JP2002336206A - Health examination network system - Google Patents

Abstract

(57) [Summary] [Problem] In a conventional configuration, a solution to a problem such as a case where an erroneous value is measured due to a patient's operation error or the like, and there is a possibility that an erroneous diagnosis may be made due to the measurement is disclosed. Is not done at all. SOLUTION: A threshold value judging means 104 for judging whether or not the measured biological information exceeds a predetermined threshold value set for each patient, a threshold value storing means 105, and when it is judged that the threshold value is exceeded, the patient Is provided with re-measurement guidance means 110 for prompting re-measurement.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention is used in a health examination network system for managing a medical condition or health in a home or a facility, for measuring a user's body temperature, blood pressure, etc., and transmitting it to a center server. To improve the reliability of measured values at patient terminals.

[0002]

2. Description of the Related Art As such a conventional patient terminal, Japanese Patent Application Laid-Open No. 1986420 and Japanese Patent Application Laid-Open No. H10-328147 have been disclosed.
There are those described in Japanese Patent Application Laid-open No.

[0003] Patient terminals in these systems include a central control unit (hereinafter referred to as a CPU) for controlling various units and transferring data, a storage unit for storing data, and a health measurement sensor for measuring biological information. A measurement interface unit for communication, an input unit composed of a touch panel and keypad for the patient to select items and input information, a display unit composed of a liquid crystal screen for confirming inputs and displaying measurement data, and via a public telephone line And a communication unit for communicating with a host computer (doctor terminal, center server).

In such a configuration, the patient selects one of the health measurement sensors according to the screen display on the display unit, reads the measurement data from the health measurement sensor by the CPU, and stores it in the storage unit. After the necessary measurement is completed, the patient performs the transmission operation of the measurement data, and the CPU selects the transmission data from the storage unit and transmits it as measurement data to the host computer via the public telephone line by the communication unit. It is.

[0005]

However, the conventional configuration as described above has the following problems.

In such a system, a doctor browses the biological information measured by the patient himself / herself operating the sensor for measuring the health of the patient terminal and uses it for diagnosis. Needless to say, this is an important point in determining the success or failure of such a system.
However, in the conventional configuration, there is no disclosure about the problem proposal or the solution from such a viewpoint.

[0007]

In order to solve the above-mentioned conventional problems, a health examination network system according to the present invention comprises:
A patient terminal that measures biological information such as blood pressure and body temperature, and a doctor terminal that allows medical personnel to view the biological information and provide a diagnosis via a center server that stores information transferred from both terminals. And a threshold value determining means for determining whether the measured biological information exceeds a predetermined threshold value, a threshold value storing means for storing the threshold value, and the threshold value determining means A re-measurement guidance unit is provided for urging the patient to re-measure the biological information when it is determined that the measured value exceeds the threshold.

When an erroneous value is measured due to an operation error of the patient or the like, a signal exceeding the threshold is issued from the threshold determination means. The re-measurement guidance means is activated by the over-threshold signal, and prompts the patient to re-measure.

[0009]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A health diagnosis network system according to a first aspect of the present invention is a patient terminal for measuring biological information such as blood pressure, body temperature, and the like, and a medical staff member browses the biological information and provides the diagnosis. And a doctor terminal connected to a communication network via a center server that stores information transferred from both terminals, and a threshold determination for determining whether measured biological information exceeds a predetermined threshold. Means, threshold storage means for storing the threshold,
When it is determined that the measured value exceeds the threshold value by the threshold value determining means, a re-measurement guidance means for prompting the patient to re-measure the biological information is provided, and an erroneous value is measured due to a patient operation error or the like. At this time, a signal exceeding the threshold is issued from the threshold determination means. The re-measurement guidance means is activated by the over-threshold signal, and the patient can be prompted to perform re-measurement.

Further, the health examination network system according to claim 2 of the present invention, when the re-measurement of the biological information is repeated a predetermined number of times, when the measured value continuously exceeds a predetermined threshold value, The average value of the repeatedly measured values is treated as biological information, and accurate biological information can be reliably obtained from the patient.

