JPH10312430A - Medical information processing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide the high-grade service in a simple constitution by reading the user interface information out of a data base and to attain an access to the medical information when the user identification information is proper. SOLUTION: An NC(network computer) 3 and a server 2 are connected to a public communication network 1 such as an internet or an ISDN, etc. The NCs 4 are divided into groups 5 to 7 which are prepared at the user houses, the medical institutions such as hospitals, clinics, etc., and various service institutions like the public facilities, stores, etc. The server 2 of a medical information service company can be accessed by each NC 4 via the network 1 and has a data base 3. When the user identification information inputted from an NC is proper, the server 2 reads the user interface information out of the data base 3 and supplies an application program and the data which are necessary for the NCs 4. Thus, the relevant user can access the medical information.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information processing system, and more particularly to a network computer (hereinafter, NC).
And a medical information processing system that can provide an advanced service with a simple configuration using an IC card.

[0002]

2. Description of the Related Art Conventionally, various kinds of medical information, such as measurement data of a user's blood pressure, body temperature, heartbeat waveform, etc., treatment history data (medical record data) such as treatment and medication, hospitals, clinics, pharmacies, meals, etc. Data on home delivery companies was not digitized or networked, and was managed for each individual and hospital. Therefore, when a user tries to use such data, the user has to go to each hospital or store where the data is managed and use it. Further, data relating to a user managed in a specific place cannot be used by a third party such as another hospital.

[0003]

In a conventional service, for example, when a user goes to a plurality of hospitals, biological information and treatment /
Because the information of medication is not available at other hospitals, the same measurements and tests are performed multiple times, the accuracy of diagnosis is reduced,
At the same time, there is a problem that drugs that should not be administered may be given. In addition, when a user wants to know information such as available time and location of various service organizations such as hospitals and stores, it is necessary to look up the telephone numbers of each service organization in the telephone directory and make inquiries one by one. However, there is a problem that the optimum one may be missed.

An object of the present invention is to solve the above-mentioned conventional problems and to provide a medical information processing system capable of providing advanced services with a simple configuration using an NC and an IC card.

[0005]

A medical information processing system according to the present invention includes an IC card storing user identification information and server information, a network computer capable of reading and writing the IC card, and a communication network. A server that is accessible from the network computer and supplies at least one of a program and data to the network computer as needed; and a user interface information and medical information that are accessible from the server and at least relate to a user. The network computer has a function of reading server information from the inserted IC card, accessing the server, and transferring user identification information, wherein the server Determine whether the information is legitimate If legitimate reads user interface information from the database, and transfers to the connected network computer, characterized by enabling access to the user of the medical information relevant.

In the medical information processing system of the present invention, the use of the NC makes it possible to configure the entire system at low cost, and utilizes the user identification information (ID) reading function of the NC to provide the user with the information. Ensure security of access to medical information. In addition, by providing a database service, a user can access N
Using C, information retrieval, ordering, reservation, etc. of hospitals, various public facilities, stores, and the like can be performed.

[0007]

Embodiments of the present invention will be described below in detail with reference to the drawings. FIG. 1 is a block diagram showing the configuration of the medical information processing system of the present invention. A public communication network 1 such as the Internet or ISDN has a plurality of N
The C3 and the server 2 are connected, and each NC4 is, for example, a group 5 installed in a home of each user, a group 6 installed in a medical institution such as a hospital or a clinic, a public facility or a store. And so on.

For example, a server 2 installed in a medical information service company is accessible from the NC 4 via a communication network 1 and has a database 3.
The server 2 checks the user identification information (I
It is determined whether D) is valid. If it is valid, the user interface information of the user is read from the database 3 and the application program and data required by the NC 4 are supplied. In addition, access to medical information of the corresponding user is enabled.

The database 3 can be searched from the server 2, and stores user interface information on users, medical information of users, information on medical institutions, information on public facilities, stores, and home delivery service providers for meals. .

FIG. 2 is a block diagram showing a connection between the NC 4 and another device. The NC 4 is connected to a line of a communication network such as an ISDN or a LAN and an IC card driver (reader / reader).
(Writer) 11. The IC card includes user identification information (ID), address information of a server to be connected,
That is, the telephone number of the access point dedicated to the server in the Internet / intranet address or the ISDN / telephone network is stored. The IC card may store user interface information, personal treatment history, medication information, and the like, as necessary.

