WO2001090978A1

WO2001090978A1 - Medical information providing system, medical information providing method, hospital reception method, medical information database, and patient terminal for reception of hospital

Info

Publication number: WO2001090978A1
Application number: PCT/JP2000/006537
Authority: WO
Inventors: Hideki Kosaku; Tsuyoshi Kurihara; Yoichi Takada; Minoru Yagi
Original assignee: Kabushiki Kaisha Toshiba
Priority date: 2000-05-22
Filing date: 2000-09-22
Publication date: 2001-11-29
Also published as: JP2003058636A

Abstract

A hospital information providing system (20) is connected to patient terminals (23) and hospital terminals (22) and has a medical information database (25) where medical information is stored and a medical information terminal (24) connected to the medical information database. In response to a request of one of the patient terminals for hospital information providing service, the medical information terminal promts the patient terminal to transmit hospital selection condition information including the requested reservation date and time and the geograhpical condition of hospital, searches the medical information database under the hospital geographical condition transmitted from the patient terminal, specifies hospitals, transmits reservation inquiry information including requested reservation date and time to the hospital terminals of the specified hospitals, creates a list of hospitals satisfiying the hospital geographical condition and capable of accepting the reservation on the requested reservation date and at the reservation requested time in accordance with information about reservation acceptance received from the hospital terminal, and transmits the list to the patient terminal.

Description

Specification

Hospital information provision system, hospital information provision method, hospital reception method, medical information database and patient terminal for hospital reception

The present invention relates to a hospital information providing system for providing hospital information to a patient, a hospital information providing method, a hospital reception method, a medical information database, and a patient terminal for reception at a hospital. Background art

Generally, when a patient intends to receive a medical examination at a hospital, a clinic, or the like, he / she goes to a hospital that he / she considers appropriate and makes an appointment. In most cases, the choice of which hospital to go to is made by examining books or listening to people. In general hospitals and hospitals with multiple departments, patients select the department they want to see at the reception. In large hospitals, such as general hospitals, patients may be provided with specialists who can provide guidance and consultation, and patients may be advised on consultation. In some hospitals, at the time of the first consultation, patients are asked to ask their condition or fill out a questionnaire to reduce consultation time.

However, it was sometimes difficult to know the name of the disease and its contents from his / her own symptoms and go to an appropriate hospital. If you do not know where to go to the hospital, you will need to look up in books, etc., but it takes a considerable amount of time to look up, and it is troublesome to look up and it is difficult to do it yourself. It is often difficult to find a suitable hospital or department Was.

Furthermore, even if an appropriate department is found, it is necessary to find out where the hospital is located. However, there is a hospital in the area where the patient actually lives or in the vicinity of the hospital, which has characteristics (medical subjects, specialty fields, diagnostic capabilities, various facilities, services, etc.). To do this was to require considerable effort and effort, even if we always kept in mind.

Thus, it was difficult, in a double sense, for patients to have access to the appropriate department in a convenient hospital.

On the other hand, from the point of view of the hospital, it is only necessary for patients to come to the appropriate department from the beginning, but if they come to the wrong department, they will have to uselessly consult. There was an inefficient problem.

An object of the present invention is to provide a hospital information providing system, a hospital information providing method, a hospital reception method, and a medical information data, which provide information that enables a patient to efficiently select a hospital and make a reservation application. It is to provide patient terminals for base and hospital reception. DISCLOSURE OF THE INVENTION

The hospital information providing system (20) of the present invention is connected to a plurality of patient terminals (23) and a plurality of hospital terminals (22), and stores medical information. It has a medical information database (25) and a medical information terminal (24) connected to the medical information database. In response to a request for a hospital information service from one of the patient terminals, the medical information terminal provides the hospital selection condition information including the desired date and time of the reservation and the geographical condition of the hospital to one of the patient terminals. Prompts you to send information. The medical information terminal specifies a plurality of hospitals by searching the medical information database based on the geographical condition of the hospital sent from the patient terminal. In addition, the medical information terminal transmits reservation inquiry information including the desired date and time to the hospital terminal of the specified hospital. Finally, the medical information terminal provides a list of hospitals that meet the geographical conditions of the hospital and are available for reservation at the desired date, based on the reservation availability information received from the hospital terminal of the specified hospital. Create and send to one of the patient terminals

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 is a diagram showing a configuration example of a medical information providing system according to an embodiment of the present invention.

