JP2005209085A - Cyber hospital system - Google Patents

Abstract

To provide information necessary for a patient to select a hospital or a doctor in a cyber hospital system.
In a cyber hospital system 1 connected to a plurality of terminals 12, 13 and 14 via an electrical communication line 17, a database 4 stores information on critical paths or treatment techniques possible in a plurality of hospitals. Information on the malignancy related to the cancer or tumor of the patient is received from the terminal together with the request for providing treatment information, and information on the critical path or treatment technique related to the case with at least the same malignancy is retrieved from the database and retrieved from the database system. An information providing system 3 is provided for generating information on the critical path or treatment technique for each hospital or doctor, creating a treatment result table, and transmitting the treatment result table to the terminal.
[Selection] Figure 3

Description

  The present invention relates to a cyber hospital system that provides information necessary for a patient to select a hospital or a doctor.

  When cancer is diagnosed, it is often treated directly at the hospital where the diagnosis is made. Even in the case of receiving treatment at another hospital, the actual situation is that the hospital to receive treatment is determined by the hospital from which the diagnosis was made or the introduction from the doctor. One of the reasons may be that the information on which the patient selects a hospital cannot be obtained.

  An object of the present invention is to provide information necessary for a patient to select a hospital or a doctor in a cyber hospital system.

  An aspect of the present invention is a cyber hospital system connected to a plurality of terminals via an electrical communication line, a database that stores information on critical paths or treatment techniques possible in a plurality of hospitals, and the terminal, Means for receiving malignancy information relating to a patient's cancer or tumor together with a treatment information provision request; means for retrieving information on a critical path or treatment technique performed in at least the same malignancy case from the database; and the database Means for collecting information on critical paths or treatment techniques retrieved from the system for each hospital or doctor to create a treatment result table, and means for transmitting the treatment result table to the terminal.

  According to the present invention, information necessary for a patient to select a hospital or a doctor can be provided.

  Conceptually, the cyber hospital system according to the present embodiment is a system optimized for the oncology department, or for internal medicine, surgery, or radiology that handles tumors or cancer, as shown in FIGS. Functionally, treatment information is collected from an external general hospital information system, etc., and the treatment information is aggregated to create a treatment result table. System) that is provided to the information terminal and assists the patient in selecting a hospital or doctor who undertakes his / her own cancer treatment, and is in charge of a series of processes until obtaining approval from the selected hospital or doctor. It is.

  FIG. 3 shows an overall view including the cyber hospital system of the present embodiment. The cyber hospital system 1 is equipped with a plurality of types of communication devices so that it can be connected to a plurality of types of electronic communication lines 17 such as a wired or wireless line such as an Internet line or a public telephone line. Via a plurality of types of electronic communication lines 17, the cyber hospital system 1 includes a plurality of hospital integrated information systems (HIS) 6, 7, 8, a plurality of installed in a plurality of general hospitals A, B, C, for example. A plurality of workstations (WS) 9 and 10 installed in clinics A and B, a database system (DBS) 11 installed in an examination center, a plurality of patient information terminals 12, 13, and 14, a plurality of medical consultants It is connected to the information terminals 15 and 16.

  The hospital general information systems 6, 7, and 8 have a database system for storing medical information files generated in each hospital. Medical information includes patient information mainly having patient-specific information such as patient name and age, diagnostic information generated at the patient examination / diagnosis stage, and treatment information (critical path or treatment mainly generated at the patient stage). It is also referred to as information on procedures). The diagnosis information includes diagnosis ID (test ID), cancer malignancy, cancer morphology information (cancer type, cancer position, shape, size, number, etc.), function information (liver function value, SPECT / PET) Such as acquired functional images), metabolic information (metabolic functional images acquired by SPECT / PET, physiological information such as tumor markers), various images, and the like.

  The treatment information is information related to the critical path or treatment technique. Specifically, the treatment ID, the malignancy of the cancer, the cancer morphology information (type of cancer, position, shape, size, number of cancer, etc.), doctor Name, date and time of treatment, distinction of procedures actually applied in treatment (anticancer drug administration, surgery, radiotherapy), treatment schedule performed in hospital (critical path), total cost required for the critical path (simply referred to as price) ), Hospitalization period, healing possibility, survival / death distinction, date of death, etc. are included. The medical information files generated at the clinics A and B are stored in the small database systems of the respective workstations 9 and 10. Similarly, the medical information file generated at the examination center is stored in the database system 11.

