JP2014153724A - Medical care information management system and medical care information management center device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To properly transmit a user's medical care information to those who give first aid on site with privacy of the medical care information protected.SOLUTION: A medical care information management center device comprises: a user identification information storage unit which associates in advance a communication terminal with identification information capable of identifying a user; an emergency medical care information storage unit which stores emergency medical care information for each user in association with the users' identification information; an identification information acquisition unit which acquires identification information of the user of the communication terminal as a transmission source from the user identification information storage unit when receiving a request signal from the communication terminal; a first emergency medical care information processing unit which transmits the emergency medical care information of the transmission source user to the communication terminal of the transmission source user when receiving an emergency signal as the request signal; a second emergency medical care information processing unit which displays the emergency medical care information of the transmission source user to a screen and provides the emergency medical care information to the communication terminal of the transmission source user when receiving a signal different from the emergency signal as the request signal.

Description

  The present invention relates to a medical information management system and a medical information management center apparatus that provide emergency medical information to a user or a medical staff when an emergency treatment is required for the user, and in particular, consider the privacy of emergency medical information. The present invention relates to a medical information management system and a medical information management center apparatus.

  Conventionally, in the field of emergency medical care, when dealing with patients such as sick people and injured people, it is difficult to obtain appropriate information about the patient's medical history and the drugs used, and this makes it difficult to make decisions when performing first aid. there were.

  Regarding such problems, in Patent Document 1, a user registers his / her hospital visit and medication information in the database of the health information management center in advance, and the center operator provides user registration information when an emergency situation occurs. A health information management system has been proposed that tells a passerby who is around the user while watching it, and a paramedic who arrives at the scene. (For example, paragraphs 0014-0021)

JP 2003-111735 A

  However, medical information such as medical history and medical history such as medical history is information that requires particularly high accuracy and is highly privacy-friendly. Patent Document 1 has two problems that it is not considered at least in input and output of information when handling medical information having such characteristics as accuracy and privacy.

  First, the user himself / herself takes the process of registering medical information requiring accuracy in the database. It can be inferred that there are not many people who have enough knowledge about medicine among users who register their medical information in case of an emergency. Such information registered by users who do not necessarily have sufficient medical knowledge may be inaccurate due to assumptions or misrecognition. In particular, inaccurate information at the emergency site may affect life.

Second, when an emergency situation occurs, an operator at the center performs an emergency response operation while looking at user information stored in the medical information database. In general, the skill of having sufficient knowledge about medicine and the skill of performing a coping operation while closely communicating with relevant parties when an emergency occurs are different skills that are not related to each other. When an operator performs emergency response operations while looking at user information as in Patent Document 1, it is necessary to arrange a sufficient number of operators who have both medicine-related skills and emergency response skills for 24 hours. The problem of center operation can occur.
Also, if an operator with emergency response skills does not have enough knowledge of medicine, the operator will operate while looking at the user's information, and the problem will be inaccurate as described above. In addition, there is a problem that privacy considerations are greatly lacked by making it possible to browse information about users carelessly.

  The present invention has been made in view of the above-described problems, and enables the user to appropriately transmit medical information of a user such as a medical history and past medical history to a person who performs first aid at an emergency medical site. The purpose of the present invention is to provide a medical information management system and a medical information management center apparatus that take into consideration the characteristics of medical information such as accuracy and privacy.

  In order to achieve the above object, a medical information management system according to the present invention transmits a user's emergency medical information to the communication terminal based on a communication terminal possessed by the user and a request signal received from the communication terminal. A center information device that includes a user identification information storage unit that associates the communication terminal with identification information that can identify the user in advance, and the user. Emergency medical information storage unit for storing each emergency medical information in association with the identification information of the user, and receiving the request signal, the user identification information storage unit from the user of the communication terminal as the transmission source When receiving an emergency signal as the request signal and an identification information acquisition unit that acquires identification information, the emergency medical information corresponding to the user as the transmission source is the communication as the transmission source. When the first emergency medical information processing unit to be transmitted at the end and a signal different from the emergency signal as the request signal are received, emergency medical information corresponding to the user who is the transmission source is output to the display unit And a second emergency medical information processing unit for transmitting the emergency medical information corresponding to the user as the transmission source to the communication terminal as the transmission source.

  The medical information management system according to the present invention includes a communication terminal possessed by a user, and a center device that transmits emergency medical information of the user to the communication terminal based on a request signal received from the communication terminal. The center device includes a first reception desk that receives an emergency signal as the request signal, a second reception desk that receives a signal different from the emergency signal as the request signal, and the communication terminal in advance. And a user identification information storage unit that associates identification information that can identify the user, and an emergency medical information storage unit that stores emergency medical information for each user in association with the identification information of the user, The first reception desk obtains identification information of the user of the communication terminal from the user identification information storage unit based on an emergency signal from the communication terminal. The identification information of the user acquired by the information acquisition unit, the first operation unit, and the second identification information acquisition unit is displayed and output, and when there is an input from the first operation unit, the first identification is performed. A first emergency medical information processing unit that transmits the emergency medical information corresponding to the user acquired by the information acquisition unit to a communication terminal that is a transmission source of the emergency signal, and the second reception desk includes: A second identification information acquisition unit for acquiring identification information of a user of the communication terminal from the user identification information storage unit based on a signal from the communication terminal; a second operation unit; and the second identification information. The emergency medical information corresponding to the user acquired by the acquisition unit is displayed and output, and when there is an input from the second operation unit, the emergency medical information is transmitted to the communication terminal that is the transmission source of the emergency signal. With emergency medical information processing department To.

