JP2023108050A - Remote medical treatment support system and program - Google Patents

Abstract

To provide a remote medical treatment support system and program that can provide places where doctors are utilized and meet the needs of patients.SOLUTION: A remote medical treatment support server 1 comprises: a call processing section 19 that, on the basis of appointment information related to medical treatment and including a patient ID, a patient's online medical treatment appointment time, and a patient's doctor, connects a doctor terminal used by the doctor and a patient terminal used by the patient, and starts a call function, and performs online medical treatment; an examination requesting section 22 that transmits an examination request including the patient ID and examination content to an examination institution terminal of a designated examination institution capable of examination to the patient while the online medical treatment is performed; and control section 10 that notifies the patient terminal when reply information in the designated examination institution for the examination request is affirmative.SELECTED DRAWING: Figure 2

Description

The present invention relates to a telemedicine support system and program.

Conventionally, patients go to nearby medical institutions such as hospitals and clinics to receive medical treatment from doctors. In recent years, so-called online medical care, in which patients can receive medical care remotely from their homes, etc., has become popular, and systems that support efforts related to online medical care have been disclosed (for example, patent documents 1).

Japanese Patent No. 6872278

The system described in Patent Literature 1 is for efficiently connecting a person who wishes to undergo telemedicine and a doctor.
By the way, doctors include full-time doctors who work at medical institutions such as hospitals and clinics to provide medical care, as well as doctors who are not currently working full-time (hereafter referred to as external doctors). ) exist in a certain number. However, in the current situation, it is assumed that doctors who conduct online medical consultations are in medical institutions such as hospitals and clinics, and potential doctors' resources have not been fully utilized.
In addition, patients who do not require advanced medical care and who are continuously and regularly going to a core hospital for follow-up in the acute phase are followed up by the same doctor as their attending physician. Even if the doctor is no longer working full-time due to old age or the like, there is also a patient's need to continue to receive medical care from the doctor.
Furthermore, there is also a patient's need to receive medical treatment from a doctor with a higher level of specialized knowledge, such as when the patient is suffering from a special disease.

SUMMARY OF THE INVENTION It is an object of the present invention to provide a telemedicine support system and program that can be used by doctors and that can meet the needs of patients.

The present invention provides a reservation information storage unit storing reservation information including patient identification information for identifying a patient, online medical treatment reservation time for the patient, a full-time doctor of a medical institution, and an external doctor who is the attending doctor of the patient. , medical treatment object extraction means for extracting the reservation information for which the online medical treatment reservation time has arrived by referring to the reservation information storage unit, and based on the reservation information extracted by the medical treatment object extraction means, the full-time doctor A telemedicine support system comprising a first doctor terminal used, a second doctor terminal used by the external doctor, and a call start means for starting a call function between three parties by connecting the patient terminal used by the patient Regarding.

Further, in the telemedicine support system, a first schedule storage unit that stores the full-time doctor's medical treatment schedule, a second schedule storage unit that stores the external doctor's medical treatment schedule, and patient information including information on the patient's primary doctor a patient information storage unit that stores, when an application for online medical care is received from the patient terminal, attending physician identifying means for identifying the attending physician of the patient by referring to the patient information storing unit; and the attending physician identifying means vacant time extracting means for extracting vacant times during which medical care can be provided by both the external doctor who is the specified attending physician and the full-time doctor by referring to the first schedule storage unit and the second schedule storage unit; and an idle time transmitting means for transmitting the idle time extracted by the idle time extracting means to the patient terminal.

Further, in the telemedicine support system, a reservation reception means for receiving a reservation request corresponding to the vacant time from the patient terminal; A reservation registration means for registering in the first schedule storage section and the second schedule storage section may be provided.

Further, in the telemedicine support system, referring to an examination reservation storage unit that stores reservation information for each examination institution that can examine the patient, the patient identification information and the examination are sent to the examination institution terminal of the designated examination institution. inspection request transmission means for transmitting an inspection request including contents; and examination reservation registering means for registering.

Further, in the remote medical support system, a test result receiving means for receiving the test result in response to the test request from an analysis institution terminal of a test analysis institution that analyzes the test data acquired by the test institution, and the test result reception means receive. and a test result registering means for registering the obtained test result in a patient information storage unit storing the patient information in association with the patient identification information.

Further, the present invention is a reservation information storage that stores reservation information including patient identification information for identifying a patient, online medical treatment reservation time for the patient, a full-time doctor of a medical institution, and an external doctor who is the attending doctor of the patient. with reference to part, medical treatment object extraction means for extracting the reservation information when the online medical treatment reservation time has arrived, and a first doctor terminal used by the full-time doctor based on the reservation information extracted by the medical treatment object extraction means , a telemedicine support apparatus comprising: a call starting means for connecting a second doctor terminal used by the external doctor and a patient terminal used by the patient to start a three-way call function.

It may also be a program for causing a computer to function as a telemedicine support system.

According to the present invention, it is possible to provide a telemedicine support system and a program that can be used by doctors and meet the needs of patients.