FIG. 2 is a diagram showing information transmitted and received among four parties of a patient terminal, a provider terminal, a medical information database, and a hospital terminal of FIG.

Fig. 3 shows the operation procedure of the provider terminal in Fig. 1.

FIG. 4 is a diagram showing an input screen for a medical condition and a hospital selection condition displayed on the patient terminal of FIG. 1.

FIG. 5 is a diagram showing a display screen of a hospital list transmitted from the provider terminal of FIG. 1 to a patient terminal.

FIG. 6 is a diagram showing a detailed input screen of a medical condition displayed on the patient terminal of FIG. 1.

FIG. 7 is a diagram showing a detailed input screen of hospital selection conditions displayed on the patient terminal of FIG. FIG. 8 is a diagram showing another configuration example of the system of the present embodiment. BEST MODE FOR CARRYING OUT THE INVENTION

FIG. 1 shows a configuration example of a medical information providing system according to an embodiment of the present invention.

Medical information providing S ystem 2 0, medical information and profiles by da terminal 2 4, medical information profile by da terminal 2 connected medical information database ₂ 5 whether et is configured 4 this It is. The medical information provider terminal 24 is connected to a plurality of hospital terminals 22 connected to a plurality of hospitals via a network 21 such as a dedicated line or a public line. Connected to the patient terminals 23 and. The medical information database 25 accumulates various information necessary to identify the candidate hospitals to be visited by the patient, based on information on the medical conditions and hospital selection conditions known from the patient. ing. As will be described later in detail, the hospital selection conditions include geographical conditions such as the distance from home to the hospital and time conditions such as desired reservation time.

The medical information database 25 stores hospital information necessary to search for a hospital based on geographical conditions, for example, the hospital address. In addition, hospital information includes information on the hospital's telephone number, specialty areas, achievements, the doctors who belong to them, their specialties, their backgrounds, grounded medical equipment, hospital rooms, and other facilities. Condition, presence or absence of home care, presence of day care centers, overtime consultation • holiday consultations or home visits, evaluation of the hospital by a third party or public institution or by the country There is information (reputation) from patients. The status of reservations and congestion at each hospital may If managed by a hospital, the medical information provider uses the terminal 24 to access each of the hospital terminals 22a and 22b, and constantly obtains data from those hospitals. Or, it is collected at regular intervals and registered in the medical information database 25 and stored.

Fig. 2 shows the information transmitted and received between the patient terminal 23, the provider terminal 24, the medical information database 25, and the hospital terminal 22 in Fig. 1 and the procedure for the information. FIG. 3 shows the operation procedure of the provider terminal 24 shown in FIG. First, as a preliminary step, the patient must register personal information with the provider for member registration, such as name, age, address, telephone number, health insurance number, e-mail address, fax number, etc. Send the information. The provider terminal 24 issues and returns an ID and password to the patient desiring registration, and transmits the personal information together with the ID and password to the patient. Register in base 25 (S1). The same applies to hospitals, sending hospital information for member registration to the provider, for example, information on the hospital name, address, telephone number, e-mail address, fax number, department, etc. I do. The provider terminal 24 issues an ID and a password to the hospital of which registration is desired, replies, and transmits the hospital information together with the ID and the password. Register in database 25.

Here, when the patient becomes sick, the patient transmits a request for providing hospital information to the provider terminal 24 together with its ID and password. The provider terminal 24 refers to the database 25 for the transmitted ID and password, and permits the connection of the patient terminal 23 if it matches (login). ). Then, the provider terminal 24 sends, to the patient terminal 23, an inquiry sheet for the patient to enter a medical condition and a hospital search condition for the patient to enter hospital search conditions, and the patient condition Prompt for transmission of information and hospital search condition information.