  Furthermore, in the medical information management system of the present invention, the emergency medical information storage unit prohibits the output of emergency medical information to the first reception desk and outputs the emergency medical information to the second reception desk. It may be allowed.

  In the medical information management system of the present invention, the emergency signal is a signal including position information of the communication terminal. When the emergency signal is received from the communication terminal, the user of the communication terminal is identified. The positional information may be output to the display unit together with the information.

  Furthermore, the medical information management center apparatus according to the present invention is a medical information management center apparatus that transmits emergency medical information of the user to the communication terminal based on a request signal received from the communication terminal possessed by the user, A user identification information storage unit that associates the communication terminal with identification information that can identify the user in advance, and emergency medical information that stores emergency medical information for each user in association with the user identification information. An information storage unit, an identification information acquisition unit that acquires identification information of a user of a communication terminal that is a transmission source from the user identification information storage unit when receiving the request signal, and an emergency signal received as the request signal In this case, a first emergency medical information processing unit that transmits the emergency medical information corresponding to the user as the transmission source to the communication terminal as the transmission source, and the emergency as the request signal When receiving a signal different from the signal, the emergency medical information corresponding to the user as the transmission source is output to the display unit, and then the emergency medical information corresponding to the user as the transmission source is output to the transmission source. And a second emergency medical information processing unit that transmits to the communication terminal.

  According to the present invention, when a medical consultation is received from a user, or emergency medical information is registered or changed in the center, the center device displays the emergency medical information and refers to this to make an appropriate decision. And the emergency medical information can be transmitted to the user. In addition, when an emergency situation occurs in a user, appropriate information can be provided to a person who performs emergency treatment on the user side by transmitting the user's emergency medical information to the user side. At this time, display of emergency medical information is prohibited on the center device side. Accordingly, it is possible to perform an appropriate emergency operation in consideration of the high privacy of medical information while preventing the center from making an erroneous determination in an emergency.

The figure which shows the whole structure of the medical information management system of this invention The block diagram which shows the structure of the portable terminal in the medical information management system of this invention The block diagram which shows the structure of the center apparatus in the medical information management system of this invention The sequence diagram which shows operation | movement of the medical information management system of this invention The sequence diagram which shows operation | movement of the medical information management system of this invention

Embodiments of the present invention will be specifically described below with reference to the drawings.
In the present embodiment, the emergency medical information of the user is registered in advance at a remote management center and provided to the user so that the emergency information can be referred to. A medical information management system that provides user emergency medical information to the site will be described as an example.

  First, the overall configuration of the medical information management system 1 of the present embodiment will be described. FIG. 1 is a diagram showing a configuration of a medical information management system 1. As shown in FIG. 1, the medical information management system 1 includes a portable terminal 3 as a communication terminal possessed by a user 2 and a management center 4 that manages emergency medical information of the user. The mobile terminal 3 and the management center 4 are configured to be able to communicate with each other via a network 6 (public telephone network, Internet, mobile phone network).

  The management center 4 is a facility operated by an organization (such as a security company) that provides an emergency response service when an emergency such as an emergency call occurs to a plurality of users 2. When the center device 5 arranged in the management center 4 receives the request signal from the mobile terminal 2, the center device 5 identifies the user of the mobile terminal by referring to the database using the identification information of the mobile terminal included in the request signal as a clue. Perform operations according to the type of signal. The center device includes a first reception desk 8 that receives an emergency signal among the request signals and a second reception desk 9 that receives a request signal other than the emergency signal, as the reception desk 7 that receives the request signal. The center device 5 has a database in which the user 2 and the mobile terminal 3 are associated with each other, and a database in which user emergency medical information is stored. In the present embodiment, a medical consultation signal and an information update signal will be described as an example of a request signal other than the emergency signal.

In the present embodiment, an example will be described in which the first reception desk 8 and the second reception desk 9 have different communication addresses, and these communication addresses are preset in the mobile terminal 3. That is, when an emergency emergency operation such as pressing an emergency button is performed on the mobile terminal 3, an emergency signal is transmitted from the mobile terminal 3 to the first reception desk 8, and a medical consultation operation or an information update operation is performed on the mobile terminal 3. A medical consultation signal and an information update signal are transmitted to the second reception desk. The emergency signal may be a message format signal such as SMS (short message service), e-mail, or a predetermined request command. Further, the medical consultation signal and the information update signal may be a message format signal or a voice communication signal such as a telephone.
Note that, as described above, the mobile terminal 3 is not limited to the example of distributing to the first reception desk 8 or the second reception desk 9 at the time of transmission. The terminal 3 may transmit an emergency signal, medical consultation operation, and information update operation to this communication address. In this case, the gateway server that connects the center apparatus 5 to the network 6 distributes the emergency signal toward the first reception desk 8 according to the type of the received request signal, and the second reception of the request signal other than the emergency signal. The request signal is distributed such that it is distributed toward the table 9.

