JP2009020603A - System and method for processing medical checkup, medical checkup processor, program, and storage medium - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical checkup information processing system allowing a person to be checked or a measurer to obtain items for the subsequent checkup of the person to be checked. <P>SOLUTION: The CPU 201 of a medical checkup process terminal A111 shades the medical checkup items (consultation items) to be checked, which are determined based on the received medical checkup process information, displays a circle in each of the previously checked medical checkup items determined based on the received medical checkup process information, and displays a double circle in each of the present medical checkup items determined based on the program started by a selected menu. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a medical examination information processing system, a medical examination information processing apparatus, a medical examination information processing method, a program, and a storage medium, and in particular, each examinee receives medical examination information measured by various medical examination devices via a terminal. The present invention relates to a medical examination information processing system for recording medical examination information recorded on a portable recording medium.

  Currently, so-called medical check-ups are generally performed in which doctors, nurses, etc. (hereinafter referred to as “measurers”) make business trips to schools, companies, etc. to conduct health checks.

For example, in a conventional business trip medical checkup, the result of the medical checkup (medical checkup information) performed by the measurer was written on a medical checkup sheet (paper). Instead of (paper), a portable recording device such as an IC card is used (for example, see Patent Document 1).
JP-A-11-213061

  However, since a portable recording device such as an IC card that records medical examination information is used, if the items to be examined (diagnostic items) differ for each examinee, or if there are items that have already been examined by the examinee, etc. It was difficult for the measurer who measured the person to grasp the next consultation item of the examinee.

  Therefore, it is difficult for the measurer to convey the next consultation item to the examinee, and it is difficult for the examiner to know the next consultation item.

  An object of the present invention is to provide a medical examination information processing system, a medical examination information processing apparatus, a medical examination information processing method, a program, and a storage medium that allow a medical examiner or a measurer to grasp items to be examined in the future. It is to provide.

  In order to achieve the above-mentioned object, the medical examination information processing system according to claim 1 is a portable information recording system in which medical examinee information and medical examination information of a medical examinee are recorded and medical examination information measured by a medical examination device is recorded. A medical examination information processing system comprising a recording medium and a medical examination information processing apparatus for displaying a medical examination item, wherein the medical examination information processing apparatus obtains information on a patient and medical examination information recorded on the portable recording medium Obtaining means, first display control means for controlling display of a consultation item scheduled to be examined and a consultation item not scheduled to be received based on the acquired patient information, and the acquired consultation information And a second display control means for controlling the display of the consultation item received based on the condition and the consultation item not received based on the difference.

  In order to achieve the above object, the medical examination information processing apparatus according to claim 4 is a medical examination information processing apparatus that displays the examination items of the examinee, in which medical examination information measured by the examination apparatus is recorded. The receiving information recorded in the portable recording medium and the acquiring means for acquiring the receiving information, and the display of the receiving items scheduled for receiving and the receiving items not scheduled for receiving based on the acquired receiving information are different First display control means for controlling, and second display control means for controlling the display of the consultation items received based on the acquired consultation information to be different from the display of the consultation items not received. Features.

  In order to achieve the above object, the medical examination information processing method according to claim 5 is a medical examination information processing method of a medical examination information processing apparatus that displays a medical examination item of a medical examinee, and is measured by a medical examination device. An acquisition step of acquiring medical checkup information and medical checkup information recorded on a portable recording medium in which medical checkup information is recorded; a checkup item to be checked and a checkup item not scheduled to be checked based on the acquired checkup information; A first display control step for controlling the display of the patient to be different from each other, and a second display control for controlling the display of the consultation item received based on the acquired consultation information to be different from the display of the consultation item not received And a step.

  In order to achieve the above object, a program according to claim 6 is a program for causing a computer to execute a medical examination information processing method of a medical examination information processing apparatus for displaying a medical examination item of a medical examinee. An acquisition step for acquiring the medical checkup information and medical checkup information recorded on the portable recording medium in which the medical checkup information measured by the medical checkup device is recorded, and a checkup item scheduled to be checked based on the acquired checkup information The first display control step for controlling the display of the consultation item not scheduled to be examined differently from the display of the consultation item received based on the acquired consultation information and the display of the consultation item not yet received And a second display control step for controlling the display.

  To achieve the above object, a computer-readable storage medium according to a seventh aspect stores the program according to the sixth aspect.

  According to the present invention, control is performed so that the display of a consultation item scheduled to be examined and a consultation item not scheduled to be examined are different, and the display of a consultation item that has been examined and a consultation item that has not been examined is controlled to be different. Therefore, the examiner or the measurer can be made aware of the items that the examinee should have in the future.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

  First, a medical examination information processing system according to an embodiment of the present invention will be described.

  FIG. 1 is a block diagram schematically showing a system configuration of a medical examination information processing system according to the present embodiment.

  In FIG. 1, 100 is a reception terminal. The reception terminal 100 is a handy terminal or a notebook personal computer, and an RF-ID reader / writer 207 (FIG. 2) is detachably connected to the main body. The RF-ID reader / writer 207 (FIG. 2) may be incorporated in the main body.

  The reception terminal 100 is connected to a barcode reader (not shown). In the memory 202 (FIG. 2) of the reception terminal 100, a checker file storing the checkee information including the checkee ID, checkup number, name, gender, age or date of birth of the checkee, and the above bar A program for identifying a barcode in an image file read by a code reader and converting it into character data, and a reception processing program (FIG. 3) described later are stored.

  Similar to the reception terminal 100, the management terminal 150 is a handy terminal, a notebook personal computer, or the like, and an RF-ID reader / writer 207 (FIG. 2) is detachably connected to the main body. The memory 202 (FIG. 2) of the management terminal 150 stores a medical examination result file and a collection processing program (FIG. 9) described later.

  In the memory 202 (FIG. 2) of the medical examination process terminals A (111) to N (129) (medical examination information processing apparatus), the control program of FIG. 4 and the medical examination process processing program shown in FIG. 5 to FIG. Screen information used in each program (data for displaying the screen shown in FIGS. 17 to 19 on the display 205 and may be included in each program), and the menu shown in FIGS. 14 to 15 Information file for associating each processing program with each other, device setting information of each medical examination device (setting information of medical examination process terminals A (111) to N (129)), and data of each medical examination device Communication programs (communication programs corresponding to each communication procedure and protocol such as Bluetooth, IrDA, TCP / IP, etc.) are stored. In addition, you may include at least one part of said each communication program in an operation system. Each medical examination process terminal stores the same program (control program, medical examination process processing program, communication program, screen information and associated information file for these programs), and device setting information of all medical examination devices. Therefore, any medical examination process terminal can be used in any medical examination process only by selecting a specific medical examination process (for example, blood test) from the menu.