  The information collection system 2 of the cyber hospital system 1 periodically circulates the database system of these hospital general information systems 6, 7, 8 and the database system of the workstations 9, 10 of the clinics A, B, and the treatment information database 4 Update the treatment information file stored in the latest version. That is, in the treatment information database 4, treatment information files generated in the hospitals A, B, C and clinics A, B are always stored in the latest state. The information providing system 3 of the cyber hospital system 1 uses a plurality of treatment information files stored in the treatment information database 4 as information for supporting selection of a hospital or a doctor who treats his / her cancer by a patient. Create and provide hospital-specific treatment results and doctor-specific treatment results. The flow of the providing process will be described below.

  FIG. 4 shows a flow of treatment result table provision processing for hospital / doctor selection support by the cyber hospital system 1 according to the present embodiment. The patient inputs login information such as a user ID and a password via an information terminal 13 such as a personal computer installed at home, and transmits a login request to the cyber hospital system 1 together with the login information. In the information providing system 3 of the cyber hospital system 1, a login completion notice is transmitted to the terminal 13 through an authentication process. After the login is completed, the patient requests the information providing system 3 to provide diagnostic information via the terminal 13. The information providing system 3 uses the patient information related to the patient as a search key to provide the diagnosis information file related to the patient, the database system of the hospital general information systems 6, 7, 8 To the database system 11 of the inspection center.

  The database system of the hospital general information system 6, 7, 8; the database system of the workstations 9 and 10 of the clinics A and B; and the database system 11 of the examination center store the diagnostic information file related to the patient. A diagnostic information file relating to the patient is transmitted directly to the terminal 13 of the patient. The diagnostic information file related to the patient may be transmitted to the patient's terminal 13 via the information providing system 3.

  As described above, diagnosis information includes diagnosis ID (examination ID), cancer malignancy, cancer form information (cancer position, shape, size, number, etc.), function information (liver function value, SPECT / PET). Such as acquired functional images), metabolic information (metabolic functional images acquired by SPECT / PET, physiological information such as tumor markers), various images, and the like. The diagnosis information is displayed on the terminal 13 of the patient. Arbitrary items are specified from the displayed diagnostic information. Information on the designated item is transmitted to the information providing system 3 together with a treatment information provision request (treatment result table request). In many cases, the grade of cancer, the type of cancer, the position of the cancer, the shape of the cancer, the size of the cancer, and the number of cancers are specified. Among these, the malignancy of cancer and the type of cancer are designated as essential items in requesting provision of treatment information.

  The information providing system 3 searches the treatment information database system 4 using the received cancer malignancy and cancer type as search keys. As a result of the search, a treatment information file in which the cancer malignancy of the patient matches the type of cancer is read from the treatment information database system 4 to the information providing system 3. That is, a plurality of treatment information files relating to treatments performed in the past at the hospitals A, B, C and clinics A, B are extracted for the same cancer, cancer, and the like. .

  The information providing system 3 totals the extracted plurality of treatment information files for each hospital, and creates a hospital-specific treatment result table illustrated in FIG. Moreover, the information provision system 3 totals the extracted plurality of treatment information files for each doctor, and creates a doctor-by-doctor treatment result table illustrated in FIG. Each gradebook includes the name of the hospital / doctor, the number of cases treated for the same cancer as the patient, the cancer malignancy and the type of cancer, the name of the technique applied in that case, the average price, and the average hospitalization Each item includes duration, 5-year survival rate, and mortality rate. These two types of treatment results by hospital and doctor are transmitted from the information providing system 3 to the terminal 13 as hospital / doctor selection support information.

  The patient can determine the hospital or doctor who desires his / her cancer treatment with reference to two types of treatment result tables for each hospital and doctor.