[0011] In a health examination network system according to a third aspect of the present invention, the threshold value stored in the threshold value storage means can be set separately for each patient, and the optimum threshold value is set for each patient. Determine the validity of the measurement based on the optimal threshold. Therefore, an optimal threshold value can be determined for each patient, and the doctor can make an accurate diagnosis for each patient.

According to a fourth aspect of the present invention, in the health examination network system, the threshold value stored in the threshold value storage means can be set from a terminal connected to the communication network, and the doctor can view the patient's biological information. , An optimum threshold value is set based on the diagnosis. Therefore, the doctor can easily change the threshold value based on the diagnosis result based on the biological information, so that the threshold value can be optimized.

[0013] Further, the health examination network system according to claim 5 of the present invention has a configuration in which the threshold value stored in the threshold value storage means is automatically calculated from biological information measured in the past of the patient, The threshold value determination processing and the threshold value setting work are automated. Therefore, the operation of determining the threshold value is automated, and the handling becomes easy.

[0014] Further, the health examination network system according to claim 6 of the present invention provides the re-measurement guidance with an image,
It is composed of a combination of illustration, text, and audio media, and is provided with media playback means for playing back each of the media, thereby providing remeasurement guidance that is easier for patients to understand. Therefore, the patient can accurately understand the measurement procedure, and an accurate re-measurement result can be obtained.

[0015] Further, the health examination network system according to claim 7 of the present invention provides a medical examination network system in which when the biological information is not re-measured within a predetermined time after the re-measurement guidance for urging the patient to re-measure the biological information is performed. It is equipped with a configuration to automatically report to the doctor terminal from the terminal, and when there is a report, the doctor promptly contacts the patient and urges the patient to re-measure, and whether the abnormal value exceeding the threshold was actually measured, Alternatively, it is possible to investigate at an early stage whether the value is an abnormal value due to an error in the measurement operation or the like.

Further, the health examination network system according to claim 8 of the present invention includes measurement guidance means for normal measurement, and the re-measurement guidance guides the measurement method in more detail than the normal measurement guidance by the measurement guidance means. An effective guidance function can be realized by selectively using simple guidance during normal measurement and detailed guidance even if it takes some time for re-measurement.

Further, the health examination network system according to claim 9 of the present invention includes a re-measurement detecting means, so that unless the re-measurement process executed after the re-measurement guidance is issued is detected, the following is performed. The configuration does not shift to the processing, and the patient can be more reliably prompted to perform the re-measurement.

A health examination network system according to a tenth aspect of the present invention includes a re-measurement detection means, and periodically executes a re-measurement guidance operation urging re-measurement unless a re-measurement process is detected. With a configuration,
Re-measurement can be encouraged more reliably by the patient.

Further, in the health examination network system according to the eleventh aspect of the present invention, even if re-measurement is performed for a predetermined number of repetitions, if the measured value exceeds a predetermined threshold value, the system automatically notifies the doctor terminal. With the configuration, the doctor can quickly know that there is a high probability that the patient's biological information really indicates an abnormal value, not a measurement operation error.

Further, a program for a health examination network system according to claim 11 of the present invention is a program for claim 1 to claim 1.
A computer functions as all or a part of the health network system according to any one of the items 1 and can be easily realized by a general-purpose computer by using a program. In addition, by using a recording medium on which a program is recorded, an operation of installing software on a computer can be easily performed.

[0021]

Embodiments of the present invention will be described below with reference to the drawings.

(Embodiment 1) FIG. 1 is a functional block diagram of a patient terminal according to an embodiment of the present invention. The patient terminal 100 is connected to the center server 300 via the communication network 400 as shown in FIG. 2 to transmit and store the measured biological information, and to transmit the stored biometric information from the doctor terminal also connected to the center server 300. Configure a health examination network system for browsing.

In FIG. 1, a thermometer 101a and a sphygmomanometer 101
b, When each biological information is measured by the health measurement sensor 101 such as the blood glucose meter 101c, the biological information is detected by the measurement detecting unit 102, and the biological information is stored in the biological information storage unit 103. This biological information is stored in the threshold storage unit 10 by the threshold determination unit 104.
5 is compared with the threshold value for each user stored in 5. As a result, when it is determined that the measured biological information is below the threshold value and is normal, the patient terminal main control unit 106 sets the patient terminal 10
The process moves to the process next to 0. On the other hand, if the measured biological information exceeds the threshold and is determined to be abnormal, the re-measurement control unit 107 operates and the measurement guidance media storage unit 1
08, prompt the user to re-measure, extract guidance data for explaining a detailed measurement method,
It is reproduced by the media reproducing unit 109. The guidance data includes a combination of images, illustrations, characters, and audio media, and the media playback unit 109 includes an LCD, a speaker, and the like. The re-measurement control unit 107, the measurement guidance media storage unit 108, and the media reproduction unit 109 constitute a re-measurement guidance unit 110.

