JP2002366652A - Medical information communication system - Google Patents

Abstract

(57) [Summary] [Problem] It is difficult for a physician terminal to grasp whether a patient is measuring biological information or taking a drug according to a schedule, and is short on equipment and life of a sensor. SOLUTION: If there is no communication of biometric data information, medication information, and the like from a patient terminal 100 to a server 200 for a predetermined period, it is determined that the schedule deviates from the schedule, and an e-mail is sent to a doctor or a patient. Notify using such as. Also, the number of times the sensor used by the patient is used is managed on the server 200 side, and equipment shortage and life expectancy are predicted.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information communication system for communicating medical information and biological information to medical personnel such as doctors and nurses and patients at home or in medical institutions. .

[0002]

2. Description of the Related Art With the rise in medical expenses, there is an increasing tendency to treat patients at home. As one method for realizing this home medical care, there is a medical information communication system. In this system, a measurement terminal (patient terminal) for measuring biological information is placed in a patient's home and communicates with a doctor terminal provided in a medical institution via a telephone line. Accordingly, medical personnel such as doctors and nurses can grasp the biological information of the patient, and can provide various medical information to the patient. This system can reduce the number of times that a patient who needs periodic examination and diagnosis goes to an outpatient facility of a medical institution and requests a house call.

[0003] As a conventional medical information communication system, a system as described in JP-A-7-116128 is generally used. This medical information communication system
Basically, as shown in FIG. 6, the patient's biological information (body temperature,
Vital sensor 1 for measuring blood pressure, blood sugar, electrocardiogram, etc.)
A home adapter 2 for transmitting information measured by the vital sensor 1 to a medical institution via a public telephone line; a medical institution communication adapter 3 for receiving communication from the home adapter; And a data processor 4 for storing and displaying the obtained information. As shown in the figure, a vital sensor 1 and a home adapter 2 are installed in a patient's home, and a medical institution communication adapter 3 and a data processor 4 are installed in a medical institution.

[0004] In this system, not only is the patient's biometric information measured and transmitted to a medical institution, but also if the patient needs to perform regular medical activities, such as when the biometric information is measured at regular intervals. , And can manage the schedule information.

[0005] The schedule information here relates to measurement of biological information and medication, and is information in which "time" and "medical activity instruction such as measurement and medication" are paired.

The operation procedure of a typical schedule function is shown in a flowchart of FIG. This operation is performed in the home adapter 2. As shown in the figure, first, a reservation time such as a time at which medication is to be administered (medication memory time) and a time at which biological information is to be measured (measurement memory time) is set (S1). Thereafter, the current time is compared with the set time to determine whether the set time is equal to the current time (S
2 or S3), a process of sounding a buzzer sound when they are equal is performed (S4 or S5).

[0007]

However, the above-mentioned conventional medical information communication system has the following problems.

(1) It is difficult for the doctor terminal to determine whether the patient is taking biomedical information or taking medication according to the set schedule.

In the conventional example, the measurement time and the medication time are notified by a beep sound or the like at the terminal in the patient's home. However, whether the patient actually performed the measurement or the medication according to the data transmitted from the patient's home is determined. I do not know unless I browse.

[0010] Usually, a large number of patients are assigned to one physician. Therefore, it takes too much time for a doctor to sequentially view the biometric information transmitted from all patients, and further, based on the data, individual patients measure biomedical information, take medication, etc. according to a preset schedule. It is very difficult to tell what you are doing.

(2) It is impossible to grasp a case where measurement cannot be performed on the patient side according to a schedule due to a shortage of equipment of the sensor or a short life.

Some sensors for measuring biological information require disposable equipment and consumables (for example, a blood glucose meter measurement chip and a blood collection needle unit). Further, those having a short body life (for example, about 25
00 times). When such a requirement as a shortage of consumables or a service life occurs, the patient cannot perform the measurement according to the schedule, but in the conventional system, such a situation cannot be grasped by the doctor.

[0013]

In order to solve the above-mentioned problems, the present invention provides a server between a patient terminal and a doctor terminal,
In the server, a schedule storage unit that stores schedule information related to patient measurement and medication, a history of the time at which the biological information was received from the patient terminal or a history of the time at which the patient measured the biological information, and a schedule storage unit A difference calculation unit is provided for comparing the set values of the measurement date and time set and calculating the difference between the set schedule and the actual measurement date and time. Notify information. This allows
The physician can grasp, for example, forgetting to measure the patient's biological information or taking medication.

[0014] Further, by providing a sensor use number judging unit in the server, the equipment necessary for the measurement and the life of the sensor can be detected on the server side, thereby notifying a doctor and giving advice on how to cope with a patient. And so on.

[0015]

A medical information communication system according to a first aspect of the present invention measures a patient's biological information and transmits the measurement result, and receives and accumulates the biological information transmitted from the patient terminal. In a medical information communication system including a server, a doctor terminal that communicates with the server and browses a patient's biological information, a schedule storage unit that stores a measurement schedule of the patient's biological information in the server, and a biological information transmitted from the patient terminal. And a patient information storage unit that stores the measurement time or the consultation time of the biological information, and a comparison of the measurement time or the consultation time history stored in the patient information storage unit and the set value of the measurement time stored in the schedule storage unit. A difference calculator for calculating a difference between the set schedule and the actual measurement, and a difference calculated by the difference calculator is larger than a predetermined value. Either have and alert determination section for determining whether the alert information transmitting unit that transmits the measurement deficiencies patient information to the physician terminal according to the determination result of the alert determination unit.

