JP2002169888A - Health care supporting system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a health care supporting system in which a health care provider such as a doctor, a nurse or a nursing care helper can efficiently and reliably perform medical practice and nursing care practice. SOLUTION: A managing device authenticates the user of a terminal device, acquires health care information desired by the authenticated user from a providing device and transmits the health care information to the terminal device of the user. The terminal device outputs the health care information transmitted to a displaying part. The managing device also prepares integrated clinical record data when a plurality of providing devices transmit health care information.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical and nursing support system for supporting medical and nursing activities by medical care providers such as doctors, nurses, and nursing care helpers.

[0002]

2. Description of the Related Art "Medical charts" used in hospitals and the like are:
Based on the patient's disease name, medical history, current treatment status, and type of medication, vital signs for outpatient / hospitalization (pulse, blood pressure,
Body temperature, etc.) and others are specified. In addition, as personal information accompanying the "medical care chart", information such as educational history, occupational history, income, hobbies, addresses, telephone numbers, and the like are stored from family information. For hospitals that are obliged to keep their personal information confidential, it is only natural that medical charts should be treated as "out of the gate." In recent years, with the development of computers and the like, as disclosed in JP-A-11-342112,
The “medical chart” has been digitized and stored in a database. These electronic “medical medical charts”
Displays the medical data on a data display device for medical support. However, even with the above system, the “medical chart” could not be viewed from outside.

[0003]

[Problem to be Solved by the Invention] By the way, with the advancement of medical technology, longevity and aging, the problem that one person goes to multiple hospitals at the same time and receives multiple medications (side effects of drugs) And so on. In addition, repeated hospitalization and discharge between the hospital and home due to chronic disease,
With the newly instituted nursing care insurance, there are situations in which services for various nursing-related occupations are received at home. However, medical treatment / medication records and personal information are individually managed by hospitals in each jurisdiction. In this way, even if it is natural for a single person to be involved in multiple medical / insurance / welfare facilities and professionals, it is important to ensure that "service coordination" and efficient " Is not considered at all. The fundamental problem is that there is no system for providing a unified medical chart for one user as described above. In a situation where the aging of society and the burden of medical care and nursing care are increasing in the future, the need to disclose medical care and care information is expected to increase, despite the confidentiality of medical care and care information.

[0004] In the home-visit care service, once the service provider goes to work, the service provider goes back to the office after some work and prepares a report.
In this case, for example, if a certain service provider visits Mr. A to finish his business and then visits another Mr. B as it is, the request to Mr. A for the next service provider is smoothly sent. There was also a problem that it could not be performed.

SUMMARY OF THE INVENTION The present invention has been made in view of the above circumstances, and has been made in consideration of the above circumstances, and is capable of performing medical activities and care activities by a medical care provider such as a doctor, nurse, or care helper efficiently and reliably. The purpose is to provide a care support system.

[0006]

In order to solve the above problems, the invention according to claim 1 stores medical care information including information on a care recipient or a caregiver who receives medical care or care, and stores the medical care information including the information on care. A providing device 2 for providing medical care information, a management device 3 for managing the provision of the medical care information, and a terminal device (a mobile phone 41, a personal computer 43, or the like) for receiving the medical care information via the management device. And the medical care support system 1 connected via a network, wherein the terminal device obtains authentication information for obtaining authentication information for specifying a user (for example, the control unit 411, the input unit 412, Reader 4
23, a processing unit 431, an input unit 433, etc.) and a designation unit (for example, the control unit 41) for designating medical care information.
1, input unit 412, processing unit 431, input unit 433, etc.)
And transmitting, to the providing device, the authentication information acquired by the authentication information acquiring unit and the designated information on the medical care information designated by the designation unit, and the medical care information based on the designated information transmitted from the management device. (For example, the control unit 411, the transmission and reception unit 416, the processing unit 431, etc.) and an output unit (for example, for outputting the medical care information transmitted from the management device)
A display unit 414, a display unit 432, a printing unit 435),
An authentication unit (for example, a management server 33, a database server 34, etc.) for performing predetermined authentication based on authentication information transmitted from the terminal device.
A designation information transmitting unit (for example, a transmission / reception control unit 35) for transmitting designation information to the providing device when the authentication unit authenticates the medical care and care information transmitted from the providing device; A receiving unit for receiving (for example, the transmission / reception control unit 35), a transmission unit for transmitting the medical care information received by the receiving unit to the requesting terminal device (for example, the transmission / reception control unit 35),
It is characterized by having.

According to the first aspect of the present invention, the management device transmits the medical care information designated by the user to the terminal device of the user authenticated by the authentication means, and outputs the medical care information to the output means. Therefore, the user can obtain medical care information at any time, and can efficiently and reliably perform medical activities and care activities by medical care providers such as doctors, nurses, and care helpers.
In addition, medical care information is provided only when authentication by the authentication means is performed normally,
It is possible to prevent leakage of medical care information in which confidentiality is a problem. More specifically, for example, a medical care provider as a user can access and obtain necessary medical care information on a patient or a cared person by accessing a management device, and obtain the medical care information. And appropriate measures can be performed quickly and reliably. In addition, for example, when a medical caregiver as a user goes to another hospital, such medical care information can be presented to another hospital, thereby preventing unnecessary repetition of examinations. I can do it.

