JPH08140944A - Self managing aid system for chronic disease patient - Google Patents

Abstract

PURPOSE: To transmit an electronic information between a doctor and a chronic disease patient using an IC card as medium while eliminating work of hand writing by the patient, by inputting daily life information of the patient into a computer to be stored into the IC card. CONSTITUTION: An IC card 19 and a communication circuit are utilized as an information transmission medium between computer systems made up of a terminal on the part of patients and a terminal on the part of a medical institution. An IC card 19 initially formatted to a main system is inserted into an IC card reader writer 15 of the terminal on the part of the medical institution to input and store basic information (patient's number, name, birth day, sex, blood type, length, weight and the like) of a patient possessing the IC card into the IC card 19 from a keyboard 14. Simultaneously, the information is stored into an external memory 12 as patient data base. The patient manages the IC card 19 by himself as memory medium while the card is used to transmit his life informations to the doctor.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention is used in the field of management and analysis of living condition information such as dietary content, exercise content, medication content, examination content, and physical condition in daily life of patients with chronic diseases such as diabetes. The present invention relates to an information transmission management system used between a doctor and a patient with chronic illness, which uses an IC card, a communication line, etc. as a medium for information transmission.

[0002]

2. Description of the Related Art Conventionally, a paper medium such as a notebook or a self-managing notebook has been used as a medium for transmitting information. Patients have, for example, two weeks of dietary content, exercise content, medication content,
The contents of inspection, physical condition, etc. (hereinafter referred to as "living information") are written in a notebook or notebook by hand every day, and self-management is performed. Then, at the time of regular visits to a medical institution, the doctor's notebook and the like are presented, and the doctor grasps the state of the chronic disease patient in daily life by looking at the handwritten contents over time. Based on the examination,
We will provide patients with examinations, treatments, treatments, and lifestyle guidance.
In addition, the current situation is that the doctor manages information transmission by handwriting the notebooks and notebooks that the patient brought with him about life guidance and notes given to the patient by the doctor, and returning it to the patient.

[0003]

[Problems to be Solved by the Invention] The current method of self-management is that the contents of meals / exercises, the contents of medications, the contents of examinations, the physical condition, etc. must be written down in a notebook or notebook in detail. The amount of calories ingested and the amount of calories burned due to exercise content based on the ingredient table must also be entered, which is a considerable burden for patients, and it is a considerable burden to maintain self-management. It is a cause of hindrance. On the other hand, doctors at medical institutions also carefully check the handwritten contents of notebooks and notebooks brought by patients, confirm and analyze the calorie intake amount from the meal content and the calorie consumption amount from the exercise content, and the results The chart is used to organize the information in a form that is easy to judge and to grasp the patient's condition.However, this task is time-consuming and complicated, and doctors can use it to analyze information. I am burdened. This system is based on this background. Eliminate daily handwriting by patients with a simple method of entering daily life information using barcodes.

[0004] 2. Providing electronic information transmission functions between doctors and patients using IC cards and communication lines.

3. Labor saving in the analysis / arrangement of life information about patients on the medical institution side.

4. Patients with chronic illness are
Since it is possible to see whether the condition is good or bad in an easy-to-understand manner, motivation for self-management is improved.

5. Electronic information can be collected and accumulated automatically and electronically for patients with chronic diseases, and many basic data can be obtained to provide optimal life guidance to patients with chronic diseases, which is useful for clinical research and can be used for patient education. .

[0008] It is an object of the present invention to provide a chronic disease patient self-management support system capable of the above.