1 is an overall configuration diagram of a telemedicine support system according to this embodiment; FIG. 3 is a functional block diagram of a remote medical assistance server according to this embodiment; FIG. It is a figure which shows the example of the memory|storage part of the remote medical assistance server which concerns on this embodiment. 4 is a flowchart showing reservation processing of the remote medical assistance system according to the present embodiment; It is a figure which shows the example of a display with the patient terminal which concerns on this embodiment. 4 is a flowchart showing remote medical treatment processing of the remote medical treatment support server according to the present embodiment; FIG. 6 is continued. 6 is a flow chart showing post-diagnosis processing of the remote medical assistance server according to the present embodiment.

EMBODIMENT OF THE INVENTION Hereafter, the form for implementing this invention is demonstrated, referring a figure. This is just an example, and the technical scope of the present invention is not limited to this.
(embodiment)
[Overall Configuration of Telemedicine Support System 100]
FIG. 1 is an overall configuration diagram of a telemedicine support system 100 according to this embodiment.
FIG. 2 is a functional block diagram of the remote medical assistance server 1 according to this embodiment.
FIG. 3 is a diagram showing an example of the storage unit 30 of the remote medical assistance server 1 according to this embodiment.

The telemedicine support system 100 shown in FIG. 1, for example, allows the patient to receive medical treatment from a doctor while at home, etc., and if necessary, a testing facility (such as a visiting nursing station) near the patient's home ( This is a system that provides an all-in-one package for medical treatment that enables reservations for examination institutions).
Further, the telemedicine support system 100 is a system capable of performing online medical care by connecting the terminals of a patient, an external doctor who is the patient's attending doctor, and a full-time doctor.
Here, a full-time doctor generally refers to a doctor who is physically present at a medical institution. In addition, an external doctor means a doctor who is not physically at the medical institution.

The remote medical care support system 100 includes a remote medical care support server 1 (remote medical care support device), an external doctor terminal 4 (second doctor terminal), a full-time doctor terminal 5 (first doctor terminal), a patient terminal 6, an examination A facility terminal 7 (inspection institution terminal), an analysis institution terminal 8, and a pharmacy terminal 9 are provided. Data communication is enabled between the telemedicine support server 1, the external doctor terminal 4, the full-time doctor terminal 5, the patient terminal 6, the testing facility terminal 7, the analysis institution terminal 8, and the pharmacy terminal 9 via the data communication network N. It's becoming
Note that although one terminal is shown in FIG. 1, it is merely an example. In practice, multiple terminals are connected to the remote medical support server 1 .

[Telemedicine support server 1]
The telemedicine support server 1 is owned by a company that provides services related to, for example, online medical care realized by the telemedicine support system 100 . For example, when a medical institution provides the service, the company that provides the service may be the medical institution. Moreover, when the service is provided by a plurality of medical institutions, the company providing the service may be the company that provides the platform for the service.

As shown in FIG. 2 , the telemedicine support server 1 includes a control section 10 , a storage section 30 and a data communication IF (interface) 39 .
The control unit 10 is a CPU (Central Processing Unit) that controls the entire telemedicine support server 1 . The control unit 10 reads and executes an OS (operating system) and application programs stored in the storage unit 30 to cooperate with the above-described hardware and execute various functions.
The control unit 10 includes a medical appointment processing unit 11 , an online medical care processing unit 17 , an examination processing unit 21 and a prescription processing unit 25 .

The medical appointment processing unit 11 performs processing related to an advance appointment for receiving medical treatment from a doctor while the patient is at home or the like.
The medical treatment reservation processing unit 11 includes an application reception unit 12, a primary doctor identification unit 13 (physician identification means), a free time extraction processing unit 14 (free time extraction unit, free time transmission unit), and an appointment reception processing unit 15 (reservation reception means, reservation registration means).

The application accepting unit 12 accepts an application for online medical treatment from the patient terminal 6 .
Based on the application received by the application receiving unit 12, the attending physician identifying unit 13 identifies an external doctor who is the attending physician of the patient who made the application. The attending physician identification unit 13, for example, refers to the patient information storage unit 32 to identify an external doctor who is the attending physician.

The vacant time extraction processing unit 14 stores the vacant time when both the external doctor and the full-time doctor specified by the attending doctor specifying unit 13 are available for medical care, in the medical care schedule storage unit 33 (first schedule storage unit and second schedule storage unit). Refer to and extract. Here, the full-time doctor may be any one of a plurality of doctors as long as the full-time doctor is a full-time doctor in a medical institution such as a hospital or a clinic. Then, the vacant time extraction processing unit 14 transmits the extracted vacant time to the patient terminal 6 that applied for online medical treatment.
The reservation reception processing unit 15 receives a reservation request corresponding to the vacant time from the patient terminal 6 that transmitted the vacant time. Then, the reservation acceptance processing unit 15 registers information corresponding to the reservation request in the reservation information storage unit 34 and the medical treatment schedule storage unit 33 .