  The medical examination devices A (110) to N (128) are various examination devices such as an X-ray imaging apparatus, a sphygmomanometer, and an electrocardiogram measuring device used for the medical examination, and the medical examination process terminals A (111) to N ( 129) is provided with an external interface (for example, Bluetooth, IrDA, etc.) that enables data exchange with 129). Further, the medical examination devices A (110) to N (128) may be connected to the medical examination process terminals A (111) to N (129) by wired cables (USB, IEEE 1394, parallel transfer cables, etc.). Alternatively, communication may be performed by peer-to-peer, TCP / IP, FTP, or the like.

  The recording medium 160 is carried by each examinee and records examination information (eg, examination ID, examination number, name, gender, age or date of birth) and examination data and passage data of each examination process. The medium includes, for example, an RF-ID, an IC card, and various types of memory cards. However, the recording medium is not limited to these, and may be a recording medium that is small enough to store / update data and be portable (for example, a USB memory). That's fine. In the following description, it is assumed that the recording medium 160 has a controller (not shown). However, the recording medium 160 does not have a controller, and the data designated at the address designated by each reader / writer 207. May be stored or updated.

  In addition, in FIG. 1, when two are connected by the solid line like the medical examination apparatus A110 and the medical examination process terminal A111, it means that both are connected by the cable (wired), and medical examination apparatus B112 When the two are connected by a broken line as in the medical examination process terminal B113, it means that both are connected by radio or infrared, and the two are connected as in the medical examination device C114 and the medical examination process terminal C115. If not, both are not connected, and the examination result of the medical examination device C114 is manually input to the medical examination process terminal C115.

  FIG. 2 is a block diagram schematically showing a hardware configuration of various terminals (reception terminal, each medical examination process terminal, management terminal) in FIG.

  In FIG. 2, a CPU 201, a memory 202, a ROM 203, a communication adapter 204, a display 205, a keyboard 206, and a reader / writer 207 are connected to each other via a system bus 200.

  The system bus 200 means, for example, a PCI bus, AGP bus, memory bus, or the like. In FIG. 2, various interfaces such as a chip for connecting between buses, a keyboard interface, and a display interface are omitted.

  The CPU 201 performs various operations such as four arithmetic operations and comparison operations, and controls hardware and software. The memory 202 stores an application program (including screen information for screen display) for executing a part corresponding to a step of processing executed by the operation system and each terminal shown below, and various data and files described above. In this embodiment, the memory 202 uses a nonvolatile memory.

  Each terminal further includes a hard disk (not shown) or a so-called silicon disk composed of a large-capacity flash memory, and the operating system program and application programs are stored in the hard disk and the silicon disk. A form in which each program is read from the silicon disk into the memory 202 and executed is also possible.

  The ROM 203 stores a so-called BIOS that manages input / output to / from a hard disk in cooperation with the operation system.

  The communication adapter 204 communicates with the outside via a communication line (not shown) in cooperation with the communication program of the operation system controlled by the CPU 201.

  The display 205 displays a screen and also serves as a touch panel, and the keyboard 206 is used for inputting various instructions and numerical values.

  The reader / writer 207 is for reading data from the recording medium 160 and conversely writing data to the recording medium 160. Note that the reading / writing method is a contact type in which the recording medium 160 is inserted / contacted with the reader / writer 207, or the recording medium 160 and the reader / writer 207 do not need to be in contact with each other for data reading / writing. It does not matter whether it is a contact type. Further, a reader / writer 207 that can store / update data corresponding to the type of the recording medium 160 is used.

  Next, the function with which the medical examination process terminal (medical examination information processing apparatus) in FIG. 1 is provided is demonstrated.

  FIG. 25 is a block diagram schematically showing a configuration of functions included in the medical checkup process terminal (checkup information processing apparatus) in FIG. 1.

  In FIG. 25, the medical examination process terminal is capable of discriminating (to be different) display units 2501 that obtain the examinee information and the examination information, and the display of the examination item scheduled to be examined and the examination item not scheduled to be examined. A first display control unit 2504 that performs the display, a second display control unit 2505 that performs display control so that the display of the consultation item that has undergone the examination and the examination item that has not undergone the examination can be discriminated (differently), and obtains medical examination information The medical checkup information acquisition unit 2503, the transmission unit 2502 that transmits data to the portable recording medium, and the medical checkup item corresponding to the medical checkup information acquired by the medical checkup information acquisition unit (ie, a program activated by the menu) A third display control unit 2506 that performs display control so that the display of the non-corresponding consultation item can be identified (differently).

  Next, the reception process executed by the reception terminal in FIG. 1 will be described.

  FIG. 3 is a flowchart showing a procedure of reception processing executed by the reception terminal in FIG. This process corresponds to a process realized by the CPU 201 of the reception terminal 100 reading and executing a program stored in the memory 202 (that is, executed under the control of the CPU 201 of the reception terminal 100). .

  In FIG. 3, first, the CPU 201 of the reception terminal 100 displays a reception input screen as shown in FIG. 16 on the display 205 of the reception terminal 100 (step S <b> 301), and a medical examination process information reading button on the displayed reception input screen. When reading of the medical examination process information (FIG. 10) is instructed by pressing 167 (step S302), the medical examination of the day is received from the USB memory received from the outside or inserted into the USB terminal of the receiving terminal 100. Information indicating the medical checkup process in which the medical checkup information that must be checked for each checker ID and the checker information such as the checker ID, checkup number, name, gender, age, date of birth, etc. Medical information), and is stored in the memory 202 (step S303).

  FIG. 10 is an example of the medical examination process information (examinee information). All the examinee IDs and names, and the examinee subjects to be examined for each examinee ID (for example, height / weight, blood pressure, Abdominal circumference, visual acuity, etc.) are set. That is, among all pre-set medical examination subjects, a flag (○, ×) indicating a medical examination subject to be examined by the examinee and a medical examination subject not to be examined is set for each examinee (for each examinee ID). Has been. In addition, in the medical examination process information shown in FIG. 10, for example, consultation order information that allows the examinee to consult in the order of “height / weight”, “blood pressure”, “abdominal circumference”, and “sight” may be set. .