Here, the medical care information includes at least one of the medical information and the care information. Medical information includes, for example, patient's disease name, medical history, current treatment status, vital signs of going to hospital / admission (pulse, blood pressure, body temperature, etc.) based on the type of medication, and other information on so-called "medical charts" And nursing care information, for example, the content and period of nursing care being received. The providing device is, for example, a hospital, a visiting nursing station, a nursing care facility for the elderly,
It is provided at nursing care specialist offices and nursing care offices. The terminal device is, for example, a mobile phone, a PHS
(Personal handy phone system), mobile terminal, portable terminal such as PDA (personal digital assistant) is preferable in terms of convenience, but for example, fixed terminals such as a fixed telephone and a personal computer with a communication function. It may be. The output means is, for example, a display device for outputting to a screen, a printing device for outputting to paper, and the like.

According to a second aspect of the present invention, in the medical care support system according to the first aspect, when the medical care information is transmitted from a plurality of the storage devices, the management device is provided for the medical care supporter. An integrated chart creation means (eg, management server 33) for creating integrated chart data;
The integrated chart data created by the integrated chart creating means is transmitted to the terminal device by the transmission / reception means and output to the output means.

According to the second aspect of the invention, it is needless to say that the same effect as the first aspect of the invention can be obtained. In particular, the medical care information is transmitted from a plurality of storage devices by the integrated chart creating means. In this case, an integrated medical chart for the care-receiver is created, and the created integrated medical chart data is transmitted to the terminal device by the transmission / reception means and output to the output means. Medical care / medication records and personal information that have been individually managed can be integrated, medical care and nursing information can be used efficiently, and prompt medical actions and nursing activities can be performed. That is, for example, in the case of a medical caregiver who visits a plurality of hospitals, the medical chart data in which each medical care information managed conventionally individually is integrated is shown, so that a comprehensive medical diagnosis can be quickly performed. And it can be performed accurately. More specifically, when receiving medication from multiple hospitals, unexpected side effects may occur.
For example, the presentation of all relevant medication information allows a physician to make an optimal medical diagnosis.

According to a third aspect of the present invention, in the medical care support system according to the first or second aspect, the authentication information obtaining means obtains first authentication information stored in an information storage medium. (For example, a hard key 423) and a second obtaining unit (for example, the input unit 412) for obtaining the second authentication information.

According to the third aspect of the invention, it is needless to say that the same effect as the first or second aspect of the invention can be obtained. In particular, the first acquisition means stored in the electronic storage medium by the first acquisition means. Since the first authentication information is obtained and the second authentication means is obtained by the second obtaining means, the provision of medical care information cannot be provided unless the two authentication information are obtained. Leakage of medical care information by an unauthorized user can be prevented. Here, the information storage medium is, for example, an electronic storage medium such as a card using magnetism or a hard key. The authentication information includes, for example, voice, fingerprint, biometrics, etc. in addition to the ID and password.

According to a fourth aspect of the present invention, in the medical care support system according to any one of the first to third aspects, the user performs the medical diagnosis based on a hierarchical code classified into a predetermined hierarchy and the hierarchical code. It is characterized by having a limiting means (for example, management server 33, database server 34, etc.) for limiting the provision of information.

According to the invention of claim 4, claims 1 to 1 are provided.
Needless to say, the same effects as those of the invention described in any one of 3 are obtained. In particular, since the user is classified into a predetermined hierarchy by the hierarchy code and the provision of the medical care information is restricted for each hierarchy, Provision of care information is managed more finely. That is, for example, doctors, nurses, and nursing care helpers naturally determine necessary medical care information according to their occupations, and by providing medical care information according to their occupations, secret leakage due to provision of information that does not need to be known can be performed. It can be prevented beforehand.

According to a fifth aspect of the present invention, in the medical care support system according to any one of the first to fourth aspects, the medical care information includes predetermined examination image data. Here, the predetermined inspection image data is
For example, X-ray photograph data, CT / MRI image data, electrocardiogram graph data, and the like, which are obtained by converting test results of a test performed using any of a photograph, a graph, and an image into image data.

According to the fifth aspect of the invention, the first to fifth aspects are provided.
Needless to say, the same effects as those of the invention described in any one of 4 are obtained. In particular, since medical care information includes predetermined examination image data such as X-ray photograph data and CT / MRI, character data It is possible to perform more delicate medical diagnosis more efficiently and accurately. That is, for example, in the case of an X-ray examination, it is not possible to confirm whether or not there is nothing more in another hospital by simply using the character data “No abnormality”, and the examination may be re-examined. If provided as nursing care information, more accurate medical diagnosis can be made and the need for reexamination can be determined.

According to a sixth aspect of the present invention, in the medical care support system according to any one of the first to fifth aspects, the terminal device includes an image pickup means (for example, a CCD camera 424). The imaging data captured by the means is transmitted to the storage device via the management device, and stored as the medical care information.