Fig. 4 shows the input screen for the medical condition and hospital selection conditions displayed on the patient terminal 23, Fig. 6 shows the detailed input screen for the medical condition, and Fig. 7 shows the detailed input screen for the hospital selection conditions. Show. The patient inputs, for example, the current body temperature of the patient as a medical condition from the keyboard of the patient terminal 23, and freely describes the subjective symptoms. In addition, the patient uses the keyboard of the patient terminal 23 to enter conditions such as how close the person should be to his / her home energy when going to the hospital, and convenient date and time. And sends it to the medical information provider terminal 24.

The input by the patient may be input directly by the keyboard as described above, or may be input by voice for a user who is uncertain about the input. is there. In this case, speech recognition processing is required, but may be performed on either the patient terminal or the medical information provider.

It should be noted that even if the medical condition and hospital are entered on the screen shown in Fig. 4, if the detailed input buttons 31 and 32 are clicked, the screens shown in Figs. 6 and 7 will be displayed respectively. The ability to enter details The patient's entry of a medical condition involves an item similar to a type of interview. For example, on the input screen such as the medical condition shown in Fig. 6, the onset time, onset frequency, medical history, drug history, age, gender, average You can enter the sleep time directly or click the list on the right to display the options and select from them.

User information that has been accessed in the past can be automatically displayed by entering the information user registration number. Also, the age etc. are automatically calculated from the initial registration contents and the result is displayed. Of course, you can change it and keep a history of the changes.

After completing the input, the patient clicks the send button 51 at the bottom of the screen shown in FIG. 6 and, via the network 21, reports the medical condition and the above conditions to the medical information provider. Send to terminal 24.

For example, as shown in Fig. 7, the hospital selection condition can be entered as the distance to the hospital, the starting point of the distance (departure place), and the convenient date and time. Click the list button on the right to select it. You can also. In addition, you can click on an item and enter or select details. Various conditions, such as the location of the patient's residence and the distance from public transportation access points, the details of the hospital's facilities, and the presence or absence of a house call, are entered as conditions. It is also possible to do so. It is also possible to set conditions so that hospitals that have been consulted in the past are recommended first.

After completing the input, the patient clicks the send button 61 at the bottom of the screen shown in Fig. 7 and sends the medical condition information and the hospital selection condition information to the medical information via the network 21. Send to provider terminal 24.

The medical information provider terminal 24 is used for medical condition information and hospital selection conditions. Upon receipt of the request, a notification that the request has been received is returned with the response time information.

The medical information provider terminal 24 records the medical condition information and the hospital selection condition information in the database 25 (S 2, S 3), and specifies the medical department to be examined based on the medical condition information. Then, the medical information provider terminal 24 accesses the database 25 so as to have the specified medical department and satisfy the geographical conditions desired by the patient. Search for a hospital. This provides a list of potential hospitals to visit for the patient.

Next, the medical information provider terminal 24 sends, to the restored hospital terminals 22 at a plurality of hospital terminals 22, information on whether the patient can make a reservation together with the reservation time desired by the patient. Send (S4). Then, the information on the availability of the reservation is transmitted from the hospital terminal 22 of the hospital that received the inquiry to the medical information provider terminal 24. The medical information provider terminal 24 collects the answer of the reservation availability from the hospital terminals 22 of all the hospitals that made the reservation inquiry (S5).

After the collection is completed, the medical information provider terminal 24 has the department specified from the medical condition based on the availability of the reservation, and satisfies the geographical conditions desired by the patient. Finally, a plurality of hospitals to which a patient can make an appointment at a desired date and time are finally specified, and a list of the specified hospitals is created (S6).

Next, the hospital list information is transmitted from the medical information provider terminal 24 to the patient terminal 23 (S7). Figure 5 shows a display example of a hospital list. This hospital list includes departments and patients. The desired time conditions (reservation date and time), the geographical conditions desired by the patient, and the information of the finally restored hospital include the name of the hospital, the location of the hospital, and the name of the assigned physician. include.

When the hospital to be consulted is decided and you want to make a reservation for that hospital, select the desired hospital on the display screen and click the reservation request button 41. Accordingly, the reservation agency request information is transmitted to the medical information provider terminal 24 together with the selected hospital information (S8). The reservation request information together with the medical condition information and the desired date and time information is transmitted to the professional terminal 24 and the hospital terminal 22 (S9).

