 related to V3 and an intermediary terminal 40 that mediates each terminal are provided. The owner terminal 10, the first veterinarian terminal 20, the second veterinarian terminal 30, the third veterinarian terminal 50, and the intermediary terminal 40 are communicably connected via the network NW. .. It should be noted that this configuration is an example, and a certain configuration may have another configuration or may include another configuration.
　上記の第１の実施形態に係るセカンドオピニオン支援システムでは、診断又は治療等を第１の獣医師Ｖ１が行った後、その第１の獣医師Ｖ１が作成に関与した電子カルテ情報に第２の獣医師Ｖ２が目を通す、いわゆるダブルチェック体制が敷かれていたが、第２の実施形態に係るセカンドオピニオン支援システムでは、さらに、第１の獣医師Ｖ１及び第２の獣医師Ｖ２とは別の第３の獣医師Ｖ３が電子カルテ情報に目を通す、いわゆるトリプルチェック体制が敷かれる。 In the second opinion support system according to the first embodiment described above, after the diagnosis or treatment is performed by the first veterinarian V1, the second veterinarian V1 is involved in the creation of the electronic chart information. A so-called double check system was laid down for veterinarian V2 to read, but in the second opinion support system according to the second embodiment, it is further separated from the first veterinarian V1 and the second veterinarian V2. A so-called triple check system is laid down in which the third veterinarian V3 of the above reads the electronic chart information.
　すなわち、獣医療の専門家ではない飼主Ｋ１にとっては、受け取ったカルテ情報に含まれる各検査項目の意味、症状の重篤度、症状の改善方法などを理解することは容易ではない。また、場合によっては第１の獣医師Ｖ１又は第２の獣医師Ｖ２による説明が行われる場合もあるが、その場で獣医師の説明内容を確実に理解し、それを記憶しておくことは必ずしも容易ではない。このような状況を受けて、単にセカンドオピニオンを求めるだけではなく、一歩進んで、各種各様な医療相談を手軽にしたいという飼主側の要望もある。具体的に、「このレビュー結果は、本当に大丈夫？」などといった心配を抱くような、ダブルチェック体制にも不安を抱くような飼主に対して、第３の獣医師Ｖ３をレビュアーとして指名できる機会を付与するものである。 That is, it is not easy for the owner K1 who is not a veterinary specialist to understand the meaning of each test item included in the received medical record information, the severity of the symptom, and the method of improving the symptom. In some cases, the explanation may be given by the first veterinarian V1 or the second veterinarian V2, but it is important to understand and remember the explanation given by the veterinarian on the spot. It's not always easy. In response to this situation, there is also a request from the owners to go one step further and make various medical consultations easier, rather than simply seeking a second opinion. Specifically, for owners who are worried about the double check system, such as "Is this review result really okay?", We have the opportunity to appoint a third veterinarian V3 as a reviewer. It is to be given.
＜ソフトウェア構成＞
　図８は、本実施形態に係る仲介端末４０のソフトウェア構成例を示す図である。仲介端末４０は、電子カルテＤＢ４００、電子カルテ管理部４０１、セカンドオピニオン取得要求受付部４０２、レビュー要求送信部４０３、通信制御部４０４、追加診断要求受付部４０５、診断要求部４０６、第１の指名先情報記憶部４０７、第１の指名通知送信部４０８、ビデオ通話制御部４０９、データ記憶部４１０、第２の指名先情報記憶部４１１、第２の指名通知送信部４１２を備える。 <Software configuration>
FIG. 8 is a diagram showing a software configuration example of the intermediary terminal 40 according to the present embodiment. The intermediary terminal 40 includes an electronic medical record DB 400, an electronic medical record management unit 401, a second opinion acquisition request reception unit 402, a review request transmission unit 403, a communication control unit 404, an additional diagnosis request reception unit 405, a diagnosis request unit 406, and a first nomination. It includes a destination information storage unit 407, a first nomination notification transmission unit 408, a video call control unit 409, a data storage unit 410, a second nomination destination information storage unit 411, and a second nomination notification transmission unit 412.