The server compares the patient's biological information stored in the patient information storage section and the measurement time (reception time) with the measurement schedule for each patient stored in the schedule storage section. As a result, the alert determination unit can detect, for example, forgetting to measure the patient, and the measurement information deficiency information can be notified to the doctor terminal by the alert information transmission unit. Therefore, it is always possible to grasp whether the patient is performing the measurement according to the schedule.

A medical information communication system according to claim 2 of the present invention measures a patient terminal for measuring and transmitting a measurement result of a patient, a server for receiving and storing the biological information transmitted from the patient terminal, In a medical information communication system comprising a doctor terminal that browses the patient's biological information by communicating with the patient information storage unit that stores the biological information transmitted from the patient terminal and the measurement time or the consultation time of the biological information in the server, A sensor usage count calculation unit that counts the number of times each sensor is used in the patient terminal from the history of the biological information and the measurement time or the consultation time stored in the patient information storage unit, and a usage count upper limit and a sensor set in advance for each sensor An alert determination unit that compares the number of times obtained from the usage count calculation unit, and a doctor terminal according to the determination result of the alert determination unit. With alert information transmitting unit for transmitting the sensor deficiencies information's.

The server counts the number of times each sensor has been used for each patient by the sensor number using unit from the patient's biological information stored in the patient information storage unit and the measurement time (reception time). The alert determination unit determines the timing at which consumables and supplies required for each sensor become insufficient by comparing the count number with the preset upper limit of the number of times of use of each sensor. When the alert determination unit determines that the number of times of use has exceeded a predetermined value, the alert information transmitting unit can notify the doctor terminal of incomplete information regarding the sensor. Thereby, medical personnel such as doctors can grasp the shortage of consumables and the like necessary for patient measurement.

According to a third aspect of the present invention, there is provided a medical information communication system, comprising: a patient terminal for measuring biological information of a patient and transmitting the measurement result; a server for receiving and storing the biological information transmitted from the patient terminal; In a medical information communication system comprising a doctor terminal for browsing a patient's biometric information by communicating with a schedule storage unit for storing a measurement schedule of the patient's biometric information in a server, the biometric information transmitted from the patient terminal and the biometric information The patient information storage unit that stores the measurement time or the reception time of the patient, the history of the measurement time or the reception time that is stored in the patient information storage unit and the set value of the measurement time that is stored in the schedule storage unit are compared and set. Difference calculator for calculating the difference between the set schedule and the actual measurement time, and the difference calculated by the difference calculator is larger than a predetermined value. With and alert determination section for determining whether the electronic mail transmission unit which transmits the measurement deficiencies information of the patient with such a electronic mail mobile phone or pager patient or medical personnel in accordance with the determination result of the alert determination unit.

The server compares the biological information of the patient stored in the patient information storage unit and the measurement time (reception time) thereof with the measurement schedule for each patient stored in the schedule storage unit. With this, the alert determination unit can detect a measurement miss, etc. of the patient, and the measurement deficiency information is directly transmitted to the patient or a doctor's mobile phone or pager by the e-mail transmission unit. As a result, a doctor or a patient can recognize in a timely manner that he has forgotten to measure, the patient can execute the measurement early, and the doctor can know the measurement status of his or her patient without delay.

According to a fourth aspect of the present invention, there is provided a medical information communication system comprising: a patient terminal for measuring biological information of a patient and transmitting the measurement result; a server for receiving and storing the biological information transmitted from the patient terminal; In a medical information communication system comprising a doctor terminal that browses the patient's biological information by communicating with a patient information storage unit that stores the biological information transmitted from the patient terminal and the reception time or measurement time of the biological information in the server, A sensor count calculation unit that calculates the number of times each sensor is used in the patient terminal from the history of the biological information and the reception time or the measurement time stored in the patient information storage unit, and a use count upper limit and a sensor count that are set in advance for each sensor An alert determining unit that compares the number of uses obtained from the calculating unit; and a patient or medical Having an electronic mail transmission unit that transmits the sensor defect information of the patient using, for example, to the e-mail's of personal computers and mobile phones and pagers.

The server counts the number of times each sensor has been used for each patient by the sensor number use unit from the patient's biological information stored in the patient information storage unit and the measurement time (reception time). The alert determination unit determines the timing at which consumables and supplies required for each sensor become insufficient by comparing the count and the preset upper limit of the number of times of use of each sensor. When the alert determination unit determines that the number of times of use has exceeded a predetermined value, the e-mail transmission unit directly transmits the deficiency information regarding the sensor to a medical supply company or the like using e-mail. As a result, the medical supplies business can easily grasp the shortage information on the consumables and supplies for each patient. Contact will come.

According to a fifth aspect of the present invention, there is provided a medical information communication system, comprising: a patient terminal for measuring biological information of a patient and transmitting the measurement result; a server for receiving and storing the biological information transmitted from the patient terminal; In a medical information communication system consisting of a doctor terminal for browsing the patient's biological information by communicating with the patient information terminal, the patient terminal is provided with an advice display unit for displaying advice information from the doctor terminal, and the server is provided with a schedule for measuring the patient's biological information. A schedule storage unit to store, a patient information storage unit to store the measurement time or reception time of the biological information transmitted from the patient terminal and the biological information,
A difference calculation unit that compares the set time of the measurement time or the reception time stored in the patient information storage unit with the set value of the measurement time stored in the schedule storage unit and calculates the difference between the set schedule and the actual measurement time; An alert determination unit that determines whether the deviation calculated by the difference calculation unit is greater than a predetermined value; and an advice display unit in the patient terminal that transmits advice information to the patient terminal according to the determination result of the alert determination unit. It has an advice transmission unit for displaying advice.