When the re-measurement control unit 107 does not perform the re-measurement within a predetermined time, an e-mail containing the contents is transmitted to the doctor terminal 200 via the communication unit 111 and the communication network 400.

The threshold data stored in the threshold storage unit 105 can be set for each user from the doctor terminal 200. Although various specific methods are conceivable, a method in which threshold data set in the doctor terminal 200 is first transmitted to and stored in the center server 300, and the stored threshold data is preferably downloaded to the patient terminal 100 is preferable.

Further, based on the biological information obtained by the user measuring the threshold data for a long period of time, the threshold automatic calculating unit 1
12 can also be calculated. As one method, there is a method in which a value proportional to the average value of a predetermined period is used as a threshold. That is, assuming that the past average of the blood pressure value is 120 mmHg, the threshold is automatically calculated to be 1.25 times this value, that is, 150 mmHg. Note that this proportionality constant is different for each measurement item, and may be changed for each individual.

Next, the operation of the present invention will be described in detail with reference to the flowcharts of FIGS. Health measurement sensor 10
In order to measure the biological information using the user 1, the user first performs a selection operation 120 using a GUI screen as shown in FIG. The display is provided with a touch panel device (not shown), and displays the displayed keypads 150a to 150a.
Selected by pressing c. Here, three users, Taro Yamada, Hanako Yamada, and Ichiro Nakamura, are registered, and one of the users is selected by pressing the keypads 150a to 150c. When a user is selected, among the threshold data of the user stored in the threshold storage unit 105, the threshold data 121a to 121
1c is input to the threshold determination unit 104.

Next, a measurement item selection operation 122 is performed using a GUI screen as shown in FIG. By pressing the displayed keypads 160a to 160c, measurement items of body temperature, blood pressure, and blood sugar are selected, and measurement processes 123a to 123c of the measurement items are performed. In the threshold data of the user input to the threshold determination unit 104,
The threshold data for the selected measurement item becomes valid.

FIG. 4 is a detailed flowchart of the measurement processing 123a to 123c. First, at the time of normal measurement, for example, a health sensor 101 is displayed on a display (not shown).
It is also preferable to execute a very simple measurement guidance process 130 that only displays the handling precautions in text. With such a configuration, measurement guidance means for normal measurement is realized. Next, it waits until the biological information transmitted from the health measurement sensor 101 is detected in the measurement detection processing 131. Upon detection, the information is stored in the biological information storage unit 103 in a biological information storage process 132. The measurement data stored in the biological information storage unit 103 is input to the threshold determination unit 104, and is compared with the threshold data at 133. As a result, if it is determined to be normal, the measurement process ends. When the result is abnormal, the number of measurements is counted in the measurement number counting process 134. The count number is determined in a count determination process 135, and it is determined whether the count has reached a predetermined number. If the predetermined number of times has not been reached, the timing of outputting the re-measurement guidance is adjusted in the measurement timing process 137, and after an effective timing, a message of the re-measurement guidance is output in the re-measurement guidance process 138. The message of the re-measurement guidance is composed of a combination of media such as images, illustrations, characters, and voices, and describes the operation method and know-how of the health measurement sensor 101 in detail and effectively. This re-measurement guidance was created with the purpose of preventing the measured value from exceeding the threshold data due to an operation error, and operates only when a re-measurement situation occurs. The content may be acceptable.