  The center device 5 stores information associating the user 2 with the portable terminal 3, and also includes information on the medical history, medication history, allergy, insurance card, name of the doctor and the examination ticket number in advance. Medical information is stored as emergency medical information. When the first reception desk 8 receives the emergency signal, the user who becomes the transmission source is specified, and the emergency medical information of the user 2 is transmitted to the mobile terminal 3 of the user 2. At this time, the center device 5 makes a call 119 to request the fire department 500 in the area to dispatch the ambulance team 510. This emergency medical information is transmitted as an e-mail in which the emergency medical information is described in the body part and a predefined subject (Subject) is set. This emergency medical information is used as information when an emergency treatment is performed by the emergency team 510 rushed to the user 2 or the like. Further, when the second reception desk 9 receives a medical consultation signal or an information update signal, the emergency medical information of the user 2 as the transmission source is displayed on the display monitor of the operator. The operator of the second reception desk 9 answers the medical consultation while referring to the emergency medical information of the user, updates the emergency medical information, and performs a confirmation operation for reflecting the updated result in the emergency medical information. Take action. In response, the user's emergency medical information is transmitted to the mobile terminal 3 of the user 2. The emergency medical information is transmitted as an e-mail in which the emergency medical information is described in the body part and a predefined subject is set, like the emergency medical information transmitted from the first reception desk 8. This emergency medical information is used as information for the user 2 to confirm his / her emergency medical information.

<Mobile device>
Hereinafter, a specific configuration of the mobile terminal 3 will be described with reference to FIG. FIG. 2 is a block diagram illustrating an example of the configuration of the mobile terminal 3. As shown in FIG. 2, the mobile terminal 3 includes a wireless communication unit 22 that performs wireless communication using a shared antenna 21 for receiving GPS signals and a network, and an input unit that is operated by the user 2 to input information. 23, a storage unit 24 constituted by a ROM / RAM or the like, and a display unit 25 constituted by an LCD or the like. In addition, the mobile terminal 3 includes a control unit 26 that controls operations of these units.

  The wireless communication unit 22 includes a transmission / reception unit 221 that communicates with the center apparatus via a base station or a network, and a GPS reception unit 222 that receives a GPS signal transmitted from a GPS satellite.

The input unit 23 includes various input buttons, numeric keys, and the like. A signal is input to the control unit 26 by an input operation of a predetermined button or key, and information is input by the user 2. Information input by the user 2 includes at least an emergency emergency operation for making an emergency report, a medical consultation operation for inputting content for consultation on medicine to the management center 4, and a content for updating information registered in the management center 4. And an information update operation for inputting.
Note that the configuration of the input unit 23 is not limited to buttons, and the input unit 23 may be realized by a liquid crystal touch panel display integrated with the display unit 25, and operation symbols for performing various inputs displayed on the liquid crystal touch panel display. A signal input to the control unit 26 may be performed by the user 2 selecting.

In the storage unit 24, when an emergency emergency operation is performed at the input unit 23, the communication address and transmission signal system of the first reception desk 8 that transmits an emergency signal, and the medical consultation operation and information update operation are performed at the input unit 23. The communication address and transmission signal system of the second reception desk 9 that transmits medical consultation signals and information update signals are stored. In addition to the current position information calculated based on GPS signals received from GPS satellites, the storage unit 24 stores identification information for identifying the device itself, various programs, and the like.
The display unit 25 displays emergency medical information received via the network 6.

  The control unit 26 includes a microcomputer including a CPU, a ROM, a RAM, and the like and peripheral circuits thereof, and has a function of controlling various operations of the mobile terminal 3. The control unit 26 includes a position acquisition unit 261, a communication control unit 262, and a display control unit 263 as functional modules realized by a computer program executed on the microcomputer.

  The position acquisition unit 261 calculates current position information (latitude / longitude information) from the GPS signal received by the GPS reception unit 222, and stores this current position information in the storage unit 24 together with the time information at the time of calculation. Further, when an emergency emergency operation is performed at the input unit 23, the position acquisition unit 261 calculates current position information and outputs the current position information to the communication control unit 262. Further, when receiving the position request signal from the center device 5, the position acquisition unit 261 calculates the current position information from, for example, GPS signals received from the GPS receiving unit at intervals of 1 minute, and stores the current position information in correspondence with the calculated time information. The information is stored in the unit 24 and output to the communication control unit 262.

  When an emergency emergency operation is performed at the input unit 23, the communication control unit 262 refers to the communication address and transmission signal system of the first reception desk 8 stored in the storage unit 24, and an emergency signal addressed to the first reception desk 8. Is transmitted to the center device 5. The emergency signal includes the current position information acquired by the position acquisition unit 261 and the identification information of the mobile terminal 3.

  In addition, when a medical consultation operation is performed at the input unit 23, the communication control unit 262 refers to the communication address and transmission signal system of the second reception desk stored in the storage unit 24 and includes the consultation content that has been input. 2 A medical consultation signal addressed to the reception desk 9 is generated and transmitted to the center device 5. Even when an information update operation is performed at the input unit 23, an information update signal addressed to the second reception desk 9 including the update content input in the same manner is generated and transmitted to the center device 5. The medical consultation signal and the information update signal include identification information of the mobile terminal 3. Note that the medical consultation signal or the information update signal may be transmitted as voice communication to call the center device 5 and make an oral consultation. In this case, the medical consultation signal or the information update signal is stored in the storage unit 24 by the medical consultation operation or the information update operation. The communication address of the second reception desk 9 is dialed and the call is made.

  Furthermore, when the transmission / reception unit 221 receives a position request signal from the center apparatus 5, the communication control unit 262 performs control to periodically transmit the current position information acquired by the position acquisition unit 261 to the center apparatus 5.