As a data input device, for example, a touch panel device 10 is provided. This touch panel device 1
0 has, for example, a transparent touch panel mounted on the front of the screen of the television 14 as a display device, and when the user touches the touch panel, the coordinate information of the touched location is converted to, for example, RS-232.
This is converted into a C signal and output.

For example, N installed in a user's house or a hospital
C has a biological information detecting device 13 as a data input device. This biological information detecting device 13 can be used, for example, by wrapping a band having a built-in sensor around an arm or the like.
It measures body temperature, heart rate, and the like, and converts it into, for example, an RS-232C signal and outputs it.

For example, an NC installed in a hospital has a scanner 15 as a data input device. The scanner 15 is used, for example, for reading a medical chart created by a medical practitioner or the like, transferring the chart to a medical information service company, and performing data input in the service company. Therefore, for example, if the medical practitioner can convert only the chart information or the medication information into electronic data and transfer it to the server, there is no need to provide it. The scanner 15 is connected by an interface such as RS-232C or SCSI.

As the data output device, an ordinary television is used, but a special display device using a CRT or liquid crystal may be used. Further, a printer may be provided as necessary.

FIG. 3 is a block diagram showing the configuration of NC4. The NC4 is similar to a normal computer system, but differs greatly in that a program is downloaded from a network and executed. Therefore, a hard disk device for storing a normal program is unnecessary, and an IC
Based on the server information read from the card, a minimum program for connecting to the server and executing the downloaded program is stored in the ROM 22.
(Details will be described later) CPU 20, RAM 21, video control circuit 23, TA (terminal adapter) / MODEM (modem) 24, IC card driver 11 and driver control circuit 25, serial port circuit 26 such as RS-232C , 2
7. The bus 28 is not different from a device such as a normal personal computer.
However, the IC card driver 11 has a function of turning on the main power supply of the NC 4 when detecting that the IC card is inserted.

FIG. 4A is a flowchart showing the contents of the program stored in the ROM 22 of the NC 4. The program is started by inserting the IC card,
In S1, server information is read from the IC card 12. The IC card stores an Internet / intranet address or a telephone number of an access point dedicated to a server in the ISDN / telephone network. S
In 2, the NC 4 connects to the server read out in S1 via the line of the connected communication network. When the connection is completed, in S3, the NC 4 reads out the identification information (ID) of the user from the IC card and transfers it to the server.

The transmitted ID information is checked by the server, and if it is valid, the program and the user interface information unique to the user are transferred from the server. In S4, the program and the user interface information are received, and in S5, information such as (initial) menu is displayed on the screen of the television 14 based on the program and the user interface information. Therefore, even when an NC at an arbitrary location is used, a screen set specifically for the user who has inserted the IC card is displayed.

In S6, it is determined whether or not data has been input from the touch panel 10, the biological information detecting device 13, or the scanner 15. If the result is affirmative, the process proceeds to S8.
The process proceeds to S7, but if not, the process proceeds to S7. In S7, it is determined whether or not the IC card 12 has been pulled out of the driver 11. If the result is negative, the process returns to S6, but if the result is positive, the process ends.

If the result of the determination in S6 is affirmative, the flow shifts to S8, where the input information is transmitted to the server. In S9,
It is determined whether a program or data has been transmitted from the server. If the result is affirmative, the process shifts to S10 to update the program or data, and returns to S5.

FIG. 4B is a flowchart showing the contents of the processing in the server 2. The processing program of the server is started by access from the NC 4. In S20, ID information is received from the NC, and in S21, it is determined whether or not the ID information is valid, for example, by checking the assigned password. Note that the NC and the server employ a known method to encrypt and transmit information. If it is determined in S21 that it is valid, the process proceeds to S22, and
It sends the program to be executed initially and user interface information specific to the user.

In S23, it is determined whether or not information has been input from the NC. If the result is affirmative, S24 is executed.
Then, the input data is analyzed and necessary processing is performed. Although details will be described later, for example, when measurement data of blood pressure and body temperature is input, the data is added to the past data of the user and statistical processing is performed to create data such as a graph.