Further, a re-measurement timer start process 139
The re-measurement timer is started, and the re-measurement detection processing 140 and the timer determination processing 141 determine whether or not the re-measurement has been performed within a predetermined time. Here, the re-measurement detection process 140 is performed after the re-measurement guidance is notified by the re-measurement guidance process 138.
The re-measurement detection is performed by inputting the biological information from 01, and the re-measurement detection means is realized by such a configuration. After the start of the re-measurement timer, that is, when the re-measurement is not performed within a predetermined time after the previous re-measurement guidance is notified, whether or not the un-measurement has reached the predetermined number in the un-measured count determination process 144 Is determined, and if it is within a predetermined number of times, the process returns to the re-measurement guidance process 138 and waits for re-measurement. If the unmeasured count has reached the predetermined number in the unmeasured count determination process 144, the doctor terminal notification process 1
This is reported to the doctor terminal 200 at 43. If re-measurement is performed within a predetermined time, the threshold value is determined again in the threshold value determination process 133, and the number of measurements is counted in the measurement number count process 134 if the determination is abnormal. When the counted number reaches the predetermined number, the measured value averaging process 136 performs an averaging process of the abnormal measured values that have been repeatedly re-measured, and registers the averaged data as the biometric information at this time. In this way, when a measurement value deviating from a normal measurement value is detected not only once but also a plurality of times, it is determined that this numerical value is not a measurement error but a truly numerical value indicating the current health condition of the user. And can be used as accurate biological information. This is reported to the doctor terminal 200.

The processing indicated by reference numeral 142 in FIG. 4 is a flowchart corresponding to the operation of the re-measurement guidance means 110.

FIG. 7 is a threshold setting operation screen for setting a threshold for each user in the doctor terminal 200. An ordinary personal computer is used as the doctor terminal 200, and a keypad and a data input unit provided on a GUI screen on a monitor display are operated using a keyboard and a mouse. First, 170
The user is selected by the pull-down menu means of steps 171 and 171. Next, threshold data is input from a keyboard (not shown) to the threshold input setting unit of 172a or 172b. Here, reference numeral 172a denotes an input setting unit for the upper threshold, and 1
Reference numeral 72b is an input setting unit for the lower threshold. After inputting and setting the threshold data in the threshold input setting units 172a and 172b, the communication network 4
00, this threshold data is transferred to the center server 30
0 and stored.

The threshold data stored in the center server 300 is downloaded to the patient terminal 100, held in the threshold storage unit 105, and used for threshold determination.

In the above embodiment, the threshold determining means for determining whether or not the measured biological information exceeds a predetermined threshold, the threshold storing means for storing the threshold, and the threshold determining means When it is determined that the measured value has exceeded the threshold value, the re-measurement guidance means for prompting the patient to perform re-measurement has been described in the configuration in which the patient terminal is provided.However, the present invention is not limited to this. The terminal and the center server may be provided and instructed and displayed on a patient terminal connected via a communication network.

[0035] For example, a patient terminal connected to a doctor terminal through which a medical staff member browses biometric information for diagnosis through a center server that stores information transferred from a plurality of terminals. The terminal measures biological information such as blood pressure, body temperature, and the like, and a threshold determination unit for determining whether the biological information has exceeded a predetermined threshold, a threshold storage unit for storing the threshold, and the threshold When it is determined that the measurement value exceeds the threshold value by the determination unit, a patient terminal of a health examination network system including a re-measurement guidance unit for prompting the patient to re-measure the biological information may be used, or a plurality of terminals. A doctor terminal connected to a patient terminal for measuring biological information such as blood pressure and body temperature via a center server that stores information transferred from the medical device. In addition to providing a diagnosis by browsing biological information by a person, a threshold determination unit for determining whether the biological information has exceeded a predetermined threshold, and a threshold storage unit for storing the threshold, When the threshold value judging means judges that the measured value exceeds the threshold value, the doctor terminal may be a doctor terminal of a health examination network system including remeasurement guidance means for urging the patient to remeasure biological information.

[0036]

As described above, the health diagnosis network system of the present invention comprises a patient terminal for measuring biological information such as blood pressure and body temperature, and a doctor for medical personnel to browse the biological information and provide the diagnosis. And a terminal, connected to a communication network via a center server that stores information transferred from both terminals, and a threshold determination unit for determining whether the measured biological information has exceeded a predetermined threshold. A threshold storage means for storing the threshold value, and a configuration including a re-measurement guidance means for prompting the patient to perform a re-measurement when it is determined that the measurement value exceeds the threshold value by the threshold value determination means, Even if an erroneous value is measured due to an operation error at the patient terminal, the doctor can be encouraged to re-measure and have the patient perform the re-measurement. Ku, you are possible to accurate diagnosis.