The server compares the biological information transmitted from the patient terminal stored in the patient information storage unit and the measurement time (reception time) with the measurement schedule for each patient stored in the schedule storage unit. This allows the alert determination unit to detect a patient's measurement loss or the like. When the measurement miss is detected, the server automatically communicates with the patient terminal, and displays a measurement advice such as a caution regarding the measurement miss to the patient using the advice display unit. This makes it possible to ensure that patients are regularly measured without the intervention of a doctor. As a result, there is an effect that it is possible to thoroughly measure the patient on a regular basis without the intervention of a doctor.

According to a sixth aspect of the present invention, there is provided a medical information communication system comprising: a patient terminal for measuring biological information of a patient and transmitting the measurement result; a server for receiving and storing the biological information transmitted from the patient terminal; In a medical information communication system including a doctor terminal for browsing the patient's biological information by communicating with a medicine information display unit for displaying information related to a medicine instruction from a doctor on the patient terminal, and inputting the content and time of the patient taking the medicine A medication result input unit, and a patient terminal communication unit that transmits and receives information on medication and medication to and from the server,
A medication information storage unit that stores a schedule related to medication such as medication content and medication time for the patient, a patient medication information storage unit that stores content and time related to patient medication transmitted from a patient terminal, and patient medication information storage A difference calculation unit for comparing the medication content and medication time stored in the unit with the medication content and medication time stored in the medication information storage unit, and calculating the difference between the set schedule and the actual medication; and a difference calculation unit. An alert determination unit that determines whether the deviation calculated by the above is greater than a predetermined value, and an alert information transmission unit that transmits medication failure information to a doctor or a patient according to the determination result of the alert determination unit.

The server compares the medication information (medication content and medication time) transmitted from the patient terminal stored in the patient medication information storage unit with the medication schedule for each patient stored in the medication information storage unit. This allows the alert determination unit to detect a patient's failure to take medication. When the forgetting to take the medicine is detected, the server communicates with the doctor terminal to notify that the patient has neglected to take the medicine. This allows the doctor to fully understand the patient's medication status.

[0027] A medical information communication system according to claim 7 of the present invention comprises: a patient terminal for measuring the biological information of a patient and transmitting the measurement result; a server for receiving and storing the biological information transmitted from the patient terminal; In a medical information communication system including a doctor terminal for browsing the patient's biological information by communicating with a medicine information display unit for displaying information related to a medicine instruction from a doctor on the patient terminal, and inputting the content and time of the patient taking the medicine A medication result input unit, and a patient terminal communication unit that transmits and receives information on medication and medication to and from the server,
A medication information storage unit that stores a schedule related to medication such as medication content and medication time for the patient, a patient medication information storage unit that stores content and time related to patient medication transmitted from a patient terminal, and patient medication information storage A difference calculation unit for comparing the medication content and medication time stored in the unit with the medication content and medication time stored in the medication information storage unit, and calculating the difference between the set schedule and the actual medication; and a difference calculation unit. An alert determination unit that determines whether the deviation calculated by the above is greater than a predetermined value, and the patient's non-compliance information by e-mail to a mobile phone or a pager of a patient or a medical professional according to the determination result of the alert determination unit. It has an e-mail transmission unit for transmitting.

The server compares the medication information (drug content and medication time) transmitted from the patient terminal stored in the patient medication information storage unit with the medication schedule for each patient stored in the medication information storage unit. This allows the alert determination unit to detect a patient's medication failure, etc., and sends the medication incomplete information directly to the mobile phone or pager of the patient or doctor by the email transmission unit. As a result, the doctor or the patient can recognize in a timely manner that he or she has forgotten to take the medicine, the patient can immediately take the medicine, and the doctor can know the state of taking the medicine of the patient without a great delay.

The program according to claim 7 of the present invention is:
A computer functions as all or a part of the medical information communication system according to any one of claims 1 to 7. And since it is a program, a part or all of the medical information communication system of the present invention can be easily realized using a general-purpose computer or server. Further, by recording the program on a recording medium or distributing the program using a communication line, the program can be easily distributed and installed.

[0030]

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

(Embodiment 1) FIG. 1 is a diagram showing a configuration of a medical information communication system according to Embodiment 1 of the present invention. In FIG. 1, reference numeral 100 denotes a patient terminal installed in a patient's home, 200 denotes a server that manages patient information installed in an information center of a medical institution, and 300 denotes a doctor terminal used by a doctor in a medical institution such as a hospital. is there.

Reference numerals 101 to 107 are components of the patient terminal 100. A communication unit 101 communicates with the server 200. Reference numeral 102 denotes a data control unit which manages the schedule information of the patient, issues an instruction to output an image or sound at a set time, and further sends an instruction to transmit the biological information measured by the patient to the server. A storage unit 103 (semiconductor memory, hard disk, or the like) that stores schedule information and biological information of a patient. This part may be detachable by using a card-type storage unit or the like. A time management unit 104 manages time. Reference numeral 105 denotes a schedule display unit (LED, CR, or the like) that displays images and characters related to the schedule contents designated by the data control unit 102 to the patient
T and a display device such as a liquid crystal display and its driver circuit). Reference numeral 106 denotes a sound generator that outputs voice, sound effects, music, and the like specified by the data controller 102 to the patient. Reference numeral 107 denotes a biological information measurement unit that measures biological information (blood pressure, body temperature, and the like) of the patient.