If there is no problem with the department and date and time applied for by the patient at the hospital where the reservation was requested, the hospital terminal 22 sends a reservation completion notification to the provider terminal 24. Then, from the medical information provider terminal 24 to the patient terminal 23, together with the notification of the reservation completion, the access method to the hospital concerned (transportation, necessary for transportation use) Fees, time required to get to the facility, transportation timetables, maps, etc.) are sent.

After the reservation is completed, the provider terminal 24 registers the history information up to the completion of the reservation in the database 25 (S10).

In the above-described embodiment, the medical information database terminal 25 accesses the medical information database 25 based on the medical condition from the patient, and the medical department is specified. In some cases, the department may not be known from just the input. In such a case, the medical information provider terminal 24 may have a person in charge of the medical consultation service to conduct an interview. The person in charge in this case is a doctor It is desirable, but not necessary, to be a physician, and any person deemed appropriate, educated or trained to perform an interview. In addition, if it is still not possible to determine the appropriate medical department, a message saying "I want to come to the nearest hospital" will be displayed without selecting a hospital. You may do so.

Further, in the above embodiment, the reservation application from the patient terminal is performed on behalf of the medical information provider terminal, but the patient information is not transferred from the medical information provider terminal to the hospital terminal. You may try to do it directly. Of course, the medical information provider can provide some medical institutions and apply directly to the hospital for other medical institutions. However, if appointments for consultation are made intensively at the terminal of the medical information provider, the advantage that reservations can be made flexibly and efficiently when canceling reservations between hospitals There is.

Here, in the above-described embodiment, the medical information database is connected to the medical information provider terminal, and the provider stores the information on the medical service itself and the information on the hospital in this database. In addition, when an inquiry is received, information is extracted from the database via a provider terminal. In such a configuration, the database is provided by the terminal of the medical information provider and has no access from other third parties, which is preferable in terms of security.

In addition, in this case, there is an advantage S that the medical information provider can respond to a request from a patient in a short time at the time of receiving a reservation. However, a medical information database can be connected to the network, and the terminal of the hospital can be a www server. FIG. 8 shows an example of such a configuration of the embodiment of the present invention. This embodiment of the present invention is also characterized by using an XML document. This system includes a network 71, a hospital WWW server 72, a patient terminal 73 connected to the network, and a medical information provider. It is composed of a WWW server 74 and a medical information database WWW server 75. In advance, the medical information provider defines the data structure for the necessary items by using the DTD that defines the data structure of XML.

The items defined in this DTD are, for example, as follows.

Map showing location, telephone number, transportation

Equipment information such as diagnostic equipment

· Medical department

Regular holidays, medical hours

Congestion

Referral to a doctor

Each and 且 and biography

· Treatment results

Link to hospital site

The WWW server 72 of each hospital has a home page (hereinafter abbreviated as HP) based on the XML document based on the DTD defined by the medical information provider. This XML document is a "legal XML document" that uses only the tags defined in the DTD. However, as described above, each hospital may use a tag defined by the DTD or an “approved XML document” using a unique tag. In, the HP created by XML is registered in the medical information database WWW server 75. At the WWW server 74, the medical information provider uses the data of the HP XML document provided in the WWW server of each of the above hospitals to create a unique XML document format that is convenient for searching. A tile sheet is created and registered in the medical information database WWW server 75.

The medical information provider also provides medical information providers with information necessary for patients to engage in appropriate medical departments, such as hospitals, academic societies, dissertations, etc., as well as disease names corresponding to medical conditions and appropriate medical departments. It is registered in the medical information database WWW server 75 via the writer WWW server 74. The style sheet created by the medical information provider has an item for inputting such a medical condition.

The procedure for the patient to find the appropriate department is basically the same as in Figure 1. For example, a patient who develops a medical condition and wants to work in an appropriate hospital can use a browser at the patient terminal 73 to connect to a network of medical services. Access the Information Producer WWW Server 74, and use the style sheet created for the above search to enter the medical condition and hospital-related conditions.

At this time, the medical information provider WWW server 74 clearly In cases such as when a medical department cannot be determined at this time, the server 74 may contact the patient terminal 73 to ask the patient about the medical condition in detail, such as by interactively taking appropriate measures. Can make decisions on various medical departments.