　第２の指名先情報記憶部４１１は、セカンドオピニオンを提供することを予め了解した獣医師であって、第１の獣医師Ｖ１並びに第２の獣医師Ｖ２とは別の第３の獣医師Ｖ３に関する情報を飼主Ｋ１の指名先として記憶する機能を有する。第３の獣医師Ｖ３の指名は、第２の獣医師Ｖ２と同様に、指名料金としての課金を飼主Ｋ１に対して行うことをもってその条件とすることができる。 The second designated information storage unit 411 is a veterinarian who has previously agreed to provide a second opinion, and is a third veterinarian V3 different from the first veterinarian V1 and the second veterinarian V2. It has a function of storing information about the owner K1 as a designated destination. As with the second veterinarian V2, the nomination of the third veterinarian V3 can be made as a condition by charging the owner K1 as a nomination fee.
　第２の指名通知送信部４１２は、第２の指名先情報記憶部４１１に格納されている第３の獣医師に対して飼主Ｋ１から指名を受け付けた場合に、その指名先である第３の獣医師Ｖ３に対して指名通知を送信する機能を有する。 When the second nomination notification transmission unit 412 receives a nomination from the owner K1 to the third veterinarian stored in the second nomination destination information storage unit 411, the second nomination notification transmission unit 412 is the third nomination destination. It has a function to send a nomination notification to the veterinarian V3.
＜処理の流れ＞
　続いて、図９を参照しながら、本実施形態のセカンドオピニオン支援システムが実行する処理の流れについて説明する。図９は、本開示の第２の実施形態に係るセカンドオピニオン支援システムによる処理の流れの一例を概略的に示す図である。 <Processing flow>
Subsequently, with reference to FIG. 9, the flow of processing executed by the second opinion support system of the present embodiment will be described. FIG. 9 is a diagram schematically showing an example of a processing flow by the second opinion support system according to the second embodiment of the present disclosure.
　なお、第１実施形態に係る各ステップＳ１００～Ｓ１２０と、本実施形態に係る各ステップＳ１００～Ｓ１２０とは、順に同様のものであるので、ここでは、ステップＳ１２０以降の処理についてのみ詳細な説明を行う。なお、この例では、第１の獣医師Ｖ１が作成に関与した電子カルテ情報のレビュアーとして第２の獣医師Ｖ２並びに第３の獣医師Ｖ３の２名が予め指名済みであるものとする。 Since the steps S100 to S120 according to the first embodiment and the steps S100 to S120 according to the present embodiment are the same in order, here, only the processing after step S120 will be described in detail. conduct. In this example, it is assumed that two veterinarians V2 and a third veterinarian V3 have been nominated in advance as reviewers of the electronic medical record information in which the first veterinarian V1 was involved in the preparation.
　仲介端末４０が備えるセカンドオピニオン取得要求受付部４０２は、飼主端末１０から、セカンドオピニオン（ＳＯ）の取得要求を受け付ける（ステップＳ１２２）。これを受けて、レビュー要求送信部４０３は、第３の獣医師Ｖ３に対して電子カルテ情報のレビューを要求する（ステップＳ１２４）。 The second opinion acquisition request receiving unit 402 included in the intermediary terminal 40 receives a second opinion (SO) acquisition request from the owner terminal 10 (step S122). In response to this, the review request transmission unit 403 requests the third veterinarian V3 to review the electronic medical record information (step S124).
　要求先である第３の獣医師Ｖ３は、電子カルテ情報に対するレビューを行う（ステップＳ１２２）。そして、仲介端末４０が備える通信制御部４０４は、かかるレビュー結果を第３の獣医師Ｖ３から受信すると共に（ステップＳ１２４）、飼主端末１０に送信する（ステップＳ１２６）。 The third veterinarian V3, which is the request destination, reviews the electronic medical record information (step S122). Then, the communication control unit 404 included in the intermediary terminal 40 receives the review result from the third veterinarian V3 (step S124) and transmits it to the owner terminal 10 (step S126).