  If necessary, the patient can request the view of the medical consultant via the terminal 13. When the medical consultant system 5 receives the medical consultant's request for view from the terminal 13, the medical consultant A and B of the medical consultants A and B registered in advance receive the patient information of the patient and the diagnostic information file related to the patient. , Send the hospital / doctor's gradebook file with the request for opinion. You may make it select the medical consultant who requires an opinion according to a malignancy grade, the kind of cancer, etc. The medical consultants A and B examine the patient information, diagnostic information, and the results table for each hospital / doctor, and then transmit their opinions to the medical consultant system 5 via the terminals 15 and 16, respectively. The view is transferred to the patient's terminal 13 and displayed.

  The subject who responds to opinions and questions is not limited to medical consultants, but may include specialists in various fields such as psychiatrists, surgical specialists, pharmacists, and anticancer drug specialists. Moreover, you may provide the environment which notifies a mutual mail address etc. to the patient terminal 13 and the medical consultant's terminals 15 and 16, and can communicate directly.

  With reference to the treatment result table and the opinion of the medical consultant, the patient selects the hospital or doctor in charge of his / her cancer treatment from the hospitals or doctors listed in the treatment result table. When the information providing system 3 receives selection information of a hospital or a doctor, the information providing system 3 transmits a request for consent for treatment to any of the hospital general information systems 6 to 8 of the hospital. When the information providing system 3 receives the approval notification from any of the hospital comprehensive information systems 6 to 8, the information providing system 3 transfers the approval notification to the patient's terminal 13, and any of the hospital integrated information systems 6 to 8 and the patient's terminal Guidance on how to communicate with 13 is provided to both parties. At this point, the work in charge of the cyber hospital system 1 is completed.

  Note that the present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. In addition, various inventions can be formed by appropriately combining a plurality of components disclosed in the embodiment. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, constituent elements over different embodiments may be appropriately combined.

The figure which shows the outline | summary of the cyber hospital system which concerns on this embodiment. The figure which shows the outline | summary of the flow of the cancer treatment treatment in which the cyber hospital system which concerns on this embodiment is related. The figure which shows the structure of the cyber hospital system which concerns on this embodiment. The figure which shows the flow of the treatment result table | surface provision process for the hospital / doctor selection support by the cyber hospital system which concerns on this embodiment. The figure which shows an example of the treatment result table according to hospital of FIG. The figure which shows an example of the treatment result table according to doctor of FIG.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 1 ... Cyber hospital system, 2 ... Information collection system, 3 ... Information provision system, 4 ... Treatment information database system, 5 ... Medical consultant system, 6, 7, 8 ... Hospital comprehensive information system, 9, 10 ... Workstation in clinic , 11 ... database system in examination center, 12, 13, 14 ... patient side information terminal, 15 ... medical consultant side information terminal, 17 ... electronic communication line.

Claims (6)

In a cyber hospital system connected to multiple terminals via electrical communication lines,
A database to store information on critical paths or treatment procedures available at multiple hospitals;
Means for receiving from the terminal information on malignancy related to the cancer or tumor of the patient together with a request for providing treatment information;
Means for retrieving from the database information relating to a critical path or treatment technique performed at least in the same grade of malignancy;
Means for totaling information on critical paths or treatment techniques retrieved from the database system for each hospital or doctor to create a treatment result table;
A cyber hospital system comprising: means for transmitting the treatment result table to the terminal.   2. The cyber hospital system according to claim 1, wherein the treatment result table includes items of procedure, cost, hospitalization period, survival rate after 5 years, and mortality rate.   The position information, shape, size, type of cancer, liver function value, function image, and physiological information, together with the malignancy information, are received from the terminal. The cyber hospital system according to 1.   Searching the database for a treatment information file related to the same malignancy as well as at least one of position information, shape, size, type of cancer, liver function value, function image, and physiological information of the cancer or tumor. 4. The cyber hospital system according to claim 3, wherein   The cyber hospital system according to claim 1, further comprising means for transmitting the malignancy information together with the treatment result table to the terminal of the medical consultant in order to obtain the opinion of the medical consultant.   The cyber hospital system according to claim 1, further comprising means for collecting medical information including the malignancy regarding the patient and providing the medical information to the terminal.

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