[Brief description of the drawings]

FIG. 1 is a functional block configuration diagram of a patient terminal according to an embodiment of the present invention.

FIG. 2 is a configuration diagram of a health examination network system according to an embodiment of the present invention.

FIG. 3 is a flowchart for explaining the operation of the patient terminal according to the embodiment of the present invention.

FIG. 4 is a flowchart illustrating another operation of the patient terminal according to the embodiment of the present invention.

FIG. 5 is a diagram showing an operation display screen of the patient terminal according to the embodiment of the present invention.

FIG. 6 is a diagram showing an operation display screen of another patient terminal according to the embodiment of the present invention.

FIG. 7 is a diagram showing an operation display screen of the doctor terminal according to the embodiment of the present invention.

[Explanation of symbols]

 Reference Signs List 100 patient terminal 101 health measurement sensor 102 measurement detection unit 103 biological information storage unit 104 threshold determination unit (threshold determination unit) 105 threshold storage unit (threshold storage unit) 107 re-measurement control unit 108 measurement guidance media storage unit 109 media playback unit ( Media playback means 110 Re-measurement guidance means 111 Communication unit 200 Doctor terminal 300 Center server 400 Communication network

Continued on the front page (72) Inventor Yasuyuki Kanazawa 1006 Kazuma Kadoma, Osaka Prefecture Matsushita Electric Industrial Co., Ltd. (72) Inventor Hiroyoshi Nomura 1006 Okadoma Kadoma, Kadoma City Osaka Pref. Toshihisa Ikeda 1006 Kadoma, Kazuma, Kazuma, Osaka Prefecture, Japan Matsushita Electric Industrial Co., Ltd. 1006 Kadoma Matsushita Electric Industrial Co., Ltd.

Claims (12)

[Claims] 1. A patient terminal for measuring biological information such as blood pressure and body temperature, and a doctor terminal for a medical professional to view the biological information and provide a diagnosis for storing the information transferred from both terminals. A threshold determination unit for determining whether or not the measured biological information has exceeded a predetermined threshold, and a threshold storage unit for storing the threshold, A health examination network system comprising re-measurement guidance means for prompting a patient to re-measure biological information when the measured value exceeds the threshold value by the threshold value judgment means. 2. Even if re-measurement of biological information is repeated a predetermined number of times, when the measured value continuously exceeds a predetermined threshold value, an average value of the repeatedly measured values is treated as biological information. Item 2. The medical examination network system according to Item 1. 3. The health examination network system according to claim 1, wherein the threshold value stored in the threshold value storage means can be set separately for each patient. 4. The health examination network system according to claim 1, wherein the threshold value stored in the threshold value storage means can be set from a terminal connected to the communication network. 5. The health examination network system according to claim 1, wherein the threshold value stored in the threshold value storage means is automatically calculated from biological information of the patient measured in the past. 6. The re-measurement guidance includes images, illustrations,
2. The health examination network system according to claim 1, wherein the system comprises a combination of text and voice media, and further comprises media playback means for playing the media. 7. A system in which a patient terminal automatically informs a doctor terminal when biological information is not re-measured within a predetermined time after performing re-measurement guidance for urging a patient to re-measure biological information. Item 2. The medical examination network system according to Item 1. 8. The health examination network system according to claim 1, further comprising measurement guidance means for normal measurement, wherein the re-measurement guidance guides the measurement method in more detail than the normal measurement guidance by the measurement guidance means. 9. The health examination according to claim 1, further comprising a re-measurement detecting means, wherein the process is not shifted to the next process unless a re-measurement process executed after the re-measurement guidance is issued is detected. Network system. 10. The health examination network system according to claim 1, further comprising a re-measurement detecting means, wherein a re-measurement guidance operation urging re-measurement is periodically executed unless re-measurement processing is detected. 11. The health examination network system according to claim 1, wherein even if re-measurement is performed for a predetermined limit number of times, if the measured value exceeds a predetermined threshold value, a notification is automatically sent to a doctor terminal. A program for causing a computer to function as all or a part of the health network system according to any one of claims 1 to 11.