  Returning to FIG. 3, when the examination slip scan is instructed by pressing the consultation slip scan 165 button on the acceptance input screen shown in FIG. 16 (step S <b> 304), the CPU 201 of the acceptance terminal 100 instructs the acceptance terminal 100. Control the connected scanner to be readable. When a checkup form (a kind of checkup form in which each examiner fills in subjective symptoms) is set in the scanner and an instruction to read the checkup form is given, the reception terminal 100 The CPU 201 scans the consultation form, recognizes a unique barcode preprinted on the consultation form by the barcode recognition program of the reception terminal 100, converts the barcode into text data (examinee ID), and stores the memory 202. (Step S305). The scanner may be a bar code reader.

  Next, the CPU 201 of the reception terminal 100 collates the examiner ID obtained by scanning the examination slip with the examiner ID included in the medical examination process information stored in the memory 202 in step S303, and receives the examinee. It is determined whether or not the ID exists in the medical examination process information (step S306).

  As a result of the determination in step S306, when the examinee ID does not exist in the medical examination process information (NO in step S306), an error message is displayed on the display 205 (step S307), the process returns to step S304, and again. Execute the process of reading the consultation form.

  As a result of the determination in step S306, when the examiner ID exists in the medical examination process information (YES in step S306), the CPU 201 of the reception terminal 100 reads out the medical examination process information corresponding to the corresponding examinee ID, Store in the memory 202 (step S308).

  Next, for example, when the examiner ID obtained by scanning the examination slip is “1”, when the examiner ID of the medical examination process information shown in FIG. 10 is searched, the examiner ID is “1”. Record hits. From the record, the examinee ID is “1”, the name is “Tanaka”, and the medical examination subjects to be examined are “height / weight”, “blood pressure”, “abdominal girth”. Data indicating that a good medical examination subject is “sight” (FIG. 11) (medical examination process information) is acquired, the medical examination process information is transmitted to the storage medium 160 (step S309), and this process is terminated. .

  In addition, when the controller of the recording medium 160 receives only the medical examination process information of the user (examiner) corresponding to the medical examination slip in step S309, the received medical examination process information is stored in a storage unit (not shown) of the recording medium 160. Write (memorize). In this way, the medical checkup process information (FIG. 11) of the examinee can be stored in the recording medium. In FIG. 11, as shown in FIG. 10, flags (◯, x) (identification information) indicating a health examination subject that the examinee is scheduled to receive and a health examination subject that is not scheduled to be examined are set.

  Next, the control process which each medical examination process terminal in FIG. 1 performs is demonstrated.

  FIG. 4 is a flowchart showing a procedure of control processing executed by each medical examination process terminal in FIG. This process is realized by the CPU 201 of each medical examination process terminal (medical examination process terminals A (111) to N (129)) reading out and executing a program stored in the memory 202 (that is, health examination process terminals A (111) to N (129)). This process corresponds to a process executed under the control of the CPU 201 of the diagnosis process terminal. Moreover, although the control process which the medical examination process terminal A111 performs below is demonstrated, the same process is performed also in another medical examination process terminal.

  In FIG. 4, first, when the medical examination process terminal A111 is turned on and the medical examination process terminal A111 is activated, the CPU 201 of the medical examination process terminal A111 initially displays a medical examination system menu as shown in FIG. A menu screen is displayed on the display 205 (step S401). Specifically, the CPU 201 reads the association information file as shown in FIG. 14 from the memory 202, and based on the menu information (menu No., menu name, etc.) in the read association information file, FIG. Control to display the medical examination system menu shown in FIG.

  FIG. 14 is an example of an association information file. As shown in FIG. 14, the association information file includes a menu number, a menu name, a name of a processing program executed when a menu is selected, and setting information of a medical examination device. Includes information such as a device setting information file name.

  FIG. 17 is an example of an initial menu screen of the medical examination process terminal. When various setting buttons 172 on the initial menu screen in FIG. 17 are pressed, a submenu (not shown) is displayed. Then, by inputting and editing in the displayed submenu, various communication procedures such as Bluetooth and IrDA can be set and a new medical device setting file can be read. Data is stored in the memory 202.

  Returning to FIG. 4, any one of buttons “1. Vision test” to “11. Simple cancer test” (for example, a simple cancer test) of the medical examination system menu shown in FIG. 17, which is a touch button for starting each medical examination process program When the “10. Height / Weight” button) is pressed and a menu is selected by pressing the selection button 174 (step S402), the second threshold value corresponding to the program of the selected menu ( 23) and a third threshold value (FIG. 24) are acquired (step S403). Here, the second threshold value is a value for determining whether or not the patient is clearly ill from the measurement value (data) acquired from the medical examination device. That is, it is possible to determine whether or not the patient is ill by comparing the measured value with the second threshold value. In addition, the third threshold value is calculated by calculating the difference between the measured value (data) acquired from the medical examination device this time and the measured value at the previous measurement, and the health condition deteriorates from the calculated difference. It is a value for determining whether or not. In other words, it is possible to determine whether or not the health condition has deteriorated by comparing the difference with the third threshold value. FIG. 23 and FIG. 24 are data showing the second threshold value and the third threshold value in all the medical examination subjects, respectively. If the menu selected in step S402 is “height / weight” (menu No. is “10”), the program name “prohigwei” corresponding to the “height / weight” is executed (FIG. 14). Then, from the second threshold value (FIG. 23) and the third threshold value (FIG. 24) in all the medical examination subjects, only the second threshold value and the third threshold value corresponding to the medical examination subject “height / weight” are obtained. get.

  Next, the CPU 201 of the medical examination process terminal A111 uses a plurality of menu numbers (1-1 and 1-2) for the same selected menu as shown in FIG. 15 in the association information file stored in the memory 202. Is determined (step S404). FIG. 15 is another example of the association information file.

  If the result of determination in step S404 is that there are a plurality of menu numbers (YES in step S404), that is, for example, if the menu number has a branch number, the device information file names corresponding to the plurality of device information files The device name is read out and displayed on a screen (not shown) (step S405). When one of the plurality is selected by touch (step S406), the process proceeds to step S407.