The online medical treatment processing unit 17 performs processing related to online medical treatment. Here, "online" refers to connecting terminals to each other and remotely communicating with the other party.
The online medical treatment processing unit 17 includes a medical treatment object extraction unit 18 (medical treatment object extraction means) and a call processing unit 19 (call initiation means).
The medical treatment target extraction unit 18 refers to the appointment information storage unit 34 and extracts appointment information for which the online medical appointment time has arrived.
The call processing unit 19 connects the external doctor terminal 4, the full-time doctor terminal 5, and the patient terminal 6 based on the reservation information extracted by the medical treatment object extracting unit 18, and starts a three-party call function.

The examination processing unit 21 makes an appointment with an examination facility when an external doctor determines the necessity of an examination for a patient through online medical care. Further, the inspection processing unit 21 performs processing for registering the inspection result of the inspection data acquired by the inspection agency by the inspection analysis agency that received the inspection data from the inspection facility.
The inspection processing unit 21 includes an inspection request unit 22 (inspection request transmitting means, inspection reservation registering means) and a result processing unit 23 (inspection result receiving means, inspection result registering means).

The inspection requesting unit 22 makes a reservation for an inspection date and time in order to request the inspection to the inspection facility. Here, the inspection facility is, for example, a visiting nursing station, and refers to a facility where inspection data can be acquired mainly according to instructions from a doctor. The examination data refers to, for example, patient's blood and biopsy data such as an electrocardiogram waveform.
More specifically, for example, the inspection request unit 22 refers to the inspection reservation storage unit 35 that stores reservation information for each inspection facility, which can be referred to by the inspection facility terminal 7, and requests the inspection facility terminal 7 to to send an inspection request. Then, when the response information from the testing facility terminal 7 is affirmative, the testing requesting unit 22 performs an update process in which the testing facility terminal 7 registers reservation information for the testing request in the testing reservation storage unit 35. conduct.
The result processing unit 23 receives the inspection result corresponding to the inspection request from the analysis agency terminal 8 of the inspection analysis agency. The result processing unit 23 then registers the received test results in the patient information storage unit 32 .

After online medical treatment, the prescription processing unit 25 creates a prescription based on the medical information stored in the patient information storage unit 32, and transmits the created prescription data to the pharmacy designated by the patient. Here, the prescription processing unit 25 may convert the created prescription into a file such as PDF and transmit the prescription data to the pharmacy terminal 9 via the data communication network N. In addition, the prescription processing unit 25 may transmit the created prescription to a facsimile device (not shown) in the pharmacy.

The storage unit 30 is a storage area such as a hard disk or a semiconductor memory device for storing programs, data, etc. necessary for the control unit 10 to execute various processes.
The storage unit 30 includes a program storage unit 31 , a patient information storage unit 32 , a medical treatment schedule storage unit 33 , an appointment information storage unit 34 and an examination appointment storage unit 35 .
The program storage unit 31 is a storage area that stores application programs (programs) for executing various functions performed by the control unit 10 described above.

The patient information storage unit 32 is a storage area for storing patient information of patients who use services related to online medical care provided by the remote medical care support system 100 .
In the example shown in FIG. 3A, the patient information storage unit 32 stores electronic medical record data using patient ID (IDentification) as a key. Electronic medical record data includes basic information about patients (name, address, telephone number, e-mail address, personal information such as date of birth and insurance information), as well as the attending physician ID, interview information, medical information, and test results. etc. are associated with each other and stored.
A patient ID is patient identification information that identifies a patient. A patient ID is used to uniquely identify a patient in the remote medical assistance server 1 . When registering patient information, the control unit 10 of the remote medical assistance server 1 may automatically add unique information.

The basic information is, for example, information input by the patient at the time of new registration for using the service.
The attending physician ID is identification information that identifies the attending physician.
The interview information is information related to an interview that is input by the patient before medical treatment, such as when making an appointment for online medical treatment.
The medical care information is information related to medical care input by an external doctor, for example, during online medical care.
The inspection result is information of the inspection result obtained by performing the inspection at the inspection facility and analyzing the inspection data at the inspection analysis organization.
In addition, the patient information storage unit 32 may store various information related to the patient. Other information stored in the patient information storage unit 32 may include, for example, payment method information and family pharmacy information. The payment method information is, for example, information that can be used for electronic payment such as credit card information, and is used for payment of medical fees and examination fees. The family pharmacy information is information related to the pharmacy that the patient always uses.

The medical treatment schedule storage unit 33 is a storage area that stores the medical treatment schedules of external doctors and full-time doctors.
In the example shown in FIG. 3(B), the medical treatment schedule storage unit 33 uses the doctor ID as a key and stores full-time/external, date and time, and availability in association with each other.
A doctor ID is identification information that uniquely identifies a doctor, including a full-time doctor and an external doctor.
The full-time/outside doctor is a classification of doctors identified by the doctor ID (full-time doctor or outside doctor).
The date and time and availability are information that indicates the available date and time frame for medical treatment and whether or not the medical treatment is possible within that date and time frame.
Note that the medical care schedule storage unit 33 does not have full-time/outside classification, and the doctor information storage unit that stores information about doctors (not shown) has full-time/outside classification in addition to the doctor's name and department. good too.