  When the transmission / reception unit 221 receives an emergency medical information signal from the center device 5, the display control unit 263 displays and outputs the emergency medical information included therein on the display unit 25. In the present embodiment, an example in which an emergency medical information signal is transmitted as an e-mail will be described. Whether or not the received electronic mail is an emergency medical information signal is determined by whether or not the transmission source address of the center device 5 and the subject of the electronic mail are the same as the format registered in the storage unit 24. When the display control unit 25 determines that the e-mail received by the transmission / reception unit 221 is an emergency medical information signal, the display control unit 25 displays and outputs the content (emergency medical information) on the display unit.

<Center device>
Next, a specific configuration of the center device 5 will be described with reference to FIG. FIG. 3 is a block diagram illustrating an example of the configuration of the center device 5. As shown in FIG. 3, the center device 5 includes a first reception desk 8, a second reception desk 9, a user identification information storage unit 10, an emergency medical information storage unit 11, and a center device control unit 12. ing. These units may be centrally arranged in one management center 4 facility and connected by a LAN, or may be distributed in a plurality of management center 4 facilities and connected by a VPN or a dedicated line. Good.

  The user identification information storage unit 10 associates the contract number of the user 2 with identification information for identifying the individual user 2 such as name, photo, age, and gender with the identification information of the mobile terminal 3 possessed by the user 2. It is a database to memorize. The identification information of the portable terminal 3 is stored in a plurality of systems such as an electronic mail address, a telephone number, and an individual identification number unique to the terminal. For example, when the user 2 starts using the medical information management system, the identification information for identifying the individual user 2 and the identification information for the mobile terminal 3 are acquired in advance as initial information and initially registered in the database.

  The emergency medical information storage unit 11 is a database that stores medical information such as a medical history such as a medical history and medication history for each user 2 in association with identification information of the user 2 as emergency medical information. In the present embodiment, medical information of the user 2 such as medical history, medication history, allergy, insurance card information, family doctor name and examination ticket number is stored as emergency medical information. For example, when the user 2 starts using the medical information management system, such emergency medical information is acquired in advance as prior information and is initially registered in the database. Further, it is updated and registered as appropriate according to a request signal such as a medical consultation signal or an information update signal from the user 2.

  The center device control unit 12 is a server device that controls the operation of each unit constituting the center device 5. The center device control unit 12 has a mail transmission server 121. The center device control unit 12 controls information input / output with the user identification information storage unit 10 and the emergency medical information storage unit 11 in response to requests from the first reception desk 8 and the second reception desk 9. For example, the center device control unit 12 communicatively connects the first reception desk 8 and the user identification information storage unit 10 in order to query the identification information of the user 2 from the first reception desk 8. Further, the second reception desk 9 and the user identification information storage unit 10 are connected for communication in order to inquire user identification information from the second reception desk 9.

  Further, the center device control unit 12 prohibits communication connection from the emergency medical information storage unit 11 to the first reception desk 8 and disables reading of information from the first reception desk 8 to the emergency medical information storage unit 11. . On the other hand, the center device control unit 12 relays a communication connection between the emergency medical information storage unit 11 and the second reception desk 9. Thereby, the output of the emergency medical information from the emergency medical information storage unit 11 to the first reception desk 8 and the update of the emergency medical information storage part 11 from the first reception desk 8 are prohibited, and the second from the emergency medical information storage unit 11 The output of emergency medical information to the reception desk 9 and the update of the emergency medical information storage unit 11 from the second reception desk 9 are allowed.

  The mail transmission server 121 of the center device control unit 12 includes the emergency medical information with the corresponding portable terminal 3 as the transmission destination when the emergency medical information transmission request signal is received from the first reception desk 8 or the second reception desk 9. Send an email. The mail transmission server 121 stores an e-mail transmission form in advance. When a transmission request signal for emergency medical information is input from the first reception desk 8 or the second reception desk 9, emergency medical information corresponding to the user identification information included in the transmission request signal is stored in the emergency medical information storage. And the electronic mail address of the portable terminal 3 corresponding to the user identification information is acquired from the user identification information storage unit 10 to generate an emergency medical information signal. The emergency medical information signal is generated as an electronic mail in which emergency medical information is described in the body part, a predefined subject (Subject) is set, and a corresponding electronic mail address is set as a destination (To). The mail transmission server 121 transmits the generated emergency medical information signal and transmits the emergency medical information to the mobile terminal 3 of the user 2.

<First reception desk>
The first reception desk 8 is constantly monitored by a previously registered controller. When the first reception desk 8 receives the emergency signal, the controller will take necessary measures such as confirming the corresponding user 2, instructing the guard to handle the current location of the user 2, or 119 emergency report. Take. At this time, an emergency medical information signal is transmitted to the portable terminal 3 of the user 2 by the controller. This emergency medical information signal is used as reference information when performing emergency treatment for the user 2.

  The first reception desk 8 is a server device that includes an operation unit 81, a display monitor 82, a communication unit 83, a telephone unit 84, and a control unit 85. The control unit 85 includes a microcomputer that controls various operations of the first reception desk 8 and its peripheral circuits. The control unit 85 includes an operator identification unit 851, an identification information acquisition unit 852, and a first emergency medical information processing unit 853 as functional modules realized by a computer program executed on the microcomputer. ing.

The operation unit 81 includes a keyboard and a pointing device, and is operated by a controller to input information.
The display monitor 82 is a monitor display composed of an LCD or the like, and is controlled by the control unit 85 to output display signals such as signals received from the mobile terminal 3, user 2 information, and GUI (Graphical User Interface). .