[0009]

[Means for Solving the Problems]
Computer system including U, storage device, display device, telephone function, etc., bar code reading means, numeric keypad, touch panel, means for inputting information of daily life of chronic illness patient to computer by bar code, IC card reading / writing Means, a means for storing information on daily life input by a ten-key pad, a touch panel, a bar code in an IC card, and information on daily life stored in the IC card, using the IC card and a communication line as an information transmission medium. A means for transmitting and inputting to the computer for analyzing the daily life information of patients with chronic diseases installed in the institution, a means for storing and accumulating the input daily life information in an external storage device for each patient, A means for analyzing information and processing of the analysis result information into a form that makes it easy for doctors to judge.
A means for organizing, a means for displaying the processed / organized information on the screen, a means for outputting the processed / organized information from a printer, and a means for processing the processed / organized information to an external FAX machine via a FAX modem and a communication line. A means for outputting, a means for inputting / storing the examination result, treatment content, treatment content, instruction content, etc. performed by the doctor on the IC card, and content input / stored by the doctor on the IC card (inspection result, instruction content Such)
It is achieved by providing a means for the chronic illness patient to display the information on daily life input / stored by the chronically ill patient himself / herself on the display device at home and a means for outputting the display contents from the printer.

[0010]

[Action]

1. You can easily enter your daily life information in a short time by using the bar code input method.

2. The electronic information transmission function using an IC card and a communication line as a medium can protect the privacy of the patient.

3. Computers automatically perform data analysis / sorting work for patients with chronic diseases performed by medical staff such as doctors.

4. By feeding back the analysis / sorting results to the patient, the motivation for self-management can be improved.

5. Data on life information of patients with chronic diseases can be stored electronically and can be used for patient education and medical research.

[0015]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT A preferred embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a block diagram showing the first embodiment. This system consists of a computer system (patient side terminal) installed in the patient's house and a computer system (medical institution side terminal) installed in a medical institution, and utilizes an IC card and a communication line as an information transmission medium between the computer systems. To do. Diabetes will be described as an example of the chronic disease. When a patient uses this system, the patient IC card issuance process is performed first. An IC card 19 which is initially formatted for this system is inserted into the IC card reader / writer 15 of the medical institution side terminal, and basic information (patient number, patient name, birth year) of the patient who owns the IC card is inserted in the IC card 19. Date, sex, blood type,
(Extension, weight, etc.) is input / memorized from the keyboard 14. At the same time, it is also stored in the external storage device 12 as a patient database. The patient uses the IC card 19 as a storage medium for self-management and also communicates life information with the doctor.

At home, the patient inserts the IC card 19 into the IC card reader / writer 9 of the terminal on the patient's side, and indicates his / her daily meal content, exercise content, medication content, examination content, physical condition, etc. with the ten key 5 and the function key 6 , Touch panel (display device) 7 and barcode book (see FIG. 2)
By tracing the item of with the pen scanner type bar code reader 8, the patient can display and confirm the input contents on the touch panel (display device) 7, and input / store the information in the IC card 19. .
This barcode book uses a card system in which the barcode position can be freely replaced for each individual so that patients and others can easily enter meal data, so it is easy to create your own pages such as the breakfast menu page and lunch menu page. Can be created, improving the convenience of data entry. Further, the input contents can be output to the printer 4. The patient brings this IC card 19 in which daily life information is stored at the time of the regular visit to the medical institution and submits it to the medical examination reception desk together with the medical examination ticket. At the medical examination reception desk, in order to check the operator of the terminal, the IC card 20 held by the doctor is inserted into the IC card reader / writer 15 of the terminal on the hospital side, and then the password of the doctor is entered, so that the person Check if the person is allowed to operate the terminal. Next, the doctor's IC card 20 is removed from the IC card reader / writer 15, and the patient's IC card 19 is inserted into the IC card reader / writer 15 instead. At the medical examination reception, the living information stored in the IC card 19 of the patient is read out via the IC card reader / writer 15, displayed on the display device 16, and stored in the external storage device 12. Then, the following management data of the patient, which is necessary for the medical examination, is output in advance from the printer 13 to a paper medium such as printer paper.

1. Patient basic information list 2. Diet information list 3. Exercise information list 4. Examination information list 5. Medication information list 6. Physical condition / complication information list Doctors output in advance when examining a patient The medical treatment is performed while referring to the above-mentioned management data and the following history information regarding the living information of the patient displayed on the display device 16.