　かかる獣医師Ｖ１～Ｖ３の三人体制による獣医療行為は、動物患者を保有する飼主に対する納得感をより与えることになり、二人の獣医師Ｖ１、Ｖ２が医療行為を行う場合と比べて飼主の不安な感情をより軽減することができる。ひいては、獣医師等の医療従事者側と動物患者を保有する飼主側との知識的格差をより効果的に是正することができる。 The veterinary medical practice by the three-person system of veterinarians V1 to V3 gives a more convincing feeling to the owner who owns the animal patient, and the owner is compared with the case where the two veterinarians V1 and V2 perform the medical practice. It is possible to further reduce the anxious feelings of. As a result, it is possible to more effectively correct the knowledge gap between the medical staff such as veterinarians and the owners who own animal patients.
　以上、本開示に係る実施形態について説明したが、これらはその他の様々な形態で実施することが可能であり、種々の省略、置換および変更を行なって実施することが出来る。これらの実施形態および変形例ならびに省略、置換および変更を行なったものは、特許請求の範囲の技術的範囲とその均等の範囲に含まれる。 Although the embodiments according to the present disclosure have been described above, these can be implemented in various other embodiments, and can be implemented by making various omissions, substitutions, and changes. These embodiments and modifications, as well as those omitted, replaced or modified, are included in the technical scope of the claims and the equivalent scope thereof.
　本明細書において説明した装置による一連の処理は、ソフトウェア、ハードウェア、及びソフトウェアとハードウェアとの組合せのいずれを用いて実現されてもよい。また、このようなコンピュータプログラムが格納された、コンピュータで読み取り可能な記録媒体も提供することができる。記録媒体は、例えば、磁気ディスク、光ディスク、光磁気ディスク、フラッシュメモリ等である。また、上記のコンピュータプログラムは、記録媒体を用いずに、例えばネットワークを介して配信されてもよい。 The series of processes by the apparatus described in the present specification may be realized by using any of software, hardware, and a combination of software and hardware. It is also possible to provide a computer-readable recording medium in which such a computer program is stored. The recording medium is, for example, a magnetic disk, an optical disk, a magneto-optical disk, a flash memory, or the like. Further, the above computer program may be distributed, for example, via a network without using a recording medium.
　また、本明細書においてフローチャート図を用いて説明した処理は、必ずしも図示された順序で実行されなくてもよい。いくつかの処理ステップは、並列的に実行されてもよい。また、追加的な処理ステップが採用されてもよく、一部の処理ステップが省略されてもよい。 Further, the processes described in the present specification using the flowchart diagram do not necessarily have to be executed in the order shown in the drawings. Some processing steps may be performed in parallel. Further, additional processing steps may be adopted, and some processing steps may be omitted.
　また、本明細書に記載された効果は、あくまで説明的または例示的なものであって限定的ではない。つまり、本開示に係る技術は、上記の効果とともに、または上記の効果に代えて、本明細書の記載から当業者には明らかな他の効果を奏しうる。 Further, the effects described in the present specification are merely explanatory or exemplary and are not limited. That is, the techniques according to the present disclosure may have other effects apparent to those skilled in the art from the description herein, in addition to or in place of the above effects.