Although the biological information measuring unit 107 is a part of the patient terminal, it may be detachable. Although one patient terminal 100 is connected to one server 200 in the figure, generally, a plurality of patient terminals 100 can be connected to the server 200.

Reference numerals 201 to 210 are constituent elements of the server section 200. Reference numeral 201 denotes all medical data such as a patient's name, address, contact information, measurement items, measured biological information results and the measurement time (reception time), the date and time when sensors and supplies (consumables) were replaced, and medical interview information. Stored patient information storage unit. A patient terminal communication unit 202 communicates with the patient terminal 100. Reference numeral 203 denotes a doctor terminal communication unit that communicates with a doctor terminal (the patient terminal communication unit 202 and the doctor terminal communication unit 203 include communication devices such as a modem and an Ethernet card and a control circuit thereof). A schedule setting unit 204 sets schedule information for each patient. A schedule storage unit 205 stores information set by the schedule setting unit 204. A time management unit 206 manages the current time. A difference calculation unit 207 calculates a difference between the schedule stored in the schedule storage unit 205 and the actual measurement time of the data stored in the patient information storage unit 201.
08 counts the number of measurement data from the previous exchange date and time to the present time for each sensor (sphygmomanometer, blood glucose meter, etc.) based on the measurement result of the biological information stored in the patient information storage unit 201. Is a sensor usage frequency calculation unit that estimates how many times has been used in the past. 209 is the difference calculation unit 20
The difference time calculated in step 7 and the number of times of use of the sensor calculating section 208
The alert determination unit 210 determines whether or not to transmit the alert information from the number of times of use of the sensor counted in step 2. The information of the patient (name, measurement item, sensor name, and the like) determined to be alerted by the alert determination unit 208 is provided. This is an alert information transmission unit that makes it possible to display it on the doctor terminal and transmits it to the doctor terminal via the doctor terminal communication unit 203.

In many cases, communication with the patient terminal uses a public line such as a general telephone line, and the doctor terminal communication section often uses a dedicated line or a LAN. When these communication media are the same, the patient terminal communication unit 202 and the doctor terminal communication unit 203 may have the same configuration.

Reference numeral 300 denotes a doctor terminal. The doctor terminal is composed of a normal computer such as a personal computer or a workstation, and has a display function using a display or the like, an input function using a keyboard or a mouse, and a communication function using a modem or an Ethernet (registered trademark) card. The doctor terminal 300 communicates with the doctor terminal communication unit 203 in the server 200, and can input schedule information for each patient, refer to patient's biometric data, refer to alert information, and the like.

Next, a typical operation example of this embodiment will be described.
This will be described in order with reference to the flowchart of FIG.

(Step-1) The medical staff is the doctor terminal 3
Use 00 to enter schedule information for the patient. Medical personnel, such as doctors, nurses, and caregivers, communicate using the doctor terminal 300 and connect to the doctor terminal communication unit 203 of the server 200. After the connection, the doctor terminal 300 controls the schedule setting unit 204 in the server,
The following schedule information is input and registered in the schedule storage unit 205 in the server by communication.

An example in which a nurse inputs schedules for patients A and B is shown. "Patient A: 7: 0 am every day
0, blood pressure measurement "," Patient A: 6:00 pm daily, blood glucose measurement "," Patient B: 8:00 am daily, weight measurement ".

The schedule information in the present invention is such that the time and the medical practice are managed in pairs. In this example, only daily settings are set, but other settings such as monthly or weekly may be used.

(Step-2) The server 200 transmits the schedule information stored in the schedule storage unit 205 to the patient terminal. The relationship between the patient name and the patient terminal 100 used by the patient is registered in the patient information storage unit 201, and the schedule information for each patient is stored in the patient terminal communication unit 20.
2 to the registered terminal. Patient terminal 10
The schedule information communicated to “0” is received by the communication unit 101, and is stored in the storage unit 103 by the data control unit 102.

The schedule information is transmitted to the patient terminal at the time of activation of the patient terminal 100 or, for example, once a day.
It may be a regular one such as times.

(Step-3) When the current time reaches the time set in the schedule, the patient terminal 100 notifies the patient of the schedule information using characters, images and sounds. Specifically, the data control unit 102 acquires the current time from the time management unit 104 and constantly compares the current time with the time setting of the schedule information stored in the storage unit 103. When the current time is equal to the time set as the schedule information (or slightly before the set time), the data control unit 102 displays the schedule contents on the schedule display unit 105 using character strings and image information,
A beep sound, voice, and music are output using the sound generator 106. The voice output may be created by voice synthesis in the data control unit 102, or a predetermined voice may be output.