According to the invention of claim 6, claims 1 to 1 are provided.
It goes without saying that the same effects as those of the invention described in any one of 5 are obtained. In particular, the imaging data imaged by the imaging means is transmitted to the storage device via the management device and stored as medical care information. Therefore, the imaging data is disclosed as medical care information, so that more accurate medical diagnosis can be performed. That is, for example, by imaging the walking state of the medical caregiver during rehabilitation at home, a doctor or the like in a hospital can see this imaged data, and can more accurately grasp the rehabilitation process, Thereby, appropriate measures can be taken.

According to a seventh aspect of the present invention, in the medical care support system according to any one of the first to sixth aspects, the management device posts message information on medical care or care of the care-receiver. (For example, the management server 33 and the database server 34), the terminal device includes a voice input unit (for example, a microphone 420), and the message information includes the voice information input by the voice input unit. It is characterized by being included.

According to the invention of claim 7, claims 1 to 1 are provided.
It is a matter of course that the same effect as the invention described in any one of 6 is obtained. In particular, since an electronic bulletin board system for posting message information on the medical treatment or care of the care recipient is provided, The invoice can be sent without delay. In addition, since the voice information input to the voice input means is included in the message information, when busy, there is no need to input character information, which is convenient.

[0021]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A medical care support system according to the present invention will be described below in detail with reference to the drawings. FIG.
1 is a diagram showing an overall configuration of a medical care support system according to the present invention. The medical care support system 1 shown in FIG.
Provision device 2 including storage unit 23 for storing medical care information
, A management device 3 for managing the provision of medical care information by the providing device 2, and a terminal device 4 for receiving the provision of medical care information via the management device 3. The providing device 2 and the management device 3 are connected by a dedicated line 5, and the management device 3 and the terminal device 4 are connected by an open network 6 such as the Internet, for example.

The providing device 2 is installed in a place where medical care information is stored, such as a hospital, a visiting nursing station, a care home for the aged, a care support professional establishment, and a care service establishment. The providing device 2 includes, for example, a control unit 21, an input unit 22,
A storage unit 23, a display unit 24, a transmission control unit 25, and the like;
Each is connected by a bus 26.

The control unit 21 includes, for example, although not shown, C
PU (Central Processing Unit) and RAM (Random A)
c), a ROM (Read Only Memory), etc., and develops programs and data stored in the ROM into the RAM, and executes various operations by executing the program by the CPU. The input unit 22 includes, for example, a mouse and a keyboard, and can input a control instruction signal of the control unit 21 and the like. The storage unit 23 stores personal data and medical care data of the care receiver. Here, the personal data includes, for example, name, address, age, gender, date of birth, telephone number, family information, work history, education history, income, hobbies, and the like.

Medical care data includes, for example, height / weight data, visual acuity data, hearing data, blood pressure measurement data, blood test data, lipid test data, uric acid data, renal function test data, glucose metabolism test data, and liver function test data. , Immunoassay data, fecal occult blood data, chest X-ray examination data, stomach X
Line examination data, electrocardiogram examination data, ultrasound examination data,
These include fundus examination data, findings data, and current medical history data. Here, the chest X-ray examination data and the stomach X-ray examination data each include image data obtained by capturing an X-ray photograph with a scanner. The electrocardiogram inspection data and the ultrasonic inspection data each include image data obtained by capturing a waveform chart with a scanner.

The display unit 24 is, for example, a CRT (Cathode
Ray Tube), LCD (Liquid Crystal Display), etc., and displays various data on the screen in accordance with display control by the control unit 251. The transmission control unit 25
(Terminal Adapter) or a router, etc., and performs control for performing communication with the management device 3 connected to the public network via a communication line such as an ISDN line or a dedicated line. Further, in each facility, the providing device 2 is connected to a terminal device (not shown) by a LAN (Local Area Network).
k) has been constructed.

Next, FIG.
This will be described with reference to FIG. The management device 3 includes, for example, a firewall server 31 and a web server 3 as shown in FIG.
2. It is composed of a management server 33, a database server 34, a transmission / reception control unit 35, a maintenance terminal 36, etc., and each device is connected by a bus 37.

The firewall server 31 is a server having a function for preventing unauthorized access from the outside. The web server 32 is a web page, for example,
This is a device for providing the terminal device 4 with an authentication page, a menu selection display page, a page displaying medical care information, and the like. More specifically, the Web server 32
URL (Uniform Resour) received from the terminal device 4, etc.
Based on the ce Locators), the corresponding page data is extracted from a page data storage area (not shown), the data processed by the management server 33 is added, and the data is transmitted to the terminal devices 4.

The management server 33 is a device for managing or controlling various operations of the medical care support system 1, and includes, for example, a CPU (Central Processing Unit) 33.
1 and a random access memory (RAM) 332, a storage unit 333, and the like. The CPU 331 controls the other components constituting the management device 3 in a unified manner,
Execute various processes. CPU 3 when executing various processes
31 reads out a system program and various processing programs (not shown) stored in the storage unit 333, and
The program is developed in a work memory (not shown) of the AM 332, and various processes are sequentially executed according to the developed program.

Specifically, the CPU 331 executes user authentication processing, medical care information provision processing, electronic bulletin board processing, and the like according to the various processing programs.