In S25, it is determined whether or not the program needs to be transferred as a result of the processing in S24. If necessary, the necessary program is transferred in S26. In S27, it is determined whether or not data transfer as a result of the processing in S24 is necessary, and if necessary, necessary data is transferred in S29. In the above example, the graph data of the blood pressure and the body temperature are transferred to the NC together with the graph display program in S25 to S29. In S29, it is determined whether or not an end notification has been received from the NC.
Return to 23.

Next, the service contents of the server mainly executed in S26 of FIG. 4B will be described. (A) Telemetry / diagnosis service: In this service, a user measures blood pressure, body temperature, heart rate, and the like by the biological information detection device 13 connected to the NC 4 at home, for example, and transfers the measurement data to the server 2. . The server 2 stores the received data in the database 3 together with the time information. Further, statistical processing is performed to generate graph data and compare it with a predetermined abnormality determination threshold value. If the determination result is abnormal, the user performs a task selected in advance by the doctor in charge or at that time. Notify the clinic, etc., of the measurement result.

The notification method is as follows. If the NC is connected, a message is sent to the NC. If the NC is not connected, the telephone is transmitted using a facsimile, a pager with a message display function, or a voice synthesis function. To notify. The user or the physician who received the notification, via the NC,
A graph of measurement result data can be read from the server and viewed.

(B) Personal medical information browsing service: A doctor in charge (family doctor) pre-selected by a user and registered in a service company inserts a doctor's IC card into the personal doctor's personal information. Provide access to medical information. For this purpose, each user data in the database 3 includes user attribute data of general users, doctors, persons in charge of various service organizations, etc., or registered doctor data. As personal medical information, the above (a)
And all or part of the medical data and medical record information at the hospital. Specifically, the name of the disease, course, prescription, contraindicated drug, normal blood pressure, pulse, site and degree of the disorder, doctor in charge, and the like can be considered. The medical record information is input in real time at the hospital, or the medical record is read by a scanner or the like and transferred to the server, and the operator of the service company performs the data input agency.

(C) Medical institution search service: For example, to find out which hospital is open at night, on holidays, etc., the medical subject, name, address, telephone / fax number, opening date, opening time of the medical institution And so on, and make it searchable by any user. The server 2 accesses the NC
Location information and access time information are stored. If the user wants to obtain information on the currently open hospital, the search is performed immediately using the location information, the time information, and the medical care subject input by the user during the search, and the result is transferred to the NC.

(D) Service institution search service: Information on service organizations such as medical services (other than hospitals), welfare, public facilities, shops, etc., and information on usage status are stored in a database so that each user can search. Examples of types include pharmacies, taxis, telephone numbers for various telephone consultations, special meals such as general meals or salt reduction, courier companies that handle daily necessities, nursing homes, welfare facilities, government offices, nursing homes, volunteer groups, etc. Searchable by type. In the case of a store, a product order can be made, and in the case of various facilities, the use status is displayed, and a facility use reservation can be made.

(E) Device search service: nursing care, treatment,
A database of equipment and tools for rehabilitation and for the handicapped is created and made searchable. As the search key, the location of the failure, the degree, the function of the device, the keyword, etc. can be used,
By linking to the service institution search database of (d), it is possible to order products.

(F) Self-assessment test service:
The user is caused to perform a self-assessment questionnaire test such as a CMI test using the NC, and the user inputs YES / NO response data to each question using, for example, a touch panel of the NC. The server analyzes the input response data and returns diagnosis support data such as a possible disease name.
The doctor makes a diagnosis with reference to the support data.

(G) Mail Service If characters on the screen are selected by a touch panel, or if the NC 4 is provided with a keyboard or the like, an e-mail can be created and transmitted. In addition, transmission / reception of e-mail with an external communication network such as the Internet is enabled.

(H) Business processing service In a small-scale clinic such as a medical practitioner, medical information is input in real time from an NC, so that medication information, medical history (medical record) information, accounting information, and the like are managed in a server. For this purpose, the NC needs an input means for chart information and the like. The server has a database on medicines, checks the consistency with other medicines currently used by the user based on the medication information, and if there is a problem, for example, notes on duplication or danger Send a message to call attention. If it is difficult to input data in real time at a clinic,
For example, a scanner (or facsimile) may be provided, and the chart may be read by the scanner and transferred to the server, and the server-side operator may perform data input of necessary items on behalf of the chart. Although the embodiment has been disclosed above, the present invention may be modified as follows.
As described above, the NC generally refers to a computer that reads user identification information from an IC card or the like and downloads a program and user interface information from a specific server to operate. For example, the present invention is applied. The NC used in the system may have other functions provided in a normal personal computer or the like. Therefore, the IC card driver is added to the personal computer,
An NC that can execute NCOS such as executing a program downloaded from a server is also included in the NC of the present invention.