Also, for a hospital that satisfies the hospital-related conditions entered by the patient, the link destination is displayed when the search result is displayed. Then, you can access the WWW service of the hospital by clicking this link destination, and know the contents of the hospital in detail. Can be

In the above embodiment, only the HP is placed in the WWW server of each hospital, but the database may be placed in each hospital. In this case, if the patient terminal accesses the medical information database WWW server 75, this server accesses the database of each hospital and sends the result to the patient terminal. You will be answering.

In the example shown in Fig. 8, since the XML technology is used, there is an advantage that a wide-area system can be constructed without largely changing an infrastructure. Also, since the XML technology is used, even if the HP of each hospital is an arbitrary form, the medical information provider WWW server will absorb those differences and unify them. Since it can be registered in the medical information database WWW server 75 as a style sheet, it is possible to create a system that can be easily searched by patients. You.

Further, in the embodiment shown in FIG. 8, since the medical information database is directly connected to the network, the medical information database is connected from the patient terminal. The direct access to the information database has the advantage that patients can quickly find the appropriate department or hospital. In addition, the accumulation of information in the medical information database is performed not only from the medical information provider terminal but also from each hospital, so the burden on the medical information provider is small. In addition, there is an advantage that medical information can be efficiently accumulated. Industrial applicability

As described above, the present invention is suitable for examining what kind of hospital should be visited before visiting a hospital such as a hospital.

Claims

The scope of the claims

1. In a hospital information providing system (20) connected to a plurality of patient terminals (23) and a plurality of hospital terminals (22),

A medical information database (25) where medical information is stored, and

A medical information terminal (24) connected to the medical information database,

In response to a request for a hospital information providing service from one of the patient terminals, the medical information terminal includes, in one of the patient terminals, a hospital including a desired reservation date and time and a geographical condition of the hospital. Prompt for transmission of selection condition information,

By searching the medical information database according to the geographical conditions of the hospital, a plurality of hospitals are identified,

The reservation inquiry information including the desired date and time of the reservation is transmitted to the hospital terminal of the specified hospital,

Based on the reservation availability information received from the hospital terminal of the specified hospital, create a list of hospitals that satisfy the geographical conditions of the hospital and that can be reserved at the desired date of the reservation,

A hospital information providing system, wherein the created hospital list is transmitted to one of the patient terminals.

2. In the hospital information providing system (20) connected to a plurality of patient terminals (23),

A medical information database (25) where medical information is stored, and A medical information terminal (24) connected to the medical information database,

In response to a request for a hospital information providing service from one of the patient terminals, the medical information terminal prompts one of the patient terminals to transmit hospital selection condition information including a geographical condition of a hospital. And

By searching the medical information database according to the geographical conditions of the hospital, multiple hospitals are identified,

Create a list of the identified hospitals,

3. A plurality of hospital terminals are connected to the hospital information terminal, and the medical information terminal is information on one hospital selected from one of the patient terminals and the hospital list. 3. The hospital information providing system according to claim 2, wherein the reservation information is transmitted to a hospital terminal of the selected one hospital.

4. The hospital information providing system according to claim 2, wherein the geographical condition of the hospital includes a distance from the home car to the hospital.

5. The hospital information providing system according to claim 2, wherein the geographical condition of the hospital includes a departure place and a distance from the departure place to the hospital. M

6. In response to a request for a hospital information providing service from one of the plurality of patient terminals, one of the patient terminals includes a hospital selection condition including a desired date and time of reservation and a geographical condition of the hospital. To send information,

A plurality of hospitals are specified based on the geographical conditions of the hospital, and reservation inquiry information including the desired date and time of the reservation is transmitted to the hospital terminal of the specified hospital,

A hospital information providing method, comprising transmitting the created hospital list to one of the patient terminals.

7. In response to a request for a hospital information providing service from one of the plurality of patient terminals, prompting one of the patient terminals to transmit hospital selection condition information including a geographical condition of the hospital;

Identifying a plurality of hospitals based on the geographical conditions of the hospital, creating a list of the identified hospitals,

8. Receiving information on one hospital selected from the hospital list from one of the patient terminals and transmitting reservation information to the hospital terminal of the one selected hospital. The method of providing hospital information described in Paragraph 7 of the featured request range.