In the user authentication process, the CPU 331 authenticates whether the user is a registered user based on a user authentication program (not shown) stored in the storage unit 333. Only when the CPU 331 performs user authentication based on the user authentication program, the CPU 331
Will perform the subsequent processing. For example, the terminal device 4
.., The authentication information such as a user ID, a password, and a storage medium authentication code is transmitted to the management device 2, and the transmitted authentication information is stored in a user authentication data file 341 (described later). If the data matches the user data, the terminal 4 is authenticated for access.

In the medical care information providing process, the CPU 331
Obtains desired medical care information from the providing device 2 for the authenticated user based on the medical care information providing program (not shown) stored in the storage unit 333 and transmits the information to the terminal device 4 of the user. I do. At this time, the CPU 33
1 acquires a user hierarchy code that restricts disclosure of medical care information. In addition, the CPU 331 includes a plurality of providing devices 2
... to create a comprehensive medical chart integrating the medical and nursing information transmitted from and then paste it onto a Web page in a predetermined format.

In the bulletin board processing, the CPU 331 creates an electronic bulletin board on a network based on an electronic bulletin board creation program (not shown) stored in the storage unit 333, and also executes character data and voice input by the terminal device 4. The data is stored in the bulletin board data file 342, and the character data and voice data are posted on the electronic bulletin board.

The RAM 332 stores various processing programs read from the storage unit 333, input or output data,
And a work memory serving as a temporary storage area for parameters and the like. The storage unit 333 stores programs, application tools, data, and the like for performing various processes executed by the CPU 331.

The database server 34 has a recording medium (not shown), and this recording medium comprises a magnetic or optical recording medium, a semiconductor memory, or the like. This recording medium is fixedly provided on the server or detachably provided. A configuration may be adopted in which data or the like stored in the recording medium is partially or wholly received from another server or terminal device via a transmission medium such as a network line and recorded. Specifically, the database server 34 stores the user authentication data file 3
41, a bulletin board data file 342, and the like.

The user authentication data file 341 is a file for storing authentication information for authenticating a user who is provided with medical care information, for example, a doctor, a nurse, a care helper, and a care recipient. Care support professional office name, office password, nursing service office name, password, job type, ID number, password, authentication code for information recording media, user hierarchy code, user name, department, post , Age, gender, date of birth, e-ma
Personal data such as an il address is stored.

The bulletin board data file 342 is a data file that is stored in order to post message information on the medical treatment or care of the care-receiver on the electronic bulletin board. In addition to character data by character input, voice data by voice input is also stored. It is memorized. Specifically, the message information includes a request from a medical care giver, in addition to a result report of medical care or nursing care, a report item, and the like.

The transmission / reception control unit 35 is provided with a TA (Terminal Ada)
pter) or a router, etc., is connected to a public line network via a communication line such as an ISDN line or a dedicated line, and performs control for performing communication with the providing devices 2 and the terminal devices 4. The maintenance terminal 36 is a device that performs maintenance and maintenance of various processes of the management device, and is configured by a known personal computer or the like.

Next, the configuration of the mobile phone 41 as the terminal device 4 will be described with reference to FIGS. The mobile phone 41
For example, as shown in FIGS.
12, RAM 413, display unit 414, VRAM 415,
A transmitting / receiving unit 416, a communication unit 417, a voice control unit 418, a speaker 419, a microphone 420, a storage unit 421, an input / output terminal 422, a reader 423, a CCD (Charge Coupled Dev)
ice: a charge-coupled device) is constituted by a camera 424, and each part is connected by a bus.

The control unit 411 reads out various control programs stored in a storage unit 421 to be described later,
The processing is expanded in the work memory 413a of the M413, and various processes according to the control program are executed in accordance with various instruction operation signals input from the input / output unit 412, and the result of the processing is stored in the work memory 413a. It is stored and displayed on the display unit 414. Then, the processing result is stored in a predetermined storage destination of the storage unit 421 as necessary.

That is, the control unit 411 is operated by the input unit 412
The registered user ID and password input by the user and the authentication code included in the hard key 7 inserted into the reader are transmitted from the communication unit 417 to the base station B. The control unit 41
1 displays a full page on the display unit 414 via browsing software (browsing software) read out from the storage unit 421 of a Web page distributed from the Web server 32.

The input unit 412 is provided with various buttons such as a homepage browse button and a call button. These various buttons, when pressed alone or in combination, output an input signal for instructing selection of a function or switching of display to the control unit 411. That is, the input unit 4
Reference numeral 12 outputs, to the control unit 411, an input signal instructing activation of browsing software and an input signal instructing transmission of the various authentication information in accordance with a pressing operation by the user.

The RAM 413 stores a work memory 413a serving as a temporary storage area for programs corresponding to various processes executed and controlled by the control unit 411, received data such as advertisement page data and homepage data, and various data such as parameters. Form.

The display unit 414 is, for example, a dot matrix type color liquid crystal display cell or EL (Electro Lumin).
The display device is configured by a liquid crystal display device including a display member, and performs screen display of various display data stored in the VRAM 415 according to an instruction of a display signal input from the control unit 411. That is, the display unit 414 displays the full-page Web page data and home page data received by the transmission / reception unit 416 in a predetermined display area formed by executing the viewing software.