１、２　　セカンドオピニオン支援システム
１０　　　飼主端末
２０　　　第１の獣医師端末
３０　　　第２の獣医師端末
４０　　　仲介端末
４０１　　電子カルテ管理部
４０２　　セカンドオピニオン取得要求受付部
４０３　　レビュー要求送信部
４０４　　通信制御部
４０５　　追加診断要求受付部
４０６　　診断要求部
４０７　　第１の指名先情報記憶部
４０８　　第１の指名通知送信部
４０９　　ビデオ通話制御部
４１０　　データ記憶部
４１１　　第２の指名先情報記憶部
４１２　　第２の指名通知送信部
Ｋ１　　　飼主
Ｖ１　　　第１の獣医師
Ｖ２　　　第２の獣医師
Ｖ３　　　第３の獣医師 1, 2 Second opinion support system 10 Owner terminal 20 First veterinary doctor terminal 30 Second veterinary doctor terminal 40 Mediation terminal 401 Electronic chart management unit 402 Second opinion acquisition request reception unit 403 Review request transmission unit 404 Communication control unit 405 addition Diagnosis request reception unit 406 Diagnosis request unit 407 First nomination destination information storage unit 408 First nomination notification transmission unit 409 Video call control unit 410 Data storage unit 411 Second nomination destination information storage unit 412 Second nomination notification transmission Department K1 Owner V1 First Veterinary Doctor V2 Second Veterinary Doctor V3 Third Veterinary Doctor

Claims (6)

  1. 　第１の獣医師が作成に関与した電子カルテ情報を管理する電子カルテ管理部と、
    　前記電子カルテ情報に係る動物患者を保有する飼主に関連する飼主端末から、前記第１の獣医師とは別の第２の獣医師の意見であるセカンドオピニオンの取得要求を受け付けるセカンドオピニオン取得要求受付部と、
    　前記取得要求を受け付けた場合に、前記第２の獣医師に対して前記電子カルテ情報のレビューを要求するレビュー要求送信部と、
    　前記電子カルテ情報のレビュー結果を前記第２の獣医師から受信して前記飼主端末に送信する通信制御部と、を備える、
    セカンドオピニオン支援システム。     The electronic medical record management department that manages the electronic medical record information that the first veterinarian was involved in creating,
    Accepting a second opinion acquisition request request, which is the opinion of a second veterinarian different from the first veterinarian, from the owner terminal related to the owner who owns the animal patient related to the electronic medical record information. Department and
    A review request transmission unit that requests the second veterinarian to review the electronic medical record information when the acquisition request is received.
    A communication control unit that receives the review result of the electronic medical record information from the second veterinarian and transmits it to the owner terminal.
    Second opinion support system.
  2. 　請求項１に記載のセカンドオピニオン支援システムであって、
    　前記通信制御部は、前記第２の獣医師の顔写真を示す画像データと前記第２の獣医師の名前とを前記レビュー結果に関連付けて前記飼主端末に送信する、
    セカンドオピニオン支援システム。     The second opinion support system according to claim 1.
    The communication control unit transmits the image data showing the face photograph of the second veterinarian and the name of the second veterinarian to the owner terminal in association with the review result.
    Second opinion support system.
  3. 　請求項１又は請求項２に記載のセカンドオピニオン支援システムであって、
    　前記飼主端末から前記第１の獣医師又は前記第２の獣医師に対して前記動物患者の詳細な診断を求める追加診断を要求された場合に、前記飼主に対する課金を条件に前記追加診断を受け付ける追加診断要求受付部と、
    　前記追加診断を受け付けた場合に、前記第１の獣医師及び前記第２の獣医師の何れかに対して前記動物患者の詳細な診断を求める診断要求部と、を備える、
    セカンドオピニオン支援システム。     The second opinion support system according to claim 1 or 2.
    When the owner terminal requests the first veterinarian or the second veterinarian to make an additional diagnosis requesting a detailed diagnosis of the animal patient, the additional diagnosis is accepted on condition that the owner is charged. Additional diagnosis request reception department and
    A diagnosis requesting unit that requests a detailed diagnosis of the animal patient from either the first veterinarian or the second veterinarian when the additional diagnosis is accepted.
    Second opinion support system.