  If the result of determination in step S404 is that there are no multiple menu numbers (NO in step S404), the process proceeds directly to step S407.

  Next, in step S407, device setting information corresponding to the selected menu number in the association information file shown in FIG. 14 or 15 stored in the memory 202 based on the selected menu number (and device). The file name is read into the work area of the memory 202. For example, when the association information file has the contents shown in FIG. 14 and “10. Height / weight” is selected, the CPU 201 of the medical examination process terminal A111 selects the device setting information file name “fashigwei” and “ Read the corresponding processing program name "prohigwei".

  In step S408, the device setting information file having the read device setting information file name is read. Here, the device setting information file is information set for each device. For example, setting information necessary for communication with each device and a data range that can be measured for each device (see FIG. 22). The first threshold table shown is set for each device).

  Next, in step S409, the first threshold value corresponding to the menu selected in step S402 and corresponding to the device selected in step S406 among all preset health examination subjects is set as the first threshold value. Obtained from the table (FIG. 22) (step S409). Specifically, when “height / weight” is selected in step S402 from the first threshold table (FIG. 22) corresponding to the device selected in step S406, “upper limit: 250” is set as the first threshold. , Lower limit: 0 ”only.

  Next, the CPU 201 of the medical examination process terminal A111 executes the program having the program name read in step S407 (step S410), displays a processing program screen on the display 205 (step S411), and ends this process.

  In step S410 in this process, when “sight” is selected in step S402, the processing program name “proeysght” is executed. In step S411, a screen for measuring eyesight as shown in FIG. To do. FIG. 18 is an example of a processing program screen of the medical examination process terminal.

  According to the control process of FIG. 4, the process program corresponding to the menu selected by the operator is executed, and the process in the desired medical examination process can be executed.

  Next, medical examination information processing executed by the medical examination information processing system according to the present embodiment will be described.

  FIG. 5 is a sequence diagram showing a procedure of medical examination information processing executed by the medical examination information processing system according to the present embodiment. Note that steps S501 to S502, steps S504 to S507, and steps S513 to S517 in FIG. 5 are realized by the CPU 201 of each medical examination process terminal reading and executing a program stored in the memory 202 ( That is, it corresponds to a process (executed under the control of the CPU 201 of the medical examination process terminal). Steps S508 to S512 are realized by the CPU 201 of each medical examination device reading and executing a program stored in the memory 202 (that is, executed under the control of the CPU 201 of the medical examination device). Corresponding to Steps S503 and S518 correspond to processing executed by a controller (not shown) in the recording medium 160. Hereinafter, it demonstrates as what is performed by medical examination process terminal A111 and medical examination apparatus A110. Further, in the following, a case where the “1. Visual acuity test” button 171 is pressed in the medical examination system menu shown in FIG. 17 and the visual acuity measurement screen shown in FIG. 18 is displayed on the display 205 of the medical examination process terminal A111. explain. In this process, since transmission of examination data is started by an operation on the medical examination device side (step S510 described later), there is no “data reception” button on the screen of FIG. Further, in the initial state of the screen of FIG. 18, the examinee ID, the medical examination number, the name, the sex, the age, and the measurement result (naked eye and correction results on the left and right respectively) are not displayed.

  In FIG. 5, first, the CPU 201 of the medical examination process terminal A111 determines an operation to the display 205 (also serving as a touch panel) and the reader / writer 207, and a card (recording medium 160) is stored in the reader / writer 207 of the medical examination process terminal A111. ) Is touched (step S501), the CPU 201 of the medical examination process terminal A111 performs the medical examination process information recorded in the recording medium 160 with respect to the recording medium 160 via the reader / writer 207 (FIG. 11). Then, a request for reading later-described medical examination status information (FIG. 12) (medical examination information) is transmitted (step S502).

  Here, the medical examination status information shown in FIG. 12 includes a medical examination ID (individual code) for identifying the examinee, the name of the examinee, the examination items (such as “height / weight” to “sight”), health There is an item of examination data (also referred to as medical examination information) measured by a diagnostic device. “O” is input as information for identifying a consultation item that has already been examined, and “X” is input as information for identifying a diagnosis item that has not been examined. In addition, examination data (medical examination information), which is a result of the medical examination measured by the medical examination device, is also input to the examination items that have already been examined. That is, no examination data (health checkup information) is input to a consultation item that has not been examined.

  As described above, in step S502, consultation information having at least information for identifying whether the examinee has consulted or is not consulted is transmitted in step S502.

  Next, when the controller of the recording medium 160 receives a request for reading the medical examination process information and the medical examination status information from the reader / writer 207 of the medical examination process terminal A111, the medical examination process information and the medical examination status information are received. The data is transmitted to the A111 reader / writer 207 (step S503).

  Next, when the CPU 201 of the medical examination process terminal A111 receives the medical examination process information and the medical examination status information via the reader / writer 207 (acquisition means), the examinee ID (999999999999) and the examination number ( 999999) and the name of the examinee and the information of the examinee such as gender (male) are displayed (step S504).

  Next, after step S504, a medical examination status display process of FIG. 6 described later is executed to display the medical examination status (step S505), and thereafter, a past medical examination information display process of FIG. 7 described later is executed. Then, past medical examination information is displayed (step S506).

  Next, it waits for the reception of examination data from the medical examination device A110 (step S507), and when reception of examination data is detected via the reader / writer 207, the process proceeds to step S513.

  On the other hand, the medical examination apparatus A110 performs measurement of measurement data (height and weight measurement) (step S508), and when the transmission button (not shown) is pressed after the measurement is completed (step S509), The medical examination device A110 transmits the examination data to the medical examination process terminal A111 (step S510).

  When the examination data A1 is normally transmitted (step S511), the medical examination device A110 stores the examination data in the examination data storage area in the memory (not shown) of the medical examination device A110, and the work area of the memory. The latest inspection data (display and transmission inspection data) is cleared and control is performed to wait for the start of the next measurement.

  The medical examination device A110 resends the inspection data until time-out if the transmission of the inspection data in step S510 does not end normally. If the time-out occurs, an error is displayed on the display (not shown). indicate.

  Next, when the CPU 201 of the medical examination process terminal A111 receives (acquires) examination data (medical examination result) transmitted from the medical examination device A110 (medical examination information acquisition means), it executes a warning process of FIG. (Step S513).