The appointment information storage unit 34 is a storage area for storing information related to an appointment for online medical treatment designated by a patient.
In the example shown in FIG. 3(C), the appointment information storage unit 34 uses the patient ID as a key and stores the medical appointment date and time, full-time doctor ID, and external doctor ID in association with each other.
The appointment ID is identification information used to uniquely identify appointment information in the remote medical assistance server 1 . The appointment ID may be automatically assigned as a serial number, for example, starting from 1, by the control unit 10 of the remote medical assistance server 1 when the appointment information is registered.
The medical appointment date and time is the date and time when the patient receives online medical care.
A full-time doctor ID and an external doctor ID are identification information for identifying a full-time doctor and an external doctor who is an attending doctor, respectively.
The examination reservation storage unit 35 is a storage area for storing information related to examination reservations for each examination facility.

Note that the data stored in the storage unit 30 is not limited to the above. For example, as described above, the storage unit 30 may include a doctor information storage unit and the like. Further, for example, the storage unit 30 may include a pharmacy information storage unit that stores information on pharmacies, or a testing facility information storage unit that stores information on testing facilities, or the like.
Further, the patient information storage unit 32 stores patient information including electronic medical chart data, but may store electronic medical chart data and other data separately.
Furthermore, each item from the patient information storage unit 32 to the reservation information storage unit 34 shown in FIG. 3 is an example, and there may be other items or there may be no items.

The data communication IF 39 is an interface with the data communication network N. FIG.
A computer is an information processing device having a control unit, a storage device, etc. The remote medical care support server 1 is an information processing device having a control unit 10, a storage unit 30, etc., and is included in the concept of a computer. be
Further, the remote medical assistance server 1 may be realized by combining a plurality of server devices instead of one server device, or may be a cloud server.

[Terminal]
The external doctor's terminal 4 in FIG. 1 is a terminal provided at the external doctor's home or the like and used by the external doctor for online medical treatment.
The full-time doctor terminal 5 is a terminal provided in a medical institution and used by a full-time doctor for online medical treatment.
A patient terminal 6 is a terminal owned by a patient and used for online medical treatment.
The examination facility terminal 7 is a terminal provided in an examination facility represented by a visiting nursing station. The examination facility terminal 7 is used, for example, by a nurse or the like to confirm the examination reservation status.
The analysis institute terminal 8 is a terminal provided in an inspection analysis institute. The analysis institution terminal 8 is used, for example, to transmit test results to the telemedicine support server 1 .
A pharmacy terminal 9 is a terminal provided in a pharmacy. The pharmacy terminal 9 is used, for example, to receive prescription data from the telemedicine support server 1 .

In FIG. 1, the external doctor terminal 4 and the patient terminal 6 are illustrated as mobile terminals such as smart phones and tablets, but are not limited to these. The patient terminal 6 may be, for example, a personal computer (PC) or the like.
Also, in FIG. 1, the other terminal is illustrated as a notebook PC, but this is also an example and may be another terminal.

Although not shown, each terminal includes a control unit, a storage unit, an input/output unit such as a touch panel (or a display unit such as a display and an input unit such as a keyboard), and a data communication IF.
In addition, the external doctor terminal 4, full-time doctor terminal 5, and patient terminal 6 used in online medical care are further equipped with a camera and a microphone.

The external doctor terminal 4 displays, for example, the patient's image on the display and the full-time doctor's image in a partial small area during online medical care. In addition, the external doctor terminal 4 switches screens during online medical care or after medical care, and displays a medical chart screen based on the electronic medical chart data in the patient information storage unit 32 on the display. Here, the chart screen refers to a screen on which patient interview information, past medical information, and the like can be referred to.
The full-time doctor terminal 5 divides the display into, for example, two screens during online medical care, and displays images of the patient and the external doctor on one screen, and displays the chart screen on the other screen. For the full-time doctor terminal 5, for example, a terminal for electronic medical charts may be used. Also, the full-time doctor may use two full-time doctor terminals 5 to output an image to one and a chart screen to the other.
The patient terminal 6 displays the image of the external doctor on the display and the image of the full-time doctor in a small area during online medical care.

[Description of processing]
Next, processing in the telemedicine support system 100 will be described.
As a pre-processing, first, a patient who uses the service provided by the remote medical support system 100 uses the patient terminal 6 to access, for example, a web page related to the service, and performs new registration.

In addition, external doctors and full-time doctors use the external doctor terminal 4 and full-time doctor terminal 5 to connect to the telemedicine support server 1 and enter the dates and times when they can work. By doing so, the control unit 10 of the remote medical assistance server 1 registers the input information in the medical treatment schedule storage unit 33 .
In addition, the said process is an example. For example, a system that manages the attendance of doctors and the telemedicine support server 1 may be linked to reflect the date and time when the doctor is available to work in the medical treatment schedule storage unit 33 .