The data input device for the NC may be a simple keyboard or a remote control device provided with the keyboard, and may further include a full keyboard. The user identification information storage medium may be a magnetic card, but since it is easy to copy or modify, it is difficult to ensure security.
IC cards are more suitable. A function of enabling the system to be used without an individual IC card may be provided by inserting an IC card set to be usable by anyone into the NC and inputting an ID and a password.

As an embodiment, an example in which only the user identification information and the address information of the server are stored in the IC card is disclosed. However, the address, name, contact information (telephone number), Medical record data, medication data, biological information such as normal blood pressure and body temperature, and precautions such as allergies may be stored. In this way, even in a place where the use of the NC is difficult, such as in an ambulance, or when the NC cannot be connected to the server due to a network failure or the like, the user's personal information can be obtained by using, for example, a portable personal computer. Medical information can be browsed.

By inserting a card and performing a specific operation from the touch panel or pressing a special switch provided separately at the NC at the user's home, for example, an emergency call can be made to the operator of the service company. You may be able to. The operator confirms the situation by calling the user's home or the like, and takes measures such as requesting an ambulance to be dispatched and contacting a doctor in charge as necessary.

The biological information detecting device automatically adjusts the blood pressure,
Although an example in which an apparatus for measuring body temperature, pulse, and the like is used has been disclosed, the measurement items are not limited thereto, and may be an electrocardiographic waveform, a blood sugar level, a component analysis value of urine, and the like. In addition to the automatic measurement, the measurement method may be such that the measurement is manually performed using a conventional measuring device, and the read measurement value is input from the touch panel.

[0036]

The medical information processing system according to the present invention has the NC
, The entire system can be configured at low cost, and user identification information (ID) possessed by the NC
By utilizing the reading function, it is possible to ensure security for the user to access the medical information. Also,
Providing a database service has the effect that users can search, order, and reserve information on hospitals, various public facilities, stores, and the like with simple operations using the NC at any place. . Further, by cooperating with a plurality of medical institutions and service institutions, there is an effect that even a small medical institution such as a medical practitioner can provide the same service as a large-scale medical institution. Further, there is an effect that home medical care, which is expected to increase in the future, can be supported.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of a medical information processing system of the present invention.

FIG. 2 is a block diagram showing a connection between the NC 4 and another device.

FIG. 3 is a block diagram showing a configuration of NC4.

FIG. 4 is a flowchart showing processing contents in an NC and a server.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 ... Communication network, 2 ... Server, 3 ... Database, 4 ... Network computer, 5 ... General user group, 6
... Medical institution group, 7 ... Service institution group

Claims (4)

[Claims] 1. An IC card in which at least user identification information and server information are stored; a network computer capable of reading and writing the IC card; A server that supplies at least one of a program and data to the network computer in accordance with the above, and a database that is accessible from the server and stores at least user interface information and medical information on a user. Reads the server information from the inserted IC card and accesses the server,
The server has a function of transferring user identification information, and the server determines whether the user identification information is valid,
A medical information processing system which reads out user interface information from a database when it is valid, transfers the user interface information to a connected network computer, and enables the user to access medical information. 2. A biological information detecting means is connected to the network computer, and a user inputs biological information to the network computer by the biological information detecting means, and the network computer transfers the biological information to a server. The medical information processing system according to claim 1, wherein the server accumulates the transferred biological information, performs an analysis process, and transfers an analysis result to the network computer. 3. The medical treatment according to claim 1, wherein the medical treatment information includes treatment history information, and the treatment history information can be browsed from any network computer into which an IC card is inserted. Information processing system. 4. The database stores data of various service organizations, and the server uses the location information and access time information of the accessed network computer to search for various service organizations in the database. The medical information processing system according to claim 1, wherein the medical information processing system is performed.