  Thus, the medical examination information (examination data) measured by the medical examination equipment is acquired, and a warning process described later is executed.

  Next, the CPU 201 of the medical examination process terminal A111 stores the received examination data (medical examination result) in the work area in the memory 202 of the medical examination process terminal A111 (step S514).

  Next, the CPU 201 of the medical examination process terminal A111 calculates the BMI value (divides the kg value of the body weight by the square of the m value of the height) and calculates the work area of the memory 202 in the case of the medical examination “10. Height / weight”. To determine whether it is appropriate (for example, if the BMI value is 18.5 to 24.9, determine “appropriate”), store the determination result in the work area of the memory 202, and display it on the screen along with the height and weight. (Step S515). FIG. 19 is an example of a screen displayed in step S515, and FIG. 19 shows a case of a medical examination “3. Blood pressure test”.

  Next, when the registration button is pressed on the screen of FIG. 19 (step S516), the CPU 201 of the medical examination process terminal A111 transmits the examination data to the recording medium 160 (step S517). .

  Next, when receiving the examination data from the reader / writer 207 of the medical examination process terminal A111, the controller of the recording medium 160 writes (records) the examined examination data in the recording unit in the recording medium 160 (step S518). .

  As described above, the examination data (for example, height / weight, BMI value, suitability determination value) of the examinee is recorded on the recording medium 160 carried by the examinee.

  Further, a reader / writer (not shown) is further provided on the side of the medical examination device A110, and the reader / writer of the medical examination device A110 detects the touch of the recording medium 160, and the reader / writer of the medical examination device A110 records the recording medium. 160, request information of the examinee, and the reader / writer transmits the examinee information and the examination data received from the recording medium 160 from the examination device A110 to the examination process terminal A111. The examination process terminal A111 It may be configured to receive the examinee information and the examination data, match with the examinee information, and store the examination data in the memory 202. With this arrangement, it is not necessary to press the transmission button in the medical examination device A110. become. Further, the BMI value and the suitability determination value may be calculated in a step (not shown) on the medical examination device A110 side and transmitted to the medical examination process terminal A111 together with the examination data.

  FIG. 6 is a flowchart showing the procedure of the medical examination status display process in step S505 of FIG.

  In FIG. 6, first, the CPU 201 of the medical examination process terminal A111 discriminates a medical examination item (medical examination item) that must be examined based on the received medical examination process information (FIG. 11) (step S601). The screened health check items are displayed in a shaded manner (FIG. 18, FIG. 19, step S602) (first display control means).

  Next, the CPU 201 of the medical examination process terminal A111 discriminates the medical examination items that have already been examined based on the received medical examination status information (FIG. 12) (step S603). Is displayed (FIG. 18, FIG. 19, step S604) (second display control means).

  Next, the CPU 201 of the medical examination process terminal A111 discriminates the current medical examination item from the program activated by the menu selected in step S402 in FIG. 4 (step S605), and determines the current medical examination item as the discriminated current medical examination item. “◎” is displayed (FIG. 18, FIG. 19, step S606) (third display control means).

  According to the medical examination status display process of FIG. 6, the medical examination items that the examinee has to receive are shaded, the medical examination items that have already been examined are indicated by “○”, and the current medical examination items are displayed. Since it is displayed as “表示”, the examinee or the measurer can be made aware of the items that the examinee should have in the future.

  In the medical examination status display process of FIG. 6, shading, “◯”, and “「 ”are displayed, but any display may be used as long as each medical examination item can be identified. Specifically, the medical examination items that should be examined may be displayed in yellow, and the current medical examination items may be displayed in light red.

  FIG. 7 is a flowchart showing a procedure of past medical examination information display processing in step S506 of FIG.

  In FIG. 7, first, the CPU 201 of the medical examination process terminal A111 searches the past medical examination information (FIG. 13) stored in the memory 202 of the medical examination process terminal A111 using the received examinee ID as a key (step S701). ), A past medical examination result corresponding to the examinee ID is acquired (step S702). Here, only the data corresponding to the menu (program) selected in step S402 in FIG. That is, for example, if the menu selected in step S402 is “height / weight” and the examiner ID received in step S504 is “1”, the examiner ID shown in FIG. Only “160” with the diagnosis item “height / weight” is acquired.

  And the acquired medical examination result is displayed on the display 205 of medical examination process terminal A111 as a past medical examination result (FIG. 19, step S703), and this process is complete | finished.

  FIG. 8 is a flowchart showing the procedure of the warning process in step S513 of FIG.

  In FIG. 8, first, it is determined whether or not the received examination data (checkup result) is within the range of the first threshold acquired in step S409 of FIG. 4 (step S801), and is not within the range of the first threshold. If so (NO in step S801), a warning screen warning that an error has occurred in the medical examination device A110 is displayed on the display 205 (step S802).

  If the result of determination in step S801 is within the first threshold range (YES in step S801), whether or not the test data (checkup result) exceeds the second threshold acquired in step S403 of FIG. Is determined (step S803), and when the second threshold is exceeded (YES in step S803), a warning screen to warn of illness is displayed on the display 205 (step S804).

  If it is determined in step S803 that the second threshold value is not exceeded (NO in step S803), it is determined whether or not past medical examination results have been acquired in step S702 of FIG. 7 (step S805).

  As a result of the determination in step S805, when a past medical examination result is acquired (YES in step S805), a difference between the current examination data (health medical examination result) and the past medical examination result is calculated (step S806). ), It is determined whether or not the calculated value (difference) exceeds the third threshold acquired in step S403 of FIG. 4 (step S807), and when it exceeds the third threshold (YES in step S807). A warning screen for warning that there is a suspicion of illness is displayed on the display 205 (step S808).

  After the warning screen is displayed in step S802, if the result of the determination in step S805 is that the past medical examination result has not been acquired (NO in step S805), the result of the determination in step S807 does not exceed the third threshold value. If this is the case (NO in step S807), and after displaying a warning screen in step S808, the present process is terminated.