Next, a description will be given of the processing related to online medical treatment reservation.
FIG. 4 is a flowchart showing reservation processing of the remote medical assistance system 100 according to this embodiment.
FIG. 5 is a diagram showing a display example on the patient terminal 6 according to this embodiment.
First, a patient who wants to receive online medical treatment from a doctor accesses a web page related to the service from the patient terminal 6 and makes an appointment for online medical treatment.

FIG. 5 shows an example of an operation screen 60 displayed on the patient terminal 6. As shown in FIG.
The operation screen 60 is a screen for patient operation, and includes a menu area 61 and an operation area 65 .
The menu area 61 contains patient selectable menus.
The operation area 65 outputs input items and the like in response to selection in the menu area 61 .
The operation screen 60 in FIG. 5 is first output when accessing the web page, and the operation area 65 prompts the patient to log in.

After logging in, the patient selects the new reservation section 62 or the revisit reservation section 63 in the menu area 61 shown in FIG. , transmits an appointment request to the telemedicine support server 1 .
Here, when the patient selects the reexamination reservation section 63, the patient ID is assigned to the patient, so the control section of the patient terminal 6 transmits the patient ID together with the reservation request.
On the other hand, when the new reservation section 62 is selected, the control section of the patient terminal 6 transmits only a reservation request because the patient has not been assigned a patient ID.
Note that the control unit of the patient terminal 6 may display a waiting screen (not shown) after transmitting the reservation request.

When the control unit 10 (application reception unit 12) of the remote medical support server 1 receives the reservation information, in S12, the control unit 10 (attending physician identification unit 13) refers to the patient information storage unit 32 from the received patient ID. to identify the attending physician.
In the case of a new appointment, the control unit 10 skips this process because the patient ID is not received and the attending doctor does not exist.
In S13, the control unit 10 (the vacant time extraction processing unit 14) refers to the medical treatment schedule storage unit 33, extracts the vacant time between the external doctor and the full-time doctor specified in the process of S12, and stores the extraction result in the patient terminal 6. Send to
Also in the case of a new appointment, the control unit 10 extracts the free time between the external doctor and the full-time doctor. However, since the external doctor is not specified, the external doctors whose free time is to be extracted may be a plurality of doctors.

The control unit of the patient terminal 6 outputs a list of available times on the operation screen 60 when receiving the extraction result of the available times from the remote medical assistance server 1 . Therefore, when the patient designates the date and time for online medical care from the patient terminal 6, the control unit of the patient terminal 6 accepts the designation of the date and time and transmits the designation to the remote medical care support server 1 in S14.
When the control unit 10 (appointment acceptance processing unit 15) of the remote medical assistance server 1 receives the designation of the date and time from the patient terminal 6, the schedule in the medical treatment schedule storage unit 33 is updated in S15. In addition, the control unit 10 (reservation acceptance processing unit 15) registers reservation information in the reservation information storage unit 34 and confirms the reservation.
In S<b>16 , the control unit 10 (reservation acceptance processing unit 15 ) of the remote medical assistance server 1 transmits the confirmation result to the patient terminal 6 .

When the control unit of the patient terminal 6 receives the confirmation result from the telemedicine support server 1 , it outputs the confirmation on the operation screen 60 . In addition, the control section of the patient terminal 6 outputs the input items of inquiry information to the operation area 65, so that the patient inputs inquiry information for medical treatment. Then, in S<b>17 , the control unit of the patient terminal 6 receives the input of medical interview information and transmits it to the remote medical assistance server 1 . After that, the control section of the patient terminal 6 outputs a message indicating that the reservation has been completed on the operation screen 60, and ends the reservation process.

When receiving medical inquiry information from the patient terminal 6, the control unit 10 (reservation acceptance processing unit 15) of the remote medical assistance server 1 registers the received medical inquiry information in the patient information storage unit 32 in S18. By this process, the medical record page related to the online medical treatment reserved for the patient can be created in the remote medical treatment support server 1 . After that, the control unit 10 terminates this process.

In this manner, the telemedicine support system 100 is convenient because it is possible to make a schedule reservation for online medical care including the patient's primary doctor and full-time doctor from the patient terminal 6 . In addition, external doctors who are attending physicians and full-time doctors are allowed to make appointments for schedules within the range of dates and times they can work that they themselves have registered, so online medical care can be performed on the dates and times they want to work.

Next, a description will be given of the processing when performing online medical care.
6 and 7 are flowcharts showing remote medical treatment processing of the remote medical treatment support server 1 according to this embodiment.
FIG. 8 is a flowchart showing post-diagnosis processing of the remote medical assistance server 1 according to this embodiment.
The control unit 10 (online medical treatment processing unit 17) of the remote medical treatment support server 1, for example, refers to the reservation information storage unit 34 and starts the remote medical treatment processing in FIG. 6 at an appropriate timing.