  The communication unit 83 is connected to the network 6 and can communicate with the mobile terminal 3. The communication unit 83 is connected to the center device control unit 12 and is configured to be able to communicate with each unit of the center device 5 via the center device control unit 12.

  The operator identifying unit 851 determines whether the operator of the first reception desk 8 is a controller registered in advance. The determination of the operator may be performed by identification information such as a PIN (Personal identification number) input from the operation unit 81 or reading unique information of the ID card. If it is determined that the controller is registered in advance, various information output to the display monitor 82 is permitted. If it cannot be determined that the controller is registered in advance, the output of various information to the display monitor 82 is prohibited.

  When receiving the emergency signal from the portable terminal 3 via the communication unit 83, the identification information acquiring unit 852 acquires the identification information of the portable terminal 3 included in the emergency signal and uses the identification information. The identification information of the corresponding user 2 is obtained by inquiring the person identification information storage unit 10.

  The first emergency medical information processing unit 853 displays and outputs the identification information of the user 2 acquired by the identification information acquisition unit 852 on the display monitor 82. At this time, the first emergency medical information processing unit 853 also displays and outputs the position information of the user 2 included in the emergency signal.

  The controller refers to the identification information and location information of the user 2 and confirms the situation by calling the mobile terminal 3 via the telephone unit and talking with the user 2. Instruct the guard to deal with the current position of 2. If a response is not obtained for the call or if an emergency is determined by a conversation or a report from a security officer who arrives at the site, the controller reports the number 119 to the fire department 500 in the area. Request the dispatch of ambulance team 510. At this time, when the number 119 is notified, the fact that information necessary for the treatment is sent to the mobile terminal 3 of the user 2 is transmitted. Then, the controller designates the user 2 from the operation unit 81 and inputs an emergency medical information transmission instruction.

  When the first emergency medical information processing unit 853 receives an emergency medical information transmission instruction from the operation unit 81, the first emergency medical information processing unit 853 transmits an emergency medical information transmission request signal including the identification information of the user 2 acquired by the identification information acquisition unit 852. It outputs to the mail transmission server 121 of the center apparatus control part 12, and transmits the emergency medical information of the said user 2 addressed to the portable terminal 3 of the user 2. FIG.

  Then, the controller communicates with the ambulance team 510 that rushes to the site as necessary, and gives detailed information on the location of the site and guides the operation of the mobile terminal 3. The controller cannot refer to the emergency medical information of the user 2 but can send emergency medical information to the local mobile terminal 3 where the emergency report has been made. Alternatively, appropriate treatment by an expert can be performed while referring to emergency medical information in a hospital that has been transported by emergency. Accordingly, it is possible to perform an appropriate operation in an emergency while preventing misjudgment of medical information that is required to be more accurate while considering the high privacy of medical information.

<Second reception desk>
The second reception desk 9 is constantly monitored by a medical professional operator such as a registered nurse. When the second reception desk 9 receives the medical consultation signal, the operator answers the consultation while referring to the emergency medical information of the corresponding user 2 and updates the emergency medical information according to the content of the consultation. When the reception desk 9 receives the information update signal, the emergency information of the user 2 is referred to and the registration information is updated to an appropriate content. When performing these measures, an updated emergency medical information signal is transmitted to the mobile terminal 3 of the user 2 by the operator. This emergency medical information signal is used to confirm information to the user.

  The second reception console 9 is a server device that includes an operation unit 91, a display monitor 92, a communication unit 93, a telephone unit 94, and a control unit 95. The control unit 95 includes a microcomputer that controls various operations of the second reception desk 9 and its peripheral circuits. The control unit 95 includes an operator identification unit 951, an identification information acquisition unit 952, and a second emergency medical information processing unit 953 as functional modules realized by a computer program executed on the microcomputer. ing.

The operation unit 91 is composed of a keyboard and a pointing device, and is operated by an operator to input information.
The display monitor 952 is a monitor display composed of an LCD or the like, and is controlled by the control unit 95 to output a signal received from the mobile terminal 3, information on the user 2, GUI, or the like.

  The communication unit 93 is connected to the network 6 and can communicate with the mobile terminal 3. The communication unit 93 is connected to the center device control unit 12 and is configured to be able to communicate with each unit of the center device 5 via the center device control unit 12.

  The operator identifying unit 951 determines whether the operator of the second reception desk 9 is an operator registered in advance. The determination of the operator may be performed by reading identification information such as a PIN input from the operation unit 91 or reading unique information of the ID card. If it can be determined that the operator is registered in advance, various information output to the display monitor 92 is allowed. If it cannot be determined that the operator is registered in advance, the output of various information to the display monitor 92 is prohibited.

  When the identification information acquisition unit 952 receives a medical consultation signal or an information update signal as a request signal from the portable terminal 3 via the communication unit 93, the identification information acquisition unit 952 acquires the identification information of the portable terminal 3 included in the request signal. Using this identification information, the user identification information storage unit 10 is inquired to obtain the corresponding identification information of the user 2.

  The second emergency medical information processing unit 953 displays and outputs the identification information of the user 2 acquired by the identification information acquisition unit 952 and the contents included in the received medical consultation signal or information update signal on the display monitor 92. When the medical consultation signal or the information update signal is received as voice communication, the telephone unit 94 is connected so as to be able to make a voice call.