(Step-4) Normally, the above (Step-4)
The patient performs the measurement according to the schedule specified in -3). For example, when "7:00 am, blood pressure measurement" is displayed, the patient uses the biological information measurement unit 107 (in this case, specifically, a sphygmomanometer) to obtain biological information (in this case, maximum / maximum /
The minimum blood pressure value and the pulse are measured and transferred to the data control unit 102. The data control unit 102 acquires the current time from the time management unit 104, and stores the biometric data and the measurement time information in the storage unit 103 in pairs. The data stored in the storage unit 103 is communicated to the server 200 by the communication unit 101 at regular intervals such as every measurement or once every day. Server 20
The data transmitted to 0 is received by the patient terminal communication unit 202 and stored in the patient information storage unit 201. Difference calculator 2
07, based on the schedule information stored in the schedule storage unit 205 and the measurement data stored in the patient information storage unit 201, compares the set schedule time with the measurement time of the latest data actually measured, Is calculated and output to the alert determination unit 209. When the patient measures according to the schedule, the time difference is small because the time at which the schedule was notified to the patient and the measurement time are close. The alert determining unit 209 determines that it is not necessary to generate an alert, and does not transmit a signal to the alert information transmitting unit 210.

If the patient does not perform the measurement according to the notified schedule, the biometric data is
Is not transmitted to the server 200 or the actual measurement time is significantly delayed from the setting. Difference calculation unit 20
7 periodically searches the patient information storage unit 201 and the schedule storage unit 205, and compares the set time of the schedule with the actually measured time and the current time to obtain a time difference (the measurement was not performed. In the case, there is no actually measured time, so the current time and the scheduled time are compared to calculate the value.)

If the patient does not perform the measurement according to the notified schedule, the time difference calculated by the difference calculation unit 207 becomes large. The value calculated by the difference calculator 207 is input to the alert determiner 209. The alert determining unit 209 transmits a signal for transmitting alert information to the alert information transmitting unit 210 because the difference is large. The alert information transmitting unit 210 enumerates the names and measurement items of the patients whose actual measurement has been delayed from the time set in the schedule or the patient who has forgotten to perform the measurement, the schedule setting date and time, and the delay time. The information is transmitted to the doctor terminal 300 via the unit 203.

By such an operation, the server 200 can notify the doctor terminal of the alert information when the patient does not perform the scheduled activity with respect to the set schedule. Note that the notification here may be made in the form of a list for a plurality of patients instead of for each patient.

(Step-5) Sensor Usage Frequency Calculation Unit 2
08 starts periodically and searches the patient information storage unit 201 to calculate the number of times each sensor is used for each patient.

The specific configuration of the biological information measuring unit 107 in the patient terminal is a sensor device such as a thermometer, a sphygmomanometer, and a blood glucose meter as described above. In order to use these sensors, accessories that are both consumables are required, and they must be replenished periodically. For example, in order to use a blood glucose meter, a needle unit for collecting blood, a measuring chip for applying a small amount of blood to detect a blood glucose level, and the like are required, and these are all disposable. Similarly, in the thermometer of the type that measures in the mouth, the cover of the sensor portion is disposable, and in the sphygmomanometer, the battery is easily consumed because the measurement is performed by applying pressure, and the battery needs to be replaced soon. Regular replenishment of such consumables is indispensable for a patient to correctly use the biological information measuring unit 107 as a sensor device. In addition, the life of the sensor main body of a blood glucose meter or the like is not so long, and there is a thing whose life of the main body is expired after about 2500 measurements, and thus needs to be replaced. Sensor usage count calculation unit 208
Measures the number of times the sensor has been used for each patient in order to notify a doctor, a patient, a medical supply company, or the like of the regular replenishment of the consumables or replacement of the sensor. Immediately after the replacement of the consumables, the doctor terminal accesses the patient information storage unit 201 to reset the count value.

The number of times of use counted by sensor use number calculation section 208 is output to alert determination section 209.
The alert determination unit 209 compares the number of times predetermined for each type of sensor with the value counted by the sensor use number calculation unit 208, and outputs a signal to the alert information transmission unit 210 if the actual use number is larger. Then, the alert information is transmitted to the doctor terminal 300 via the doctor terminal communication unit 203. The alert information here includes the name and measurement item of the patient, the previous replacement date and time, the next scheduled replacement date and time, and the like. By the above operation, the consumables and sensor life required for measurement can be detected on the server side, and notification to a doctor can be made.

(Embodiment 2) FIG. 3 is a diagram showing a configuration of a medical information communication system according to Embodiment 2 of the present invention.

The second embodiment differs from the first embodiment in that instead of the configuration of the alert information transmitting unit 210 in the first embodiment, an electronic mail including alert information is transmitted to a mobile phone or pager of a patient, a doctor, or a medical company. , An e-mail transmission unit 401 for transmitting data to a personal computer, etc .;
02 is added. The components having the same reference numerals as those in the first embodiment have the same structure, and a description thereof will be omitted.

Next, the operation and operation will be described. In the second embodiment, a notification is given when the patient does not perform the measurement according to the schedule or when the consumables required by the biological information measuring unit 107 (sensor device) are reduced. To the e-mail transmission unit 401
Do. The e-mail transmission unit 401 includes a mobile phone 403, a pager 404, and a personal computer 40 of a patient or a doctor.
5 and the like.

In this case, the patient's measurement forgetting information and the like can be directly transmitted to the patient or the doctor's mobile phone, etc., and prompt measurement can be promptly and timely as scheduled. Also, for information on replenishment of consumables and the like and replacement of the sensor device, it is possible to directly send an e-mail to the medical supply company, and maintenance of the device itself can be entrusted to a company instead of a doctor.

The electronic mail is sent to the doctor terminal 3
It is assumed that the address can be set for each patient from 00, and the destination address information is stored in the address storage unit 402.

(Embodiment 3) FIG. 4 is a diagram showing a configuration of a medical information communication system according to Embodiment 3 of the present invention.