  According to the warning process of FIG. 8, when the examined data (medical checkup result) exceeds the second threshold (YES in step S803), a warning screen warning that there is a disease is displayed on the display 205 ( Step S804) When the difference between the current examination data (checkup result) and the previous checkup result exceeds the third threshold (YES in Step S807), a warning screen that warns that there is a suspicion of disease is displayed. Since the information is displayed on the display 205 (step S808), it is possible for the examiner or the measurer to grasp whether or not the health condition of the examinee is to be noted at the time of the consultation. Furthermore, when the received examination data (checkup result) is not within the first threshold range (NO in step S801), a warning screen that warns that an error has occurred in the checkup device A110 is displayed on the display 205. In step S802, even if the measurement value acquired from the medical examination device is an abnormal value that is not within the range measurable by the medical examination device, such an abnormal value is portable as the measurement value. Can be prevented from being recorded.

  Next, the collection process executed by the management terminal in FIG. 1 will be described.

  FIG. 9 is a flowchart showing the procedure of the collection process executed by the management terminal in FIG. This process corresponds to a process realized by the CPU 201 of the management terminal 150 reading and executing a program stored in the memory 202 (that is, executed under the control of the CPU 201 of the management terminal 150). . Prior to the start of the medical checkup, the medical checkup process information is read from the outside by means such as a USB memory and stored in the memory 202 of the management terminal 150. The medical examination process information is list data of the medical examination process on the day, and the format of each medical examination data and passage record data of each medical examination process is also recorded.

  In FIG. 9, first, the CPU 201 of the management terminal 150 determines an operation on the display 205 (also serving as a touch panel) and the reader / writer 207, and the card (recording medium 160) is touched on the reader / writer 207 of the management terminal 150. Then (step S901), the CPU 201 of the management terminal 150 transmits a request for reading the examinee information and examination data recorded on the recording medium 160 to the recording medium 160 via the reader / writer 207 (step S901). S902). The controller of the recording medium 160 that has received the reading request transmits the examinee information and examination data to the reader / writer 207 of the management terminal 150.

  Next, the CPU 201 of the management terminal 150 receives the information on the examinee and all examination data for one person via the reader / writer 207 of the management terminal 150 (step S903) and stores it in the work area of the memory 202 of the management terminal 150. (Step S904).

  Next, the CPU 201 of the management terminal 150 collates the medical examination process information stored in the memory 202 with all the examination data for one person (step S905), and determines whether there is an unexamined or unpassed medical examination process ( In step S906, the determination result is stored in the work area of the memory 202 of the management terminal 150.

  Next, the CPU 201 of the management terminal 150 displays an inspection result and determination result screen as shown in FIG. 20 on the display 205 of the management terminal 150 (step S907). FIG. 20 is an example of the collection processing program screen of the management terminal. The CPU 201 of the management terminal 150 displays the examinee ID, name 210, gender and age based on the received visitor information on the screen of FIG. 20, and has not yet examined or passed or examined based on the determination result of step S906. Display completed or accepted categories. Note that the screen shown in FIG. 20 indicates that the blood test result 212 has not been received, the hearing test result 211 has been received, and the like.

  Returning to FIG. 9, the CPU 201 of the management terminal 150 detects the touch of each button (list print button 213, display switching button 214, print button 215, registration button 216) on the screen of FIG. It is determined whether or not the switching button 214 has been pressed (touched) (step S908). When the display switching button 214 has been pressed (YES in step S908), the CPU 201 of the management terminal 150 displays the initial screen of FIG. When displayed on the display 205, the display is switched to the medical examination data detail display screen of FIG. 21, and when the medical examination data detail display screen of FIG. 21 is displayed, the display is switched to the initial screen of FIG. In step S909, the process returns to step S908.

  If the result of determination in step S908 is that the display switching button 214 has not been pressed (NO in step S908), it is determined whether or not the print button 215 has been pressed (touched) (step S910), and the print button 215 has been pressed. If so (YES in step S910), the CPU 201 of the management terminal 150 prints a list of personal results for the examinee based on the examinee information and examination data stored in the memory 202 (step S911), and the process proceeds to step S908. Return to.

  If the result of determination in step S910 is that the print button 215 is not pressed (NO in step S910), it is determined whether or not the registration button 216 has been pressed (touched) (step S912), and if the registration button 216 is not pressed (NO in step S912), the process returns to step S908.

  As a result of the determination in step S912, when the registration button 216 is pressed (YES in step S212), the CPU 201 of the management terminal 150 determines whether there is an inspection omission based on the inspection omission determination result of each inspection data in step S906. It is determined whether there is reception or other abnormal data (step S913), and if there is omission of inspection, unaccepted, or other abnormal data (YES in step S913), the CPU 201 of the management terminal 150 controls the management terminal 150. A warning sound is output from a speaker (not shown), and the name of the medical examination process and the ID and name of the medical examination process that has an examination error, unaccepted, and other abnormal data on the display 205 of the management terminal 150, and the relevant medical examination process again. A message prompting to go is displayed (step S914), and the process proceeds to step S915.

  As a result of the determination in step S913, if there is no examination omission, no acceptance, or other abnormal data (NO in step S913), the CPU 201 of the management terminal 150 stores the examination data and passing record data for one person in the medical examination result file. Is stored (step S915), and the process is terminated.

  In this process, if there are omissions, unaccepted, or other abnormal data in the checkup result file, the CPU 201 of the management terminal 150 turns on the checkup incomplete flag in the memory 202 of the management terminal 150. You may comprise so that it may memorize | store.

  In the above-described embodiment, the display 205 has been described as a display with a touch panel. However, the display 205 may be a normal display, and a pointing device such as a mouse may be provided to perform input.

  Further, the configuration and contents of the various data described above are not limited to this, and may be configured with various configurations and contents according to applications and purposes.

  Further, the present invention can take the form of, for example, a system, apparatus, method, program, or recording medium, and can be applied to a system composed of a plurality of devices. The present invention may be applied to an apparatus composed of one device.

  As described above, the medical examination process terminal shown in FIG. 1 stores in the memory 202 the associated information file shown in FIGS. 14 and 15, interface settings with each medical examination device, each processing program, and each medical examination. At least device setting information is stored. Then, the CPU 202 of the medical examination process terminal reads out the setting information of the medical examination device and the processing program from the memory 202 and executes them in accordance with the selection of any of the medical examination menus shown in FIG.

  Further, the management terminal 150 stores medical examination process information (including the formats of each medical examination data and passage record data of each medical examination process) in the memory 202. Further, the CPU 201 of the management terminal 150 reads the examinee ID and the medical examination data from the recording medium 160, determines whether there is a test omission based on the format and the medical examination data, and determines that there is an omission. In this case, it is determined based on the above format whether or not the medical examination data needs to be restored in the medical examination process that is determined to be an inspection failure (FIG. 9).