9. A hospital reception method that selects an appropriate hospital for a patient from among a plurality of hospitals connected to a medical information database from a patient terminal via a network.

A medical condition condition input step for inputting a condition desired by the patient regarding the medical condition of the patient and the hospital from the patient terminal;

A hospital selection step of selecting a hospital having an appropriate medical department from the medical condition input in the medical condition condition input step;

A hospital selection step of selecting a hospital that satisfies the condition desired by the patient from among the hospitals selected by this step;

A hospital reception method characterized by comprising a hospital display step of displaying a hospital selected by this step on a patient terminal.

1 0. Identify one of the hospitals displayed on the patient terminal by the above-mentioned hospital display step, and apply for a reservation to the hospital by transmitting the information to the hospital terminal. The hospital reception method according to claim 9, wherein the method is performed.

1 1. A hospital reception method that selects an appropriate hospital for a patient from among a plurality of hospitals connected to a medical information database from a patient terminal via a network.

Before connecting to the medical information provider terminal connected to the medical information provider terminal connected to the network A hospital selection step of accessing a medical information database and selecting a hospital having an appropriate medical department from the medical condition input by the medical condition condition input step;

A hospital selection step for selecting a hospital satisfying the conditions desired by the patient from the hospitals selected by this step, and a hospital selected by this step Hospital reception method characterized by comprising a hospital display step of displaying the information on the patient terminal

1 2. Identify one of the hospitals displayed on the patient terminal by the above-mentioned hospital display step, and apply for an appointment to the hospital by transmitting information to the hospital terminal. The hospital reception method described in claim 11, characterized in that:

1 3. A hospital reception method that selects an appropriate hospital for a patient from among a plurality of hospitals connected to a medical information database from a patient terminal via a network.

A disease condition input step for inputting, from the patient terminal, a condition desired by the patient with respect to the patient's medical condition and the hospital;

The medical information database connected to the network is accessed to find a hospital having an appropriate medical department based on the medical condition input by the medical condition condition input step. Steps to select the hospital to be selected and

A hospital selection step of selecting a hospital that satisfies the conditions desired by the patient from among the hospitals selected by this step; A hospital reception method characterized by comprising a hospital display step for displaying the hospital selected by this step on the patient terminal.

1 4. Identify one of the hospitals displayed on the patient terminal by the above-mentioned hospital display step, and send information to the hospital terminal to make an appointment for an appointment at that hospital. The method of accepting a hospital described in paragraph 13 of the scope of the request, characterized by applying.

15 5. This is a hospital reception method that selects an appropriate hospital for the patient from among a plurality of hospitals connected to the medical information database from the patient terminal via a network. hand,

The medical information database is accessed from the patient terminal, and the patient's medical condition and the conditions desired by the patient with respect to the hospital are input to a predetermined form in the provided XML format. Condition input step

A hospital selection step for selecting a hospital having an appropriate medical department from the medical conditions input in the medical condition condition input step;

A hospital selection step for selecting a hospital that satisfies the conditions desired by the patient, with a medium access to the hospital selected by this step; and

A hospital reception method characterized by comprising a hospital display step for displaying the hospital selected by this step on the patient terminal.

1 6. Identify one of the hospitals displayed on the patient terminal by the above-mentioned hospital display step, and apply for a medical appointment reservation to the relevant hospital by transmitting information to the relevant hospital terminal. The method of accepting hospitals described in Paragraph 15 of the claim, characterized by the following.

17. Means for receiving information on the condition desired by the patient regarding the patient's medical condition and the hospital to be consulted, which is input from the patient terminal;

Means for selecting an appropriate medical department and a hospital having the medical department from the information on the medical condition received by this means; and

Means for selecting, from the hospitals selected by this means, hospitals satisfying the conditions desired by the patient with respect to said hospitals;

A medical information database characterized by comprising means for outputting information on the hospital selected by this means.

18. A means to enter the patient's medical condition to connect to the network and access the medical information database to find a hospital with the appropriate department to receive a consultation;

A patient terminal for reception at a hospital, characterized by having means for inputting conditions desired by the patient with respect to the hospital to be consulted.