VRAM (Video Random Access Memory)
A video memory 415 stores display data displayed on the display unit 414. The VRAM 415 stores only display data such as homepage data displayed on the display unit 414.

The transmission / reception unit 416 controls communication with an external device connected to the public line network via the base station B. That is, the transmission / reception unit 416 performs frequency conversion to an intermediate frequency signal by mixing a signal received from the base station B via the antenna A with a local oscillation signal of a predetermined frequency, and outputs the intermediate frequency signal to the communication unit 417. Also, a signal input from communication unit 417 is wirelessly transmitted to base station B via antenna A.

The communication unit 417 has a modulation / demodulation circuit for modulating or demodulating a control signal, an audio signal, an image signal, and a character signal, and each signal and each data modulated or demodulated according to the control signal from the control unit 411. Transmission and reception. In addition, the communication unit 417 transmits the received wireless signal to the mobile phone 41.
It has an incoming call detection circuit function of detecting an incoming call addressed to the terminal and outputting an incoming call detection signal to the control unit 411. When an incoming call is detected, the control unit 411 causes the speaker 419 to output a ringtone via the voice control unit 418.

The communication unit 417 modulates a voice signal input from the voice control unit 418 via the microphone 420 into an analog signal conforming to the frequency band of the communication network in a call state. The radio signal is transmitted to the base station B via A. In addition, the base station B demodulates an audio analog signal transmitted wirelessly via the antenna A and transmits the demodulated analog signal to the audio control unit 418. Voice control unit 418
Sends the demodulated audio signal to the speaker 419 to generate sound. Further, the communication unit 417 transmits the image signal and the character signal among the signals transmitted from the transmission / reception unit 416 to the control unit 411.
To supply.

The storage section 421 is composed of a volatile semiconductor memory such as a RAM 413 or a nonvolatile semiconductor memory such as a flash ROM. In the storage unit 421, a system program corresponding to the mobile phone 41, various processing programs such as Internet connection software and browsing software executable on the system program, and data and files processed by these programs And so on. Each of these processing programs is stored in the form of a readable program code.
Sequentially execute operations according to the program code.
The storage unit 421 stores destination identification data such as telephone number data and name data registered by the user.

An input / output terminal 422 is used to connect peripheral devices such as a digital camera, a scanner, and a reader 423 to the cellular phone 41, and to receive various types of image data.
dedStandard) -232C serial interface. Note that these image data can also be wirelessly received and captured, for example, as e-mail attached file data. Further, a reader that reads authentication information stored in the hard key 7 as an information recording medium is connected to the input / output terminal 422.

The reader 423 is provided with, for example, an insertion slot 423a into which the hard key 7 is inserted.
When the hard key 7 is inserted into a, the authentication data stored in the hard key 7 is read, and the read authentication data is sent to the control unit 411 once. The control unit 411 causes the management device 3 to transmit the data via the transmission / reception unit 416 and the communication unit 417. The CCD camera 424 captures an image of a subject. The captured image data is transmitted to the management device 3 and stored in the database server 34. Then, this imaging data is pasted as a part of the integrated chart, and the terminal device 4
Sent to. Thus, the recovery state of the caregiver during the rehabilitation can be confirmed on the image, and more accurate determination can be made.

An extendable antenna A is provided at the top of the housing. The antenna A transmits and receives various signals including a control signal, a voice signal, an image signal, and a character signal in a predetermined frequency band between the mobile phone 71 and the base station B. Send it,
The transmission signal from transmission / reception section 416 is transmitted to base station B.

The terminal device 43 includes, for example, a processing unit 431, a display unit 432, and an input unit 43, as shown in FIG.
3, a personal computer including a sound output unit 434 and a printing unit 435 may be used. Processing unit 431
Means CPU (CISC type, RISC type), DSP, AS
It is configured by hardware such as an IC (gate array or the like), a RAM, a ROM, and a communication device. The display unit 432 displays
It is composed of a display device such as a display, a CRT, an LCD, a TV, a head mounted display, a plasma display, and a projector.

The input unit 433 is constituted by input devices such as a keyboard, a mouse, a touch panel, and operation buttons. The sound output unit 434 includes a sound generation device such as a woofer or a speaker. The printing unit 435 includes a printing device such as a plotter or a printer.

In the medical care support system 1 configured as described above, a process of providing medical care information to a doctor as a user will be described with reference to flowcharts shown in FIGS.

When the medical care information providing process is started, first, a doctor who is a user starts browsing software using the terminal devices 41 and 43 and accesses the management device 3 via the network 6 ( Step S1). Then
Authentication information input screen data is transmitted from the Web server 32 of the management device 2, and an authentication information input screen (not shown) is displayed on the screens of the display units 414 and 432. On this authentication screen, an “ID number” field and a “password” field are displayed (step S2), and an ID number and a password registered in advance are entered in the “ID number” field and the “password” field, respectively. 412, 433, etc. (step S3). At this time, when the doctor inserts the hard key 7 held by himself into the insertion port 423a of the reader 423, the reader 423 reads the authentication code stored in the hard key 7 and outputs the authentication code to the control unit 411 (step S411).
4).