1. Meal information list 2. Meal information graph 3. Exercise information list 4. Diet / exercise information graph 5. Test information list 6. Test information graph 7. Medication information list 8. Physical condition / complications Information list 9. One-day situation information graph The doctor performs various treatments, treatments, and life guidance according to the patient's situation. And when the contents such as life guidance for the patient are changed, or when the contents of the medicine to be taken are changed, the doctor uses the changed contents as “change of patient basic information” or “change of medication set table”. Is input from the keyboard 14 and stored in the patient database of the external storage device 12, and also stored in the IC card 19 of the patient set in the IC card reader / writer 15. Then, in order for the patient to return to his / her home and newly input the living information into the IC card, the record portion for storing the living information is initialized and returned to the patient.

The medical institution side terminal can be connected to another computer terminal 18 via the communication function 17, and the optimum number of terminals for operation can be selected according to the scale of the medical institution and the number of patients to be examined. It can be installed in the examination room.

The medical institution side terminal of this system does not require the use of the IC card, and has a function of managing patients who do not use the IC card. In this case, by inputting the patient number or patient name from the keyboard 14 according to the display screen, registration, change, reference, etc. of the patient information can be performed. This function is for supporting the medical treatment by outputting various management materials by inputting data from the medical institution side terminal even in the case of transmitting information using a conventional notebook or management notebook. Further, the living information recorded in the patient IC card 19 set in the IC card reader / writer 9 of the patient side terminal is used as the information transmission medium without using the IC card, and the medical information is transmitted via the communication line via the communication function 21 to the medical institution. Through the communication function 17 of the side terminal, online information can be transmitted to the external storage device 12 to store life information. Based on the life information transmitted online, the doctor can view management data and history information. Furthermore, FAX
Through the modem 22, it is possible to transmit and output the result 24, which is organized and analyzed by the medical institution side terminal, to the FAX apparatus 23 on the patient side. This online transmission function can be said to be an electronic medical care system expected to be implemented in the future between remote patients and medical institutions.

Although the embodiment of the present invention has been described above, the present invention can be implemented in a mode different from this embodiment. For example, as shown in FIG. 5, it is possible to use the analysis center jointly. In this case, the patient brings an IC card with living information input to the nearest clinic (practitioner). At the clinic, the living information of the IC card is transmitted online to the analysis center via the communication line. At the center, the transmitted living information is automatically analyzed by a computer, and the processing result is automatically output to the FAX machine at the clinic. At the clinic, referring to the transmitted processing result, the doctor treats the patient. Initialization of the patient's IC card is performed automatically at the practitioner's terminal after the patient's living information is normally transmitted to the analysis center, and then the patient's IC card is automatically initialized at the practitioner's terminal. F
After the analysis result is output from the AX, the practitioner may check the content and confirm that there is no abnormality in data transmission, and then the practitioner may initialize the IC card of the patient. In this shared-use type, patients can receive appropriate management and guidance at the nearest clinic, freeing them from the inconvenience of going to a distant specialty hospital, etc. By reference,
After-sales follow-up of patients with chronic diseases in the region can be performed appropriately.
Next, by downsizing the patient side terminal and making it a notebook size, the patient can carry the data input terminal at all times, and it becomes possible to input data of living information anytime and anywhere, which is a great convenience. Improve. in this case,
In addition to data input using a bar code book, by using the pen input function, etc., a list of input item menus is displayed on the screen, and by selecting with a pen the items to be input are selected and input. You don't need to carry a barcode book anymore, and portability will be improved. It is expected that the use of this personal mobile terminal type will progress in the future. next,
By inputting and storing information on various test results such as a patient's biopsy and sample test recorded in a medical institution such as a hospital in an IC card of the patient, the information can be used as a test history card.

As described above, various embodiments of the present invention can be considered. FIG. 6 shows an outline of the usage pattern of the present invention. Furthermore, it is possible to develop a patient education system by adding a function of checking the living information and the proper value input in the patient side terminal of the present invention and displaying the advice information.