  In addition, when the identification information acquisition unit 952 acquires the identification information of the user 2, the second emergency medical information processing unit 953 refers to the emergency medical information storage unit 11 by using the identification information and corresponds to the corresponding user 2. Get emergency medical information. The second emergency medical information processing unit 953 displays and outputs the acquired emergency medical information of the user 2 on the display monitor 92.

  When receiving the medical consultation signal, the operator refers to the identification information and emergency medical information of the user 2 and makes a reply as an expert to the medical consultation transmitted from the user 2. When a medical consultation signal is received as voice communication over the telephone, an answer is made through conversation with the user 2, and when a medical consultation signal is received as a message format signal such as an e-mail, an answer text And reply to the user 2. Further, according to the contents of the medical consultation of the user 2, the operator performs input such as correcting the corresponding part of the emergency medical information registered in the operation unit 91. When the update of the emergency medical information is completed, a confirmation signal is input from the operation unit 91, and the updated emergency medical information is registered in the emergency medical information storage unit 11.

  Further, when receiving the information update signal, the operator refers to the identification information and emergency medical information of the user 2 and makes a judgment as an expert with respect to the update content transmitted from the user 2, Input such as correcting the corresponding part of the emergency medical information registered in the unit 91 is performed. When the update of the emergency medical information is completed, a confirmation signal is input from the operation unit 91, and the updated emergency medical information is registered in the emergency medical information storage unit 11.

  When the operator answers the medical consultation and completes the update of the registered emergency medical information, the operator designates the user 2 from the operation unit 91 and inputs an emergency medical information transmission instruction. When the emergency medical information transmission instruction is input from the operation unit 91, the second emergency medical information processing unit 953 transmits an emergency medical information transmission request signal including the identification information of the user 2 acquired by the identification information acquisition unit 952. It outputs to the mail transmission server 121 of the center apparatus control part 12, and transmits the emergency medical information of the said user 2 addressed to the portable terminal 3 of the user 2. FIG. This functions as information confirmation for notifying the user 2 of emergency medical information corresponding to the operator. As a result, for cases in which judgment as a medical specialist such as medical consultation or update of registration information is required, it is possible to prevent the request of user 2 from being directly reflected in the emergency medical information storage unit, The operator can judge as an expert while referring to emergency medical information according to the requested contents, and can make it to be confirmed as emergency medical information reflecting this, and perform appropriate operations for medical information that requires accuracy Is possible.

<Description of operation>
A processing flow of the medical information management system 1 configured as described above will be described with reference to FIGS. 4 and 5. FIG. 4 is a sequence diagram showing a series of operations of the medical information management system 1 when the mobile terminal 3 is subjected to an emergency emergency operation.

  First, when the user 2 performs an emergency emergency operation of the portable terminal 3 due to an accident or illness (step ST1), the portable terminal 3 acquires the current position (step ST2) and generates an emergency signal (step ST3). In the present embodiment, the transmission destination of the emergency signal is the first reception desk 8, and the emergency signal includes the current position information and the identification information of the mobile terminal 3. And the portable terminal 3 transmits an emergency signal to the 1st reception desk 8 (step ST4).

  In the first reception desk 8, the operator 2 is identified in advance, and the situation is monitored by the controller (step ST5). When receiving the emergency signal (step ST6), the first reception desk 8 acquires the identification information of the user 3 corresponding to the identification information of the portable terminal 2 included in the emergency signal from the user identification information storage unit 10, It outputs to the display monitor 82 with the positional information on the portable terminal 2 (step ST7). The controller makes an inquiry to the user 2 by calling or the like and performs a procedure for checking the situation (step ST8). Further, the controller makes a 119 report at the telephone section 84 and requests the dispatch of the ambulance team 510 (step ST9). At the time of this notification, the fact that information necessary for the treatment is sent to the mobile terminal 3 of the user 2 is also transmitted. Then, the controller designates the user from the operation unit 81 and inputs an instruction to transmit emergency medical information. When an emergency medical information transmission instruction is input, the first reception desk 8 outputs an emergency medical information transmission request signal including identification information of the user 2 to the center device control unit 12 (step ST10).

  When the mail transmission server of the center device control unit 12 receives the emergency medical information transmission request signal from the first reception desk 8 (step ST11), the emergency medical information corresponding to the identification information of the user 2 is stored in the emergency medical information storage unit. 11 (step ST12), and generates an emergency medical information signal for transmitting emergency medical information with the mobile terminal 3 of the user 2 as a destination (step ST13). Then, the mail transmission server 121 transmits the generated emergency medical information signal to the mobile terminal 3 of the user 2 (step ST14).

When the portable terminal 3 receives the emergency medical information signal from the center device 5 (step ST15), the portable terminal 3 displays and outputs the emergency medical information included therein on the display unit 25 (step ST16).
As a result, emergency medical information can be transmitted and displayed on the local mobile terminal 3 where the emergency report has been made, so refer to the emergency medical information in the emergency room for emergency treatment in the field or in the hospital where the emergency was transported. However, it is possible to perform an appropriate treatment by an expert. In this series of sequences, emergency medical information is not displayed on the first reception desk 8, and it is suppressed that the controller refers to the emergency medical information of the user 2. While considering high privacy, it is possible to prevent misjudgment of medical information that requires higher accuracy, and to perform appropriate operations in an emergency.

  Next, FIG. 5 is a sequence diagram showing a series of operations of the medical information management system 1 when the mobile terminal 3 is operated for medical consultation.