The third embodiment differs from the first embodiment in that an advice display unit 501 (configured with an LED or a liquid crystal display) for displaying advice to a patient on a patient terminal 100 and a doctor terminal 300 are used. Advice storage unit 503 for storing advice information to be received
The advice transmission unit 50 searches the advice storage unit 502 based on the signal output from the alert determination unit 209, and transmits appropriate advice information to the patient terminal 100.
2 is provided. The components having the same reference numerals as those in the first embodiment have the same structure, and a description thereof will be omitted.

Next, the operation and operation of this embodiment will be described. In the present embodiment, similarly to the first embodiment, the difference calculation unit 207 compares the reception time or the measurement time of the biological information with the set date and time stored in the schedule storage unit 204 and calculates the deviation. The sensor usage count calculation unit 208 counts the usage count of each sensor device. The alert determination unit 209 determines whether the difference between the measurement schedule and the actual measurement time or the count value of the number of times of use is greater than a predetermined value, and the alert information transmitting unit 210 transmits alert information based on such information.

This embodiment is different from the first embodiment in that the present embodiment selects appropriate advice from these information, and
Is transmitted to the patient and displayed on the patient.

More specifically, the doctor terminal 300 is connected to the server 200 via the doctor terminal communication unit 203, and the doctor determines in the advice storage unit 503 what kind of advice is to be displayed on the patient terminal. Set. For example, "If there is no measurement after 2 hours from the scheduled time, please measure within 1 hour.""
Is displayed. And so on. The advice transmission unit 502 selects an appropriate advice from the information of the advice storage unit 503 as described above according to the output of the alert determination unit 209, and transmits the advice to the patient terminal 100 via the patient terminal communication unit 202. . The data transmission unit 102 in the patient terminal 100 displays the received advice on the advice display unit 501, and causes the sound generation unit 106 to generate a beep sound or a sound.

According to the operation described above, in this embodiment, when the patient is not performing the measurement according to the set schedule or when replenishing the consumables related to the sensor, the server automatically advises the patient terminal. Information can be sent.

(Embodiment 4) FIG. 5 is a diagram showing a configuration of a medical information communication system according to Embodiment 4 of the present invention. The present embodiment is a system for communicating not the biological information but the information on medication (medication).

The fourth embodiment is different from the first embodiment in FIG. 3 in that a medication information display section 601 for displaying a medication schedule for a patient on the patient terminal 100 and a medication state (type of medication, time of drinking) of the patient. Etc.), a patient medication information storage unit 603 for storing the patient's medication status in the server 200, a medication information setting unit 604 for setting a medication schedule, and a medication information setting unit 604. This is the point that a medication information storage unit 605 for storing the performed medication schedule is provided. The components having the same reference numerals as those in the first embodiment have the same structure, and a description thereof will be omitted.

Next, the operation and operation of this embodiment will be described.

(Step-1) The medical staff is the doctor terminal 3
Use 00 to enter medication schedule information for the patient. Medical personnel, such as doctors, nurses, and caregivers, communicate using the doctor terminal 300 and connect to the doctor terminal communication unit 203 of the server 200. After connection, doctor terminal 300
Controls the medication information setting unit 604 in the server, and inputs the following medication schedule information, and registers it in the medication information storage unit 605 in the server by communication.

An example in which a nurse inputs a medication schedule for patients A and B will be described. "Patient A: before taking meals, take 3 capsules A every day", "Patient B: after taking meals, take 1 tablet B every day". In this example, only daily settings are set, but other settings such as monthly or weekly may be used.

(Step-2) The server 200 transmits the schedule information on the medication stored in the medication information storage unit 605 to the patient terminal. The medication information for each patient is transmitted to the registered terminal via the patient terminal communication unit 202. The schedule information communicated to the patient terminal 100 includes:
The data is received by the communication unit 101 and stored in the storage unit 103 by the data control unit 102.

The timing at which the medication schedule information is transmitted from the server to the patient terminal may be at the time of activation of the patient terminal 100 or at regular intervals, for example, once a day.

(Step-3) When the current time has reached the time set in the schedule, the patient terminal 100 notifies the patient of information for prompting the patient to take medication by using characters, images, and voices. Specifically, the data control unit 102 is the time management unit 1
04, the current time is obtained, and is constantly compared with the set time of the medication schedule information stored in the storage unit 103.
When the current time is equal to the time set as the medication schedule information (or slightly before the set time), the data control unit 102 displays the type of medicine, the time of taking the medication, and the like on the medication information display unit 601 as a character string or image information. , And outputs a beep sound, voice, and music using the sounding unit 106.

(Step 4) Normally, the above (Step-
The patient takes the medicine as instructed on the patient terminal in 3), and inputs the medicine result (the kind of medicine taken, the time of taking the medicine, etc.) from the medicine taking result input section 602. Data control unit 1
02 causes the storage unit 103 to store the medication result. The data stored in the storage unit 103 is periodically communicated to the server 200, such as once a day, by the communication unit 101. The data transmitted to the server 200 is transmitted to the patient terminal communication unit 202.
And stores it in the patient medication information storage unit 603. The difference calculation unit 207 compares the schedule information stored in the medication information storage unit 605 with the information stored in the patient medication information storage unit 603, calculates the difference between the medication time and the medication content, and calculates the alert determination unit 209. Output to When the patient performs measurement in accordance with the designated information, the time difference calculated by the difference calculation unit 207 is small, and the alert determination unit 209 determines that it is not necessary to generate an alert.
No signal is transmitted to the e-mail transmission unit 401.