[0023]

【effect】

1. Compared with the conventional handwriting on a notebook or notebook, the input method using a barcode shortens the time required for recording information on the patient and relieves the troublesome handwriting work.

2. Communication of information is electronic by using an IC card as a medium, and patient privacy due to loss or the like can be protected.

3. Since doctors can automatically analyze and organize the life information of patients, which was conventionally done manually, the time required for the doctors to analyze and organize can be saved. You can concentrate on diagnosis, treatment, and lifestyle guidance.

4. Information on daily lives of patients with chronic diseases can be electronically collected and accumulated, various statistical processing can be performed, medical research to provide optimal life guidance to patients with chronic diseases can be promoted, and it can be reflected in patient education.

5. By feeding back the analyzed and organized management data to the patient, the patient can accurately grasp his / her own living situation, and the motivation for self-management is further improved.

6. Through the operation of this system, self-management of chronic disease patients will be thoroughly implemented, the occurrence of serious chronic disease patients can be prevented, and the national medical cost related to chronic diseases can be reduced.

[0029]

[Brief description of drawings]

FIG. 1 is a configuration block diagram showing an embodiment of the present invention.

FIG. 2 is an exemplary view of a barcode book used in a patient side terminal.

FIG. 3 is a list of target operations on the medical institution side terminal of the present invention.

FIG. 4 is an exemplary diagram of patient basic information input / inquiry displayed on the display device 16 according to the present invention.

FIG. 5 is a view showing an example of an analysis center shared use form of the present invention.

FIG. 6 is an outline of a usage pattern of the present invention.

[Explanation of symbols]

 1. CPU (patient side terminal) 2. Main memory (patient side terminal) 3. Telephone function (patient side terminal) 4. Printer (patient side terminal) 5. Numeric keypad (patient side terminal) 6. Function key (patient side terminal) 7. Touch panel (display device) (patient side terminal) 8. Bar code reader (patient side terminal) 9. IC card reader / writer (patient side terminal) 10. CPU (medical institution side terminal) 11. Main storage device (medical institution side terminal) 12. External storage device (medical institution side terminal) 13. Printer (terminal on the medical institution side) 14. Keyboard (medical institution side terminal) 15. IC card reader / writer (medical institution side terminal) 16. Display device (medical institution side terminal) 17. Communication function (medical institution side terminal) 18. Other terminal 19. Patient IC card 20. IC card for doctor 21. Communication function (patient side terminal) 22. FAX modem 23. FAX machine 24. result of analysis

Claims (1)

[Claims] 1. A computer system including a CPU, a storage device, a display device, a telephone function, etc., a bar code reading means, and a means for inputting information on daily life of a chronically ill patient to a computer by means of a ten-key pad, a touch panel, and a bar code. , IC card reading / writing means, means for storing information on daily life input by the numeric keypad, touch panel, and bar code on the IC card, information on daily life stored on the IC card, information on the IC card and communication line As a transmission medium, a means for transmitting and inputting to a computer for analyzing daily life information of patients with chronic diseases installed in medical institutions, a means for storing and accumulating the input daily life information in an external storage device for each patient, and inputting The method of analyzing the information of daily life that has been analyzed and the information of the analysis result is processed and arranged in a form that makes it easy for the doctor to judge. Means, a means for displaying the processed / arranged information on the screen, a means for outputting the processed / arranged information from the printer, and an output of the processed / arranged information to an external FAX device via a FAX modem and a communication line. Means for inputting / storing test results, treatment contents, treatment contents, guidance contents, etc. performed by a doctor to a patient on the IC card, and contents input / stored by a doctor on the IC card (test results, guidance contents, etc.) ) Or chronic disease patient himself / herself input / stored in the IC card to the daily life information on the display device of the chronic disease patient, and a means for outputting the display contents from a printer. Self-management support system for chronic patients.