  First, when the user 2 feels uneasy about health and performs a medical consultation operation on the mobile terminal 3 (step ST51), the mobile terminal 3 generates a medical consultation signal (step ST52) and transmits it to the management center 4 (step ST53). ). In the present embodiment, the transmission destination of the medical consultation signal is the second reception desk 9. The medical consultation signal includes identification information of the mobile terminal 3. The medical consultation signal may be a message format signal including the contents of consultation input by the user 2, or may be voice communication that calls and talks verbally.

  In the second reception desk 9, the operator 2 is identified in advance and the situation is monitored by a medical specialist such as a nurse (step ST54). When the second reception desk 9 receives the medical consultation signal (step ST55), it acquires the identification information of the user 2 corresponding to the identification information of the portable terminal 3 included in the medical consultation signal from the user identification information storage unit 10. Is output to the display monitor 92 (step ST56). At this time, the content included in the received medical consultation signal is notified from the display monitor 92 or the telephone unit 94 (step ST57).

  The second reception desk 9 refers to the emergency medical information storage unit 11 using the identification information of the user 2, acquires the corresponding emergency medical information of the user 2, and displays and outputs it on the display monitor 92 (step ST58). . The operator refers to the identification information and emergency medical information of the user 2 and performs a reply procedure as an expert to the medical consultation transmitted from the user 2 (step ST59). Further, the operator corrects the corresponding portion of the emergency medical information according to the content of the consultation, and then inputs the confirmation signal to store the updated emergency medical information in the emergency medical information storage unit 11 (step ST60). .

  Then, the operator designates the user 2 from the operation unit 91 and inputs an emergency medical information transmission instruction. When the emergency medical information transmission instruction is input, the second reception desk 9 outputs an emergency medical information transmission request signal including the identification information of the user 2 to the center device control unit 12 (step ST61).

  When the mail transmission server 121 of the center apparatus control unit 12 receives the emergency medical information transmission request signal from the second reception desk 9 (step ST62), the emergency medical information corresponding to the identification information of the user 2 is stored in the emergency medical information. It obtains from the unit 11 (step ST63), and generates an emergency medical information signal for transmitting emergency medical information with the mobile terminal 3 of the user 2 as the destination (step ST64). Then, the mail transmission server 121 transmits the generated emergency medical information signal to the mobile terminal 3 of the user 2 (step ST65).

  When the portable terminal 3 receives the emergency medical information signal from the center device 5 (step ST66), the portable terminal 3 displays and outputs the emergency medical information included therein on the display unit 25 (step ST67). This functions as information confirmation for notifying the user 2 of emergency medical information corresponding to the operator. As a result, for cases in which judgment as a medical specialist such as medical consultation or update of registration information is required, judgment as a specialist is made with reference to emergency medical information according to the request, and the accuracy It is possible to perform an appropriate operation regarding medical information that is required.

  Here, although a series of operations of the medical information management system 1 in the case where a medical consultation operation is performed using FIG. 5, an information update operation for inputting the update contents of emergency medical information is performed on the mobile terminal 3. In this case, the same procedure may be used. That is, in this case, an information update signal is transmitted from the portable terminal 3 to the second reception desk 9 in step ST53, and this updated content is displayed on the display monitor 92 in step ST57. The operator compares the request of the user 2 with the currently registered emergency medical information displayed at step ST58, and determines which item should be updated as an expert. At this time, step ST59 can be omitted. And in step ST60, emergency medical information is updated from the operation part 91, and it is confirmed as new emergency medical information. Thereafter, in order to have the user 2 confirm the new emergency medical information updated in step ST61, a transmission request for an emergency medical information signal is made. This prevents the update request from the user 2 from being directly reflected in the emergency medical information storage unit, reflects the expert's judgment according to the content of the request, and confirms it as emergency medical information. It is possible to perform an appropriate operation regarding medical information that is required.

According to the embodiment of the present invention described above, when medical consultation is received from a user, or emergency medical information is registered or changed in the center, the emergency medical information is displayed on the second reception desk. It is possible to respond to the user based on the determination by the operator of the second reception desk and to transmit the emergency medical information to the user. Therefore, it is possible to appropriately manage medical information that requires accuracy by arranging a staff member having knowledge about medicine such as a nurse on the second reception desk.
In addition, when an emergency situation occurs in a user, the user's identification information can be confirmed by receiving a signal from the user side at the first reception desk, and the user's emergency medical information can be received by the user. By transmitting to the side, appropriate information can be provided to the person who performs first aid on the user side. At this time, display of emergency medical information is prohibited at the first reception desk. Therefore, by arranging a staff member who has knowledge of emergency response, such as a controller, on the first reception desk, it is possible to perform an appropriate emergency operation while considering the high privacy of medical information.

  The embodiments of the present invention have been described above by way of example, but the scope of the present invention is not limited to these embodiments, and can be changed or modified according to the purpose within the scope described in the claims. .

For example, in the embodiment described above, the first reception desk that receives an emergency signal and the second reception desk that receives a request signal other than the emergency signal are described as separate devices, but the present invention is not limited to this.
The first reception desk and the second reception desk may be integrally configured as a reception desk. In this case, if the operator is identified as a pre-registered controller by the operator identification unit, it functions as a first reception desk. If the operator is identified as a medical specialist such as a nurse, the second reception is performed. It may be configured to function as a table. This also makes it possible to perform an appropriate emergency operation while considering the high privacy and accuracy of medical information, as in the above-described embodiment.