In S31, the control unit 10 (medical treatment target extraction unit 18) searches the appointment information storage unit 34, determines whether or not there is appointment information for which the appointment time (online medical appointment time) arrives, and determines whether the appointment time has arrived. If there is reservation information to be used, the reservation information is extracted. Here, for example, when the reservation time of the reservation information is within 5 minutes, the control unit 10 may extract the reservation information.
In S32, the control unit 10 (call processing unit 19) connects the external doctor terminal 4 and the full-time doctor terminal 5 based on the extracted reservation information, and starts call processing.

In S<b>33 , the control unit 10 outputs the above-described medical chart screen based on the electronic medical chart data of the patient undergoing online medical care to the external doctor terminal 4 and full-time doctor terminal 5 . More specifically, the control unit 10 identifies the patient ID based on the extracted reservation information, and refers to the patient information storage unit 32 to identify the electronic medical record data. Then, the control unit 10 outputs a chart screen generated based on the specified electronic chart data to the external doctor terminal 4 and the full-time doctor terminal 5 .
At this stage, the external doctor's terminal 4 and the full-time doctor's terminal 5 are connected so as to be able to communicate, and the patient's chart data is output on the chart screen. In addition, the medical record screen includes medical inquiry information received at the time of appointment. Therefore, the outpatient doctor and the full-time doctor can discuss the treatment policy for the patient in advance.

In S<b>34 , the control unit 10 determines whether or not a connection request from the patient terminal 6 has been received. In the patient terminal 6, the control section of the patient terminal 6 transmits a connection request to the remote medical assistance server 1 by selecting the medical examination start section 64 from the operation screen 60 shown in FIG. When receiving the connection request from the patient terminal 6 (S34: YES), the control unit 10 shifts the process to S35. On the other hand, if a connection request has not been received (S34: NO), this process remains until a connection request is received from the patient terminal 6 within the reserved consultation time.
In S35, the control unit 10 (call processing unit 19) further connects the patient terminal 6 that has received the connection request.

In S<b>36 , the control unit 10 (call processing unit 19 ) performs video call processing by three parties using the external doctor terminal 4 , the full-time doctor terminal 5 and the patient terminal 6 .
Here, on the patient terminal 6, for example, an image of an external doctor who is an attending doctor is displayed, and an image of a full-time doctor is displayed small in a partial area. The image is a real-time image taken by a camera provided in each terminal.
The patient can confirm that the full-time doctor is also involved in addition to the attending doctor, which gives the patient a sense of security. In addition, the doctor in charge can confirm the patient's condition through the screen, such as confirming the patient's facial expression and complexion, instructing the patient to perform an action, and confirming the instructed action. In addition, the full-time doctor can see the correspondence between the attending physician and the patient.

In S41 of FIG. 7, for example, upon receiving an input from the external doctor terminal 4, the control unit 10 performs a medical information registration process for registering medical care content in the medical information of the electronic medical chart data in the patient information storage unit 32.
In S<b>42 , the control unit 10 determines whether or not an input regarding an examination appointment has been received. Depending on the patient's condition, it may be necessary to acquire test data, such as blood tests and electrocardiograms, that cannot be followed by online consultations at the patient's home. In such a case, the patient is asked to go to a testing facility located in the vicinity of the patient's home and have the testing performed at the testing facility. Therefore, when the attending doctor determines that an examination is necessary, the full-time doctor uses the full-time doctor terminal 5 to make an appointment for the examination, for example. If an input related to an examination reservation has been received (S42: YES), the control unit 10 shifts the process to S43. On the other hand, if the input related to the examination reservation has not been received (S42: NO), the control unit 10 moves the process to S44. Here, it is assumed that the full-time doctor performs the input related to the examination reservation. This is because a full-time doctor is considered to be more likely to perform processing other than medical care, but it is of course possible for an outside doctor to make an input regarding an examination reservation.

In S43, the control unit 10 (examination requesting unit 22) performs an examination requesting process of requesting an examination facility near the patient. The control unit 10 refers to the examination reservation storage unit 35 storing reservation information for each examination facility, and transmits an examination request to the examination facility terminal 7 . The examination request includes, for example, patient ID, examination date and time, and examination contents. Then, when the reply information from the testing facility terminal 7 is affirmative, the testing requesting section 22 performs update processing for registering reservation information for the testing request in the testing reservation storage section 35 . Once the testing facility appointment is completed, for example, the resident doctor can inform the patient of the testing facility and date and time within the video call. Note that the control unit 10 may transmit data including the examination facility and the date and time to the patient terminal 6 .

In S44, the control unit 10 determines whether or not the medical treatment is finished. Here, when the general medical treatment by the external doctor is completed, the control unit 10 receives a notification of the end of the medical treatment from the external doctor terminal 4, for example. Therefore, the control unit 10 can determine that the medical care has been completed when receiving the notification of the end of the medical care from the external doctor terminal 4 . If the medical care is finished (S44: YES), the control unit 10 shifts the process to S45. On the other hand, if the medical care has not ended (S44: NO), the control unit 10 shifts the process to S41.
In S<b>45 , the control unit 10 disconnects the patient terminal 6 . This makes it possible to clearly indicate to the patient that the online consultation has ended.
In S46, the control unit 10 performs post-diagnosis processing. After that, the control unit 10 terminates this process.