  Further, the CPU 201 of the medical examination process terminal stores setting information for each medical examination device for each medical examination process in the memory 202, and the processing program (FIG. 5) selects the menu when the menu is selected. One is selected from a plurality of medical examination devices in the medical examination process, and setting information associated with the selected medical examination device is read out and executed.

  With the above configuration, a plurality of processing programs are stored in the memory 202 of the medical examination process terminal, the setting of a predetermined medical examination device is read according to the menu selection, and the corresponding processing program is executed by the CPU 201 of the medical examination process terminal Therefore, it is possible to provide a mechanism that can flexibly cope with various types of existing medical examination devices and various external interfaces and can greatly reduce the number of preparation steps at the time of the medical examination.

  In addition, it provides a mechanism that does not cause an inspection omission because it judges whether there is an omission at the end of the inspection and displays a warning on the screen.

  In addition, a system is provided that allows the user to grasp where the inspection must be received during the inspection.

  In addition, we will provide a mechanism that can respond quickly to the malfunction of medical examination equipment and terminals.

  Although not particularly illustrated, a recording medium (storage medium) for storing various programs and data readable by the apparatus according to the present invention includes information for managing a program group stored in the recording medium, for example, version information, The creator and the like are also stored, and information depending on the OS on the program reading side, for example, an icon for identifying and displaying the program may be stored.

  Further, data depending on various programs is also managed in the directory. In addition, when a program or data to be installed is compressed, a program to be decompressed may be stored.

  The functions shown in the flowcharts and screens in this embodiment may be performed by a host computer by a program installed from the outside. In this case, the present invention can be applied even when an information group including a program is supplied to the output device from a recording medium (not shown) such as a CD-ROM, a flash memory, or an FD, or from an external recording medium via a network. Applicable.

  As described above, a recording medium in which a program code of software that realizes the functions of the above-described embodiments is recorded is supplied to the system or apparatus, and the computer (or CPU or MPU) of the system or apparatus stores the recording medium in the recording medium. It goes without saying that the object of the present invention can also be achieved by reading and executing the programmed program code.

  In this case, the program code itself read from the recording medium realizes the novel function of the present invention, and the recording medium storing the program code constitutes the present invention.

  As a recording medium for supplying the program code, for example, a flexible disk, hard disk, optical disk, magneto-optical disk, CD-ROM, CD-R, DVD-ROM, magnetic tape, nonvolatile memory card, ROM, EEPROM, A silicon disk or the like can be used.

  Further, by executing the program code read by the computer, not only the functions of the above-described embodiments are realized, but also an OS (operating system) operating on the computer based on the instruction of the program code, etc. However, it is needless to say that a case where the function of the above-described embodiment is realized by performing part or all of the actual processing and the processing is included.

  Furthermore, after the program code read from the recording medium is written in a memory provided in a function expansion board inserted in the computer or a function expansion unit connected to the computer, the function expansion is performed based on the instruction of the program code. It goes without saying that the CPU or the like provided in the board or the function expansion unit performs part or all of the actual processing, and the functions of the above-described embodiments are realized by the processing.

  Further, the present invention may be applied to a system composed of a plurality of devices or an apparatus composed of a single device. Needless to say, the present invention can be applied to a case where the present invention is achieved by supplying a program to a system or apparatus. In this case, by reading a recording medium storing a program represented by software for achieving the present invention into the system or apparatus, the system or apparatus can enjoy the effects of the present invention.

  Furthermore, by downloading and reading out a program represented by software for achieving the present invention from a server, database, etc. on a network using a communication program, the system or apparatus can enjoy the effects of the present invention. It becomes.

  Other features according to the present invention are shown below.

  A medical examination system for receiving medical examination data or passage record data of a medical examination device at a terminal or inputting the data into the terminal, and storing the medical examination data or the passage recording data received by the terminal in a recording medium, At least one of the examinee ID or the medical examination number is recorded on the recording medium, and the terminal is configured to display menu information on the display screen of the terminal and an interface between the medical examination devices. A storage means for storing at least the medical examination data or the passing record data processing program and the setting information of each medical examination device when the setting and each medical examination menu are selected, and any one of the respective health examination menus Execution control means for reading out and executing the setting information of the medical examination device and the processing program from the storage means in response to selection of the menu. The program includes a recipient information receiving step for receiving examinee information including at least one of a recipient ID or a medical examination number from the recording medium, and a medical examination data receiving step for receiving medical examination data from the medical examination device. A first program including a storage step of storing the medical examination data in the recording medium, and a recipient information receiving step of receiving examinee information including at least one of a examiner ID or a medical examination number from the recording medium. A numbering step of assigning an examination number for each patient based on the input start number, a storage step of associating the medical examination number and the examination number with each other and storing them in the storage means, and the recording medium And a second program including a passage information storage step for recording passage information.

  Still further, the processing program includes a recipient information receiving step of receiving examinee information including at least one of a recipient ID or a medical examination number from the recording medium, and medical examination data displayed on the medical examination device. A third program including an input step for inputting the medical checkup data, a storage step of storing the medical checkup data in the recording medium, and a medical checkup for receiving medical checkup information including a checkup ID or a medical checkup number from the recording medium A fourth program comprising: a person information receiving step; a medical examination data receiving step for receiving medical examination data from the medical examination device; and a recording step for storing the medical examination data in the storage means; To do.

  Further, the processing program stores a recipient information receiving step of receiving recipient information including at least one of a recipient ID or a medical examination number from the recording medium, and stores the recipient information in the storage means. A fifth program including a storage step and a passage information storage step of recording passage information on the recording medium is further included.

  A medical examination system for receiving medical examination data or passage record data of a medical examination device at a terminal or inputting to the terminal, and storing the medical examination data or the passage recording data received by the terminal in a recording medium, At least one of the examinee ID or the medical examination number is recorded on the recording medium, and includes a management terminal that receives and verifies the medical examination data or the passing record data stored in the storage medium, Each medical examination menu, menu information to be displayed on the display screen of the terminal, interface setting with each medical examination device, and a program for processing the medical examination data or the passage record data when each medical examination menu is selected, and A storage unit that stores at least setting information of each medical examination device and one of each of the medical examination menus are selected, and the setting of the medical examination device is selected according to the selection of the menu. Control means for reading and executing the information and the processing program from the storage means, the management terminal, data format storage means for storing the format of each medical examination data and passage record data of each medical examination process, Data reading means for reading at least one of the medical examinee ID or medical examination number from the recording medium, the medical examination data and the passing record data, and the presence or absence of examination omission based on the format, the medical examination data and the passing record data A test omission determination unit that determines whether there is an omission of inspection, and a recovery that determines whether it is necessary to restore medical examination data of the medical examination process determined to be an omission of inspection based on the format A necessity determining unit.