If the patient does not take the medicine according to the notified information, it is determined whether there is a difference between the input result in the medicine result input section 602 and the information stored in the medicine information storage section 605, or There is no input information from the input unit 602. The difference calculation unit 207 periodically (for example,
Once a day at midnight), the patient medication information storage unit 603 and the medication information storage unit 605 are searched, and the medication content / time set as a schedule and the medication content / time actually input in the medication result input unit 602 Are calculated, and the difference between the medication time and the time set in the schedule is calculated and output to the alert determination unit 209.

In the alert determination unit 209, the difference calculation unit 2
According to the information from 07, if the medication content does not match the medication content, if the medication time is greatly different from the set schedule time, and if the medication time or medication content does not exist, the electronic Mail sending section 40
1 and outputs a mail transmission instruction. E-mail sending unit 40
1 is a patient medication information storage unit 603 and an address storage unit 4
02, and the address of the target patient and the medical staff such as the patient's attending physician are searched, and information on medication errors (date and time, patient name, medication details, past medication history, etc.) is written in one text file. And send the contents by e-mail.

With such an operation, the server 200 can detect a case where the patient does not perform the scheduled activity with respect to the set medication schedule, and can notify the patient or the doctor as alert information. Note that the notification to the doctor may be made in a form of a list for a plurality of patients instead of for each patient.

In the fourth embodiment, when the patient does not take the medicine according to the notified information, the patient is transmitted by using the e-mail. However, as in the first embodiment, the doctor is transmitted via the doctor terminal communication unit. It may be an alert information transmitting unit that transmits to the terminal.

Further, in the present embodiment, the explanation has been made assuming that the e-mail is transmitted to a mobile phone, a pager or the like, but the present invention is not limited to this. For example, it may be a portable communication device or a television at a patient's house.

In this embodiment, a server for receiving and storing the biological information transmitted from the patient terminal, the patient terminal for measuring the biological information of the patient and transmitting the measurement result, and communicating with the server to communicate with the server. A server of the medical information communication system that communicates with a doctor terminal for browsing the biological information of the patient, a schedule storage unit that stores a measurement schedule of the biological information of the patient, and a biological information transmitted from the patient terminal and a measurement time of the biological information. Alternatively, the patient information storage unit that stores the consultation time, the measurement time or the history of the consultation time stored in the patient information storage unit, and the set value of the measurement time stored in the schedule storage unit are compared and set. A difference calculator for calculating a difference between the schedule and the actual measurement time, and determining whether the difference calculated by the difference calculator is greater than a predetermined value. And alert determination section for determining, has been described a server, characterized in that according to the determination result of the alert determination unit includes alert information transmitting unit that transmits the measurement deficiencies patient information to the physician terminal. Here, part of the schedule storage unit, the patient information storage unit, the difference calculation unit, the alert determination unit, and the alert information transmission unit may be located on the patient terminal side or the doctor terminal side.

Similarly, in this embodiment, a server for receiving and storing the biological information transmitted from the patient terminal, which measures the biological information of the patient and transmits the measurement result, communicates with the server. In the server of the medical information communication system that communicates with the doctor terminal that browses the patient's biological information,
A patient information storage unit that stores the biological information transmitted from the patient terminal and a measurement time or a consultation time of the biological information, and a biological information stored in the patient information storage unit and a history of the measurement time or the reception time. A sensor use number calculation unit that counts the number of use times of each sensor, an alert determination unit that compares the number of use times obtained from the sensor use number calculation unit with the use number upper limit set in advance for each sensor, and the alert determination unit The server having the alert information transmitting unit for transmitting the sensor deficiency information of the patient to the doctor terminal according to the determination result has been described. Here, a patient information storage unit, a sensor usage count calculation unit,
A part of the alert determination unit and the alert information transmission unit may be provided on the patient terminal side or the doctor terminal side.

In the present embodiment, a server for receiving and storing the biological information transmitted from the patient terminal, which measures the biological information of the patient and transmits the measurement result, communicates with the server. In the server of the medical information communication system that communicates with the doctor terminal that browses the patient's biological information,
Transmits and receives information on medications and medications from a patient terminal provided with a medication information display unit for displaying information on medication instructions from a doctor from the patient terminal, and stores, on the server, a medication schedule such as medication content and medication time for a patient. A medication information storage unit, a patient medication information storage unit that stores the content and time related to a patient medication result transmitted from the patient terminal, a medication content and a medication time stored in the patient medication information storage unit, and the medication. A difference calculation unit that compares the medication content stored in the information storage unit with the medication time and calculates a difference between the set medication schedule and the actual medication; and a difference calculated by the difference calculation unit is greater than a predetermined value. An alert judging unit for judging whether it is larger, and information on incomplete administration of medication to a doctor or patient according to the judgment result of the alert judging unit It has been described a server and comprising the alert information transmitting unit for transmitting. Here, a part of the medication information storage unit, the patient medication information storage unit, the difference calculation unit, the alert determination unit, and the alert information transmission unit may be provided on the patient terminal side or the doctor terminal side.

[0079]

As described above, in the medical information communication system according to the present invention, the server stores the patient's biological information stored in the patient information storage unit and the measurement time (reception time) in the schedule storage unit. This is compared with the measurement schedule for each patient. This allows the alert determination unit to detect a measurement miss, etc. of the patient, and allows the alert information transmitting unit to notify the doctor terminal of the measurement deficiency information. Therefore, it is always possible to grasp whether the patient is performing the measurement according to the schedule.