Next, the control unit 411 sets the input ID
The number, the password, and the authentication code are transmitted to the management device 2 (step S5), and the transmission / reception control unit 35 of the management device 3
An ID number, a password, and an authentication code are received (step S6). Then, the CPU 331 of the management device 3 determines whether or not to be authenticated based on the received ID number, password, and authentication code (Step S7). Specifically,
The CPU 331 determines whether or not data matching all of the transmitted authentication information including the ID number, the password, and the authentication code exists in the user authentication data file 341. When it is determined that there is data matching all of the authentication information (step S7: YES), the process proceeds to step S8, but when there is no data matching all of the authentication information (step S7: NO). Is the CPU 331
Sends an "authentication not possible" message to the terminal devices 41 and 43, and shifts to step S2 again. As described above, the authentication by the medical care support system 1 includes two pieces of authentication information of inputting an ID number and a password (first authentication information) and inputting an authentication code (second authentication information) using the hard key 7. Since it is necessary to input the secret, the leakage of the secret can be more strictly prevented.

Next, in step S8, the CPU 331
Acquires the user attribute of the authenticated user from the user authentication data file 341. Next, Web server 3
2 selects “medical care item menu” screen data corresponding to the “doctor” user attribute from the “medical care item menu” screen data corresponding to the acquired user attributes and transmits the selected data to the terminal devices 41 and 43 ( Step S9). Then
For example, a medical care item menu screen (not shown) is displayed on the display units 414 and 432 of the terminal devices 41 and 43 (step S10). Here, selecting the “medical care item menu” according to the user attribute means that the information disclosed for each doctor, nurse, and care helper is limited, so that only the disclosed items are displayed. First, a "medical care item menu" is prepared for each user attribute, and the user is selected from the menu. In addition, "medical care item menu"
The screen also has a care recipient identification field (for example, name, address, date of birth, etc.) for inputting information to identify the care recipient, and all medical care items can be selected. It is also possible to select medical care items in individual units.

Next, when specific information is input or a medical care item is selected in the care-recipient identification field of the "medical care item menu" screen transmitted and displayed on the display units 414 and 432 (step S11), the identification is performed. Alternatively, the selected designation information is transmitted to the management device 2 (step S12), and the transmission / reception control unit 35 of the management device 3 receives the transmitted designation information (step S13) and transmits the designation information to each of the providing devices 2. (Step S14). Next, each providing device 2 receives the designation information (Step S15), and the control unit 21 determines, based on the transmitted designation information, the providing device 2 with respect to the medical care item related to the identified care recipient. It is determined one by one whether or not the item corresponds to a medical care item for which information is not disclosed (step S16). If the providing device 2 determines that the item is a medical care item that does not disclose information (step S16: YES),
Further, it is determined whether or not there is an unidentified medical care item (step S17). When there is an unidentified medical care item (step S17: YES), the process returns to step S16. When there is no unidentified medical care item (step S17: NO), the process returns to step S20. Transition.

On the other hand, in step S16, the providing device 2
If it is determined that the item is not a medical care item not disclosed (step S16: NO), the control unit 21 determines whether or not the corresponding medical care information is in the storage unit 23 (step S18). If it is determined that the corresponding medical care information is present (step S18: YES), the providing device 2 acquires the medical care information (step S1).
9) Temporarily store it in the RAM (not shown) of the control unit 21 and shift to step S17. When it is determined that there is no corresponding medical care information (step S18: NO)
Moves to step S17.

Next, in step S, the medical care information stored in the RAM (not shown) is transmitted to the management device 3 (step S20). Next, the transmission / reception control unit 35 of the management device 3 receives the medical care information (Step S21),
The CPU 331 of the management server 33 creates integrated medical record Web data based on the medical care information transmitted from each providing device 2 (Step S22). Specifically, this is performed by pasting the medical care information transmitted from each providing device 2 to a corresponding portion of the integrated medical chart Web data created in advance.

Next, the created integrated medical chart Web data is transmitted to the terminal devices 41 and 43 (step S23).
Then, the terminal devices 41 and 43 communicate with the integrated medical chart Web.
The data is received (Step S24), and the display units 414, 4
32 (step S25). Specifically, medical care item data is disclosed according to the “doctor” user attribute. The medical care information provided by each of the providing devices 2 (Hospital A, Hospital B, etc.) is integrated by the management device 3, and the integrated medical record data is integrated into the terminal device 41,
43 and is shown as in the display screen example of FIG.
In FIG. 9, personal information such as the name, age, gender, date of birth, onset, hospitalization, address, and telephone number of the care-receiver, information on the progress of hospitalization from onset to the present, diagnosis results, medical history, family history, All information such as diagnostic information such as social background, examination images and findings of CT scan, and problems are disclosed.

On the screen, a “go to master menu” button 901 for prompting a transition to the master menu, a “go to data capture screen” button 902 for prompting a transition to the data capture screen, and a “prompt for transition to the data input screen” are displayed. A “Go to data input screen” button 903, a “Go to patient list screen” button 904 for prompting a transition to the patient list screen, a “Go to preliminary test forecast screen” button 905 for prompting a transition to the preliminary examination prediction screen, and the like are displayed.