  In addition, the first reception desk and the second reception desk are integrally configured as a reception desk, whichever of the first reception desk and the second reception desk, depending on the type of request signal received from the mobile terminal, regardless of the operator. May be switched as to function as. In this case, the staff placed on the reception desk functions as a first reception desk when receiving an emergency signal from a portable terminal as a medical specialist operator such as a controller and nurse, and receives a request signal other than the emergency signal. You may comprise so that it may function as a 2nd reception desk. This also makes it possible to prevent emergency medical information from being displayed and output when it is not necessary, and to maintain a high level of privacy.

  In the embodiment described above, an example in which a mobile terminal is used as a communication terminal has been described. However, the present invention is not limited to this, and a fixed telephone or the like may be used. In this case, the fixed telephone may transmit a signal by changing the type of the request signal using a tone signal or a pulse signal. In the center device, the user address is stored in advance in the user information storage unit, and when the request signal is received, the current location is determined and displayed on the display monitor.

DESCRIPTION OF SYMBOLS 1 Medical information management system 2 User 3 Portable terminal 4 Management center 5 Center apparatus 6 Network 21 Shared antenna 22 Wireless communication part 221 Transmission / reception part 222 GPS receiving part 23 Input part 24 Storage part 25 Display part 26 Control part 261 Position acquisition part 262 Communication control part 263 Display control part 7 Reception desk 8 First reception desk 81 Operation part 82 Display monitor 83 Communication part 84 Telephone part 85 Control part 851 Operator identification part 852 Identification information acquisition part 853 1st emergency medical information processing part 9 1st 2 reception desk 91 operation unit 92 display monitor 93 communication unit 94 telephone unit 95 control unit 951 operator identification unit 952 identification information acquisition unit 953 second emergency medical information processing unit 10 user identification information storage unit 11 emergency medical information storage unit 12 Center device control unit 121 Mail transmission server 500 Fire fighting 510 Ambulance team

Claims (5)

A medical information management system comprising: a communication terminal possessed by a user; and a center device that transmits emergency medical information of the user to the communication terminal based on a request signal received from the communication terminal,
The center device is
A user identification information storage unit that associates the communication terminal with identification information that can identify the user in advance;
An emergency medical information storage unit that stores emergency medical information for each user in association with the identification information of the user;
Upon receiving the request signal, an identification information acquisition unit that acquires identification information of the user of the communication terminal that is a transmission source from the user identification information storage unit;
When an emergency signal is received as the request signal, a first emergency medical information processing unit that transmits the emergency medical information corresponding to the user as the transmission source to the communication terminal as the transmission source;
When a signal different from the emergency signal is received as the request signal, emergency medical information corresponding to the user who is the transmission source is output to a display unit, and then the emergency corresponding to the user who is the transmission source A second emergency medical information processing unit that transmits medical information to the communication terminal serving as the transmission source;
A medical information management system characterized by comprising:
A medical information management system comprising: a communication terminal possessed by a user; and a center device that transmits emergency medical information of the user to the communication terminal based on a request signal received from the communication terminal,
The center device is
A first reception desk for receiving an emergency signal as the request signal;
A second reception desk for receiving a signal different from the emergency signal as the request signal;
A user identification information storage unit that associates the communication terminal with identification information that can identify the user in advance;
An emergency medical information storage unit that stores emergency medical information for each user in association with the identification information of the user;
With
The first reception desk is
A first identification information acquisition unit for acquiring identification information of a user of the communication terminal from the user identification information storage unit based on an emergency signal from the communication terminal;
A first operation unit;
The user identification information acquired by the second identification information acquisition unit is displayed and output, and when there is an input from the first operation unit, the user corresponds to the user acquired by the first identification information acquisition unit A first emergency medical information processing unit that transmits emergency medical information to a communication terminal that is a transmission source of the emergency signal;
With
The second reception desk is
A second identification information acquisition unit that acquires identification information of a user of the communication terminal from the user identification information storage unit based on a signal from the communication terminal;
A second operation unit;
Communication that displays and outputs emergency medical information corresponding to the user acquired by the second identification information acquisition unit, and that receives the emergency medical information from the second operation unit as a transmission source of the emergency signal A second emergency medical information processing unit to be transmitted to the terminal;
A medical information management system characterized by comprising:
The emergency medical information storage unit
The medical information management system according to claim 2, wherein output of emergency medical information to the first reception desk is prohibited and output of emergency medical information to the second reception desk is permitted.
The emergency signal is a signal including position information of the communication terminal,
The medical information management system according to any one of claims 1 to 3, wherein, when an emergency signal is received from the communication terminal, position information is output to the display unit together with identification information of a user of the communication terminal.
A medical information management center device that transmits emergency medical information of the user to the communication terminal based on a request signal received from the communication terminal possessed by the user,
A user identification information storage unit that associates the communication terminal with identification information that can identify the user in advance;
An emergency medical information storage unit that stores emergency medical information for each user in association with the identification information of the user;
Upon receiving the request signal, an identification information acquisition unit that acquires identification information of the user of the communication terminal that is a transmission source from the user identification information storage unit;
When an emergency signal is received as the request signal, a first emergency medical information processing unit that transmits the emergency medical information corresponding to the user as the transmission source to the communication terminal as the transmission source;
When a signal different from the emergency signal is received as the request signal, emergency medical information corresponding to the user who is the transmission source is output to a display unit, and then the emergency corresponding to the user who is the transmission source A second emergency medical information processing unit that transmits medical information to the communication terminal serving as the transmission source;
A medical information management center apparatus comprising:

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