Here, the post-diagnosis processing will be described with reference to FIG.
In S51 of FIG. 8, the control unit 10 performs accounting processing. Specifically, the control unit 10 calculates the medical expenses based on the medical information input to the electronic medical record data, and performs settlement processing.
In S52, the control unit 10 (prescription processing unit 25) determines whether or not to issue a prescription. The control unit 10 can determine whether to issue a prescription based on the medical information input to the electronic medical record data. When issuing a prescription (S52: YES), the control unit 10 shifts the process to S53. On the other hand, when not issuing a prescription (S52: NO), the control unit 10 moves the process to S54.

In S53, the control unit 10 (prescription processing unit 25) performs a prescription creation transmission process. The control unit 10 creates a prescription based on the medical information in the electronic medical record data. Then, the control unit 10 transmits prescription data related to the created prescription to the pharmacy terminal 9 of the pharmacy designated by the patient in advance.
As a result, patients can receive drugs prescribed by online medical consultation at their designated pharmacies.

In S54, the control unit 10 determines whether or not an examination request has been made to the patient. The control unit 10 can determine whether or not an examination request has been made to the patient based on the medical information of the electronic medical record data. If an inspection request has been made (S54: YES), the control unit 10 moves the process to S55. On the other hand, if the inspection request has not been made (S54: NO), the control unit 10 terminates this process.
In S55, the control unit 10 (result processing unit 23) determines whether or not the test result has been received from the analysis engine terminal 8 of the test analysis engine. If the test results have been received from the analytical institution terminal 8 (S55: YES), the control unit 10 shifts the process to S56. On the other hand, if the test result has not been received from the analysis institution terminal 8 (S55: NO), this process remains until the test result is received.
In S<b>56 , the control unit 10 (result processing unit 23 ) registers the received test results in the patient information storage unit 32 . After that, the control unit 10 terminates this process.

Thus, the telemedicine support system 100 of this embodiment has the following effects.
(1) Connect the patient terminal 6, the external doctor terminal 4 used by the attending physician, and the full-time doctor terminal 5 used by a full-time doctor at a medical institution such as a hospital or a clinic, and make a three-party video call. .
With such a mechanism, even a doctor outside a medical institution can provide online medical care. Doctors outside medical institutions include, for example, retired doctors, doctors temporarily not working at medical institutions due to academic conferences, etc., and doctors working at other medical institutions due to transfer, etc. , The location is not limited to Japan, but also applies to doctors overseas. Therefore, even if the doctor who received regular medical care leaves the medical institution, the patient can continue to receive medical care from the doctor, so that the relationship of trust can be maintained and the patient can feel secure. be able to. In addition, even when a doctor retires, he or she can treat patients at home or the like and continue working.

(2) A medical treatment schedule storage unit 33 that stores the medical treatment schedules of external doctors and full-time doctors is provided, and when there is an application for online medical treatment from a patient, a vacancy between the external doctor who is the patient's attending doctor and the full-time doctor is provided. Time is extracted and transmitted to the patient terminal 6. - 特許庁
Therefore, the patient can decide the date and time to receive medical treatment from the doctor's free time. In addition, since each doctor has a medical treatment schedule registered, it is possible to receive online medical treatment within the range of dates and times when each doctor can provide medical treatment.
(3) By accepting the designation of the date and time from the patient terminal 6, the appointment information is registered in the appointment information storage unit 34, and the medical treatment schedule storage unit 33 is updated.
Therefore, it is possible to make an appointment for online medical treatment at the date and time specified by the patient.

(4) Referring to the inspection reservation storage unit 35 storing reservation information for each inspection facility where inspection is possible, transmitting an inspection request to the inspection facility terminal 7 of the specified inspection facility, and if the reservation is possible, , the reservation information is registered in the examination reservation storage unit 35 .
Therefore, a patient who needs an examination can make a reservation for the examination at a neighboring examination facility.
(5) Receive the test results for the test request from the analysis institution terminal 8 of the test analysis institution and register them in the patient information storage unit 32 .
Therefore, examination result data can be automatically reflected in the patient information storage unit 32 . Therefore, the next medical examination can be performed based on the test results.

Although the embodiments of the present invention have been described above, the present invention is not limited to the above-described embodiments. Moreover, the effects described in the embodiments are merely enumerations of the most suitable effects produced by the present invention, and the effects of the present invention are not limited to those described in the embodiments. The above-described embodiments and modifications described later can be used in combination as appropriate, but detailed description thereof will be omitted.