  Further, setting information for each medical examination device for each medical examination process is stored in the storage means, and the processing program stores a plurality of medical examinations in the selected medical examination process when each menu is selected. Selecting one of the devices, and reading the setting information associated with the selected medical examination device to execute the process.

  Furthermore, the first program further includes an input switching for displaying a reception error detection step for detecting a reception error in the examinee information reception step and a screen for inputting medical examination data when the reception error is detected. The method further comprises a step and an input step of storing the inputted medical examination data in the storage means.

  Further, the terminal further includes inter-terminal communication means for communicating with other terminals, and the processing program is a designation information reading step for reading out terminal designation information in a subsequent process for transmitting the examinee information and the medical examination data. And a medical examination data transmission step of transmitting medical examination data to the terminal based on the terminal designation information.

It is a block diagram which shows roughly the system configuration | structure of the medical examination information processing system which concerns on embodiment of this invention. It is a block diagram which shows roughly the hardware constitutions of the various terminals (reception terminal, each medical examination process terminal, management terminal) in FIG. It is a flowchart which shows the procedure of the reception process which the reception terminal in FIG. 1 performs. It is a flowchart which shows the procedure of the control process which each medical examination process terminal in FIG. 1 performs. It is a sequence diagram which shows the procedure of the medical examination information processing which the medical examination information processing system which concerns on this Embodiment performs. It is a flowchart which shows the procedure of the medical examination status display process of step S505 of FIG. It is a flowchart which shows the procedure of the past medical examination information display process of step S506 of FIG. It is a flowchart which shows the procedure of the warning process of step S513 of FIG. It is a flowchart which shows the procedure of the collection | recovery process which the management terminal in FIG. 1 performs. It is a table for demonstrating an example of the medical examination process information recorded on the reception terminal in FIG. It is a table for demonstrating an example of the medical examination process information recorded on the recording medium in FIG. It is a table for demonstrating an example of the medical examination status information recorded on the recording medium in FIG. It is a table for demonstrating an example of the past medical examination information recorded on each medical examination process terminal in FIG. It is a table for demonstrating an example of the related information file recorded on each medical examination process terminal in FIG. It is a table for demonstrating an example of the related information file recorded on each medical examination process terminal in FIG. It is an example of the screen displayed on the display of the reception terminal in FIG. It is an example of the initial screen displayed on the display of each medical examination process terminal in FIG. It is an example of the measurement screen displayed on the display of each medical examination process terminal in FIG. It is an example of the measurement screen displayed on the display of each medical examination process terminal in FIG. It is an example of the screen displayed on the display of the management terminal in FIG. It is an example of the screen displayed on the display of the management terminal in FIG. 6 is a table for explaining an example of a first threshold acquired in step S409 in FIG. 6 is a table for explaining an example of a second threshold acquired in step S403 of FIG. 6 is a table for explaining an example of a third threshold acquired in step S403 of FIG. It is a block diagram which shows roughly the structure of the function with which the medical examination process terminal in FIG. 1 is provided.

Explanation of symbols

100 Reception terminal 110 Medical examination device A
111 medical examination process terminal A
150 Management terminal 160 Recording medium 201 CPU
202 Memory 205 Display 207 Reader / Writer

Claims (7)

Medical examination information comprising a portable recording medium on which medical examination information and medical examination information measured by a medical examination device are recorded, and a medical examination information processing apparatus that displays medical examination items. A processing system,
The medical examination information processing apparatus includes:
Acquisition means for acquiring the patient information and the patient information recorded in the portable recording medium;
First display control means for controlling differently the display of a consultation item scheduled to be consulted and a consultation item not scheduled to be based on the acquired patient information;
A medical examination information processing system comprising: second display control means for controlling the display of a consultation item that has been examined and a consultation item that has not been examined based on the obtained consultation information.   The medical examination information processing apparatus includes a medical examination information acquiring unit that acquires medical examination information measured by the medical examination device, and a transmission unit that transmits the acquired medical examination information to the portable recording medium. The medical examination information processing system according to claim 1.   The said medical examination information processing apparatus is equipped with the 3rd display control means to control so that the display of the medical examination item corresponding to the acquired medical examination information and the medical examination item which does not correspond is different. The medical examination information processing system described. A medical examination information processing device that displays the items to be examined,
Acquisition means for acquiring the examinee information and the examination information recorded in the portable recording medium in which the examination information measured by the examination device is recorded;
First display control means for controlling differently the display of a consultation item scheduled to be consulted and a consultation item not scheduled to be based on the acquired patient information;
2. A medical examination information processing apparatus comprising: a second display control unit configured to control the display of a consultation item that has been examined and a consultation item that has not been examined based on the obtained consultation information. A medical examination information processing method of a medical examination information processing apparatus for displaying a medical examination item of a medical examinee,
An acquisition step of acquiring medical checkup information and medical checkup information recorded in a portable recording medium in which medical checkup information measured by the medical checkup device is recorded;
A first display control step for controlling differently the display of a consultation item scheduled to be consulted and a consultation item not scheduled to be based on the acquired patient information;
A medical examination information processing method comprising: a second display control step for controlling the display of a consultation item that has been examined and a consultation item that has not been examined based on the acquired consultation information. In a program for causing a computer to execute a medical examination information processing method of a medical examination information processing apparatus that displays a medical examination item of a medical examinee, the medical examination information processing method includes:
An acquisition step of acquiring medical checkup information and medical checkup information recorded in a portable recording medium in which medical checkup information measured by the medical checkup device is recorded;
A first display control step for controlling differently the display of a consultation item scheduled to be consulted and a consultation item not scheduled to be based on the acquired patient information;
A program comprising: a second display control step for controlling the display of a consultation item that has been examined based on the acquired consultation information to be different from the display of a consultation item that has not been received.   A computer-readable storage medium storing the program according to claim 6.

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