Here, for example, when the user is a nurse, medical care item data is disclosed according to the “nurse” user attribute. And each providing device 2 ... (A hospital, B
Medical care and care information provided by a hospital, etc.)
The integrated medical record data is transmitted to the terminal devices 41 and 43, and is displayed as shown in the display screen example of FIG. In FIG. 10, the inspection image and findings of the CT scan are limited as compared with FIG.

For example, when the user is a care helper, medical care item data is disclosed according to the “care helper” user attribute. Then, the medical care information provided from each of the providing devices 2 (Hospital A, Hospital B, etc.) is integrated by the management device 3, and the integrated medical record data is transmitted to the terminal devices 41 and 43. Is displayed as in the example of the display screen. In FIG. 11, compared to FIG. 9, the information on the medical history, the inspection image of the CT scan, and the findings are limited.

Returning again to the flowchart, the doctor who is the user inputs the desired chart number in the “chart number” column 906 on the display screen, and presses the “Go to data input screen” button 903 to the input sections 412, 433, etc. Is pressed (step S26). Next, the terminal devices 41 and 43
The instruction command based on the pressing is transmitted to the management device 3 (step S27), and the management device receives the pressing signal (step S28). The Web server 32 of the management device 3 transmits the data input screen Web page data to the terminal devices 41 and 43 of the user (Step S29). Then
The terminal devices 41 and 43 receive the data input screen Web page data (step S30), and display the display unit 414,
At 432, a data input screen (not shown) is displayed (step S31).

Next, the doctor inputs a diagnosis result in accordance with the display instruction on the data input screen (step S3).
2). Then, the diagnosis result data is transmitted to the management device 3 (step S33), and the management device 3 receives the diagnosis result data (step S34). Next, the CPU 331 of the management device 3 searches for the corresponding providing device 2 using the chart number as a key (step S35), and transmits the diagnostic result data to the corresponding providing device 2 (step S35).
36). Next, the providing device 2 that has received the diagnosis result data
Receives the diagnosis result data (step S37),
The diagnosis result data is stored in the corresponding storage area of the storage unit 23 (Step S38), and the process ends. In this way, it is possible to create an “integrated chart” that combines medical care information stored in a plurality of hospitals and business establishments for one caregiver, and to transfer the created integrated chart to a communication line. , The work of doctors, nurses, care helpers, etc. can be performed efficiently and reliably, and these work supports can be provided. In addition, since the content of the provided medical care information is restricted according to the attribute of the user, it is possible to prevent secret leakage due to unnecessary information disclosure.

Next, the bulletin board processing will be described with reference to the flowchart of FIG. In this processing, first, for example, the care helper as a user
3 to access the management device 3 (step S4).
1). Then, the above-described authentication processing is performed, and a bulletin board registration screen (not shown) is displayed on the display units 414, 4 of the terminal devices 41, 43.
32 (step S42). Next, the selection buttons for “character data” and “voice data” displayed on the bulletin board registration screen are pressed to select them (step S4).
3). Then, for example, when "character data" is selected (step S43a), a character data input screen is transmitted from the management device 3 to the terminal devices 41 and 43 (step S43).
44), On this character data input screen, the care helper
Input part 412, 4
The input is made by the user 33 (step S45), and a send button (not shown) is pressed. Then, the character data is stored in the management device 3.
Is transmitted to the device (step S46), and the management server 33
CPU 331 stores the character data in bulletin board data file 342 (step S47),
Post the character data on the electronic bulletin board (step S4)
8). Specifically, for example, as shown in a screen display example shown in FIG. 13, by clicking on “report from previous service person” 1302 in a portion displayed as “message board of today” 1301, the report information is displayed. Can be seen.

On the other hand, for example, when "voice data" is selected (step S43b), a voice data input screen is transmitted from the management device 3 to the terminal devices 41 and 43 (step S49), and the care helper The state of the person, the details of the report, etc. are input by voice using a microphone or the like (step S
50). Then, the audio data is controlled by the audio control unit 418, and the audio data is transmitted to the management device 3 (step S51).

Next, the CPU 331 of the management server 33
Stores the character data in the bulletin board data file 342 (step S52), and posts the character data on the electronic bulletin board (step S53). As described above, by using the electronic bulletin board to send a request for nursing care or the like, it is possible to quickly and reliably transmit the request for nursing care, so that efficient nursing care business operation can be performed.

The medical care support system of the present invention
The present invention is not limited to the above embodiment, and may be appropriately changed, added,
May be modified. For example, as a terminal device, a mobile phone,
Although a personal computer has been illustrated, other information communication terminals may be used. In addition, a function of calculating a medical treatment fee and a nursing care fee may be added using the present medical care support system. That is, doctors, nurses, nursing helpers, etc. perform their own medical activities and nursing activities through the input unit of the terminal device.
Then, the management device stores unit price data of each medical act, medical fee of the nursing care, and nursing fee, and calculates the medical fee and the nursing fee from the unit price data. At this time, if the user inputs medical insurance and nursing care insurance,
Further, the calculation becomes easier.