(deformed form)
(1) In the present embodiment, for example, when a doctor who was the chief physician of a certain medical institution retires from the medical institution, the patient can continue to receive medical care by the chief physician by using the telemedicine support system. described as possible.
Additionally, the telemedicine support system is a useful system that can be used in other situations as well.

For example, when a doctor with highly specialized knowledge is required for the treatment of a patient, an external doctor with highly specialized knowledge can use the telemedicine support system to provide the patient with a doctor with highly specialized knowledge. You can save the trouble of going to the place where you are and going to receive medical treatment. In addition, when patients need to undergo tests or receive drugs, they only need to visit a testing facility or pharmacy in the vicinity of the patient, eliminating the patient's geographical disadvantage. be able to. In addition, the labor resources of competent external doctors can be effectively utilized.

In addition, by conducting telemedicine among three parties including a full-time doctor, an outside doctor, and a patient, for example, the full-time doctor can see the medical treatment performed between the outside doctor and the patient, and the outside doctor's medical treatment Know-how and knowledge can be acquired. Therefore, it can contribute to the technical improvement of doctors.

(2) In the present embodiment, the external doctor terminal 4 registers the medical information in the patient information storage unit 32 as an example, but the present invention is not limited to this. For example, if access to information from the outside is restricted such that the external doctor terminal cannot refer to the contents of the patient information storage unit, the medical information may be registered from the full-time doctor terminal.

(3) In this embodiment, the telemedicine support server 1 extracts reservation information within 5 minutes before the start of online medical care, and first connects the external doctor terminal 4 and the full-time doctor terminal 5. but not limited to this. The connection time may be at the same time as the reserved date and time or a little earlier, not within 5 minutes before, but at any other time. Also, the external doctor's terminal and the full-time doctor's terminal may not be connected automatically, but may be connected, for example, in response to a request for connection to the telemedicine support server.

(4) In the present embodiment, an example has been described in which a full-time doctor's medical treatment schedule and an outpatient doctor's medical treatment schedule are stored in one medical treatment schedule storage unit 33, but the present invention is not limited to this. For example, the external doctor's treatment schedule may be stored in the external doctor terminal. In that case, when an inquiry to the external doctor terminal is received from the telemedicine support server, the control unit of the external doctor terminal may reply with the free time.

(5) In the present embodiment, a Web-based system has been described as an example, but the present invention is not limited to this. The system may be constructed in any way, for example, by starting an application.
(6) In the present embodiment, an example in which various types of information are stored in the storage unit 30 has been described, but the present invention is not limited to this. Various information may be stored in an external device connected to the remote medical support server.

1 Remote medical support server (remote medical support device)
4 external doctor terminal 5 full-time doctor terminal 6 patient terminal 7 testing facility terminal 8 analysis institution terminal 9 pharmacy terminal 10 control unit 11 medical appointment processing unit 12 application reception unit 13 attending physician identification unit 14 vacant time extraction processing unit 15 reservation reception processing unit 17 Online medical treatment processing unit 18 Medical treatment target extraction unit 19 Call processing unit 21 Examination processing unit 22 Examination request unit 23 Result processing unit 25 Prescription processing unit 30 Storage unit 31 Program storage unit 32 Patient information storage unit 33 Medical treatment schedule storage unit 34 Reservation information storage Part 35 Examination reservation storage part 39 Data communication IF
100 Telemedicine support system N Data communication network

Claims (5)

A doctor terminal used by the doctor and a patient terminal used by the patient are selected based on reservation information related to medical treatment including patient identification information for identifying the patient, the online medical treatment appointment time of the patient, and the doctor of the patient. a call initiation means for connecting, starting a call function, and conducting online medical care;
inspection request transmission means for transmitting an inspection request including the patient identification information and inspection content to an inspection institution terminal of a designated inspection institution capable of inspecting the patient during the online medical care;
means for notifying the patient terminal when the response information from the specified inspection institution to the inspection request is affirmative;
A telemedicine support system. In the telemedicine support system according to claim 1,
an inspection result receiving means for receiving an inspection result for the inspection request from an analysis organization terminal of an inspection analysis organization that analyzes the inspection data acquired by the inspection organization;
test result registration means for registering the test result received by the test result receiving means in a patient information storage unit storing the patient information in association with the patient identification information;
with
The telemedicine support system, wherein the call starting means outputs the examination results of the patient stored in the patient information storage section so as to be referable to the doctor terminal. In the telemedicine support system according to claim 1 or claim 2,
The examination request transmission means refers to an examination reservation storage unit that stores examination reservation information for each examination institution that can examine the patient, while the online medical care is being performed. Send an inspection request including the patient identification information and inspection content to the inspection institution terminal of
inspection reservation registering means for registering reservation information related to the inspection for the inspection request in the inspection reservation storage unit when reply information from the specified inspection institution to the inspection request is affirmative. Medical support system. In the telemedicine support system according to any one of claims 1 to 3,
The telemedicine support system, wherein the designated testing institution is a testing institution located in a neighborhood of the patient. A program for causing a computer to function as the telemedicine support system according to any one of claims 1 to 4.

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