[Brief description of the drawings]

FIG. 1 is a configuration diagram of a medical information communication system according to a first embodiment.

FIG. 2 is a flowchart showing a schematic operation of the medical information communication system in the first embodiment;

FIG. 3 is a configuration diagram of a medical information communication system according to a second embodiment.

FIG. 4 is a configuration diagram of a medical information communication system according to a third embodiment.

FIG. 5 is a configuration diagram of a medical information communication system according to a fourth embodiment.

FIG. 6 is a configuration diagram of a medical information communication system in a conventional example.

FIG. 7 is a flowchart of a medical information communication system in a conventional example.

[Explanation of symbols]

 Reference Signs List 100 patient terminal 101 communication unit 102 data control unit 103 storage unit 104 time management unit 105 schedule display unit 106 sounding unit 107 biological information measurement unit 200 server 201 patient information storage unit 202 patient terminal communication unit 203 doctor terminal communication unit 204 schedule setting unit 205 schedule storage unit 206 time management unit 207 difference calculation unit 208 sensor usage count calculation unit 209 alert determination unit 210 alert information transmission unit 300 doctor terminal 401 e-mail transmission unit 402 address storage unit 403 mobile phone 404 pager 405 personal computer 501 advice display unit 502 Advice transmission unit 503 Advice storage unit 601 Medication information display unit 602 Medication result input unit 603 Patient medication information storage unit 604 Medication information setting unit 605 Medication information storage unit

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Katsuyuki Kaneko 1006 Kazuma Kadoma, Kadoma City, Osaka Inside Matsushita Electric Industrial Co., Ltd.

Claims (8)

[Claims] 1. A patient terminal for measuring biological information of a patient and transmitting the measurement result, a server for receiving and storing the biological information transmitted from the patient terminal, and communicating with the server to view the biological information of the patient. In a medical information communication system including a doctor terminal, a schedule storage unit that stores a measurement schedule of biological information of a patient, and a patient information storage that stores the biological information transmitted from the patient terminal and a measurement time or a consultation time of the biological information. Unit, and compares the history of the measurement time or the consultation time stored in the patient information storage unit with the set value of the measurement time stored in the schedule storage unit to determine the difference between the set schedule and the actual measurement time. A difference calculation unit to calculate, an alert determination unit to determine whether the difference calculated by the difference calculation unit is greater than a predetermined value, A medical information communication system, comprising: an alert information transmitting unit configured to transmit measurement deficiency information of a patient to a doctor terminal according to a determination result of the alert determining unit. 2. A patient terminal for measuring patient's biological information and transmitting the measurement result, a server for receiving and storing the biological information transmitted from the patient terminal, and communicating with the server to view the patient's biological information. In a medical information communication system including a doctor terminal, a patient information storage unit that stores measurement time or consultation time of biological information and biological information transmitted from the patient terminal, and biological information stored in the patient information storage unit. A sensor usage count calculation unit that counts the number of times each sensor is used in the patient terminal from the history of the measurement time or the reception time, and a comparison between the maximum number of usage counts set in advance for each sensor and the number obtained from the sensor usage count calculation unit An alert judging unit to perform, and an alarm that transmits sensor deficiency information of a patient to a doctor terminal according to the judgment result of the alert judging unit A medical information communication system, comprising: 3. An electronic mail transmitting unit for transmitting patient's measurement deficiency information to a patient or a medical person by using an electronic mail in accordance with the judgment result of the alert judging unit. The medical information communication system according to the above. 4. An electronic mail transmitting unit for transmitting patient deficiency information of a patient using electronic mail to a patient or a medical person according to a determination result of the alert determining unit. The medical information communication system according to the above. 5. An advice display unit for displaying advice information from a doctor terminal on a patient terminal, wherein the advice information is transmitted to the patient terminal according to the determination result of the alert determination unit, and a predetermined advice is provided to the advice display unit in the patient terminal. The medical information communication system according to any one of claims 1 to 4, further comprising an advice transmission unit that displays the information. 6. A patient terminal for measuring biological information of a patient and transmitting the measurement result, a server for receiving and storing the biological information transmitted from the patient terminal, and communicating with the server to view the biological information of the patient. In a medical information communication system including a doctor terminal, a medicine information display unit for displaying information related to a medicine instruction from a doctor on the patient terminal, a medicine result input unit for inputting the contents and time when the patient took the medicine, And a patient terminal communication unit that transmits and receives information about medication to and from the server, wherein the server has a medication information storage unit that stores a medication-related schedule such as medication content and medication time for the patient, and a medication information storage unit that is transmitted from the patient terminal. A patient medication information storage unit that stores the content and time regarding the patient's medication result, and the medication content and the medication time stored in the patient medication information storage unit The difference calculated by comparing the time of the medication and the medication content stored in the medication information storage unit with the medication time to calculate the deviation between the set medication schedule and the actual medication, and the deviation calculated by the difference calculation unit. A medical information communication system, comprising: an alert determination unit that determines whether the value is greater than a predetermined value; and an alert information transmission unit that transmits information on medication failure to a doctor or a patient according to the determination result of the alert determination unit. . 7. An electronic mail transmitting unit for transmitting information on non-compliance of a patient's patient by using an electronic mail to a patient or a medical staff in accordance with a determination result of the alert determining unit. Item 7. The medical information communication system according to Item 6. 8. A program for causing a computer to function as all or a part of the medical information communication system according to claim 1.