  4. 　請求項１乃至請求項３の何れか一項に記載のセカンドオピニオン支援システムであって、
    　前記セカンドオピニオンを提供することを予め了解した前記第２の獣医師に関する情報を前記飼主の指名先として記憶する第１の指名先情報記憶部と、
    　前記第１の指名先情報記憶部に格納されている第２の獣医師に対して前記飼主から指名を受け付けた場合に、その指名先である第２の獣医師に対して指名通知を送信する第１の指名通知送信部と、を備え、
    　前記通信制御部は、前記指名通知の送信先である第２の獣医師から前記電子カルテ情報のレビュー結果を受信した場合に、前記飼主に対する課金を条件として前記レビュー結果を前記飼主端末に送信する、
    セカンドオピニオン支援システム。     The second opinion support system according to any one of claims 1 to 3.
    A first nomination information storage unit that stores information about the second veterinarian who has previously agreed to provide the second opinion as the owner's nomination destination.
    When a nomination is accepted from the owner to the second veterinarian stored in the first nomination destination information storage unit, a nomination notification is transmitted to the second veterinarian who is the nomination destination. With a first nomination notification transmitter,
    When the communication control unit receives the review result of the electronic medical record information from the second veterinarian to whom the nomination notification is transmitted, the communication control unit transmits the review result to the owner terminal on condition that the owner is charged. ,
    Second opinion support system.
  5. 　請求項１乃至請求項４の何れか一項に記載のセカンドオピニオン支援システムであって、
    　前記セカンドオピニオンを提供することを予め了解した獣医師であって、前記第１の獣医師並びに前記第２の獣医師とは別の第３の獣医師に関する情報を前記飼主の指名先として記憶する第２の指名先情報記憶部と、
    　前記第２の指名先情報記憶部に格納されている第３の獣医師に対して前記飼主から指名を受け付けた場合に、その指名先である第３の獣医師に対して指名通知を送信する第２の指名通知送信部と、を備え、
    　前記通信制御部は、前記指名通知の送信先である第３の獣医師から前記電子カルテ情報のレビュー結果を受信した場合に、前記飼主に対する課金を条件として前記レビュー結果を前記飼主端末に送信する、
    セカンドオピニオン支援システム。     The second opinion support system according to any one of claims 1 to 4.
    A veterinarian who has previously agreed to provide the second opinion and stores information about the first veterinarian and a third veterinarian different from the second veterinarian as the owner's nomination destination. The second designated information storage unit and
    When a nomination is accepted from the owner to the third veterinarian stored in the second nomination destination information storage unit, a nomination notification is transmitted to the third veterinarian who is the nomination destination. With a second nomination notification transmitter,
    When the communication control unit receives the review result of the electronic medical record information from the third veterinarian who is the transmission destination of the nomination notification, the communication control unit transmits the review result to the owner terminal on condition that the owner is charged. ,
    Second opinion support system.
  6. 　請求項１乃至請求項５の何れか一項に記載のセカンドオピニオン支援システムであって、
    　前記第１の獣医師に関連する獣医師端末と前記飼主端末との間でビデオ通話を開始させるビデオ通話制御部と、
    　前記ビデオ通話において、前記獣医師端末と前記飼主端末との間で送受信されたテキストデータ、画像データ、又は、ビデオデータの少なくとも１つを、前記第１の獣医師を識別する識別情報に関連付けて記憶するデータ記憶部を備える、
    セカンドオピニオン支援システム。     The second opinion support system according to any one of claims 1 to 5.
    A video call control unit for initiating a video call between the veterinarian terminal related to the first veterinarian and the owner terminal,
    In the video call, at least one of the text data, image data, or video data transmitted / received between the veterinarian terminal and the owner terminal is associated with the identification information that identifies the first veterinarian. Equipped with a data storage unit to store
    Second opinion support system.
PCT/JP2020/046091 2020-12-10 2020-12-10 Second opinion assistance system WO2022123733A1 (en)

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