[0071]

According to the present invention, the management device transmits the medical care information desired by the user to the terminal device of the user authenticated by the authentication means, and outputs the medical care information to the output means. Therefore, the user can obtain desired medical care information at any time, and can efficiently and reliably perform medical activities and care activities by medical care providers such as doctors, nurses, and care helpers. In addition, medical care information is provided only when authentication by the authentication means is performed normally,
It is possible to prevent leakage of medical care information in which confidentiality is a problem. In addition, when the medical care information is transmitted from the plurality of storage devices by the integrated medical record creating means, an integrated medical record for the caregiver is created, and the generated integrated medical record data is transmitted to the terminal device by the transmitting / receiving means. Since it is transmitted and output to the output means, it is now possible to integrate medical treatment / medication records and personal information that have been individually managed in hospitals and the like in each jurisdiction, and to efficiently provide medical care and care information. It can be used for quick medical treatment and nursing care.

[Brief description of the drawings]

FIG. 1 is a diagram showing an overall configuration of a medical care support system according to the present invention.

FIG. 2 is a block diagram showing a main configuration of the providing apparatus of FIG. 1;

FIG. 3 is a block diagram illustrating a main configuration of the management device of FIG. 1;

FIG. 4 is an external view of a mobile phone and a hard key as a terminal device.

FIG. 5 is a block diagram showing an internal configuration of the mobile phone shown in FIG. 4;

FIG. 6 is a block diagram showing a main part configuration of a personal computer as a terminal device.

FIG. 7 is a flowchart of a medical care information providing process.

FIG. 8 is a flowchart of the medical care information providing process following FIG. 7;

FIG. 9 is a diagram showing a display example of an integrated medical chart screen for doctors.

FIG. 10 is a diagram showing a display example of an integrated medical chart screen for nurses.

FIG. 11 is a diagram showing a display example of an integrated medical chart screen for a care helper.

FIG. 12 is a flowchart illustrating a bulletin board process.

FIG. 13 is a diagram showing a screen display example of a bulletin board.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Medical care support system 2 Provision device 3 Management device 4 Terminal device 5 Dedicated line 6 Internet line 7 Hard key 21 Control unit 23 Storage unit 25 Transmission control unit 32 Web server 33 Management server 34 Database server 35 Transmission / reception control unit 41 Mobile phone 42 Personal computer 331 CPU 332 RAM 333 Storage unit 341 User authentication data file 342 Bulletin board data file 411 Control unit 412 Input unit 414 Display unit 416 Transmission / reception unit 417 Communication unit 418 Voice control unit 419 Speaker 420 Microphone 423 Reader 424 CCD camera

 ────────────────────────────────────────────────── ─── Continued on the front page (72) Inventor Sadao Shimizu F-term (reference) 4C341 LL30 in Nipuku Care Service Co., Ltd. 1-18-18 Takadanobaba, Shinjuku-ku, Tokyo

Claims (7)

[Claims] 1. A providing device for storing medical care information including medical information or care-related information on a care-receiver receiving medical care or care, and providing the medical care information, and managing provision of the medical care information. A medical care support system in which a management device and a terminal device that receives provision of medical care information via the management device are connected via a communication line, wherein the terminal device includes an authentication device for identifying a user. Authentication information acquiring means for acquiring information; designation means for designating medical care information; and providing the authentication information acquired by the authentication information acquisition means and designation information of the medical care information designated by the designation means. Transmitting and receiving means for transmitting to the device and receiving medical care information based on the designated information transmitted from the management device; and transmitting from the management device. An output unit for outputting the obtained medical care information, wherein the management device is configured to perform predetermined authentication based on the authentication information transmitted from the terminal device, and that the authentication device is authenticated by the authentication unit. Requesting, to the providing device, designated information transmitting means for transmitting designated information; receiving means for receiving medical care information transmitted from the providing device; and requesting medical care information received by the receiving means. And a transmission unit for transmitting the data to the terminal device. 2. The medical care support system according to claim 1, wherein, when the medical care information is transmitted from a plurality of the providing devices, the management device creates the integrated medical record data for the care recipient. A medical care support system, comprising: an integrated chart creation unit; wherein the integrated chart data created by the integrated chart creation unit is transmitted to the terminal device by the transmission / reception unit and displayed on the display unit. 3. The medical care support system according to claim 1, wherein the authentication information obtaining unit obtains first authentication information stored in an information storage medium; A medical care support system, further comprising: a second acquisition unit that acquires authentication information. 4. The medical care support system according to claim 1, wherein: a layer code for classifying the user into each layer; and limiting means for restricting provision of the medical diagnosis information based on the layer code. A medical care support system comprising: 5. The medical care support system according to claim 1, wherein the medical care information includes predetermined inspection image data. 6. The medical care support system according to claim 1, wherein the terminal device includes an imaging unit, and the imaging data captured by the imaging unit is transmitted through the management device. The medical care support system is transmitted to the providing device and stored as the medical care information. 7. The medical care support system according to claim 1, wherein the management device includes an electronic bulletin board system for posting message information on medical care or care of the care-receiver, and the terminal device. Comprises a voice input unit, wherein the message information includes voice information input by the voice input unit.